Archived: Greenfields Residential Home

Updated 20 May 2015

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 3 February 2015 and was unannounced. The inspection team consisted of three inspectors and an expert by experience whose area of expertise is caring for older people living with dementia. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Before the inspection we reviewed information we held about the service this included information we had received from the local authority and the provider since the last inspection, including notifications of incidents and action plans. A notification is information about important events which the provider is required to send us by law.

During our inspection we spoke with six people who used the service, the manager of the home, four care staff and the cook. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We reviewed the care records of four people who used the service, reviewed the records for four staff and records relating to the management of the service. We spoke with four family members on the telephone.

Updated 20 May 2015

We undertook an unannounced inspection of Greenfields Residential Home on 3 February 2015. The home provides residential care and support for up to 36 older people. At the time of our inspection there were 23 people living in the home.

The 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. 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. There was a new manager in post at this service and they were in the process of registering.

There were sufficient staff employed to meet people’s needs, and people were supported in a kind and compassionate way which was personal to them.

Staff were aware of people’s rights and choices, and provided people with support in a person centred way and respected their privacy and dignity.

The provider had a robust recruitment process in place, and staff had received a variety of training.

They had a good understanding of the requirements of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS).

Safeguarding concerns were not always reported in a timely way due to a lack of staff understanding of their responsibilities and reporting processes.

Care plans did not always contain up to date information to enable staff to support people safely and effectively. Activities in the home were limited.

People were involved in making decisions about their care or, where they were unable to, then the staff involved the person’s family or representative with any decision making.

People were supported to have a healthy and nutritious diet and to access healthcare professionals when required.

Medicines were administered by staff who had been trained to do so safely, but they did not always receive them at the times they were prescribed.

The new manager had started embedding quality monitoring systems and promoting an improved inclusive culture within the home. People were encouraged to share their views and raise complaints and these were used to drive improvements and achieve a better standard of care.