13 Greenway Park

Updated 30 June 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, and to provide a rating for the service under the Care Act 2014.

The inspection took place on 26 and 27 February 2018 and was announced. The previous inspection was carried out on 17 and 21 April 2015. We rated the service Outstanding overall.

The inspection was carried out by one inspector. Part of the inspection was carried out by two inspectors because two of the provider’s services were being inspected at the same time. This meant we could look at some areas collectively because they would be the same for both services and would provide consistency when collecting evidence.

Prior to our visit we asked for a Provider Information Return (PIR). The PIR is information given to us by the provider. The PIR also provides us with key information about the service, what the service does well and improvements they plan to make. We reviewed the information included in the PIR along with other information we held about the service. This included notifications we had received from the service. Services use notifications to tell us about important events relating to the regulated activities they provide.

We contacted 14 health and social care professionals as part of our planning process and invited them to provide feedback on their experiences of working with people at the service. We received a response back from four of them.

Some people were able to talk with us about the care they received. We met and spoke with all eight people who lived at the service. We also spoke with the one relative and one volunteer. We sat and carried out observations of other people who were unable to communicate with us.

We spoke with the provider, two registered managers, a manager and five staff.

We looked at the care records of two people living at the service, three staff personnel files, training records for staff, staff duty rotas and other records relating to the management of the service. We looked at a range of procedures including safeguarding, mental capacity and deprivation of liberty, accidents and incidents and equality and diversity.

Updated 30 June 2018

This inspection took place on 26 and 27 February 2018 and was announced. We gave the provider 48 hours’ notice of the inspection. We did this to ensure people and key staff would be available at the service.

The service 13 Greenway Park is registered to provide personal care and accommodation for up to eight people. The service specialises in the care of people with a learning disability. At the time of our inspection there were eight people living at the service.

At our last we rated the service outstanding. At this inspection we found evidence continued to support the rating of outstanding and because of this the report is in a shorter format.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements of the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The provider had a positive approach to support people to reach their full potential, whilst reducing risks and keeping them safe. Staff had a good understanding of how to protect people from harm whilst upholding their rights to make choices and take risks to enhance their lives and seek new adventures.

Staff were recruited in a safe way; all checks were in place before they started work and they received an in-depth comprehensive induction. Staff said there were sufficient numbers of staff on duty at all times.

The registered manager and staff understood their role and responsibilities to protect people from harm. Risks had been assessed and appropriate assessments were in place to reduce or eliminate the risk.

People received their medicines from trained competent staff. Medicine records were clear, checked and in good order to ensure people received their medicines safely.

The service was meeting the requirements of the Deprivation of Liberty Safeguards. Staff had received appropriate training, and had a good understanding of the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards.

People were supported to access health care professionals and health care services when needed. They were offered a choice of foods they enjoyed.

There was a strong person-centred culture apparent within the service. Person centred means care is tailored to meet the needs and aspirations of each individual.

Activities were personalised for each person. Strong community links and engagement had been developed by the provider.

Staff treated people with kindness, dignity and respect and spent time getting to know them and their specific needs and wishes. Care records contained detailed information about people's needs, wishes, likes, dislikes and preferences.

Staff had a consistent approach and purpose to achieve positive outcomes for people. They excelled at providing consistency which had a positive impact on people’s wellbeing, reduced their anxiety levels and provided stability.

The service was well led. Staff were enthusiastic and happy in their work. They felt supported within their roles and held the management team in high regard. Staff described working together as a team, how they were dedicated to providing person-centred care and helping people to achieve their potential.

The registered manager assessed and monitored the quality of the service provided for people. Systems were in place to check on the standards within the service. These included regular audits of care records, medicine management and health and safety.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.”