22 November 2017
During a routine inspection
This service is a domiciliary care agency. Greenfield Court HNHA is based in Harrogate. Some people who received support live in bungalows and flats located on the site in Harrogate. Other people live out in the community in their own homes and Greenfield Court HNHA staff visit them to support with personal care.
Greenfield Court Harrogate Neighbours Association is the registered social landlord (housing association) responsible for the specialist ‘extra care’ housing at Greenfield Court. Extra care housing is purpose-built or adapted single household accommodation in a shared site or building. The accommodation is rented, and is the occupant’s own home. CQC does not regulate premises used for extra care housing; this inspection looked at people’s personal care and support service.
Not everyone using Greenfield Court HNHA receives regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided. At the time of this inspection, the service was providing a personal care service to 22 people at the extra care location and 50 people living in their own homes in the community.
At the last inspection, the service was rated Good. At this inspection, we found the service remained Good.
The provider was an individual (sole trader) and until recently the provider had also managed the service on a day to day basis. We have asked the provider to provide us with further information with regard to their registration status so that we can make sure we have the correct legal entity registered. We are dealing with this outside the inspection process.
There was a manager in post who had registered with CQC in October 2017. The provider and the registered manager were available and assisted throughout the inspection.
Staff had received training in safeguarding adults and the registered manager understood their responsibilities to identify and report any concerns. Safe recruitment processes were followed to ensure only suitable people were employed.
Medicines were managed safely and people received their medicines as prescribed. We have made a recommendation about the management of some medicines.
Risks to people were assessed and steps taken to reduce risks.
There had been some recent challenges posed by staffing shortages, which people referred to in their feedback to us. The registered manager described the actions in place to improve staff retention.
People received effective care from staff who had the skills and knowledge to support them. People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.
People accessed health and social care professionals. People benefited from strong, caring relationships with staff who treated them with dignity and respect.
People spoke positively about the staff and the quality of care they received. They were actively involved in their care and staff supported them to maximise their independence.
People received an individualised service and staff understood and met people's care needs.
Effective management systems were in place to monitor the quality of care provided and to promote people’s safety and welfare.
Further information is in the detailed findings below.