Treetops

We have 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 that most people take for granted.

The care home can accommodate 28 people and, at the time of this inspection, 22 people lived there. However, only 3 people received the regulated activity of personal care at the care home. We therefore only reviewed the specific care provided to those 3 people, but we did inspect the general care home environment, staffing, and management arrangements in place.

The service had been rated as ‘Good’ at their previous inspection (report published 5 June 2019), and we carried out this inspection because it was an aged rating. This inspection was carried out by an inspector and was unannounced.

The provider had a good learning culture and people could raise concerns. Managers investigated incidents thoroughly. Staff understood and managed risks well. The facilities and living environment in the care home met people’s needs, was kept clean and was well-maintained. There were enough staff with the right skills, knowledge, and experience. Staff received regular and relevant training. Staff understood their roles and responsibilities. Staff managed people’s prescribed medicines well.

People were involved in shaping how they received care. People’s person-centred care plans and risk assessments took account of their individual communication needs as well as their personal care and health care needs. Staff monitored people’s health to encourage healthy living and made sure people always had enough to eat and drink. Staff took the time to ensure people understood the day to day care they received, which helped enable them to give informed consent. Staff involved people’s relatives when making decisions in people’s best interests, where people lacked the mental capacity to make those decisions for themselves.

The registered manager and staff had a shared vision and culture within the care home based on listening, learning, and trust. The registered manager was knowledgeable and supportive, helping staff develop in their roles. They treated staff fairly and respected their wellbeing. The registered manager collaborated with the community healthcare teams to ensure people received consistent and effective healthcare support. There was a culture of continuous improvement and of learning lessons from incidents to help reduce re-occurrences.