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Archived: Greensleeves Care Home Good

The provider of this service changed - see old profile

The provider of this service changed - see new profile

Inspection Summary


Overall summary & rating

Good

Updated 29 January 2019

The inspection took place on 29 November 2018 and was unannounced. Greensleeves 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.

The house is situated in a residential area of Crawley and accommodation is provided over two floors. Currently accommodation was only available to women, the provider told us they would consider whether they could meet the needs of any men who wanted to live there. There were 34 people living at the home on the day of the inspection. Many of the people living at the home were living with dementia.

The provider of the home was also the registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Following the last inspection on 12 September 2017 we identified two breaches of the regulations. We asked the provider to complete an action plan to show what they would do, and by when, to improve the key questions is the service safe? and is the service well-led? to at least Good. At this inspection on 29 November 2018, we found that staff had followed the action plan and the overall rating for the service had improved to Good.

People were receiving their prescribed medicines safely. The storage, administration and disposal of medicines was managed effectively. Risks to people had been identified, assessed and managed. Care plans were comprehensive and provided clear guidance which was being followed by staff to keep people safe. Staff understood their responsibilities for safeguarding people from abuse.

There were enough staff with suitable skills and experience to care for people safely. The home was clean and staff protected people by the prevention and control of infection. Monitoring of incidents and accidents ensured that lessons were learned and improvements were made when things went wrong. One person told us they felt safe at the home because “There’s always someone (staff) around.”

Staff received the training and support they needed to care for people. They understood their responsibilities to gain people’s consent for care and treatment. People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.

People were receiving the support they needed to have enough to eat and drink. People told us they enjoyed the food at Greensleeves Care Home. Staff ensured that people had access to the health care services they needed and staff described positive working relationships with the local GP.

People were supported by staff who knew them well. Staff were kind and caring and respected people’s dignity and privacy. A person told us, “All the staff are very kind. I like them all.”

People were supported to be involved in decisions about their care and support. Staff were effective in supporting people with their communication needs. A relative told us, “I have been involved in the care plan and they do listen to what I say.”

People were receiving a personalised service. Staff understood the needs, preferences and wishes of people they were caring for. Staff were responsive when people’s needs changed and reviewed risk assessments and care plans regularly. People had enough to do and told us they enjoyed the activities on offer. People and their relatives said the registered manager was responsive to complaints and feedback.

Management systems and processes were robust and improvements had been made to meet the breaches of regulation that were identified at the last inspecti

Inspection areas

Safe

Good

Updated 29 January 2019

The service was safe.

People were supported to have their medicines safely.

There were enough suitable staff to care for people. People were safeguarded from abuse.

Risks to people were assessed and managed. Incidents were monitored and improvements made when things went wrong.

Effective

Good

Updated 29 January 2019

The service was effective.

Assessment were holistic and identified people�s needs and choices. Staff were supported and received the training they needed.

People were supported to have enough to eat and drink and to access health care services when they needed to.

Staff understood their responsibilities to seek consent from people.

Caring

Good

Updated 29 January 2019

The service was caring.

Staff knew people well and treated them with kindness.

People were supported to express their views and to be involved in decisions about their care.

Staff supported people�s privacy and dignity.

Responsive

Good

Updated 29 January 2019

The service was responsive.

People received person-centred care that was responsive to their needs.

People were supported at the end of life.

Complaints were recorded and actions were taken to address people�s concerns.

Well-led

Good

Updated 29 January 2019

The service was well-led.

Systems and processes provided effective oversight and governance and ensured continuous learning and improvements.

There was visible leadership. People, relatives and staff were included in developments at the home.

Staff worked in partnership to achieve positive outcomes for people.