Greengates

Updated 25 December 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

One inspector carried out this inspection on the 3 December 2019.

Service and service type

Greengates 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 the 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 reviewed all information available to us including notifications and any concerns raised with us.

We used this information to plan our inspection.

During the inspection-

We spoke with the registered manager and four members of staff, including a registered nurse.

We observed and spoke with people in the lounge. We spoke with four people about the care and support they received. We also had an opportunity to speak with a health care professional during the inspection.

We reviewed a range of records including two people’s care records, medication records and documents relating to quality and safety monitoring.

After the inspection–

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with two professionals who regularly visit the service. We contacted four health care professionals and received feedback from one in respect of their views on the service. You can see what the have told us in the body of the report.

Updated 25 December 2019

About the service

Greengates Care Home provides nursing care and support for up to 15 people. People who live at the home have enduring mental health needs. There were fourteen people living at the service when we inspected.

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

People were receiving care that was safe, responsive and effective. Care plans were in place that described how the person would like to be supported. This included the early warning signs that a person’s mental health was changing. Other health and social professionals were involved in the care of the people living at Greengates.

Safe systems were in place to ensure that people received their medicines as prescribed. People were protected by robust recruitment processes. People were involved in the interviewing of staff. Systems were in place to ensure people were safe including risk management and checks on the environment. The registered manager was addressing the storage of mobility scooters. This was because of their potential fire risks.

People were supported to have 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.

There was a culture where people were involved, and their views sought. There were regular house meetings, annual surveys and they were involved in developing their plans of care and recovery pathways. Improvements were needed to ensure that people signed their care plans demonstrating their full agreement and involvement. However, it was clear that care was person centred and focused on the person.

People were able to participate in a range of activities either as a group activity or on an individual basis. Caring and positive relationships had developed between people living in the home and the staff team. There were enough staff to support people safely and to do the things they wanted.

The service continued to be well led. The service had good quality assurance systems in place with regular audits being undertaken. These identified any action required to make improvements. This meant the quality of service people received was continually monitored and any shortfalls were identified and acted upon.

Rating at last inspection

Good (report published June 2017).

Why we inspected

This was a planned inspection based on the previous rating.

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.

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