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EL Marsh Supported Living Requires improvement


Inspection carried out on 6 August 2019

During a routine inspection

About the service

EL Marsh Supported Living is a supported living service providing personal care to adults in their own homes. People had a range of needs including learning disabilities, mental health conditions and sensory impairments. On the day of the inspection, 17 people were receiving support.

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

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 manager was not yet registered with The Care Quality Commission (CQC) but was in the process of doing this. Systems were not effective for monitoring the quality and safety of the services provided. Documentation relating to behaviour that challenged did not contain enough detail and were not consistently completed. Staff knew how to raise concerns.

Medicines were not always recorded correctly. Care plan and risk assessments did not always contain enough detail. People felt safe and staff had good knowledge of safeguarding processes. There were enough staff to support people safely.

People’s assessed needs were not always accurately reflected in their care plans. 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 did support this practice although evidence of capacity assessments were lacking.

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.

People were encouraged and supported to take part in activities. People’s personal preferences were identified in their care plans. People were supported to build and maintain relationships.

People were supported by staff who knew them well. People’s privacy and dignity was maintained. Staff promoted people’s independence.

As part of thematic review, we carried out a survey with the manager 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. No restrictive intervention practices were used.

For more details, please see the full report which is on the CQC website at

Rating at last inspection (and update)

This service was registered with us on 15 August 2018 and this is the first inspection.

Why we inspected

This was a planned inspection.


We have identified breaches in relation to good governance during this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.