Greener Care Company Limited

Care and support was tailored to people's need as most staff knew people well. There were some shortfalls within care records to identify people's assessed needs. We made a recommendation about updating people's risk assessments to reflect people's care plans on the new electronic care planning system.

Medicine systems were in place, however there was no 'as and when required' (PRN) medicine guidance to support staff with administration. We made a recommendation to implement PRN protocols to support staff with decision making when 'as and when required' medicines were needed.

Staff members had been recruited safely and the provider had robust recruitment processes and policies.

Staff received safeguarding training and had a good understanding of the principals involved in acting when abuse was suspected.

People's needs were met through assessments and support planning. The service worked with relatives, health and social care professionals to achieve positive outcomes for people. Staff and management had good knowledge and skills; this ensured people's needs were met.

Processes to assess and check the quality and safety of the service were completed. The registered manager and operations manager carried out audits and quality monitoring reports. These identified areas of the service that required improvement and these actions were carried out.

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.

This service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. 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: The ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives