Greenfields Care Home

Updated 2 February 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. The inspection site visit was carried out on 9 December 2020 by one inspector.

Service and service type

Greenfields Care Home 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 unannounced.

What we did before the inspection

The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

We reviewed information we had received about the service since the last inspection and sought feedback from the local authority. We used all of this information to plan our inspection.

During the inspection-

We spoke with two people who used the service and a further four people's family members. We spoke with five members of staff including the registered manager.

We reviewed a range of records that included people’s care and medication records. We looked at three staff files in relation to recruitment and training and records relating to the management of the service.

After the inspection

We continued to seek clarification from the registered manager to validate evidence found during the visit to the service and information sent to us during the inspection process.

Updated 2 February 2021

About the service

Greenfields Care Home is a residential care home providing accommodation and personal care. The service can support up to 30 people within one building. Bedrooms and facilities are located on all floors of the building. Twenty people were living at the service at the time of this inspection.

People's experience of using this service and what we found

Systems for the management of infection prevention and control were in place to minimise risk of cross infection during the Covid-19 pandemic.

People were protected from abuse and the risk of abuse.

Regular safety checks were carried out on the environment and equipment to maintain people’s safety.

People received their medicines appropriately by trained and competent staff.

Recruitment procedures were in place to help ensure that only suitable staff were employed at the service.

People’s needs and wishes were sought and recorded in their individual care plans which were reviewed on a regular basis.

People were supported by staff to maintain contact with their family members.

Systems were in place for the management and review of complaints. People and their family members knew who to speak to if they wanted to make a complaint.

Systems for the oversight and monitoring of the service people received were in place. People’s views were sought on the service they received whilst living at Greenfields Care Home.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (Published 11 October 2019).

Why we inspected

This was a planned focused inspection based on the previous rating.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Greenfields Care Home on our website at www.cqc.org.uk.

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.