Cera - Essex and Havering

We did not look at all quality statements for Safe at this assessment. The service was safe. This rating uses some scores from the previous inspection. The service followed robust recruitment procedures and enough staff were employed. Care staff completed appropriate training and their competency was regularly checked. There were safe medicines processes and regular audits of medicines were completed.

We did not look at all quality statements for Effective at this assessment. The service was effective. This rating uses some scores from the previous inspection. We found peoples needs were assessed and care plans and risk assessments were reviewed. Peoples rights were respected and this included the right to make unwise decisions.

We did not look at all quality statements for Caring at this assessment. The service was Caring. People’s individual needs and preferences were well documented, and this was reflected in their care, treatment, and support.

We did not look at all quality statements for Responsive at this assessment. The service was responsive. This rating uses some scores from the previous inspection. The provider was responsive to people’s needs and assessed, reviewed, and appropriately adjusted their care plans as required. This included any communication needs. Staff provided people with person-centred care, were given choices, encouraged to follow their routines, interests, to maintain contact with friends and relatives so that their independence was promoted, and social isolation minimised.

The key question of well-led was rated as requires improvement at our last inspection. At this assessment the rating has improved and the key question of well-led is now rated good. Systems and processes were effective to ensure good governance and oversight. The provider independently identified risk which impacted on people’s safety and welfare. The approach to learning, improvement and innovation was consistent across the service, acting on feedback from staff and service users. The registered manager was committed to driving improvement and actively sort feedback.