• Care Home
  • Care home

Eco Nights

Overall: Good read more about inspection ratings

1A Limetree Avenue, Benfleet, Essex, SS7 5AA (01268) 931491

Provided and run by:
Eco Wings & Nights Limited

Important: We are carrying out a review of quality at Eco Nights. We will publish a report when our review is complete. Find out more about our inspection reports.

Latest inspection summary

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Background to this inspection

Updated 22 October 2019

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection was completed by one inspector.

Service and service type

Eco Nights is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

We gave the service 48 hours’ notice of the inspection. This was because it is a small respite service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

Inspection activity started on 8 August 2019 and ended on 19 August 2019. We visited the office location on 8 and 19 August 2019.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

People using the service during our visit had complex communication needs and were unable to tell us their views and experiences, so we used observation as our main tool to gain insight of their experiences. During our inspection we spoke with five relatives, two members of staff, the service manager and the registered manager. We looked at a range of records including two people's care plans and records, three staff files in relation to recruitment and staff supervision and a variety of records relating to the management and quality assurance of the service.

Overall inspection

Good

Updated 22 October 2019

About the service

Eco Nights is a residential respite care service providing personal care for younger adults at the time of the inspection. People who use the service have varying complex needs such as; sensory impairment, autism, learning and/or physical disability. The shared residential care home was registered for the support of up to 6 people in line with best practice guidance. 39 people regularly used the service for varying lengths of stays. When we visited there were 6 people using the service. The residence has shared amenities of kitchen, lounge, bathrooms and garden.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

People’s experience of using this service and what we found

The registered manager and staff told us how important the services' shared values were to them, and how they were passionate about providing outstanding person-centred care to young people when they needed it, to enable them to live fulfilled, meaningful lives.

The registered manager told us, “We intend to continue to support people and their families who are approaching and are in crisis. We are prepared to do as much as we possibly can to support everyone involved.”

Relatives told us they thought the staff were highly compassionate, caring and empathic people who had made a difference to their lives when they had nowhere else to turn. The consistency of staff enabled meaningful relationships to be created between staff and people. The manager told us, “We strive to be a home from home setting for people, so families can get the respite they need.”

People’s medicines were well managed, and they were supported to access healthcare services. A community professional told us, “Eco Nights have worked closely with me and colleagues in health and have developed a very good understanding of people’s needs.”

People were treated with dignity and respect. Their lifestyle and equality needs and choices were understood and respected. Care plans were detailed and outlined the support people needed. These records were regularly reviewed to make sure they reflected changes to people's circumstances.

People were protected from the risks of harm and abuse. Enhanced risk assessments were in place to identify and help reduce the likelihood of people experiencing injury or harm. People’s privacy was respected.

Recruitment processes were ongoing. Staff were trained and supervised to make sure they met people's needs effectively. They had been recruited using appropriate procedures.

The service had effective leadership. Staff understood their responsibilities and worked together as a team. There were systems to monitor the quality of people's care to make sure it was effective and safe.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

The Secretary of State has asked the Care Quality Commission (CQC) to conduct a thematic review and to make recommendations about the use of restrictive interventions in settings that provide care for people with or who might have mental health problems, learning disabilities and/or autism. Thematic reviews look in-depth at specific issues concerning quality of care across the health and social care sectors. They expand our understanding of both good and poor practice and of the potential drivers of improvement.

As part of thematic review, we carried out a survey with the provider at this inspection. This considered whether the service used any restrictive intervention practices (restraint, seclusion and segregation) when supporting people.

The service used positive behaviour support principles to support people in the least restrictive way. Some minor restrictive intervention practice was used as a last resort, in a person-centred way, in line with positive behaviour support principles.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was Good (published 29 November 2016).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.