Greenways Rest 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.

At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 71 (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 communication methods were outlined within their care plans to enable them to receive care and treatment which worked for them. We observed people being supported to communicate and if they needed communication aids, staff were aware of this and supported people to use the aids.

People who could display distressed behaviours had recorded strategies to guide staff on how to support them effectively. We observed staff follow these strategies and provide positive outcomes to people who required additional support.

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 were able to tell us how they supported people with their eating and drinking and promoted choice in their dietary needs. Staff knew people’s dietary needs and who required dignified support at mealtimes. One relative told us, “[Family member] has not eaten this well in years.”

People and relatives we spoke to said they were involved in planning people’s care. Observations, and weight records indicated people’s nutrition and hydration needs were being met. A second relative told us, “People are permanently drinking here and there are no issues with the food.”

Where appropriate, the management team made referrals to relevant health professionals to meet people’s individual health needs including any dietary needs. Training opportunities, any relevant updates to support people were shared with staff. This was through regular discussions with management team and individual one to one meetings. Records we looked at confirmed this.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

There were processes so staff could access the information they needed to understand people’s needs, plan their care treatment and support, and share information with health professionals as required. Staff worked with families to ensure support was available to ensure continuity of care.

The registered manager shared examples of how they supported people to move to a more suitable environment when they had identified they had support needs outside of what they were providing.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

Management and staff worked with relatives and healthcare professionals to ensure people had access to healthcare. Health professionals visited regularly to review people’s health needs.

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.

There were processes to monitor people’s care and treatment and their outcomes. There were records related to people’s skin integrity, blood pressure, post operation treatments and the management of ongoing health conditions.

The provider did not always follow all best practice guidance around consent when delivering care and treatment.

The provider did not always document people’s consent. The service had CCTV in place in communal areas. Care records did not evidence some people’s consent had been sought for this. The provider had emailed relatives regarding CCTV. Signage related to CCTV was introduced while we were present at the home.

Staff completed training in The Mental Capacity Act 2005(MCA) and understood the concept of consent. We observed staff gain consent from people before completing any tasks. We saw that consent for care and treatment was obtained in people’s care plans and records. The provider made applications to the local authority if people were at risk of being deprived of their liberty. They agreed to update these applications to ensure the use of CCTV was included.