You are here

Archived: Greengates Good

The provider of this service changed - see new profile

Inspection Summary


Overall summary & rating

Good

Updated 31 August 2016

This inspection took place on 26 July 2016. We telephoned the service one hour before we arrived because this is a small home and we wanted to make sure people would be at home when we visited. The service was previously inspected on 22 January 2014 when we found no concerns.

Greengates provides accommodation with personal care for up to seven people with learning disabilities. Some people may also have physical or sensory disabilities.

The service had a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People lived in a clean and homely environment, although in many areas the decorations were old and showing signs of wear. There were plans in place to redecorate many areas in the near future. Equipment had been regularly maintained to ensure people and staff were protected from risks to their health and safety.

Staff described how they supported people to participate in a range of activities of their choice, both at home and in the local community. However, there were very few daily records completed by staff to provide evidence of the things people did each day, or the support people received from staff to meet their planned care needs. Staff also described how they supported people to keep in contact with families and friends.

There were sufficient staff employed to meet people’s needs safely. Staff rotas had been drawn up to ensure each person received support at the right times to meet their individual needs. Safe recruitment procedures were followed to minimise the risk of harm or abuse to people who use the service.

Medicines were stored and administered safely by competent staff. Each person held their own medicines in locked cupboards in their rooms and received individual support from the staff team to manage their medicines safely.

The provider ensured each person’s savings, income, cash and belongings were safe and people were protected from the risk of financial abuse.

Staff were trained, supervised and supported and had the skills and competence to meet each person’s needs effectively. Staff received training and regular updates on all mandatory health and safety related topics, as well as topics relevant to the needs of each person living in the home. Staff were given opportunity to gain relevant qualifications in health and social care.

People were involved in all aspects of meal planning and preparation. Staff were aware of each person’s individual dietary needs and provided people with a choice of varied and healthy meals.

People were supported to maintain good health and wellbeing by the staff team and a range of local NHS and social care professionals. Specialist medical advice and support was obtained when necessary. Care and support files contained detailed information on all aspects of each person’s health needs and contained evidence of medical appointments and treatment by a range of health and social care professionals. Care records had been regularly reviewed and included risk assessments and guidelines for staff on how to support people to remain safe and healthy.

People were supported by a team of staff who were kind, cheerful and patient. During our inspection we saw staff supporting and encouraging people to gain as much independence as possible. Staff understood how much satisfaction each person gained from doing things for themselves rather than the staff carrying out tasks for the person. A person who lived in the home told us with pride “I support myself. I do my own personal care – the lot!”

The service was well managed. The provider and manager had systems in place to regularly check all daily routines to ensure people received a safe service that met their needs.

Inspection areas

Safe

Good

Updated 31 August 2016

The service was safe.

There were sufficient numbers of staff to keep people safe and meet their needs.

People were protected from abuse and avoidable harm.

Risks were identified and managed in ways that enabled people to lead a fulfilling life and to remain safe.

Effective

Good

Updated 31 August 2016

The service was effective.

People received care and support from staff who were trained to meet their individual needs.

People were supported to maintain good health and to access health care services on a regular basis.

The service acted in line with current legislation and guidance where people lacked the mental capacity to consent to certain aspects of their care.

Caring

Good

Updated 31 August 2016

The service was caring.

People were supported by caring and considerate staff.

People were treated with dignity and respect and were supported to be as independent as they were able to be.

People were supported to maintain regular relationships with their relatives.

Responsive

Good

Updated 31 August 2016

The service was generally responsive but improvements were needed in record keeping.

People participated in activities and interests according to their individual preferences. However daily records were not always completed by staff to show how each person�s personal and social needs were met.

People�s individual needs and preferences were known and acted on.

People, their relatives, and other professionals involved with their care were encouraged to express their views. The service used people�s views and suggestions to improve the service.

Well-led

Good

Updated 31 August 2016

The service was well led.

People were supported by an accessible and approachable registered manager and a small dedicated team of care staff.

The service had a caring and supportive culture focused on promoting as good a quality of life as possible for people who lived in the home.

The provider�s quality assurance systems ensured the quality and safety of the service was maintained and improved.