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Inspection Summary


Overall summary & rating

Good

Updated 19 December 2019

About the service

Greenacres is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Greenacres provides care and accommodation for up to 62 older people some who have physical needs and some people who are living with dementia. People have varied communication needs and abilities.

The service is set over three floors and is divided into different living units; each unit has its own lounge and dining area. On the day of our inspection the top floor was not being used, due to refurbishment. There were 45 people living in the home.

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

People were happy with the care and support they received at Greenacres. The provider had employed a registered manager and improvements had been made across the service since our last inspection.

Quality assurance processes were now effective at identifying opportunities for improvement and making positive changes to the lives of the people living at the home, and the staff that worked here.

Staff were positive about their roles and the support they received from the registered manager. This had prompted a change in the culture at the home, which was now focussed on continuously improving and learning if things went wrong.

People’s experiences of living here had improved due to a successful staff recruitment drive that had taken place. The home was now predominantly staffed by permanent staff, and agency usage had dropped dramatically since our last inspection. This enabled people to get to know the staff and develop positive relationships with them.

Hazards to people’s health and safety were appropriately mitigated by appropriate risk assessments and staff training. Where accidents and incidents had taken place, these were thoroughly reviewed to understand what had happened and action was taken to prevent a reoccurrence.

People had enough to eat and drink, and they had been involved in the development of the menu. Their meal choices were varied and catered for differing dietary needs. People were supported to eat and drink when needed in an unrushed and dignified way.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People’s access to activities and events had increased since our last inspection, and further work under the ‘Anchor Active’ initiative was underway, to make them even more personalised and focused on people’s hobbies and interests. People’s care plans reflected their preferences and needs with regards to care and support. Staff understood and supported people in accordance with the care plans and responded well when people’s needs changed.

People told us they would be confident to make a complaint if they felt the need, and that their concerns would be listened to and addressed.

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 requires improvement (published 27 October 2018). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Good

Updated 19 December 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 19 December 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 19 December 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 19 December 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 19 December 2019

The service was well-led.

Details are in our well-Led findings below.