Greenstar Health Care

Greenstar Health Care is a domiciliary care agency providing personal care to adults living in their own homes, some of whom were living with dementia and require end of life care. At the time of the inspection, the service was supporting 23 people.

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

We found the service needed to improve to ensure accurate and complete records were maintained, in relation to people’s care and management of staff. The provider’s internal audits had already identified some of the issues found at this inspection, but other areas for improvement had not been previously identified or timely improved.

People told us they felt safe with the care received by staff who were kind and friendly.

We found most risks to people's care were well documented and mitigation measures had put in place to manage the risks. We could not be sure the equipment used to support people was always safe. Staff followed appropriate infection control procedures and enough personal protective equipment was available.

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.

Staff felt well supported by the registered manager and there were systems in place to ensure staff were inducted into their jobs, trained, monitored and supported regularly.

People's care plans were centred around their needs and most included relevant details about their health and care needs and preferences. The provider told us people's care were reviewed, when required. However, we noted some people's care visits were regularly shorter than what had been planned.

The registered manager understood their responsibilities in relation of their regulatory requirements. They collaborated with the inspection process and either took immediate action to address the issues found or told us about their plans to improve.

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

Rating at last inspection

This service was registered with us on 10 January 2020 and this is the first inspection.

Why we inspected

This was a planned inspection.

We have found evidence that the provider needs to make improvement. Please see the safe and well led sections of this full report.

You can see what action we have asked the provider to take at the end of this full report.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service.

We have identified breaches in relation to good governance at this inspection.

Please see the action we have told the provider to take at the end of this report.

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.