Greenfield Care Home

About the service

Greenfield Care Home is a residential care home providing personal care to nine people at the time of the inspection.

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

Right Support

Updated training and refresher courses were needed to help staff continuously apply best practice. The service did not always have enough staff, including for one-to-one support for people to take part in activities. People were kept safe from avoidable harm because staff knew them well and understood how to protect them from abuse. The service worked well with other agencies to do so. People were supported by staff who followed systems and processes to administer, record and store medicines safely. The service worked well in partnership with other health and social care organisations, which helped to give people using the service a voice and improve their wellbeing.

Right Care

The service helped keep people safe through formal and informal sharing of information about risks. People with complex needs received support to eat and drink in a way that met their personal preferences as far as possible. People had health actions plans and health passports which were used by health and social care professionals to support them in the way they needed. Staff were patient and used appropriate styles of interaction with people. Staff took the time to understand people’s individual communication styles and develop a rapport with them. Staff spoke knowledgably about tailoring the level of support to individual’s needs. The provider sought feedback from people and those important to them and used the feedback to develop the service.

Right culture

People personalised their rooms and were included in decisions relating to the interior decoration and design of their home. Staff provided person-centred support with self-care and everyday living skills to people. The service treated all concerns and complaints seriously, investigated them and learned lessons from the results, sharing the learning with the whole team and the wider service. The registered manager had the skills, knowledge and experience to perform their role and a clear understanding of people’s needs and oversight of the services they managed. Management were visible in the service, approachable and took a genuine interest in what people, staff, family, advocates and other professionals had to say.

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 supported this practice.

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 the service under the previous provider was good, published on 17 August 2018.

Why we inspected

We undertook this inspection to assess that the service is applying the principles of Right support right care right culture.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

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.

Greenfield Care Home is a residential care home registered to support up to nine adults with a learning disability. At the time of our inspection nine people were living at the service. The service is a large semi-detached building close to local shops and other amenities. People who use the service have their own bedrooms and had access to communal areas that include a lounge, sensory room and an enclosed private garden. The provider is also registered to provide personal care from Greenfield Care Home to people living in their own homes. At the time of the inspection, there was no one receiving personal care. We did not inspect this part of the service.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. At the time of our inspection, Greenfield Care Home had a new provider who had started renovations and further improvements to ensure the premises and services were designed and upgraded to ensure people who use the service can live as full a life as possible and achieve the best possible outcomes.

We have also signposted the provider to resources to develop their approach.

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

The provider of the service changed in May 2021. There was a detailed plan to change the operations at the service and these were being implemented. The changes included the introduction of new policies and procedures, refurbishment of premises, provision of more choices of activities and involvement of people using the service and their relatives.

People received care in a manner that managed risks to their health and well-being. Care plans were in place and reviewed regularly to mitigate risks in relation to how staff responded to people’s needs. Staff knew how to raise concerns and report incidents or allegations of abuse. People and their relatives felt the provider showed interest in their well-being and acted on their concerns. The provider and registered manager had increased the involvement of people using the service, their family members and worked with other health and social professionals to discuss concerns to people’s health and well-being.

We were assured staff followed infection prevention and control guidelines in relation to the COVID-19 pandemic. People received support that minimised the risk of acquiring infections. Staff had received infection prevention and control training and that associated with COVID-19. Staff followed guidance to respond to COVID-19 and other infection outbreaks effectively. Staff told us they had access to sufficient Personal Protective Equipment. Visitors and healthcare professionals completed a pre-visit questionnaire and underwent COVID-19 screening checks on arriving to reduce the risk of spreading of infection.

Why we inspected

We undertook this targeted inspection to follow up on specific concerns about the service in relation to the safety, dignity and respect of people using the service.

The Care Quality Commission (CQC) have introduced targeted inspections to check specific concerns. A decision was made for us to inspect and examine those risks.

This Greenfield Care Home Inspection report does not look at an entire key question, only the part of the key question we are were specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.

The last rating for the service under the previous provider was Good, published on 17 August 2018.

Follow up

We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

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