Greensleeves

Updated 26 June 2019

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

The inspection was carried out by one inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Greensleeves is a ‘care home’. People in care homes receive accommodation and nursing or personal care as 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 had a manager registered with the Care Quality Commission. This means that they and the provider are 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 inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with seven people who used the service and four relatives about their experience of the care provided. We spoke with six members of staff including the registered manager, deputy manager, care workers and the chef. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

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

After the inspection

We requested additional information, this was sent promptly and included duty rotas, staff training and minutes of meetings.

Updated 26 June 2019

About this service

Greensleeves is a residential care home that accommodates people with learning disabilities and some associated physical, sensory disabilities and/or dementia.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service received planned and co-ordinated person-centred support that is appropriate and inclusive for them.

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

People made choices about all aspects of their daily living, this included where they spent their time, what they ate and the clothes they wore. There were opportunities to use local facilities and amenities, such as the local shopping centre, the hairdresser and the provider’s day centre and people used these when they wanted to.

People said they were comfortable, they liked their rooms and told us the staff looked after them very well. Relatives were equally positive and said Greensleeves was people’s ‘home’ and they had the support they needed to live independent lives as much as possible.

Ongoing training and supervision ensured staff had a good understanding of people’s individual needs and support focused on people having as many opportunities as possible to gain new skills and become more independent.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this.

People and relatives said there had been improvements in the last year. Due in part to the changes in management and the introduction of an effective quality assurance and monitoring system.

Regular residents and staff meetings enabled the registered manager to obtain feedback about the care and support provided as well as pass on information about changes to the service. To ensure people’s involvement in discussion about all aspects of the service pictorial format was used for the surveys, complaint procedure, menus and activities.

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

Rating at last inspection and update

At the last inspection the rating was Requires Improvement (published on 14 May 2018) and there were two breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up: We will review the service in line with our methodology for 'Good' services.