Cera - Essex and Havering

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

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.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

People told us they had a care plan. Most people said this was kept up to date and they were involved in reviewing it, although they hadn’t read the document itself. One person said, “I have a folder that’s all out of date, things are done on the app, but I haven’t got a clue about that.” Another person said, “I have a care plan in place, but I’ve never read it, the carers always do everything they need to for me.” A relative said, “We have a care plan, and it gets reviewed from time to time.” “I’m happy with what’s contained in the plan.” Another relative told us how the registered manager had visited them at home to assess [relative] care needs and agree a plan. This relative also said, “They kept to the times agreed and the continuity was outstanding.” “This alone helped a very private couple come to terms with the need of care in the home.”

We saw that people’s care plans included assessments of need, as well as risk assessments. These covered areas that were important to people, such as health, daily living, and goals to be achieved. All of these were regularly reviewed and updated as people’s needs changed. Frequent contact with people was also made by office staff to help ensure they were receiving the care and support they required.

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

A service user said, “I have a care plan and it’s usually up to date in a booklet. It got reviewed a couple of months ago. I have full control of my decisions in my care.”

A staff member said, “I treat each person as an individual with unique needs, involve them in decision making about their care and respect their choices, also be patient and compassionate.” Staff received training in the Mental Capacity Act which helped ensure they understood the principles of the act and put the training into practice.