Petunia Grove – Macclesfield

“We 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 most people take for granted. We found the service was meeting these requirements.”

“People can only be deprived of their liberty to receive care and treatment with appropriate legal authority. In care homes, this can be done through a procedure called the Deprivation of Liberty Safeguards (DoLS), which is part of the Mental Capacity Act 2005 (MCA). We checked whether the provider was working within the principles of the MCA and how they managed DoLS within the service. Managers and staff worked within the MCA and demonstrated exceptionally strong practice in this area, they ensured people’s human rights were protected. Staff had focused on ensuring people were not subject to unlawful or excessive restrictions they had choice, control and freedom over their lives.”

“People were supported by enough staff who had the skills and knowledge to support them safely. There was a consistent and familiar staff team who had built effective and trusting relationships with people. Certain staff had worked at the service for several years.”

“The provider recruited staff safely and ensured they had suitable opportunities for learning, development, and reflective practice. Specific training had been carried out in relation to people’s support needs, including responding to health emergencies. Staff told us, “The training is top notch” and “I think the training is brilliant, we’re very up to date with the training.””

“Staff knew how to keep people safe; they assessed risks and took actions to mitigate risks where required. People participated in this process. However, we found an aspect of a person’s care plan could be strengthened, which the registered manager addressed immediately.”

“The registered manager promoted an open culture, with a focus on learning. For example, any incidents or medication errors were seen as an opportunity to learn and develop. A staff member said, “We’re encouraged, if we see something that’s not right, to raise a concern or raise with safeguarding.””

“There were effective systems in place to safeguard people from abuse. Staff told us the registered manager would act on any concerns they raised. A staff member said, “We have a clear process, and I would feel able to report any concerns.””

“Medicines were administered safely and there were systems in place to ensure the environment was safe. The environment was homely and well maintained. People were involved in making choices around re-decoration and new furniture. Staff enabled people to take part in some of the home’s safety checks.”

“Staff were knowledgeable about the actions they should take to reduce the risk of distress and harm to people and others. There had been minimal incidents or accidents at the service. Staff understood and followed positive behavioural support approaches and understood how to de-escalate situations and…”