About the service Greenacres is a care home providing personal care to six people at the time of the inspection. The service can support up to six younger adults with learning disabilities or autistic spectrum disorder. It is a purpose-built building with multiple communal spaces for people’s comfort and enjoyment. It is situated close to local amenities and public transport.
People’s experience of using this service and what we found
People led very meaningful lives because the registered manager and staff had an exceptionally positive impact on their progress. A relative told us, "Greenacres staff offer at all times exceptional care for my precious [relative]." The management team created an activity programme highly tailored to each person’s interests and preferences. Another relative added, "Such great opportunities that [my family member] would not have received anywhere else." The management team worked closely with relatives and professionals to gain detailed insight into how each person responded, interacted and connected. People understood how they could raise a complaint because the registered manager provided details in different formats, such as pictorial.
People received their medicines safely because the registered manager had rigorous systems to ensure careful administration. Each individual had a person-centred assessment to lessen the risk of harm or injury to them. All levels of staff took responsibility for providing a clean, safe environment. People’s individual needs were met because the provider ensured sufficient staffing levels were available.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. People’s independence and control over their lives was optimised because staff sought their moment-by-moment consent. They were at the heart of their care planning. Each person planned with the registered manager different approaches to lessen the risk of malnutrition. A relative said, “The meals are great. My [family member] feels well-fed.” The registered manager provided extensive training.
The main focus of care was to deliver person-centred, holistic and inclusive support plans. Each person made their day-to-day decisions, which staff reinforced through a good understanding of equality and diversity. A relative stated, “They’re always professional, but my relative feels like they are her friends. They’ve got that balance incredibly well.”
People were empowered to fully express themselves because the registered manager created a calm and relaxed atmosphere. A relative commented, “[The registered manager] has such a lovely manner about her.” The registered manager completed multiple audits to ensure everyone’s wellbeing.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
This service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. Staff supported people to make their own decisions and lead discussions on what they wanted to do. There was a consistently kind and respectful approach, ensuring each person maintained their independence and privacy. People confirmed they were happy and settled at Greenacres.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
This service was registered with us on 06/02/2020 and this is the first inspection.
Why we inspected
This was a planned inspection based on the service’s registration date.
We looked at infection prevention and control measures under the safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.