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Greenways Care Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 29 August 2020

About the service

Greenways Care Home is a residential care home providing personal and nursing care to 15 people aged 65 and over at the time of the inspection. There were 13 people living there during our inspection. People were living with a range of needs associated with the frailties of old age and some people were living with diabetes, and dementia.

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

Following the previous inspection in December 2019, the provider sent us an action plan. This included information about the steps they had taken to make improvements at the home. However, due to COVID-19 and the subsequent lockdown on visitors, the progression of their improvements to the environment and access to specific training and support had been delayed. The impact of COVID-19 on the service meant that some improvements will need further time to be fully introduced and embedded into everyday practice. Urgent actions such as hot water outlets had been completed.

The provider, who is also the registered manager, and staff worked hard to ensure appropriate infection control procedures for the pandemic were in place to keep people safe. This included monitoring temperatures of people, staff and essential visitors daily, increased cleaning and ensuring adequate supplies of PPE were available. Staff completed training in relation to COVID-19.

The provider and staff team had worked hard to address the areas for improvement following the last inspection. Progress was seen but further time however was needed, to fully embed these changes into day to day practice.

Quality assurance systems had been introduced and were continuing to be developed and improved. This included audits of medicines, falls and essential maintenance to the environment. Changes had been made to their record keeping, such as care planning and risk assessments and we were informed this was ongoing.

People were protected from the risks of harm, abuse or discrimination because staff knew what actions to take if they identified concerns. There were effective system to identify, report and investigate potential abuse. All staff had received training in the protection of vulnerable people. There were enough suitably qualified and supervised staff working to provide the support people needed. Recruitment procedures ensured only suitable staff worked at the service.

Staff understood the risks associated with the people they supported. Risk assessments provided guidance for staff about individual and environmental risks to their health and well-being. People received their medicines safely, when they needed them, supported by individual care plans and risk assessments.

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

Rating at last inspection and update

The last rating for this service was Inadequate (published 13 February 2020). There were multiple breaches of regulation. We served a warning notices in relation to the governance of the home and told the provider to make these improvements. At this inspection we found improvements had been made and the warning notice was met.

This service has been in Special Measures since 13 February 2020. The provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall. Therefore, this service is no longer in Special Measures.

Why we inspected

We carried out an unannounced comprehensive inspection of this service on 4 and 5 December 2019. Breaches of legal requirements were found. We issued a warning notice to the provider about good governance. The provider had completed an action plan after the last inspection to show what actions they had completed in respect of the legal requirement notices, and timescales for the improvements they needed to do.

We undertook this focused inspection to check whether the warning notice we previously served in relation to Regulation 17 and requirements 12, 15, 19, 13 and 18 of

Inspection areas

Safe

Requires improvement

Updated 29 August 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 29 August 2020

The service was not always effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 29 August 2020

Responsive

Requires improvement

Updated 29 August 2020

Well-led

Requires improvement

Updated 29 August 2020

The service was not always well-led.

Details are in our well-Led findings below.