Greenways Care Home

Updated 24 February 2021

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

We received information of concern about infection control and prevention measures at this service. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.

This inspection took place on 19 January 2021 and was unannounced.

Updated 24 February 2021

The inspection visit took place on 21 and 23 November 2018. Greenways is a residential care home which provides care to older people. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both premises and the care provided, both were looked for this inspection.

Greenways is registered to provide care for up to 27 people. At the time of our inspection there were 16 people living at the home. The inspection was a comprehensive inspection to follow up on our previous inspection, which was a focussed inspection looking at the areas of Safe and Well Led. At our previous inspection we found both these areas were rated as ‘Requires Improvement’, and the provider was given a rating of ‘Requires Improvement’ overall. We had previously rated Caring, Effective and Responsive as ‘Requires Improvement’.

There was a registered manager at the time of our inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

At our previous inspection improvements needed to be sustained and embedded into practice to ensure people were always cared for safely and risks were always managed consistently. At this inspection, procedures to securely store, monitor and administer medicines had been continuously improved, and people received their medicines as prescribed.

Fire safety and evacuation procedures continued to be risk assessed and monitored, to ensure staff knew what they should do in an emergency. People had individual emergency evacuations plans in place to instruct staff and emergency personnel how people should be supported to evacuate the building.

Relatives and people told us they felt safe and were satisfied with the service they received at Greenways. There were sufficient staff at the home to ensure people were cared for safely.

At our previous inspection staff training required improvement to ensure staff always had the skills they needed to provide safe and effective care. Staff training was up to date, and the competency and skills of staff were regularly assessed. Staff were supported by the management team, and had an opportunity to meet with their manager on a regular basis and share their feedback.

Care records were securely stored to protect people’s privacy. Care records had been improved since our previous inspection, as a new format of care records had been introduced. Each person had their care and support reviewed each month, to ensure care continued to meet their needs. However, more work needed to be done to change everyone’s care records over to the newer format. The provider had a plan in place to change all care records by the end of 2018.

The provider was meeting the requirements of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). People were consulted about their preferences and choices.

A programme of activities and events was advertised and on offer to people at Greenways, and people told us they enjoyed their daily lives at Greenways.

Quality monitoring systems had been sustained, which included regular checks of the premises, equipment, people’s care, and the quality of the service. Systems continued to be effective in monitoring and analysing accidents, incidents and concerns at the home. The provider regularly reviewed the improvement plans to ensure any areas of identified improvements were made.