Green Care Services

What inspectors found

From the Care Quality Commission's assessment published 30 January 2025 (assessment visit 17 December 2024). Quoted under the Open Government Licence.

1. Safe

   GGood Good

   Safe – this means we looked for evidence that people were protected from abuse and avoidable harm. At our last inspection we rated this key question good. At this inspection the rating has remained good. This meant people were safe and protected from avoidable harm.

   There were systems to help learn from accidents, incidents and when things went wrong. People and their relatives were involved in this learning and informed about how changes were made to improve the service.

   The staff worked closely with other professionals to support people to have safe transitions, including support to access different health and social care services.

   There were processes designed to help safeguard people from abuse and to investigate any concerns and allegations.

   Risks to people’s safety and wellbeing were assessed and planned for. The staff worked with people and other professionals, including the positive behaviour teams, to help plan strategies to reduce people’s anxiety and potential agitation. The provider helped maintain safe environments both within people’s homes and in the community.

   There were enough suitable staff to support people and meet their needs. Staff were appropriately skilled and the provider regularly checked their knowledge and competencies.

   Procedures for infection prevention and control were operated effectively.

   People received their medicines safely and as prescribed. The staff worked with people using the service and other professionals to monitor people’s medicines and to help ensure these were right for people.

2. Effective

   GGood Good

   Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. At our last inspection we rated this key question good. At this inspection the rating has remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

   People’s needs and choices were assessed and care was planned to reflect these assessments. People were involved in making decisions about their care and had consented to their care and treatment.

   The provider ensured staff were well trained and able to provide care in line with best practice. For example, the staff had undertaken training about people with a learning disability and had a good awareness of how to provide personalised support which empowered people.

   The provider had systems for monitoring and improving care to make sure people received good outcomes.

   We did not assess all the quality statements within this key question. We did not identify concerns relating to these areas which we judged as being met at our last inspection.

3. Caring

   GGood Good

   Caring – this means we looked for evidence that the service involved people and treated them with compassion, kindness, dignity and respect. At our last inspection we rated this key question good. At this inspection the rating has remained good. This meant people were supported and treated with dignity and respect; and involved as partners in their care.

   People were treated with kindness and respect. People had good relationships with the staff.

   People’s cultural, religious and other diverse needs were met. Staff understood these needs and provided individual care. For example, the staff used a range of different techniques to communicate with people. These included speaking different languages, use of sign languages, objects of reference and picture board communication.

   People using the service were supported to be independent when they were able and encouraged to make choices. Some people were supported to access community activities and engage in a range of social and leisure events.

   Staff felt well supported and enjoyed working at the agency. There were systems to provide staff with formal and informal support as well as opportunities to train, undertake qualifications and career progression.

   We did not assess all the quality statements within this key question. We did not identify concerns relating to these areas which we judged as being met at our last inspection.

4. Responsive

   GGood Good

   Responsive – this means we looked for evidence that the service met people’s needs. At our last inspection we rated this key question good. At this inspection the rating has remained good. This meant people’s needs were met through good organisation and delivery.

   People received personalised care which met their needs and reflected their preferences. The provider was responsive to changes in people’s needs and requirements.

   Some people were supported to access the community and take part in social, leisure and educational activities.

   The provider ensured people had information about their care and other services.

   People were able to give their opinions about care and make complaints. They were listened to and the provider responded appropriately.

   People’s human rights were respected, and they received equitable care and support.

   The provider supported people to develop goals and plan for the future, as well as providing kind, caring and safe end of life care when needed.

   We did not assess all the quality statements within this key question. We did not identify concerns relating to these areas which we judged as being met at our last inspection.

5. Well-led

   GGood Good

   Well-led – this means we looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture. At our last inspection we rated this key question good. At this inspection the rating has remained good. This meant the service was consistently managed and well-led. Leaders and the culture they created promoted high-quality, person-centred care.

   There was a positive culture at the service, where staff and people using the service felt valued and empowered.

   There were capable and inclusive leaders who had the experience and qualifications to manage the service well.

   There were systems for staff to speak up when they had concerns.

   The agency supported staff wellbeing and considered their diverse needs so they felt supported.

   There were effective systems for monitoring and improving the quality of the service was well as learning and developing the agency to meet the needs of stakeholders.

   The provider worked in partnerships with others to help implement best practice and a learning culture.