Evergreen

Updated 11 August 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by one Inspector.

Service and service type

Evergreen is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before inspection

Before the inspection we reviewed all of the information available to us, including any information of concern and notifications. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

Not everyone was able to tell us about the care and support their received, we spoke with 3 people and we spent time observing people and their interactions with staff and others. We spoke with 3 staff, the deputy and the operations director. We looked at a range of records during this inspection. This included people’s care records, risk assessments, maintenance records, health and safety checks and medicine records. We looked at a variety of records relating to the overall governance system of the home, which included audits.

Updated 11 August 2023

About the service

Evergreen is a care home providing personal care for up to 8 people. At the time of the inspection 6 people were living at the home.

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

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Right Support

Staff communicated with people in ways that met their needs. They focused on ensuring people lived a fulfilling and meaningful life. People were supported to achieve their aspirations and goals. Medicines were stored and administered safely. Infection prevention and control practices reflected current guidance.

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.

Right Care

People received care from staff who were kind and compassionate. The staff protected and respected people's privacy and dignity. They understood and responded to their individual needs. Staff understood how to protect people from poor care and abuse.

People received person-centred care. Thorough assessments of people's needs were carried out following a multi-disciplinary team approach. The staff were skilled in supporting people when they experienced distress which may lead to risk for the person or others. People were encouraged to access activities in the community and attended social events.

Right Culture

People, relatives and staff were regularly asked to provide feedback on the care provided. Their views were listened to and acted upon. The provider and managers were passionate about continuous improvements and invested in their staff. This created an open, honest culture where staff felt valued.

Staff knew and understood people well and were responsive, supporting their aspirations to live a quality life of their choosing. They were working to best practice guidance for supporting people with a learning disability and/or autistic people. The registered manager continuously monitored the home with in-house checks carried out. These checks identified areas for improvement.

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 25 August 2017). At this inspection the home was rated good.

Why we inspected

We undertook this focused inspection due to the length of time since the last inspection. This report only covers our findings in relation to the Key Questions Safe and Well-led.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained good based on the findings of this inspection.

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 COVID-19 and other infection outbreaks effectively.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Evergreen on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.