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Greatwood House Requires improvement

Inspection Summary

Overall summary & rating

Requires improvement

Updated 28 July 2021

Greatwood House is a large detached bungalow situated in the extensive grounds of Somerset Court which is owned by the provider. The home accommodates six people who have autism and complex support needs. Up to four people live in the main part of the home; two people live in two self-contained flats attached to the main house. At the time of the inspection four people were living at the home.

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

There were systems in place to ensure staff were aware of risks of people choking. Risk assessments were reviewed and updated where required. Staff confirmed they were kept up to date about changes to people’s care plans and risk assessments. Risks were discussed during team meetings and group supervisions. The provider also carried out checks to ensure staff were following guidance.

People were protected by infection control policies and procedures. Staff had received training in infection control and the correct use of personal protective equipment [PPE]. Specific risk assessments had been put in place to support people relating to COVID-19. We identified an area of the home, which was not visibly clean, the registered manager took action to address this. Some staff were not engaging in the recommended COVID-19 testing programme. The provider was encouraging staff to engage in this and had measures in place to mitigate risks.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

This service was not able to demonstrate how they were meeting all of the underpinning principles of Right support, right care, right culture. This was because the service was originally set up as a campus setting. There were five other registered care homes set in the grounds of Somerset Court in close proximity to Greatwood House. The service was registered with us prior to the guidance being implemented. The provider had plans in place to address this and could demonstrate they were making progress.

Rating at last inspection

The last rating for this service was requires improvement (published 04 April 2020).

Why we inspected

We undertook this targeted inspection to check on a specific concern we had about staff following guidance relating to eating and drinking assessments. A decision was made for us to inspect and examine those risks. We also reviewed the infection control procedures as part of our current methodology.

We did not find evidence during this inspection that people were at risk of harm from this concern.

Please see the safe section of this full report.

The overall rating for the service has not changed following this targeted inspection and remains requires improvement.

CQC have introduced targeted inspections to follow up on Warning Notices or to check specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Greatwood House on our website at

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.

Inspection areas


Requires improvement

Updated 28 July 2021

At our last inspection we rated this key question requires improvement. We have not reviewed the rating at this inspection. This is because we only looked at the parts of this key question we had specific concerns about.



Updated 28 July 2021



Updated 28 July 2021



Updated 28 July 2021


Requires improvement

Updated 28 July 2021