St Anne's Community Services - Greenacres

Updated 12 December 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.

Inspection team

The inspection team consisted of 2 inspectors.

Service and service type

St Anne's Community Services – Greenacres is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. St Anne's Community Services – Greenacres is a care home without nursing care. 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 announced. We gave a short period of notice of the inspection. This was because the service is small and people are often out and we wanted to be sure there would be people at home to speak with us. Inspection activity started on 16 November 2023 and ended on 21 November 2023. We visited the service on 16 and 20 November 2023.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority. 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

We spoke with 3 people who lived at the home and 3 relatives. We also spoke with 6 staff, including support workers, the quality improvement lead and the registered manager. We reviewed a range of records, including 2 people’s care records, staff recruitment files, records relating to medicines, training and supervision, accidents and incidents, safeguarding logs, policies and procedures, and a variety of records relating to the management of the service, including audits and governance records.

Updated 12 December 2023

About the service

St Anne's Community Services - Greenacres is a residential care home providing accommodation and personal care for up to 5 people with a learning disability and autistic people. At the time of the inspection there were 3 people using the service.

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 were recruited safely and there were sufficient staff deployed to provide people with personalised care that responded to their individual needs and choices.

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. Staff knew how people communicated their needs and choices.

Right Care: People’s individuality was respected and promoted. Staff and the registered manager knew people really well and focussed on ensuring people were treated as individuals and received the care and support they wanted.

People’s needs were assessed, and clear support plans and risk assessments were in place to guide staff. Medicines were managed safely.

Right Culture: Everyone was positive about the registered manager and the way the home was managed. There was a positive person-centred culture at the home. Staff provided person-centred care that achieved good outcomes for people. People and their relatives told us they were listened too, and were positive about the registered manager, staff and the support and care. Staff were very positive about working for the service.

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 11 October 2018).

Why we inspected

This inspection was prompted by the time since our last inspection. 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.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for St Anne's Community Services - Greenacres 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.