• Care Home
  • Care home

Henley House

Overall: Good read more about inspection ratings

333 Henley Road, Ipswich, IP1 6TB

Provided and run by:
Greensleeves Homes Trust

Latest inspection summary

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Background to this inspection

Updated 20 April 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

This inspection team consisted of an inspector, a specialist professional advisor in nursing 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. The Expert by Experience made telephone calls on the 28 March 2022, off site, to obtain feedback from people who used the service and their relatives.

Service and service type

Henley House 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. Henley House 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

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

The provider had recently recruited a manager who at the time of the inspection had been in post a month and was applying to be registered with the Care Quality Commission.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed our systems and information we held about the service. This included the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with nine people who used the service and two relatives about their experience of the care provided. We spoke with the manager, head of care and compliance, business support manager, two senior care staff, four care workers, an activities’ lead, two housekeeping staff, an administrator and the head of maintenance.

We reviewed a range of records which included risk assessments and care records for six people, medication records for 10 people and two staff files. We also viewed complaints, accident and incident records and management monitoring and oversight records.

On the 28 March 2022 the Expert by Experience spoke with five people who lived at the home and four relatives.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with three members of staff and received electronic feedback via email from six members of staff. We also received email feedback from the local authority commissioning team

Overall inspection


Updated 20 April 2022

About the service

Henley House is a purpose -built care home, providing accommodation and personal care to up to 66 older people, some living with dementia. Although the service is arranged over three floors at the time of the inspection the ground floor was unoccupied and there were 42 people using the service.

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

There was mixed feedback about the staffing levels in the home including the organisation and deployment of staff during the shift and meeting people’s needs.

We have made a recommendation about staffing arrangements in the service.

Risks to individuals were appropriately assessed and managed and safe management of medicines were in place.

Staff had received safeguarding training and knew how to protect people from potential harm. Safeguarding policies and processes were in place.

People were supported by staff who had been recruited safely and were supported in their role with relevant training and opportunities for professional development.

We were assured by the Infection prevention and control systems in the home. These were in line with recommended best practice and current legislation to minimise the risk of spread of infection within the home.

People's care plans were detailed, person-centred and accurate. They promoted choice and guided staff on how to support people safely and encourage their independence.

Staff understood the importance of gaining consent from people. People were supported to have maximum choice and control of their lives and care staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

The provider worked in partnership with people, relatives and other professionals to achieve good outcomes for people.

A range of audits and monitoring tools were in place to assess the quality and safety of the environment and care provided. People's views were sought through regular meetings and surveys

Rating at last inspection

The service was registered with us on 11 December 2020 and this is their first inspection.

Why we inspected

This was a planned comprehensive inspection.

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.

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