Archived: Greenford Care Home

Updated 17 June 2021

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

This inspection was completed by one inspector.

Service and service type

Greenford Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service did not have a manager registered with the Care Quality Commission. This means the provider is legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.

During the inspection

We spoke with four people who used the service about their experience of the care provided. We spoke with six members of staff including the provider, manager, senior care workers, care workers and activities staff.

We reviewed a range of records. This included three people’s care records and multiple medication records. We looked at two staff files in relation to recruitment. A variety of records relating to the management of the service, including checks and audits were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality improvement plans. We spoke with two relatives about their experience of the care provided and three staff. We also spoke with one professional who regularly visits the service.

Updated 17 June 2021

About the service

Greenford Care Home is a residential care home providing personal care to 14 people aged 65 and over at the time of the inspection. The service can support up to 18 people in one adapted building.

People’s experience of using this service and what we found

People told us they were happy living at Greenford Care Home. They felt safe and were supported to remain independent. People told us, “It’s very nice here” and “The staff are very good”.

The service had improved since our last inspection; however, further improvements were needed to bring the service up to a good standard. Records of the care people received had improved and checks and audits had found further improvements were needed throughout the service. Plans were in place to make the necessary improvements and we will check these have been effective at our next inspection. The manager was working with local authority staff to make the improvements.

Risks to people had been identified and action had been taken to keep people as safe as possible. The way risks were managed had been discussed and agreed with people. Staff knew how to protect people from harm and were confident the manager would act on any concerns. People were protected from the risk of infection. Lessons were learnt when things went wrong.

The manager had developed an open culture centred around people. People and staff were involved in planning changes at the service. Their views and feedback had been acted upon to improve the service. There were enough staff to meet people’s needs. Staff had been recruited safely and had the skills and experience to fulfil their role.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was requires improvement (published 24 December 2019) and there were breaches of one regulation. At this inspection we found improvements had been made and the provider was no longer in breach of regulations. The service remains rated requires improvement.

Why we inspected

We carried out an unannounced comprehensive inspection of this service on 15 and 16 October 2019. Breaches of legal requirements were found. We undertook this focused inspection to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements. The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service remains requires improvement. This is based on the findings at this inspection. You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Greenford Care Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.