11 November 2020
During an inspection looking at part of the service
Greengables Care Home is a residential care home registered to provide nursing and personal care to a maximum of 30 people. The premises is a detached, two storey Victorian house standing in its own grounds. Accommodation is provided over two floors accessed by stairs and passenger lift. There are two lounges and a large dining room for people to use within the building. People also have access to secure outdoor space. At the time of our inspection there were 20 people living in the home.
People’s experience of using this service and what we found
The atmosphere in the home was welcoming, warm and sociable. People told us they felt safe and well cared for.
Safeguarding systems, policies and procedures ensured people were safe and protected from abuse. Risks to people’s health, safety and welfare, were identified and managed safely with the involvement of the person or their representatives.
There were sufficient numbers of suitably trained and experienced staff on duty and safe recruitment procedures were followed.
Medicines were safely managed, and systems were in place for reporting accidents and incidents and learning from them.
We were assured by the additional measures in place to help prevent the spread of COVID-19. Risks relating to infection prevention and control (IPC), including in relation to COVID-19 pandemic were assessed and managed. Staff followed good IPC practices.
People’s care, treatment and support achieved good outcomes and promoted a good quality of life. A visiting general practitioner described the standard of care as “fantastic.” Staff were seen to be consistently caring. Staff treated people with dignity, kindness and respect and, promoted people’s choice. They sought people’s consent, promoted independence and offered emotional support when needed.
People and their visiting relatives praised the staff and the quality of care provided. Their comments included: “absolutely brilliant” “care is exceptional” and ““wouldn’t have mum anywhere else. They treat her with dignity and respect.”
The manager and senior staff team were clear about their roles and responsibilities and they promoted a positive, person-centred culture. Staff worked well together as a team, and there was good partnership working with others to meet people's needs. Staff morale was good, and staff felt well supported.
Effective systems were in place for checking on the quality and safety of the service and making improvements where needed.
Rating at last inspection and update
The last rating for this service was requires improvement (published 11 July 2019) and there were three breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We carried out an unannounced comprehensive inspection of this service In April and May 2019. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment, consent and good governance.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Effective and Well-led which contain those requirements.
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.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion 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 Greengables 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.