Green Trees Care Home

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• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

There was a lack of person centredness in care plans. There was insufficient detail in care plans to ensure that staff had sufficient information to meet people’s needs effectively. The lack of person-centred care planning was in breach of Regulation 9 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

This service scored 62 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

People’s care was not planned in collaboration with them. Care plans were not person centred and failed to ensure there was sufficient information to allow for truly person-centred care. While people’s needs had been identified in different areas of care needs, there was no detailed guidance for staff on how to meet those needs. For example, personal care. Care plans stated personal care was required but not how people wanted their personal care to be done. Where people needed help with going to the toilet, there was no information on how this should be done except they were part of a ‘toileting round’. There was no information on people’s hobbies, personal histories or what activities they enjoyed.

The registered manager told us care plans were written based on people’s initial assessment when they moved into the home and on-going assessments. The new manager told us they recognised the need for people to be involved, where possible, in planning their care to ensure they were in control and had their views heard. The manager had written an action plan which aimed to review each person’s care plan and involve people and families. Staff told us they were not involved in care planning. A staff member said, “We don’t get involved in, which I think we should. It’s all done on the computer, we read them [care plans]. Yes, they are helpful. Iif it comes to a resident’s review with a social worker, we as staff should be involved as we are the ones looking after them. We never have been though.” We observed staff understood the need for consent before carrying out care tasks. For example, people were asked if they were ready to take their medicines.

We did not look at Care provision, Integration and continuity during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Providing Information during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Listening to and involving people during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Equity in access during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Equity in experiences and outcomes during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Planning for the future during this assessment. The score for this quality statement is based on the previous rating for Responsive.