About the service 3, The Green is a residential care home providing personal and nursing care for seven people. The service can support up to eight people. People using this service have a learning disability and/or autism.
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
The service did provide people with safe care and support. The environment needed some refurbishment and renewal. People did benefit from an interactive and stimulating environment.
People were encouraged to be as independent as possible and had choice and control over how they were supported.
The service made reasonable adjustments for people so they could be fully involved in discussions about how they received support, including support in the community.
Staff enabled people to access specialist health and social care support in the community.
Staff supported people to make decisions following best practice in decision-making. Staff communicated with people in ways that met their needs.
Right Care
Staff appropriately assessed risks people might face, including risks associated with the environment and access to items that may cause harm to people.
People’s care and support plans reflected their range of needs and promoted their wellbeing and enjoyment of life.
People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. They understood and responded to people’s individual needs.
Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it.
People who had individual ways of communicating, using body language, sounds, Makaton (a form of sign language), pictures and symbols could interact comfortably with staff and others involved in their care and support because staff had the necessary skills to understand them.
Right culture
Staff did evaluate the quality of support provided to people to ensure continuous improvement. The service had a culture of improvement and worked to make timely improvements to enhance people’s quality of life.
People and those important to them were involved in planning their care. Staff asked people, their families and other professionals for their views about 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 and update
The last rating for the service under the previous provider was requires improvement, published on 19 June 2019 and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found that the improvements required were made and the provider was no longer in breach of regulations.
Why we inspected
We undertook this comprehensive inspection to check they had followed their action plan and to check whether they were now meeting legal requirements. We also assessed whether the service was applying the principles of Right support, right care, right culture.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively. This included checking the provider was meeting COVID-19 vaccination requirements.
The overall rating for the service is good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for 3, The Green 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. If we receive any concerning information we may inspect sooner.