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Inspection Summary


Overall summary & rating

Good

Updated 13 December 2018

The Greens is a residential care home for three people with a learning disability and other needs. At the time of our inspection there were three people living at the service who had a range of needs such as Autism Spectrum Disorders, learning disabilities and mental health conditions.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

At this inspection we found the service remained good.

Safeguarding procedures were in place and staff knew how to report abuse. Relatives said they felt their loved ones were safe. Risk assessments were in place and managed appropriately. Each person had a Personal Emergency Evacuation Plan to help keep them safe. Medicines were stored and administered correctly. As and when medicine (PRN) protocols were in place and there were no gaps in Medicine Administration Records. We identified where guidelines were not being followed and informed the registered manager who told us this would be addressed. The environment was clean and tidy and staff were trained to ensure safe infection control was practised.

Rooms were personalised to meet each person’s individual taste. 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 support this practice. Staff were aware of the principles of the Mental Capacity Act 2005 and people’s rights were protected. Staff had received training relevant to their roles which was up to date and had regular supervision with their line manager to discuss their performance. People had access to healthcare professionals and attended appointments to help maintain good health.

Staff were knowledgeable around people’s needs and treated them with dignity, kindness and respect by staff who knew people extremely well.. People’s independence and privacy was respected and promoted.

A wide range of meaningful activities were available for people who used the service. Care plans were detailed and accurate and reflected people’s needs, when changes occurred they were updated.

There was an open and inclusive culture within the service amongst staff and people. Relatives said that the registered manager and staff were approachable and the service had a family feel which they valued. The service was proactive in assisting people to access health care and managing their anxieties around this. The registered manager was considering ways to adapt the service and its equipment to ensure sustainability for the people living there.

Inspection areas

Safe

Good

Updated 13 December 2018

The service remained safe.

Effective

Good

Updated 13 December 2018

The service remained effective.

Caring

Good

Updated 13 December 2018

The service remained caring.

Responsive

Good

Updated 13 December 2018

The service remained responsive.

Well-led

Good

Updated 13 December 2018

The service remained well-led.