Background to this inspection
Updated
18 October 2019
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.
Inspection team
The inspection was carried out by one inspector 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 care service.
Service and service type.
Greycroft Residential Home is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with CQC. 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.
What we did before the inspection
Before the inspection, we looked at the information we held about the service. This information included statutory notifications the provider had sent to CQC. A notification is information about important events which the service is required to send us by law.
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 contacted local authority commissioners and asked them for their views about the service; we received no concerning information. We also looked at comments about the service, left on an independent review site. This information helps support our inspections. We used all this information to plan our inspection.
During the inspection
During our inspection, we spent time in the communal areas observing how staff provided support for people to help us better understand their experiences of the care they received. We spoke with five people living in the home. We also spoke with the registered manager, the nominated individual, and three staff members. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
We had a tour of the premises and looked at a range of documents and written records. These included two people's care and support records, staffing rotas, medicines records, two staff recruitment records, training, induction and supervision records, minutes from meetings and complaints and compliments records. We looked at records related to the safety, auditing and monitoring of service. We also looked at the most recent report of the service from the local authority commissioning team and feedback from the recent customer satisfaction survey.
Updated
18 October 2019
About the service
Greycroft Residential Home is a care home providing personal care and support to 14 people aged 65 and over, some of who were living with dementia. The service does not provide nursing care. At the time of the inspection, there were 12 people living in the home.
Greycroft Residential Home is an older type extended property providing facilities on two floors which could be accessed by a stair lift. There were two lounges and a conservatory dining room leading onto a decking area with ample seating for people and their visitors to enjoy in the warmer months. There were twelve single bedrooms and one double bedroom.
People’s experience of using this service and what we found
People were happy about the care and support they received and with the way the home was managed. People’s views about the quality of care provided were used to make improvements to the service. The quality of the service was monitored, and appropriate action was taken to improve the service when needed. Lessons had been learned and shared with staff when things went wrong.
People felt safe and made positive comments about the management team and staff. Staff understood how to protect people from abuse and people had no concerns about the care they received. People received their medicines when they needed them from staff who had been trained and had their competency checked.
Recruitment processes were safe and ensured new staff were suitable to work in the home. There were enough staff to meet people's needs and ensure their safety. Staff received ongoing training, supervision and support. They felt valued and supported and enjoyed working at the home.
Risk assessments were carried out to enable people to retain their independence and receive care with minimum risk to themselves or others. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
People's care needs were assessed prior to them living in the home. Staff knew about people's routines and preferences and people had been consulted about their care needs. People enjoyed the meals. They were supported to eat a nutritionally balanced diet and had access to various healthcare professionals, when needed. People enjoyed suitable activities and entertainments and they were supported to maintain contact with their friends and family; good friendships had developed within the service.
Staff treated people with dignity, respect and kindness and knew people well. We observed positive, caring and warm interactions between staff and people. Staff spoke with people in a friendly and patient manner and we overheard laughter and friendly banter.
People could raise any complaints or concerns if they needed to and knew who to speak with. People were happy with their bedrooms and with the communal areas. All areas were comfortable, clean and bright.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 26 May 2017).
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.