Green Acres Care Home

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. At our last assessment we rated this key question requires improvement. At this assessment the rating has changed to good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

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.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. People had care plans which were person centred and specific to them. Staff and leaders placed people at the centre of decisions about their care to make sure people had choice and control over their life. Leaders effectively assessed the support people required to ensure staff were guided to provide the right support in line with people’s wishes and preferences. One leader told us, “We complete an initial assessment to make sure we can care for someone here. We tell the staff what help someone needs and we complete a full care plan when the person moves in.”

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards. The provider used nationally recognised tools to support people. Staff were trained and experienced in monitoring changes in people’s health and used tools such as Malnutrition Universal Screening Tool and Cornell Depression Scale. The way people wished to receive their support was important to staff and people were consulted on how they would like to receive their care which was documented in care plans for staff to use.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services. Staff worked well together and with other teams. Staff had a positive working relationship with visiting professionals so people had joined up consistent care. Staff knew people well and care plans and risk assessments were high quality which detailed the person’s wishes, preferences and information about their life. Staff were passionate about providing good quality care. One leader told us, “We welcome visiting professionals and they can access the person’s care plan and risk assessment. We have good working relationships with the GP and pharmacy.”

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support. People were supported to live healthy lives. Kitchen staff made sure meals were balanced and varied focusing on people’s meal choices. One kitchen member of staff told us, “We ask people what they want on the menu. If people like something, we will put more of that on.” Activity staff worked hard to ensure there were activities offered which included physical exercise and people were supported to remain active as long as possible.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. People were supported to meet their outcomes. Through a combination of staff approach and person centred care plans, people’s wishes and goals were supported to ensure people live as independently as possible. Leaders reviewed and monitored the progress of people’s outcomes to ensure they were meaningful and up to date.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People consented to their care. Staff ensured people were at the centre of decisions about their life and care needs. This made sure people remained in control of their lives. Staff respected people’s right to decline support and worked with people to ensure their wellbeing was promoted. People who were unable to consent had mental capacity assessments and best interest decisions in place to make sure staff were working in line with the Mental Capacity Act 2005. One member of staff told us, “I always ask for permission. Consent is really important and I would never do something if the person didn’t consent.”