Greenacres Care Home

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. This is the first assessment for this service. This key question has been rated good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

People’s needs were assessed before they moved into the service. Care plans and risk assessments were developed with people and their relatives based on their assessments.

Care plans and risk assessments reflected people’s individual needs and were reviewed regularly to ensure care continued to meet their needs. Staff told us any changes in people’s needs were shared in a timely way.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

Staff used nationally recognised good practice guidance to make sure people’s needs were met in the best way for them. This included the use of tools for assessing and meeting nutritional needs and skin condition. Care plans and risk assessments were developed using best practice guidance and regularly reviewed. Staff also worked with a range of health and social care professionals to make sure they continued to provide care based on current best practice and legislation.

Staff worked well together and shared information about people’s care in a timely way. People and relatives told us staff made sure they could access services such as GP’s, opticians and district nurses.

The registered manager and staff worked well with a range of external professionals to make sure people’s care continued to reflect their needs and preferences. Care records showed staff contacted appropriate health and social care services for advice and guidance when people’s needs changed or where concerns were identified.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control.

Staff understood the importance of promoting healthier lifestyles for people. One member of staff spoke to us about how important people’s mental wellbeing was to their overall health and lifestyles. People and their relatives told us staff encourage things like maintaining mobility, gentle exercise and social activities to help maintain wellbeing. A person told us, “There’s plenty to do here, they keep me going when I’m a bit down [in mood].” A relative said, “[Staff] know it is important for [relative] to remain mobile, so they walk slowly [with staff] but get there.”

People’s nutrition and hydration was monitored and staff provided individual support and encouragement at mealtimes when people needed it. Staff knew what people liked to eat and drink so they could offer appropriate choices, and prescribed supplements were used to increase calorie intake for people who needed it. One person said, “I’d lost a bit of weight, so they keep an eye on me, weighing me and making sure I eat enough.” Speech and Language Therapists had been involved where any risks with eating and drinking had been identified.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

People and their relatives were involved in reviewing health and wellbeing needs regularly with staff. This meant that care and treatment could be adapted and changed whenever necessary to ensure people had positive outcomes.

The registered manager maintained an oversight of needs such as skin care, nutrition and falls so any emerging issues could be appropriately addressed to improve outcomes for people. An opportunity to improve care records was identified by increasing detail about the expected outcomes of people’s care and the registered manager took action to address this.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

Staff understood and followed the principles of the Mental Capacity Act 2005 (MCA). Capacity assessments and best interest decisions had been recorded where people were not able to make decisions for themselves.

People were encouraged and supported to make their own day-to-day decisions wherever possible. We observed care was provided in line with people’s needs, preferences and chosen lifestyles. People and relatives told us staff sought people’s consent before providing care. A relative said, “As they help people, they explain what they are doing and will ask permission before beginning.”