Updated 16 June 2021
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by two inspectors and a specialist advisor. The specialist advisor had clinical knowledge relating to the needs of the people who lived in the home. The team visited the home for one day, and one inspector reviewed documentation and made telephone calls to staff, families and people involved with the home over a further three days.
Service and service type
Greenacres - Care Home with Nursing Physical Disabilities is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was announced.
We telephoned the home unannounced and asked the management team to provide us with documentation for the inspection. We also established the homes COVID-19 status. We gave the service 48 hours’ notice of the site visit. This was so we could review evidence submitted to us and undertake the relevant COVID-19 risk assessments.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with three people who used the service, three relatives and one person involved in the home about their experience of the care provided. We spoke with 12 members of staff including the regional manager, quality business partner, registered manager, deputy manager, nurses, assistant physiotherapist, care workers and the chef.
We reviewed a range of records. This included eight people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.