We carried out a review of the data available to us about Greycliffe Manor on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Greycliffe Manor, you can give feedback on this service.
Greycliffe Manor is a care home, which provides accommodation and personal care for up to 25 people living with dementia and other physical health needs. At the time of the inspection 24 people were using the service. The care home is an adapted building over two floors, with a shaft lift and/or stairlift giving people access to the upper floor.
People’s experience of using this service and what we found
The environment was safe and there was equipment available to support staff in providing safe care and support. Health and safety checks of the environment and equipment were in place. However, we found the audits for checking the hot water taps had noted the water was extremely hot. No follow up or adjustment to ensure people where protected had been carried out. The area manager and quality assurance manager, who supported us through the inspection due to no registered manager in post, said they would contact maintenance straight away. We received confirmation from the acting manager after the inspection that the water temperature had been made safe for people. We also found that regular fire alarm testing had not taken place. This was raised and we received confirmation that this had been carried out and that the recordings of this was held in a separate file not made available on the day of the inspection.
We have made recommendations about the management and follow up of health and safety audits.
Medicines were ordered, stored and disposed of safely. However, medicines needing extra security where not signed by two staff as required.
We have made recommendations about the management of medicines and that the provider actions issues highlighted during our inspection.
The service currently has several people testing positive and isolating due to COVID 19. There were processes in place to prevent and control infection at the service including additional cleaning and safe visiting precautions. However, we found one bin holding used PPE over spilling with no lid on the bin. We also found another used PPE bin with a broken lid. This meant staff where having to open the bin manually which could cause an infection control issue. We received confirmation that the broken bin had been replaced.
We have made recommendations about the management of infection control.
People were supported by staff who completed an induction, training and were supervised. Staff were recruited safely in sufficient numbers to ensure people’s needs were met. There was time for people to have social interaction and there was a designated activities staff member to assist people. Staff knew how to keep people safe from harm.
Records were accessible and up to date. However water temperature audit, though completed had not been followed up immediately to help protect people. These taps have since been made safe. The management and staff knew people well and worked together to help ensure people received a good service.
People told us they were happy with the care they received, and people said they felt safe living there. Comments from people included; “Staff are very caring.” Another person said; “Staff definitely support me.” People looked relaxed, happy and comfortable with staff supporting them. Staff were caring and spent time chatting with people as they moved around the service.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Staff received appropriate training and support to enable them to carry out their role safely, including fire safety and mental health training.
People were supported to access healthcare services, staff recognised changes in people's health, and sought professional advice appropriately.
Records of people's care were individualised and reflected each person’s needs and preferences. Risks were identified, and staff had guidance to help them support people to reduce the risk of avoidable harm. People’s communication needs were identified, and where they wanted, people had end of life wishes explored and recorded.
People were involved in menu planning and staff encouraged them to eat a well-balanced diet and make healthy eating choices. Special diets were catered for. One person said; “Food is very good, like homemade cooking.”
Staff told us the management team, currently supporting the service in the absence of an employed and registered manager, made themselves available and assisted them daily. They went onto say how they were approachable and listened when any concerns or ideas were raised. One staff member said; “It's run very well.”
People and their families were provided with information about how to make a complaint and details of the complaint’s procedure were displayed at the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for the service under the previous provider was good, (published 4 October 2017.)
A focused inspection was carried out in April 2021 after concerns had been raised. That inspection was not rated.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
We 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.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
Greycliffe Manor is a care home, which provides accommodation and personal care for up to 25 people living with dementia and other physical health needs. At the time of the inspection 11 people were using the service. The care home is an adapted building over two floors, with a shaft lift and/or stairlift giving people access to the upper floor.
People’s experience of using this service and what we found
Risks associated with people’s care were managed safely and staffing levels were reviewed in line with people’s changing care needs.
Overall, we were assured infection, prevention and control practices were being followed, however three members of staff were seen to have poorly fitting masks and risk assessments had not been put in place. Immediate action was taken at the time of the inspection to rectify this. A community nurse confirmed that when they visited following our inspection, staff were seen to be wearing PPE in line with government guidance.
The service had experienced an outbreak of Covid 19. The provider had worked in collaboration with health and care agencies in managing the outbreak and had carried out an independent review to help identify learning. Pastoral care and support was being given on an ongoing basis to staff, in order to come to terms with the emotional impact of the pandemic.
The community nurse was complimentary of the staffing culture and told us “Staff are really caring”.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at the last inspection
This service was registered with us on 04/11/2019 and this is the first inspection.
The last rating for the service under the previous provider was Good published on (4 October 2017)
Why we inspected
We undertook this targeted inspection because we received concerns in relation to the management of falls, nutrition and skin, training in respect of sepsis, the recording of medicines, access to hot water in bedrooms, and the security of the building.
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.
CQC have introduced targeted inspections to follow up on Warning Notices or to check specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the Safe and Well-led key questions sections of this full report.
The overall rating for the service has not changed following this targeted inspection and remains Good. You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Greycliffe Manor 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.