Background to this inspection
Updated
11 February 2020
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.
Inspection team
The inspection was carried out by one inspector and a specialist advisor (SPA). The SPA had specialist knowledge in Huntington’s disease.
Service and service type
Greenside Court 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 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 eight people who used the service and three relatives about their experience of the care provided. We spoke with seven members of staff including the regional operations director, registered manager, clinical manager, nurse, care workers and the maintenance man. We used the Short Observational Framework for Inspection (SOFI). 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 three people’s care records and risk assessments. We looked at a variety of records relating to the management of the service, including policies and procedures and health and safety records.
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
11 February 2020
About the service
Greenside Court provides accommodation, personal care and nursing for up to 22 people. The service specialises in care for people with neuro-disabilities, brain injury and stroke, mental health conditions and conditions such as Huntington’s disease. The service provides care over two units and in one adjacent 'one-care' service. One-care provides a more independent home for people, who are supported to develop independence in life skills.
People’s experience of using this service and what we found
The provider, registered managers and staff team were highly motivated and proud of the service they delivered to people.
Staff were highly skilled and attuned to people’s needs and demonstrated their passion and drive towards ensuring people reached their potential. There were consistently high levels of engagement with people using the service, families and other professionals. Also, there was a strong commitment to ensure the service was inclusive and that people had the opportunity to live meaningful lives.
The service was incredibly responsive to people’s needs and this was evidenced by the examples given. For example, the service was taking part in an exploratory study to gain insight into relationships and sexuality for people living in complex care settings. The study findings were to be implemented in the staff training and development of future policy.
People were supported to achieve highly positive outcomes through the strength of their relationships with staff. The management and culture of the service demonstrated a caring approach and staff were also valued and cared about. The provider identified creative and innovative solutions which dramatically reduced the frequency and severity of the behaviours for a person, as a result they were living a happier life.
People were treated with the utmost respect and their dignity was continually upheld. This was confirmed by people and their relatives who provided exceptional feedback.
People were valued and placed at the centre of the service. They were supported to be active in the running of the home. Feedback from professionals was that the service made a real difference to the lives of the people there.
People received highly effective care and support from staff who knew them well and were well trained. People's rights to make their own decisions were protected. Staff worked well together for the benefit of everyone and were completely focused on meeting the personal, health and social care needs of people living at the service.
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.
Staff were skilled and motivated to deliver a high-quality level of care. They had received training tailored to people's individual care needs.
People were supported to maintain good health and had access to healthcare services. Staff worked with a range of health professionals to ensure they knew people's care needs. Medicines were administered as prescribed and safe systems were in place.
Staffing levels were enough to ensure that people's needs were met. Staff were safely recruited.
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 7 July 2015). There was also an inspection on (27 October 2017). However, the report following that inspection was withdrawn as there was an issue with some of the information that we gathered.
Why we inspected
This is a planned re-inspection because of the issue highlighted above.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.