• Care Home
  • Care home

Archived: Greenacres

Overall: Good read more about inspection ratings

Mill Lane, South Chailey, Lewes, East Sussex, BN8 4PY (01273) 890863

Provided and run by:
East Sussex County Council

All Inspections

7 June 2017

During a routine inspection

Greenacres is a residential service that provides personal care and support care for up to seven people with a learning disability and behaviours that may challenge. At the time of the inspection there were six people living at the service. The registered provider informed us that they were planning to move the service to another site and had begun the process of informing people and their relatives in preparation of the move.

At the last inspection, the service was rated Good. At this inspection we found the service remained Good and met all relevant fundamental standards.

People were safe. Staff understood the importance of people's safety and knew how to report any concerns they might have. Risks to people's health, safety and wellbeing had been assessed and plans were in place, and there were suitable arrangements in place for the safe storage, receipt and management of people’s medicines.

There were sufficient numbers of staff deployed to meet people’s needs and staff knew people well and had built up good relationships with people. The registered provider had effective recruitment procedures in place.

People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.

Staff treated people as individuals with dignity and respect. Staff were knowledgeable about people's likes, dislikes, preferences and care needs. Staff were skilled to approach people in different ways to suit the person and communicate in a calm and friendly manner which people responded to positively.

Peoples' health was monitored and referrals were made to health services in an appropriate and timely manner. Any recommendations made by health care professionals were acted upon and incorporated into peoples' care plans. People with complex care needs were given excellent care and the service was used as a first point of call for local health commissioners.

People who wanted to be occupied had busy lifestyles which reflected their lifestyle choices and likes and dislikes. People’s privacy and dignity were respected and upheld by staff who valued peoples’ unique characters.

Staff were kind and caring and treated people with dignity and respect. Good interactions were seen throughout our inspection, such as staff sitting and talking with people as equals. People could have visitors from family and friends whenever they wanted.

People received a person centred service that enabled them to live active and meaningful lives in the way they wanted. People led full and varied lives and were supported with a variety of activities often with one to one support.

Complaints were used as a means of improving the service and people felt confident that any concerns would be taken seriously should they make a complaint.

There was an open, transparent culture and good communication within the staff team. Staff spoke highly of the registered manager and their leadership style. The management team had positive relationships with the care staff.

3 December 2014

During a routine inspection

Greenacres is an established residential service provided by East Sussex County Council. It is registered to provide care for up to seven people with a learning disability, including Asperger’s, and behaviour that challenges. The inspection was unannounced and was carried out on 3 December 2014. On the day of our inspection there were five people using the service.

The registered manager was present during the inspection. 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.

People were treated with respect and dignity by the staff. They were spoken with and supported in a sensitive, respectful and professional manner. Some people with complex physical or psychological needs had little or no verbal communication. Each person had a comprehensive set of support plans and risk assessments tailored to their individual needs. These plans highlighted any additional areas of support needed and involved the opinions of experienced staff, professionals and members of the family.

People told us they felt safe. Relatives said they felt confident and reassured their loved ones were safe and their medical needs were well met. They were also confident in the staff at Greenacres and spoke positively about the care and support provided. One relative told us “They do a marvellous job... they’re up there with the best.”

As far as practicable, people were provided with choices about engaging with particular activities and they told us their choices were respected. They had the opportunity to take part in a range of social and recreational activities, reflecting their interests and preferences, both in and outside the service.

There were detailed and individualised support plans in place to effectively and safely support people with complex behaviours and needs. People were registered with local GPs and had access to other health care professionals when required.

The provider had systems to gain and review consent from people. We saw people were involved in their care and were asked for their consent. We found staff took time to ensure there was choice in the care options available.

There were effective quality monitoring systems and we saw examples of various internal quality monitoring audits, which the manager carried out on a regular basis, including care planning, medication and staff training. There were also procedures for receiving, handling, considering and responding to comments and complaints. The manager told us they operated an 'open door policy' so people who used the service, staff and visitors to the home could discuss any issues they may have. People and their relatives told us they knew how to raise concerns and were confident their concerns would be listened to and acted upon.

Staff told us they were supported to develop their skills and knowledge by receiving training which helped them to carry out their roles and responsibilities effectively.

Communication throughout the home was effective and included comprehensive staff handovers at the beginning of each shift and regular staff meetings.

27 September 2013

During a routine inspection

During our inspection we spoke with two people who use the service, the registered manager, a senior support coordinator, two support coordinators and an agency support worker. The people that we spoke with told us they were very happy with the service and care they had received. One person told us "I like living here. We get to go out. I walk down into the village.' Another person said "It's very comfortable here. I like the friendliness of the people.'

We saw that they had appropriate systems and policies in place in respect of cleanliness and infection control. The bungalow appeared clean and well maintained.

We found that people received support and care that met their individual needs from warm, knowledgeable and professional support staff. We spoke with two people who were very positive about their experiences of support at Greenacres. The comments we received included, 'I'm alright here. The staff are very nice.'

Staff received appropriate professional development and were appropriately supported.

The provider had systems in place to gain and review consent from people who use the service. We saw that people were involved in their care and were asked for their consent. We found staff took time to ensure there was choice in the care options available.

There were procedures for receiving, handling, considering and responding to comments and complaints. People told us that they knew how to raise concerns and would be listened to.

13 July 2012

During a routine inspection

During our visit we spoke with some of the people who lived at the service and staff members.

We used a number of different methods to help us understand the experiences of people using the service. Most of the people using the service had complex needs which meant they were not always able to tell us their experiences.

We took information from other sources to help us understand the views of people living at the home to include surveys and 1:1 key worker session records. We also observed how people living at the service were being supported during the course of the inspection.

The people we spoke with told us they were happy living at Greenacres and with the staff team.

Staff we spoke with knew the people living at the home well and had a good understanding of their support needs.