Greenslades Nursing Home

Updated 16 February 2023

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 Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was carried out by two Inspectors, a specialist nurse adviser and an Expert by Experience. An Expert by Experience is a person who had personal experience of using or caring for someone who uses this type of care service.

Service and service type

Greenslades Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We used the information the provider sent us in the Provider Information Return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We also reviewed additional information we held about the service, this included previous inspection reports and statutory notifications. A statutory notification contains information about certain incidents and events the provider is required to notify us about by law.

During the inspection

We spoke with 13 members of staff. This included the registered manager, the deputy manager, nursing staff, care staff and housekeeping staff. We also met with the regional manager and one of the providers quality managers. We spoke with 6 people who lived at the service and 3 people’s relatives.

We reviewed a range of records, including people’s care records, staff recruitment files, records relating to safety checks including fire safety and accident and incident records. We also reviewed medicines records and records relating to monitoring and quality assurance.

Following our site visit we contacted 6 healthcare professionals to seek their views on the service and received feedback from 3 of them. We also received further clarification and documentation from the service to validate evidence found.

Updated 16 February 2023

About the service

Greenslades Nursing Home provides care to a maximum of 67 people. The service has two units named ISCA, which can accommodate 36 people whose primary care need is dementia or mental health needs, and Belvedere, which can accommodate 31 people with general nursing needs. At the time of our inspection there were 52 people living at the service.

Peoples’ experience of using this service and what we found

People told us they felt safe with staff. Healthcare professionals spoke positively of the service and the care and treatment provided. Risks of abuse to people were minimised because the service had safeguarding systems and processes. Staff understood safeguarding reporting processes.

The environment was safe. Health and safety checks, together with effective checks of the environment were completed. People’s medicines were safely managed, pre-employment recruitment checks were undertaken and there were sufficient staff on duty.

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. There were systems in place that ensured people who were deprived of their liberty were done so with the appropriate legal authority. Where people who were assessed as lacking capacity and had decisions made in their best interest, accurate records were maintained.

Staff treated people with dignity and respect and were caring. Staff understood the needs of the people they supported and aimed to achieve good outcomes for people through working together effectively as at team. Feedback we received from people living at the service was positive about the care they received and the staff that supported them.

People, their relatives and healthcare professionals gave us positive feedback about the quality of care people received. The feedback about the registered manager from people and staff was positive. There were systems to obtain feedback from people, their relatives and staff. Quality monitoring systems were in place at service and provider level.

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:

The last rating for this service was Good (published 30 November 2018).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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.

The overall rating for the service has remained Good based on the findings of this inspection.

Follow Up:

We will continue to monitor information we receive about the service, which will help inform when we next inspect.