Essex/London

Feedback from people we spoke to was positive. People had been fully communicated with the outcomes of the last inspection and the necessary improvements the registered manager needed to make.

The registered manager had improved people's care plans. Clear risk assessments were in place along with people's likes dislikes and health needs. Quality assurance processes were in place and audits were carried out and outcomes actioned. However time was needed to ensure these improvements were sustainable.

Recruitment processes had been improved so people received safe support from people when they needed it. However, staff personnel files were disorganised and did not contain all of the relevant information required.

The administration of medicines was safer than at our last inspection. Staff had been re-trained and there were effective audits in place to pick up any errors. However, these had not always been effective in picking up a recording issue on the medicine administration record sheet ( MARS).

Staff had received some training to enable them to have the right skills and experience to meet people's needs. However, some training had yet to be arranged.

Assessments were carried out to ensure people's needs could be met.

Staff understood people's likes, dislikes and preferences and people told us they were offered choices about their care.

People were supported to eat and drink in line with their preferences.

People were supported to have maximum control of their lives and staff supported them in the least restrictive way possible and in their best interest.

Relatives and staff were complimentary about the management of the service. Staff understood their roles and responsibilities in providing safe and good quality care to the people who used the service.