Background to this inspection
Updated
5 August 2021
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
The inspection was completed 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
The Green Residential Care Home 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 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
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used all this information to plan our inspection.
The provider was not asked to complete a provider information return before 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.
During the inspection
We spoke with four people who used the service and two people’s relatives about their experience of the care provided. We spoke with five members of staff including the registered manager, deputy manager, and care workers.
We reviewed a range of records. This included five people’s care records and a variety of records relating to the management of the service.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We asked the provider to send us information about the service and how they managed the care and support provided.
Updated
5 August 2021
About the service
The Green Residential Care Home is a care home providing personal care for up to 23 older people who may be living with a physical disability, sensory impairment or dementia. The service was supporting 12 people at the time of our inspection.
People’s experience of using this service and what we found
People received person-centred care and felt well looked after. Care plans provided detailed information to support staff to meet people’s needs.
People’s end of life wishes were explored and recorded. Staff completed training to enable them to provide effective, person-centred care for people approaching the end of their life.
People felt able to speak with staff or management if they were unhappy about the service or needed to complain.
People gave positive feedback about the activities and support provided to avoid social isolation. Visitors were safely welcomed to the service. We spoke with the registered manager about ways to continue developing the support provided with activities and they agreed to address this.
The service was well-led. People and staff praised the organisation, communication and leadership. A wide range of regular audits were used to monitor the quality and safety of the service. The registered manager was keen to continue developing the service and was responsive to feedback during the inspection.
Infection prevention and control risks were effectively managed and minimised.
For more details, please see the full report which is on the Care Quality Commission’s (CQC) website at www.cqc.org.uk
Rating at last inspection (and update)
The last rating for this service was requires improvement (published 2 July 2019) and there was a breach of regulation relating to the provider’s oversight and governance arrangements.
The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection, improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We carried out an unannounced comprehensive inspection of this service on 23 and 31 May 2019. A breach of legal requirements was found. The provider completed an action plan after the last inspection to show what they would do and by when to improve their governance arrangements.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Responsive and Well-Led which contain those requirements.
We also looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for The Green Residential Care Home on our website at www.cqc.org.uk.
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.