Fiveways

This report from the Care Quality Commission (CQC) provides an overview of the inspection of Fiveways, a care home for adults with learning disabilities. The inspection focused on assessing the safety, effectiveness, caring nature, responsiveness, and leadership of the service. The report highlights how the home has evolved in line with best practice guidance to promote independence, choice, and meaningful lives for its residents, aiming for the best possible outcomes. Overall, the inspection found that residents are living fulfilling lives and are well-supported by the dedicated staff.

On safety, the home has made significant improvements, ensuring all staff undergo thorough background checks and that there are sufficient staff to support residents' needs both at home and in the community. While medication management has improved, minor recording errors were noted and discussed with the manager. The service is also proactive in learning from incidents, with systems in place to safeguard residents and assess risks effectively. Residents live in a clean and well-maintained environment, with staff trained in infection control.

In terms of how effective the care is, residents' needs are assessed daily, and care plans are regularly reviewed to ensure they meet individual preferences. Staff receive comprehensive induction and ongoing training, fostering a supportive team environment. Residents are actively involved in meal planning, with pictorial menus available for those who need them, though a minor clarification was needed regarding one resident's dietary consistency. The home effectively supports residents to access healthcare services and adapts its environment and equipment to meet the needs of an aging client group.

The caring aspect of the service is evident in the calm and relaxed atmosphere observed during the inspection. Residents feel comfortable approaching staff for support, and staff communicate respectfully and kindly, showing a deep understanding of individual needs. Relatives and healthcare professionals spoke positively about how residents are treated and cared for, with feedback actively sought and acted upon. Plans are in place to respect residents' end-of-life wishes.

Regarding responsiveness, residents are provided with information in accessible formats, including easy-read versions of complaints and safeguarding procedures. Concerns are raised and discussed in resident meetings and one-to-one time with staff, and relatives reported that minor concerns were addressed promptly. The service is structured to promote choice and control, with support provided in the least restrictive way possible.

Finally, the well-led aspect of the service is demonstrated by its adherence to best practice principles that promote independence and inclusion. The management team ensures staff feel supported and work effectively as a team. The service has successfully addressed previous regulatory concerns, showing a strong commitment to continuous improvement and delivering high-quality care that enables residents to live as full a life as possible.