We carried out a review of the data available to us about Greenway House Residential Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Greenway House Residential Home, you can give feedback on this service.
Greenway House Residential Home is a care home providing personal care and accommodation to 11 older people. Care is provided on two floors, with communal areas and a dining area on the ground floor. Some of the people are living with dementia. The service can support up to 11 people.
People's experience of using this service and what we found
People felt safe and received care that was regular reviewed. Risks to people had been considered. There were sufficient suitably trained staff available for people and they did not have to wait for support. Medicines were managed in a safe way and people received these when needed. The home was clean and tidy and infection control procedures followed.
There were systems in place to ensure lessons were learnt when things went wrong. There were procedures in place to protect people from potential harm. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service support this practice.
People were happy with the staff and the way the home was run. They were treated in a kind and caring way, both their privacy and dignity were considered and they were offered choices. People were encouraged to remain independent.
People had access to health professionals and received care based on their accessed needs. Their preferred methods of communication were considered along with their preferences. People enjoyed the food and had the opportunity to participate in activities they enjoyed.
There were systems in place to monitor the quality in the home and this information was used to make improvements. The provider sought feedback from people who lived in the home and their families and used this to make changes.
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 30 January 2019)
Why we inspected
This was a planned inspection based on the previous rating.
There is a registered manager in post. 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.
The systems the provider had in place were not always effective in identifying concerns or driving improvements within the home. The provider had sought feedback from people and relatives however had not used this information to make changes. People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible; the policies and systems in the service did not support this practice. We have made a recommendation about identifying concerns and driving improvements.
People were happy with the staff that supported them and the provider had ensured they were suitably recruited. There were enough staff available for people. People were encouraged to be independent and make choices about their day. Their privacy and dignity was also considered. People were happy with the food and drink that was available. They were given the opportunity to participate in activities they enjoyed.
Risk to people were considered and reviewed and medicines were managed in a safe way. Staff received an induction and training that helped then support people. Staff understood safeguarding and how to protect people from potential harm. The home was decorated in accordance with people’s needs and preferences.
Staff offered consistent care and knew people well. There was a complaints procedure in place and they knew how to complain. People were supported to access health services when needed. Staff felt listened to and knew who the registered manager was. Relatives and friends could freely visit the home. The provider worked jointly with health professionals who came into the home. The provider was displaying their rating in line with their requirements. There was a system in place to ensure lessons were learnt when things went wrong.
This inspection visit took place on the 5 December 2017 and was unannounced. The inspection visit was carried out by one inspector. The home was previously rated as good in all domains.
The service had a registered manager in post. 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.
We could not be sure people were protected from harm as incidents and accidents were not always investigated or reported to the local authority safeguarding team when needed. As these incidents were not fully considered we did not see how the provider was using this information to learn lessons or make improvements within the home. Some quality audits were completed by the provider however this was not used to drive improvements and make changes to the service as required.
As the provider had not fully considered the mental capacity act, people are not supported to have maximum choice and control of their lives and staff do not support them in the least restrictive way possible; the policies and systems in the service do not support this practice.
Individual risks to people had been considered and for these people risk assessments were in place. Staff had the information available to support people in a safe way. Staff received training and an induction and the provider ensured staff suitability to work within the home. Medicines were managed in a safe way to ensure people were protected from the risks associated to them. There were enough staff available for people and they did not have to wait for support.
We found people were happy with the staff and the care they received, this was considered in a personalised way. People’s cultural needs had also been considered by the provider. People were encouraged to remain independent and make choices for themselves, including the activities they participated in and the food they ate. People’s privacy and dignity was also considered. When people needed support from health professionals this was provided for them.
There were infection control procedures in place and these were followed by staff. The provider had received no complaints however people knew how to complain and felt they would be listened to. Staff felt supported be the management team and were happy to raise concerns. The provider was not currently delivering end of life care.
This is the first time the service has been rated Requires Improvement. We found breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of the report.
We inspected this service on 7 December 2015. This was an unannounced inspection. The service had not been inspected since re- registering in April 2013. Prior to this the service had been inspected and was compliant in all the areas we looked at.
The service was registered to provide accommodation for up to 12 older people who may have dementia. At the time of our inspection 9 people were using the service.
The service had a registered manager in post. 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 were two registered managers in post. The registered managers had a job share arrangement in place.
People told us they felt safe and staff demonstrated they knew how to recognise and report potential abuse. Risks to people were managed in a positive way to keep people safe and promote independence. There were effective systems in place to administer store and record medicines to ensure people were protected from the risks associated to them. We saw there were enough staff to meet people’s needs. Staff who worked at the service had checks to ensure they were suitable to work there.
When people were unable to consent mental capacity assessment and best interest decisions were completed. The provider had considered when people were being restricted unlawfully and Deprivation of Liberty Safeguards (DoLS) authorisations were in place. Staff knew their role within this and how to protect people.
People told us there was enough food and drink and they were offered a choice. When needed people were referred to healthcare professionals for support. Staff completed training that supported them to have the skills to meet people’s needs. People and families told us they were involved with reviewing their care.
People were treated in a kind and caring way and their privacy and dignity was promoted by staff. They were able to remain independent and make choices about how they spent their day. People were offered the opportunity to participate in activity’s they enjoyed. Friend and family told us they could visit the service when they liked and the registered manager was always available.
The provider sought feedback from people and families who used the service and used this information to make improvements. Quality checks were completed to bring about changes. Staff felt listened to and were given the opportunity to raise concerns.