We carried out a review of the data available to us about Greenside Court on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Greenside Court, you can give feedback on this 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.
The inspection took place on 26 May 2015 and was unannounced. Our last scheduled inspection at this service took place in January 2014 when no breaches of legal requirements were identified.
Greenside Court is a care home with nursing. It can accommodate up to 20 people with physical disabilities and/ or mental needs associated with Huntington’s Disease. People living with Huntington’s Disease are carerd for in a specially designed 10 bedded unit. The home was purpose built in 2003 and is situated in Greasbrough, a residential area of Rotherham. The home is near local shops and facilities.
The service had a registered manager in post 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 the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
We spoke with staff who had a clear understanding of safeguarding adults and what action they would take if they suspected abuse. Staff we spoke with were confident the manager would act appropriately to safeguard people from abuse.
Care and support was planned and delivered in a way that ensured people were safe. The support plans we looked at included risk assessments which identified any risk associated with
people’s care. We saw risk assessments had been devised to help minimise and monitor the risk.
We spoke with staff and people who used the service and found there were enough staff with the right skills, knowledge and experience to meet people’s needs.
People were supported to have their assessed needs, preferences and choices met by staff who had the necessary skills and knowledge.
We found the service to be meeting the requirements of the Mental Capacity Act and Deprivation of Liberty Safeguards (DoLS). The staff we spoke with had some knowledge of this and said they would speak to the registered manager for further advice.
People were supported to eat and drink sufficient to maintain a balanced diet. Meals were appropriately spaced throughout the day with snacks in-between. Meals were flexible to meet the needs of the people who used the service.
People were supported to maintain good health, have access to healthcare services and received ongoing healthcare support. We looked at people’s records and found they had received support from healthcare professionals when required.
People who used the service were supported to maintain friendships. Support plans contained information about their family and friends and those who were important to them. We saw that people had their own interests and hobbies and took part in several activities and events on a weekly basis.
We saw staff were aware of people’s needs and the best ways to support them, whilst maintaining their independence.
People’s needs were assessed and care and support was planned and delivered in line with their individual support plan. The support plans were person centred and some contained pictures to assist the person to understand their plan. Support plans included information about healthcare, communication, personal hygiene, mobility and activities.
The service had a complaints procedure and people knew how to raise concerns.
Staff we spoke with felt the service was well led and the registered manager was approachable and listened to them. Staff confirmed they knew their role within the organisation and the role of others. They knew what was expected of them and took accountability at their level.
People were asked for their consent before staff provided support or treatment. For example we saw care staff asking people what time they wanted to get up and washed, and what they wanted to do during the day. One person we spoke with didn't want to be at Greenside Court but told us they understood why they were there as staff had explained this. They also said staff had helped them improve to enable them to be prepared and ready to move onto more suitable accommodation.
During our visit we looked round the home and found people were cared for in an environment that was clean, hygienic and maintained to a good standard. We also found systems were in place to reduce the risk and spread of infection.
We found there were sufficient numbers of suitably qualified and experienced staff employed to meet people's needs.
We looked at records and found people were protected from unsafe or inappropriate care by means of accurate records in relation to the care and treatment provided.
We also spoke with three relatives of people who used the service. The relatives told us they were very happy with the care provided. They said they were kept informed about any changes to their relatives care and treatment. Relatives knew how to raise concerns and felt their concerns were acted on swiftly. They also told us there was plenty of staff on duty when they visited and the home was very clean and well maintained.
We also used a number of different methods to help us understand the experiences of people who used the service. This included observing care, looking at records and talking to staff.
We found medication was administered safely to people. People were given appropriate support where required, to ensure they had taken their medication.
Staff received appropriate support and training to ensure they were able to meet the needs of people living at the home.
Complaints were investigated and responded to in a timely manner.