Care Plus Essex Limited part of Manorcourt Care

This inspection started on 03 October 2018 and ended on 04 October 2018. The inspection was announced. At their last inspection on 10 August 2015, we found one area that required improvement. The service did not have a robust process in place for missed calls and not all staff had their competency assessed following their medicines training. At this inspection, we found they now met all the standards.

There was a manager at the service who had been in post for five months. The manager had applied to be registered with the Care Quality Commission (CQC) as manager. A registered manager is a person who has registered with the CQC to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.

People received their medicines safely and staff competency was assessed prior to them administering medicines. People were supported by sufficient numbers of staff to ensure risk of harm was minimised. The new manager had reduced missed calls and was monitoring this proactively.

Potential risks to people had been assessed and managed appropriately by the manager. Staff had been recruited appropriately and had received relevant training so they were able to support people with their individual care and support needs.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People were supported to maintain a healthy diet, which considered their culture, needs and preferences, so their health was promoted, and choices could be respected. Access to healthcare professionals was supported.

There were positive relationships between people and members of staff. Staff treated people with kindness and took the time to get to know them and their interests whilst providing their care. The service had involved people in developing their care plans to ensure care was provided in the way they wanted it to be.

The provider had effective auditing systems in place to monitor the effectiveness and quality of service provision. People's views on the quality of the service were gathered and used to support service development. People using the service, their relatives and staff were confident about approaching the manager if they needed to.

Further information is in the detailed findings below.

The five questions we ask about services and what we found