Greenacres Grange

Updated 24 July 2024

Date of assessment 5 August to 23 September 2024. Greenacres Grange is a ‘care home’ providing nursing and personal care for people living with dementia, people with a sensory impairment or physical disability, for older people and younger adults. At the time of the assessment, the service was supporting 57 people with their personal care needs at the start of the assessment which reduced to 16 people at the conclusion of the assessment process. On 16 August 2024 the provider undertook a voluntary pause on admissions to the home while they focused on making improvements. We assessed a total of 17 quality statements from the safe, effective, and well-led key questions and found areas of concern. We have not previously rated this service. This assessment did not cover all parts of our Single Assessment Framework; therefore, we have only updated scores and ratings for those areas which we have assessed. We will carry out future assessments to cover other parts of the Framework and will update our website with our findings. We have identified breaches in regulation in relation to person-centred care, dignity and respect, safe care and treatment, safeguarding, premises and equipment, governance, and staffing. People were at risk of infection due to poor infection prevention and control processes. There were insufficient staff available and with the right knowledge, skills and training to safely care for people. Poor medicines management meant people’s health and wellbeing were at risk as people were not all receiving their medicines at the time they should have them. Care plans were not current and did not contain person-centred information to ensure people received the care and treatment they required. Incidents were not consistently recorded and reported to external agencies. Governance processes had failed to identify issues and respond to them. We have asked the provider for an action plan in response to our concerns.

Updated 24 July 2024

People and relatives told us they did not always feel safe or that the provider had a proactive culture of safety in the home. People’s care plans did not always include information about their individual needs or consider risks effectively. This meant staff didn’t always have access to information to guide their practice and ensure they understood what was important and mattered to people. Relatives did not feel their loved ones received the care and support they needed, that input from external professionals was not always sought promptly, that communication was poor and changes in their relative’s health and incidents were not always reported to them. People didn’t feel there were enough staff available and told us they often had to wait for staff support. People didn’t always receive their medicines on time which was particularly important for some people who required time sensitive medicines. People told us food at the home was often poor and varied in quality and quantity. People told us that relatives brought in food and drinks to supplement their loved one’s diet. Care observed was not always person centred and consideration for people’s dignity was not consistent. We observed that people’s individual needs were not always responded to appropriately. People told us they could make choices, but these were limited. There were no restrictions regarding visitors.