About the service Greenways Care Home is a residential care home providing accommodation and personal care for people aged 65 and over living with a variety of needs including dementia and diabetes. At the time of the inspection there were 12 people living at the service. The service can support up to 15 people.
People’s experience of using this service and what we found
People received personalised care and support from staff who knew them well. People’s independence was promoted, and their dignity respected. People spoke highly of the staff, one person told us, “The girls are good, we have a good old laugh, you are not lonely.” A relative commented, “Staff are all kind, caring and lovely and know my relative really well.”
People told us they felt safe and were happy with the support they received. One person told us, “I am very happy living here, I have no complaints, staff are nice, I can't say more than that, I’m very happy."
People were supported by enough staff, one staff member told us, “This is a family home, we are one family here. If anyone has any problems, we all pitch in to help.” We observed kind interactions between people and staff; staff supported people in a relaxed and unhurried way.
People’s medicines were administered by staff who were trained and competent. Staff received safeguarding training and demonstrated an understanding of appropriate reporting. Lessons were learned when things went wrong, people and staff were kept informed of any changes made in the service as a response.
People’s risks were assessed, and person-centred care plans were written to guide staff on how people wished to be supported. People contributed to their care plans which were reviewed when needed.
People told us they enjoyed the food provided at the service. They were involved in choosing the menu and staff were happy to make meals off menu. One person told us, “The food is very good, always choices and I enjoy it.”
People had access to healthcare services and staff supported them to attend appointments. Where needed, staff engaged with healthcare professionals to promote good outcomes for people. One person told us, “They call the doctor if need be.”
People and their relatives knew who the provider and management team were and told us they were comfortable to raise issues or give feedback to them. Relatives told us they were kept informed of changes from the provider and management team. Comments included, “They do phone me if there are any problems. They have been emailing to keep us up to date with COVID-19 restrictions.” And, “I phone them and ask most times, but they have always contacted me if there is anything.”
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 and update
At the last comprehensive inspection (published 13 February 2020) there were multiple breaches of regulation, and the rating was inadequate. At the last focused inspection (published 1 September 2020) the service was rated requires improvement. Improvements had been made but the service remained in breach of regulation 15. 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 followed up from the inspection (published 13 February 2020) and found the provider was no longer in breach of regulation 9. Improvements had been made and the provider was also no longer in breach of regulation 15.
Why we inspected
This inspection was prompted by our data insight that assesses potential risks at services. Concerns were identified in relation to aspects of care provision and previous ratings. As a result, we undertook a comprehensive inspection to review the key questions. This enabled us to check they had followed their action plan and to confirm they now met legal 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 COVID-19 and other infection outbreaks effectively.
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 Greenways 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.