Archived: Greenhill

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

Well-led – this means we looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture. At our last inspection we rated this key question good. At this inspection the rating remained good.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Shared direction and culture during this assessment. The score for this quality statement is based on the previous rating for Well-led.

There were capable and inclusive leaders. The registered manager had managed the home for 12 years. They were supported by a deputy manager. The registered manager told us their line manager, the providers clinical director, attended the service each week to offer them support and guidance. We spoke with the clinical director who advised us they visited the home once or twice each week to support the management and the nursing teams.

Staff were positive about how the home was run and about the support they received from the registered manager, the deputy manager and nursing staff. A staff member told us, “The staff team are well supported. If we have any problems the registered manager will always support us. The registered manager and deputy are always very helpful.” Another staff member commented, “The registered manager is always there for us, making sure we get the right training and feel supported."

There were regular staff meetings in place to support and guide staff with best practice. Staff told us they were able to express their views at these meetings and they felt they were listened to. One staff member told us, “At a recent team meeting we told the management we needed more staff, and they put some more on duty to help us when we needed it.”

Management support was available for staff when they needed it. The registered manager told us there is a 24 hour on-call number where staff can contact managers if they need any advice or support. A staff member told us, “We can call managers at any time if there is an emergency at the service.”

A visiting professional told us, “[Registered manager] and the leadership team create a positive culture where all are valued and appreciate for the part they make in the team, supporting them through a clear and strong leadership. When things get difficult and busy [Registered manager] never loses sight of the reason they are there, for the residents for whom they will advocate for quality care in all circumstances, responding to individuals needs and providing an environment where residents feel safe, in control and are able to maximise their potential.”

We did not look at Freedom to speak up during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Workforce equality, diversity and inclusion during this assessment. The score for this quality statement is based on the previous rating for Well-led.

The provider carried out monthly quality monitoring visits at the service. We saw a report from a visit carried out by the provider January 2025. This covered areas such as infection control, fire safety, health and safety, meals, staffing issues, safeguarding, complaints, care plans and medicines management. The provider also regularly spoke with people using the service, relatives and staff seeking feedback to help drive improvements. The report included an action plan with areas needing improvement. The registered manager confirmed these improvements had been made.

We saw records from unannounced nighttime spot checks carried out at the service in March 2025. The registered manager told us these were carried out to make sure people were receiving consistent quality care and to speak with staff about any nighttime issues and support needs.

Records from the local authority commissioning team’s quality assurance visits to the service were seen.These included actions for improvement for example, daily medication fridge temperature records recorded in each medication room. The registered manager confirmed actions had been taken to address the required improvements.

We saw a report from a satisfaction survey carried out with people using the service and their relatives. This indicated that people and their relatives were happy with the care and support they were receiving. Where people referred to minor shortfalls the reported indicated what the service was doing to improve their performance.

Checks and audits were in place to oversee good service delivery and ensure people’s safety. Monthly checks covered areas such as, care staff competency, cleaning and infection control, wheelchair maintenance, call bells, care plans, medicines management, complaints, accidents and incidents and safeguarding concerns.

We did not look at Partnerships and communities during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Learning, improvement and innovation during this assessment. The score for this quality statement is based on the previous rating for Well-led.