Greenfields

Updated 12 January 2024

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

The inspection was carried out by 1 inspector.

Service and service type

Greenfields 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. Greenfields is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

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

Notice of inspection

We gave the service short notice of this inspection. This was because the service is small and people are often out and we wanted to be sure there would be people and staff at home to speak with us.

Inspection activity started on 29 November 2023 and ended on 8 December 2023. We visited the service on 29 November 2023.

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 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 all this information to plan our inspection.

During the inspection

We spoke with 2 people who used the service and 7 members of staff which included the registered manager, home manager, deputy manager, the provider’s area manager, housekeeper, a support worker and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We looked at 2 care plans and medication administration records. We looked at 2 staff recruitment files and training records, records relating to health and safety and the management of the service.

Following the inspection visit we contacted 3 relatives, a healthcare professional and the provider’s speech and language therapist and lead physiotherapist to seek their views on the service provided.

Updated 12 January 2024

About the service

Greenfields is a care home providing accommodation and personal care to a maximum of 6 older and younger people who have a physical, sensory or learning disability or autistic spectrum disorder. Greenfields specialises in providing a short term respite service. Accommodation is provided in one adapted building. At the time of this inspection there were 5 people using the service.

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

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Right Support:

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. Risks were assessed, monitored and managed with the involvement of people and their relatives so they were protected, and their wishes respected. There were enough staff to support people and to help keep them safe. People received their medicines when they needed them.

Right Care:

People received support which was tailored to meet their needs and preferences. People were supported to be as independent as they could be. Staff treated people with respect and ensured their protected characteristics were understood and respected. People were supported by staff who knew them well and who were trained and competent in their role. Staff had been trained in safeguarding adults from abuse and understood when and how to report concerns.

Right Culture:

Staff had the knowledge, skills and attitude to provide responsive and compassionate care tailored to people's needs and aspirations. The provider’s systems to monitor the quality and safety of the service provided were effective in driving improvements. The views of people, their relatives and staff were valued. The registered manager worked with other agencies to achieve good outcomes for people. There was an open and honest culture and learning from when things when wrong.

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

Rating at last inspection

The last rating for this service was good (published 11 August 2018).

Why we inspected

We inspected this service due to the length of time since the previous inspection.

This was a focused inspection, and the report only covers our findings in relation to the key questions safe and well-led. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Greenfields on our website at www.cqc.org.uk.

Follow up

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