Archived: Green Rose Care Head Office

Green Rose Care Head Office is a domiciliary care service, which provides personal care to people living in their own homes. At the time of our inspection the service was providing support to 13 people across seven supported living locations in Suffolk. Some people shared their homes with other people using the service and some lived alone. Some people received 24 hour care and support and some required support at specific times. People who used the service had complex needs, including learning disability, autism spectrum disorder, mental health conditions and acquired brain injury. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

People’s experience of using this service and what we found

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

There were systems to assess and mitigate risks, these were designed to keep people safe from avoidable harm and abuse. There were enough staff to provide care and support to people and staff were recruited in line with requirements. The management of medicines was safe. People were safeguarded by the service’s infection control processes.

Staff received training to meet people’s needs effectively. The support people required with their health and dietary needs was assessed and met. 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 individual needs were assessed, planned for and met. People were cared for by compassionate staff who were committed to providing high quality care.

The provider and registered manager had systems to assess and monitor the service people received. This assisted the provider and registered manager to identify potential shortfalls and address them. People’s views about the service were sought, valued and used to drive improvement. There was a complaints procedure and concerns and complaints were addressed. Staff were supported and empowered to provide good quality care.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 1 August 2017).

Why we inspected

This was a planned inspection based on the previous rating.

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.

The service had a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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 associate Regulations about how the service is run.

During our last inspection in 2015 we found that medicines were not consistently managed. During this inspection we found improvements had been made and therefore people received their medicines safely.

People were safe and staff knew what actions to take to protect them from abuse. The provider had processes in place to identify and manage risk.

People received care from a consistent staff team who were well supported and trained.

Care staff understood the need to obtain consent when providing care.

People were supported with meals and to make choices about the food and drink they received. Staff supported people to maintain good health and access health care professionals when needed.

Assessments had been carried out and personalised care plans were in place which reflected individual needs and preferences. The provider had an effective complaints procedure and people had confidence that concerns would be investigated and addressed.

The service benefitted from a clear management structure and visible leadership. A range of systems were in place to monitor the quality of the service being delivered and drive improvement.