Greenbanks Care Home

Updated 27 November 2021

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 Care Act 2014.

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

This inspection was carried out by one inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Greenbanks Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

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 the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with six people who used the service and six relatives about their experience of the care provided. We spoke with six members of staff including the provider, registered manager, senior care workers and care workers.

We reviewed a range of records. This included two people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and multiple staff supervision records. A variety of records relating to the management of the service, including meeting minutes and surveys were reviewed

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.

Updated 27 November 2021

About the service

Greenbanks Care Home is a residential care home providing personal care to 18 people aged 65 and over, some of whom were living with Dementia, at the time of the inspection. The service can support up to 19 people, within one adapted building

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

People and their relatives told us they felt people living at the service were safe. Staff and management knew how to identify potential signs of abuse and how to escalate concerns to keep people safe. Accidents and incidents were reviewed by management to ensure they were dealt with safely and prevent reoccurrences.

There were sufficient numbers of staff deployed across the service to support people safely. The provider had safe recruitment practices and staff were well supported to ensure they had the skills to complete their duties. Infection control procedures were in place to help prevent the spread of infection.

Risks to people’s health, well-being and environmental safety were assessed and managed to support people to stay safe. People received their medicines safely as prescribed. Staff were knowledgeable about people and were able to meet people’s needs in line with individual wishes and preferences.

Staff supported people to maintain healthy lifestyles. They worked in partnership with other healthcare professionals to ensure people's specific physical and mental health needs were met as well as their nutrition and hydration needs.

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.

People and their relatives told us staff were kind and caring. Staff told us they maintained people’s dignity whenever they supported them. People were supported by staff to make choices and encouraged to be as independent as possible.

The service was supporting people who were receiving end of their life care at the time of the inspection. These people were supported by staff in line with their wishes, and to maintain their dignity and comfort.

People received personalised care. Staff engaged people in activities that they enjoyed and supported people to maintain relationships with those important to them. People and their relatives knew how to make complaints but had not needed to.

People, relatives and staff said they felt the service was well-led. The provider and registered manager had created a positive culture within the service. Everyone we spoke to felt engaged in the service, able to share their views and that these would be listened to by management.

The registered manager had ensured the quality of the service through their quality assurance processes. The provider and registered manager were continually looking to improve the service through developments and learning.

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 this service was Good published 20 June 2019.

Why we inspected

This was a planned inspection based on the previous rating.

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.