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Green Bank Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 5 February 2020

About the service

Green Bank provides accommodation, care and support for up to 20 people who live with dementia, mental health conditions and long- term health needs such as diabetes. At the time of our inspection there were 17 people living at the home.

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

Risks associated with people’s care were not always being managed in a safe way including the management of medicines and environmental risks. Risks linked to anxiety and distress had not been assessed and staff had not provided appropriate support for people at these times.

There was a lack of meaningful activities for people and people told us they would like more activities.

Quality assurance was not always effective. Where shortfalls in care delivery and environmental issues had been identified, this had not been addressed robustly.

People were not always supported to have maximum choice and control of their lives and staff did not always support them in the least restrictive way possible and in their best interests.

We have made a recommendation about the mental capacity assessments of people who live at Green Bank.

We have made a recommendation about the management of the premises.

People received safe care and support by staff who had been appropriately recruited and trained to recognise signs of abuse. There were usually enough staff to meet people's needs. The provider used a dependency tool to determine staffing levels.

Staff had all received essential training. People’s nutritional and health needs were consistently met with involvement from a variety of health and social care professionals.

People continued their relationships with family and friends, who were made to feel very welcome at the home. Staff knew people’s communication needs well and we observed them using a variety of tools, pictures and objects of reference, to gain their views.

Previous Inspection

The last rating for this service was Requires Improvement. (Report published 14 February 2019.)

Why we inspected

This was a planned inspection based on the previous rating.

The service remains rated requires improvement. This service has been rated requires improvement for the last five consecutive inspections.

You can see what action we have asked the provider to take at the end of this full report.

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will 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

Inspection areas

Safe

Requires improvement

Updated 5 February 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 5 February 2020

The service was not always effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 5 February 2020

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 5 February 2020

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 5 February 2020

The service was not always well-led.

Details are in our well-Led findings below.