3 September 2019
During a routine inspection
Evergreen is a supported living service providing care for people with learning disabilities and/or autism spectrum disorder. The service can support up to three people, at the time of inspection two people were using the service.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
People at the service had not always felt safe because the provider had been slow to protect them from the impact of one person’s distressed behaviour. Although the person no longer lived at the service people were still affected by the incidents that had occurred.
Concerns raised about the service had not always been recorded as complaints. Where complaints has been recorded the registered manager had met with people using the service to discuss their concerns.
People were involved in deciding and planning the care they received and had regular key worker meetings to discuss their experiences. However, on many occasions people had raised concerns and the registered manager had failed to provide any further support to them or identified this feedback as a complaint.
People were supported to eat and drink enough. People were supported to complete their own shopping each week and encouraged to make their own meals.
People were supported with regular health appointments and referred for specialist support when required. Staff had received induction training and had the skills and knowledge needed to support people. Staff members received regular supervisions with management and attended staff team meetings. Staff felt supported by the registered manager and felt able to discuss any concerns they had with them.
Staff had developed positive and caring relationships with the people they supported. They had time to spend with people and opportunities to listen and talk to them. People were treated with dignity and respect. People’s care was personalised and responsive to their needs. Staff were knowledgeable of people’s needs and understood the importance of treating them as individuals.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
This service was registered with us on 07/11/2018 and this is the first inspection.
The last rating for this service was Good (published 24 October 2018). Since this rating was awarded the registered provider of the service has changed. We have used the previous rating to inform our planning and decisions about the rating at this inspection.
Why we inspected
This was a planned inspection based on the previous rating. We have found that the provider needs to make improvement. Please see the Responsive and Well-Led sections of this full report.
Enforcement
We have identified breaches in relation to the governance of the service and in the way that complaints and concerns are being managed at this inspection.
Follow up
We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner
You can see what action we have asked the provider to take at the end of this full report.