- Care home
Greenacres Grange
Report from 4 March 2024 assessment
Contents
Ratings
Our view of the service
Greenacres Grange is a ‘care home’ providing nursing and personal care for people living with dementia, people with a sensory impairment or physical disability, for older people and younger adults. The home is set out over 4 floors, at the time of our visit the top floor was not occupied. At the time of the assessment, the service was supporting 54 people with their personal care needs. This was our first assessment at Greenacres Grange. New services are assessed to check they are likely to be safe, effective, caring, responsive, and well-led when they register with the Care Quality Commission (CQC). We carried out our on-site assessment on 16 April 2024. This was an unannounced assessment, which means the provider was not told an assessment was going to be starting beforehand. We assessed a total of 9 quality statements from the safe, effective, caring, and well-led key questions and found areas of good practice and concern. We have not previously rated this service. This assessment did not cover all parts of our Single Assessment Framework; therefore, we have only updated scores and ratings for those areas which we have assessed. We will carry out future assessments to cover other parts of the Framework and will update our website with our findings. We have identified breaches in relation to safe care and treatment, governance and safeguarding service users from abuse and improper treatment. People were at risk of infection due to infection prevention and control processes Poor medicines management meant people’s health and wellbeing were at risk as people were not all receiving their medicines at the time they should have them which was particularly important for some people. Staff did not always report safeguarding concerns which placed people at risk of harm. We have asked the provider for an action plan in response to our concerns.
People's experience of this service
People told us they felt safe, that they received good care from staff that made them feel safe, and relatives agreed with this. People felt confident raising concerns and felt able to approach the registered manager with any issues. People’s care plans did not always include information about their individual needs or consider risks effectively. This meant staff didn’t always have access to information to guide their practice and ensure they understood what was important for, and important to people. People didn’t feel there were enough staff available and told us they often had to wait for staff support. People didn’t always receive their medicines on time which was particularly important for some people who required time sensitive medicines. People told us food at the home was often poor and varied in quality and quantity. Care observed was not always person centred and consideration of people’s dignity was not consistent. We observed that people’s individual needs were not always responded to appropriately. People told us they could make choices, but these were limited. There were no restrictions regarding visitors. People spoke positively about the registered manager and staff. However. Overall, we received very little feedback from staff which was requested by the inspection team. From the feedback requested from 10 staff we only received one response.