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Archived: Adjuvo Care Essex Limited - Halstead Inadequate

Inspection Summary


Overall summary & rating

Inadequate

Updated 30 October 2019

About the service

Adjuvo Essex Care limited – Halstead is a residential care home providing personal and nursing care to 12 people with a learning disability and autism.

The service was a large home, bigger than most domestic style properties. It was registered for the support of up to 12 people. Six people were using the service. This is larger than current best practice guidance.

The outcomes for people did not fully reflect the principles and values of Registering the Right Support because a lack of skilled, trained and supported staff meant people did not receive planned and co-ordinated person-centred support that was appropriate and inclusive for them. Therefore people were not supported to have maximum choice and control of their lives

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

Staff told us there were insufficient staff in the service.

The service failed to provide adequate and meaningful activities for people.

The provider failed to learn lessons to ensure risks associated with individuals were identified, planned for and monitored effectively.

The service was not well led and management failed to have oversight of the service to drive improvement.

The service failed to encourage staff to maintain and develop their knowledge and skills. Systems for managing staff training was ineffective.

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 requires improvement (published 5 March 2019) for the second time. The provider completed an action plan after the last inspection to show what they would do and by when to improve.

At this inspection enough improvement had not been made.

Why we inspected

The inspection was prompted in part by notification of a specific incident. This incident is subject to a criminal investigation. As a result, this inspection did not examine the circumstances of the incident.

Following our last inspection we were informed by the provider of the decision taken to close the service, at that time a closure date had not been given. As part of our monitoring we carried out a focused inspection to review the Key Questions Safe and Well Led only.

We found shortfalls in the oversight, management, staff training and support and staffing levels which all impacted on the service’s ability to support people safely and effectively. This put people’s wellbeing at risk. Please see the safe and wellbeing sections of this report.

Inspection areas

Safe

Inadequate

Updated 30 October 2019

The service was not safe

Details are in our Safe findings below.

Effective

Requires improvement

Updated 5 March 2019

The service was not always effective

Details are in our Effective findings below.

Caring

Requires improvement

Updated 5 March 2019

The service was not always caring

Details are in our Effective findings below.

Responsive

Requires improvement

Updated 5 March 2019

The service was not always responsive

Details are in our Effective findings below.

Well-led

Inadequate

Updated 30 October 2019

The service was not well led

Details are in our Well led findings below.