Background to this inspection
Updated
20 August 2022
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 Health and Social Care Act 2008.
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
Two inspectors carried out this inspection.
Service and service type
Greenfield Care Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Greenfield Care Home is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
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 inspection
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We looked at information we held about the service, including important notifications.
During the inspection
We spoke with relatives about their experience of the care provided.
We spoke with three members of staff including the registered manager, the deputy manager and a support worker.
We used the Short Observational Framework for Inspection (SOFI)/ spent time observing people. SOFI is a way of observing care to help us understand the experience of people who could not talk with us
We reviewed a range of records. This included two people’s care records and two 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. After the inspection we reviewed feedback from two people’s relatives.
Updated
20 August 2022
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
About the service
Greenfield Care Home is a residential care home providing personal care to nine people at the time of the inspection.
People’s experience of using this service and what we found
Right Support
Updated training and refresher courses were needed to help staff continuously apply best practice. The service did not always have enough staff, including for one-to-one support for people to take part in activities. People were kept safe from avoidable harm because staff knew them well and understood how to protect them from abuse. The service worked well with other agencies to do so. People were supported by staff who followed systems and processes to administer, record and store medicines safely. The service worked well in partnership with other health and social care organisations, which helped to give people using the service a voice and improve their wellbeing.
Right Care
The service helped keep people safe through formal and informal sharing of information about risks. People with complex needs received support to eat and drink in a way that met their personal preferences as far as possible. People had health actions plans and health passports which were used by health and social care professionals to support them in the way they needed. Staff were patient and used appropriate styles of interaction with people. Staff took the time to understand people’s individual communication styles and develop a rapport with them. Staff spoke knowledgably about tailoring the level of support to individual’s needs. The provider sought feedback from people and those important to them and used the feedback to develop the service.
Right culture
People personalised their rooms and were included in decisions relating to the interior decoration and design of their home. Staff provided person-centred support with self-care and everyday living skills to people. The service treated all concerns and complaints seriously, investigated them and learned lessons from the results, sharing the learning with the whole team and the wider service. The registered manager had the skills, knowledge and experience to perform their role and a clear understanding of people’s needs and oversight of the services they managed. Management were visible in the service, approachable and took a genuine interest in what people, staff, family, advocates and other professionals had to say.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for the service under the previous provider was good, published on 17 August 2018.
Why we inspected
We undertook this inspection to assess that the service is applying the principles of Right support right care right culture.
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 COVID-19 and other infection outbreaks effectively.
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.