Greenacres Grange

During an assessment under our new approach

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.

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During an assessment under our new approach

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. The home is set out over 4 floors, at the time of our visit the top floor was not occupied. At the time of the assessment, the service was supporting 54 people with their personal care needs. This was our first assessment at Greenacres Grange. New services are assessed to check they are likely to be safe, effective, caring, responsive, and well-led when they register with the Care Quality Commission (CQC). We carried out our on-site assessment on 16 April 2024. This was an unannounced assessment, which means the provider was not told an assessment was going to be starting beforehand. We assessed a total of 9 quality statements from the safe, effective, caring, and well-led key questions and found areas of good practice and 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 relation to safe care and treatment, governance and safeguarding service users from abuse and improper treatment. People were at risk of infection due to infection prevention and control processes 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 which was particularly important for some people. Staff did not always report safeguarding concerns which placed people at risk of harm. We have asked the provider for an action plan in response to our concerns.

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