• Care Home
  • Care home

Petunia Grove - Macclesfield

Overall: Good read more about inspection ratings

3 Petunia Grove, Macclesfield, Cheshire, SK11 7YY (01565) 640127

Provided and run by:
The David Lewis Centre

Latest inspection summary

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Our current view of the service

Good

Updated 12 August 2026

We carried out this assessment between 4 September to 14 September 2026. This service was previously rated as good. We carried out this assessment to confirm whether the rating of good remains accurate. This report does not provide detailed information on areas where we found practice continues to meet a good standard. Instead, our findings focus on any areas where the service needs to improve or where we found exceptional practice.

The service is a care home. It is a specialist service for autistic people and people with a learning disability. There were 4 people using the service at the time of the inspection. People lived in a 4 bedroomed house within a residential setting. They had their own bedroom, with an en-suite shower and toilet, a shared a kitchen, dining room and lounge, with access to a garden.

We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities most people take for granted. We found the service was meeting these requirements.

People can only be deprived of their liberty to receive care and treatment with appropriate legal authority. In care homes, this can be done through a procedure called the Deprivation of Liberty Safeguards (DoLS), which is part of the Mental Capacity Act 2005 (MCA). We checked whether the provider was working within the principles of the MCA and how they managed DoLS within the service. Managers and staff worked within the MCA and demonstrated exceptionally strong practice in this area, they ensured people’s human rights were protected. Staff had focused on ensuring people were not subject to unlawful or excessive restrictions they had choice, control and freedom over their lives.

People were supported by enough staff who had the skills and knowledge to support them safely. There was a consistent and familiar staff team who had built effective and trusting relationships with people. Certain staff had worked at the service for several years.

The provider recruited staff safely and ensured they had suitable opportunities for learning, development, and reflective practice. Specific training had been carried out in relation to people’s support needs, including responding to health emergencies. Staff told us, “The training is top notch” and “I think the training is brilliant, we’re very up to date with the training.”

Staff knew how to keep people safe; they assessed risks and took actions to mitigate risks where required. People participated in this process. However, we found an aspect of a person’s care plan could be strengthened, which the registered manager addressed immediately.

The registered manager promoted an open culture, with a focus on learning. For example, any incidents or medication errors were seen as an opportunity to learn and develop. A staff member said, “We’re encouraged, if we see something that’s not right, to raise a concern or raise with safeguarding.”

There were effective systems in place to safeguard people from abuse. Staff told us the registered manager would act on any concerns they raised. A staff member said, “We have a clear process, and I would feel able to report any concerns.”

Medicines were administered safely and there were systems in place to ensure the environment was safe. The environment was homely and well maintained. People were involved in making choices around re-decoration and new furniture. Staff enabled people to take part in some of the home’s safety checks.

Staff were knowledgeable about the actions they should take to reduce the risk of distress and harm to people and others. There had been minimal incidents or accidents at the service. Staff understood and followed positive behavioural support approaches and understood how to de-escalate situations and supported people effectively.

Each person had a person-centered care plan, which staff kept up to date and included essential information such as people’s needs, preferences, typical day and goals.

People’s care was regularly reviewed to ensure they continued to be supported effectively. People and their relatives were fully involved in these reviews. For example, one person chaired their own review, using a presentation they’d devised with the support from staff.

Care plans included information about people’s health needs, as well as guidance from health professionals. For example, staff supported a person with physiotherapy exercises. Staff understood and monitored people’s health needs, they ensured people had regular health checks and access to other supported as needed.

Staff were positive about the management of the service. They told us they felt well supported and the registered manager was approachable. Comments included. “It’s brilliant here, really supportive” and “I do love it.” There was an effective and collaborative team, who worked and communicated well together. A relative told us, “They are good at what they do and very accommodating.”

The provider ensured staff undertook regular audits and quality checks to monitor the quality and safety of the service. The registered manager had good oversight of the service and clearly understood the needs of the people supported. They demonstrated commitment to providing quality care to people.

The provider had a positive learning culture whereby information was shared across the organisation. People were encouraged to give feedback and could be involved in the development of the service. For example, through co-production, people could be elected to a ‘people’s council’ by their peers. There were other initiates the provider was developing.

People's experience of the service

Updated 12 August 2026

Not everyone using the service was able to share their views and experiences with us. To help us understand people's experiences of care, we sought feedback from people and relatives and made observations during the assessment.

We received positive feedback from people and their relatives about their experience of the service. It was evident staff treated people with kindness, compassion and dignity. We found them to be caring and committed to supporting people in a person-centred way. People indicated they were happy living at the service.

Relatives told us their family members were safe, happy and settled at the service. Comments included, “They are lovely people. I think his key worker goes above and beyond and is a fantastic advocate for (name)”; “He enjoys living there” and “He has a good relationship with the staff team.”

We observed staff had built trusting relationships with people. People looked comfortable and enjoyed being in the company of staff, at times enjoying a laugh and a joke. There was a calm and friendly environment at the service.

Staff demonstrated a positive, person-centred approach and supported people in a way which promoted their independence, choice and control. Relatives told us staff involved them and their family member in planning and making decisions about their care and support. Staff described how they supported people to make choices and decisions. They said, “We're there to provide what they need, they do have a lot of choice in everything they do.”

The registered manager promoted a positive and enabling culture. Staff used supportive approaches which reduced the need for physical restraint and ensured any restrictive practices were minimised wherever possible.

Staff had a clear understanding of people’s specific routines and how to respond to any distress, maintaining their dignity and wellbeing. A relative commented, “They know him (relative) inside out.” We saw staff providing sensory support to a person through touch, which was positive for the person. Another person enjoyed staff company but liked their own personal space and staff respected this.

They were skilled in understanding people’s likes, dislikes and communication needs People had communication support plans, which detailed the support they needed, such as using IT equipment. Staff had written ‘social stories’ in an accessible way, to help people develop their understanding, expectations and responses to certain scenarios.

People were supported to make choices about how they spent their time and were encouraged to develop their independence. They devised weekly timetables and took part in activities they enjoyed. Activities included, going to the cinema, football practice, horse riding and swimming. People were involved in community groups and events. Staff ensures there was flexibility and people’s wishes were considered.

Staff supported people to identify goals and encouraged independence such as deciding on shopping and menus, cooking and household tasks. More widely, longer term aspirations and skills attainment was an area for ongoing focus and development. For one person, there had been discussions about more independent living as a future goal, however planning and action towards this remained at an early stage.

People were supported to maintain relationships with people who were important to them through regular phone calls and visits, in line with their wishes.

Relatives told us staff were particularly good at communicating with them and keeping them informed of changes. One relative commented, “[Registered manager] is very good at listening, you can email and ring, he will call back.”