Updated 22 January 2022
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
This consisted of two inspectors, a nurse specialist professional advisor and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of service.
Service and service type
Greenhive House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced. The provider knew we would be returning on the second day of the inspection.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. This included any significant incidents that occurred at the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
We reviewed the previous inspection report and contacted the local authority commissioning team. We used all of this information to plan our inspection.
During the inspection
We met and had general introductions with people who used the service and spoke with nine of them in more detail. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We observed the care and support provided to people in the communal areas across different parts of the day, including mealtimes and during activities. We spoke with one relative who was visiting during the inspection. We spoke with six more relatives over the phone on 3 December 2021.
We spoke with 17 staff members. This included the registered manager, an area manager and the deputy manager. We also spoke with the administrator, six team leaders, five care assistants and two domestic assistants.
We reviewed a range of records. This included 18 people’s care and medicines records and six staff files in relation to recruitment, training and supervision. We also reviewed records related to the management of the service, which included incident reports, complaints, quality assurance checks, minutes of team and residents’ meetings and a range of health and safety records.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at further records related to staff training and supervision, medicines competencies, a range of key policies and procedures and further quality assurance records.
We provided formal feedback to the registered manager and area manager via email on 21 December 2021.
We asked the provider to share a questionnaire across the whole staff team to give them an opportunity to give us feedback about their experience of working in the home and heard back from a f