About the service Fiveways is a supported living service providing personal care and support for people with a learning disability and/or autistic people. At the time of the inspection the service was provided to seven people across two sites at Fiveways in Peacehaven and Glebe Close in Lewes.
People’s experience of using this service and what we found
People were supported in a personalised way and had full and busy lives. People told us they felt safe and were happy. One person said, “I do feel safe living here. It’s a nice atmosphere and environment.”
Risks to people were assessed and managed effectively. Systems to safeguard people from abuse and avoidable harm were effective and staff demonstrated a clear understanding of their responsibilities. There were enough staff to care for people safely and staff had received the training and support they needed to care for people’s diverse needs.
Staff were proactive in supporting people’s health and well-being and were responsive to changes in people’s needs. There were effective management systems in place and staff worked in partnership with other agencies and health care professionals.
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.
The 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
Staff were knowledgeable about people’s needs and supported them to be as independent as possible. People were supported to access the local community and to maintain relationships that were important to them.
Right care:
• Care is person-centred and promotes people’s dignity, privacy and human Rights
People and their relatives spoke highly of the staff and of how care was provided in a person -centred way. One relative said of the staff, “They listen, and they uphold his rights.”
Right culture:
• Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives
The staff described a positive, open culture where they were able to contribute ideas and deliver effective care in a supportive environment. People appeared comfortable with staff and had developed trusting relationships.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People, their relatives and staff spoke positively of the service, how well it was led and the good outcomes that people achieved. One relative told us, “It is a nice little natural home – not institutionalised, thumbs up to Fiveways.”
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Why we inspected
This service was registered with us on 25 November 2019 and this is the first inspection
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.