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Archived: Green Acres Good

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Reports


Inspection carried out on 16 December 2014, 19 December 2014

During a routine inspection

This inspection took place on the16 and 19 December 2014 and was unannounced.

The home had a registered manager. 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 in the Health and Social Care Act and associated Regulations about how the service is run. The homes registered manager was the person responsible for maintain contact with the people placing authority care mangers and ensuring their contracted care was provided. Care managers are the placing authority’s representatives who are responsible for assessing the needs, reassessing and managing any care package and ensuring the continuing wellbeing of the people they place.

Green Acres provides accommodation and support for up to six people with learning disabilities. Some people may also have multiple and complex needs. For example both a learning disability and a physical disability or limited speech or autistic.

The provider had systems in place to make sure people were protected from abuse and avoidable harm. People appeared to be comfortable with each other and approached staff readily.

Assessments were undertaken to identify people’s health and support needs and any risks to people. Plans were in place to reduce the risks identified in assessments.

People were supported by enough suitably qualified, skilled and experienced staff. Robust recruitment and selection procedures were in place and appropriate checks had been undertaken before staff began work.

People were provided with a choice of healthy food and drink to make sure their nutritional needs were met. At mealtimes people ate well and were content with their choices.

The Care Quality Commission (CQC) monitors the operation of the Deprivation of Liberty Safeguards (DoLS) which applies to care homes. These safeguards protect the rights of people by ensuring if there are any restrictions to their freedom and liberty these have been authorised by the local authority as being required to protect the person from harm. We found the home to be meeting the requirements of the Deprivation of Liberty Safeguards

People were supported in a way that promoted their dignity by being spoken to kindly and were given choices. Staff were caring in their approach to people, giving them attention and not rushing them with support. Staff appeared to know people well and clearly understood their individual needs and preferences.

People who lived at the home said hello or greeted us with a wave or a thumbs up. We saw people smiling and happy during an activity and one person told us they were enjoying their activities and told us about some they had enjoyed.

Care plans were developed with people to identify how they wished to be supported and goals they wanted to achieve.

Observations of interactions between the Manager and staff showed they were inclusive and positive and promoted a transparent culture where the people came first. Staff told us they liked working at Green Acres and felt supported in their work and to access training. Staff told us they felt comfortable raising concerns with them or to suggest ideas for improvement and found them to be responsive in dealing with any concerns raised.

There was a complaints process available. Relatives and care professional we spoke with all said they never had any formal complaints but they would not hesitate to speak with the provider if they felt the need to complain. Health professionals we spoke to told us that the manager and staff communicated well with them and would take prompt action where needed so they never had the need to make a complaint.

The provider analysed and acted no information acquired from quality assurance questioners.

Inspection carried out on 25 April 2013

During a routine inspection

At the time of our inspection there were six people who lived at Green Acres. Most of the people who lived in the home had complex needs which meant they were not able to tell us their experiences of using the service; we therefore used our observations and spoke with relatives of people to help inform our judgements.

Our observations showed that people who used the service were supported with their personal care in private and in a way that promoted their dignity. The atmosphere in the home was relaxed and staff were observed to be caring and supportive in their approach to people. They appeared to know them well and clearly understood their needs and preferences.

Most of the relatives of people who used the service told us they were involved in the decisions regarding their relative's care and were happy with the care and support provided. Comments included "My relative receives very good care" and "I have absolutely no concerns".

Staff told us they "Enjoyed" working at the home and felt that the staffing levels were sufficient in order to meet the health and social needs for the people who lived there.

We reviewed the service's maintenance and health and safety checks and found that the service was being safely maintained.

Inspection carried out on 13 June 2012

During a routine inspection

People who used the services at Green Acres have multiple or complex needs within the autism spectrum some of whom had challenging behaviour.

The people who lived at the service (house mates) had either no or very limited verbal communication skills as a result we were unable to ask their opinion of the service. In order to ascertain the quality of care and support provided by the service, we undertook a random telephone survey of the family members and the next of kin�s of the people who lived at the service.

We were told of the stability of the staff team their training and dedication to the house mates who live at Green Acres.

The quality of the staff and their ability to support the house mates appropriately was a sentiment felt by the family members we spoke to.

One person stated that this placement was the best their relative had lived in and had made considerable improvement since moving into the service.

Generally people were very positive of the respect and dignity their relative was shown by the staff at the service.

Family members stated that they were regularly contacted by the service and that they were invited to their relative�s reviews or important appointments. One person however stated that the quality of the communication could be �hit of miss� depending upon the staff member who was conveying the information.

One person spoke of the improvement in the general well being of their relative since they moved into the service. They continued to say that the efforts the staff team had made to work with their relative had considerably improved their life both physically and mentally.

We were able to make limited observations of the people who used the service.

Reports under our old system of regulation (including those from before CQC was created)