Greenways

Ratings

• Overall

  Inadequate

• Safe

  Inadequate

• Effective

  Requires improvement

• Caring

  Requires improvement

• Responsive

  Requires improvement

• Well-led

  Inadequate

Our view of the service

Greenways is a residential care home providing personal care for up to six people. Residential care is provided to people who have complex learning disabilities and care needs including autism and epilepsy. We completed this assessment between 26 February 2024 and 12 March 2024. As part of our assessment methodology for people with a learning disability and autistic people, we assess if services are meeting the Right Support, Right Care, Right Culture (RSRCRC) statutory guidance. This includes: Right support: Model of care and setting maximises people's choice, control and independence. Right care: Care is person-centred and promotes people's dignity, privacy and human rights. Right culture: Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives. The provider had failed to ensure they met the principles of Right support, Right care, Right culture. People were not supported to live independent lives or access meaningful and person-centred activities. Risks were not always being managed well. Incidents and accidents were not always recorded in detail with actions taken on how to reduce further occurrences. The provider did not have appropriate systems in place to ensure people were protected from the risk of abuse or neglect. There were not always sufficient levels of staff deployed to ensure safety of care. There were not sufficiently trained or supervised staff to meet the needs of people. Incidents of anxiety and epilepsy were not always recorded in sufficient detail to look for trends and themes. People were not always given choices around their care. There was a lack of management and provider oversight to review shortfalls of care to make improvements. The provider did not focus on people's quality of life, and care delivery was not person-centred. The provider and staff did not recognise how to promote people's rights, choices or independence.

People's experience of this service

Relatives of people did feedback there was aspects to the delivery of care they were very positive about. Relatives fed back their loved ones received a good quality of life including their loved ones being supported on visits to see them. However, some practices within the service were undignified and institutionalised. People and their relatives gave mixed feedback on the provision of activities available within the service. People were not always supported to take part in activities that were meaningful to them. Risks associated with people’s care was not always being undertaken in a safe way. Those with communication needs were not always supported to have their voices heard. For people with a learning disability, the principles of RSRCRC were not met as the model of care provided did not allow people to live empowered lives with maximum choice and independence.