Gresham Care Home

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic. Staff received training in learning disabilities and autism. There were information folders for staff on various subjects they could access to learn more, and recognise, respect and value differences in people.

People told us that Gresham care home was a safe place to live and they considered it their home. People using the service were kept as safe as possible from harm because staff understood what steps to take reduce and manage any identified risks to them. Staff understood how to protect people from abuse, including who to report any concerns to.

There were enough staff employed to meet people's needs. The provider had a safe staff recruitment process in place. This ensured that staff were properly checked and supported with induction and training. Overall medicines were being managed safely at the home, we did identify some improvements required in documentation. We found the premises to be clean although some improvement was needed to ensure the service remains consistently hygienic and clean. Staff used Personal Protection Equipment (PPE) effectively.

The service worked well with healthcare professionals and we saw prompt referrals had been made as required. Healthcare professional recommendations had been followed and this had benefited the people who lived at the home.

People, relatives, and staff all told us the home was well managed, and that the registered manager and provider were always visible and available to speak with. The culture was friendly and welcoming. The registered manager and provider were keen to receive feedback which would further improve the home and

the care that people received. Quality monitoring systems had improved. Regular audits took place which helped to improve quality and safety.