We carried out a review of the data available to us about Greenshoot Care Services Ltd on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Greenshoot Care Services Ltd, you can give feedback on this service.
At the last inspection on 24 September 2016 the service was in breach of regulations of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014: Regulation 9, Person-centred care; Regulation 12, Safe Care and Treatment; Regulation 17, Good governance; and Regulation 18, Staffing.
After the inspection the provider submitted an action plan telling us the action they would take to make the required improvements. At this inspection on 22 August 2017 we found the provider was no longer in breach of the regulations and they had made significant improvements to the service and the care people received.
Greenshoot Care Services Ltd is a community healthcare service registered to provide personal care and treat disease, disorder and injuries in people's homes. The service provided specialist care to people with brain injuries and is country wide. The service has an office in York and currently provides care to two people who lived in different parts of the country.
There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
Professionals spoke positively about the service and staff.
Staff had received safeguarding training and had followed local safeguarding protocols appropriately.
Action had been taken to identify and minimise any risks to people who used the service.
Recruitment practices were robust to make sure only suitable people were employed.
There were sufficient numbers of staff employed to provide timely assistance to people. Staff received appropriate training and support for their roles.
Effective systems were in place to store and administer medicines.
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 promoted this practice.
Staff helped people with food preparation where that was appropriate as part of their rehabilitation.
People received care and treatment from external health care professionals as part of a multi-disciplinary team.
Staff supported people to take part in activities.
Action had been taken to improve the service since the last inspection and staff and professionals spoke highly about the support people received.
Audits and checks were in place. Surveys were sent to people, their families and professionals as part of the service quality monitoring systems.
The inspection visit was announced 48 hours in advance in accordance with the Care Quality Commission’s (CQC) current procedures for inspecting community health care services. The provider registered the service as Greenshoot Care Services Ltd on 29 April 2015 and this was their first comprehensive inspection. There was a registered manager in post. A registered manager is a person who has registered with the CQC to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
The registered provider had a medication policy in place however; we found this information required updating. Care workers had received up to date training in the management and administration of medicines but we were unable to see how their competencies were assessed. The registered provider did not have a record of the medication administration of some people’s medicines, as they had not been completed. We found management and administration of medications was not always safe.
The registered provider completed pre-employment checks on care workers to help ensure they were of suitable character to work with vulnerable people. However, induction to the service, supervisions and appraisals were not in place to help develop and motivate employees and review their practice and behaviours.
Systems and processes were in place to assess, monitor and drive improvement in the quality and safety of the service provided however they had not all been implemented and were not always effective in driving service improvement for people.
People were involved in their care planning which centred on the person. Care plans were reviewed three monthly as a minimum. However, these were not always reflective of people’s current needs and were not always updated as people’s needs had changed. We saw that people were supported with their interests, activities and social needs. Care plans included information about people’s leisure activities, hobbies and interests and these were followed by care workers.
People’s dietary requirements were recorded and they were supported by a range of health professionals to ensure they received holistic care to meet their individual needs however information available to care workers was not always up to date or reflective of the persons current needs.
People received care from staff who were kind and caring and who treated them with dignity and respect. Care workers knew and understood their likes, preferences, needs, hopes and goals and promoted people’s independence wherever possible.
Risk assessments and associated support plans were in place to identify and manage risks to people and the environment, which helped people to live safely and maintain their independence.
Care workers we spoke with understood how to apply the principles of the Mental Capacity Act 2005 and they were clear any decisions made for a person had to be made in the person's best interests.
We found four breaches in the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of this report.