Greenlane House

Updated 16 June 2022

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 Health and Social Care Act 2008.

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 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

Greenlane House is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Greenlane House is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

At the time of our inspection there was a registered manager in post who had recently gone on a period of planned leave. An interim manager was intending to also apply for registration during this period.

Notice of inspection

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since it registered on 11 June 2020. We sought feedback from the local authority and local Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with five people who used the service and eight relatives. We spoke with eight staff including the interim manager, operations manager, deputy manager, two senior staff, two care staff and a maintenance staff. We contacted 13 other staff by email for their views.

We reviewed a range of records. This included five people’s care records and multiple medicine records. We looked at three staff files in relation to recruitment. We also viewed a variety of records relating to the management of the service, including audits, policies and procedures.

Updated 16 June 2022

About the service

Greenlane House is a residential care home providing personal care for up to 28 people. The service provides support to mainly older people some of whom are living with dementia-related conditions. At the time of our inspection there were 22 people using the service.

People’s experience of using this service and what we found

People and relatives praised the friendly atmosphere in the home and described staff as helpful and kind. The home had a warm and welcoming culture. Staff were engaging with people.

People received individualised support that matched their personal preferences. There was a good range of activities and engagement in the local community to support people’s social inclusion.

There were enough staff to assist people. People’s needs were assessed to make sure their care could be provided by this service. Staff were very knowledgeable about each person and how they wanted to be supported.

People said the meals were nice and they got enough to eat and drink. People had good input from other care services to support their health needs. Staff provided sensitive and compassionate care to people when they reached the end stages of their lives.

People were supported to have maximum choice and control of their lives and staff assisted them in the least restrictive way possible and in their best interests; the policies and systems in the service upheld this practice.

The home was clean and comfortable. The provider had sufficient equipment and screening to reduce the spread of COVID-19.

Relatives said staff had kept them well-informed throughout the pandemic and during a recent outbreak. The home had good working relationships with local health and social care agencies to support the needs and well-being of the people who live there.

The provider carried out checks of the quality and safety of the service. We have made a recommendation about monitoring any identified actions until they are addressed.

The provider and management team were open and approachable. The provider was committed to improvement and a refurbishment programme was taking place.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 11 June 2020 and this is the first inspection.

The last rating for the service under the previous provider was good, published on 6 September 2018.

Why we inspected

This was a planned inspection.

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.