03 February 2015
During a routine inspection
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.