Greenhill

Updated 20 April 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 12 March 2018 and was unannounced. The inspection team consisted of two adult social care inspectors.

We used various methods to gauge the experience of people living at the service. Prior to the inspection we reviewed the information we held about the service. This included notifications we had received. A notification is information about important events such as accidents or incidents which the provider is required to send to us by law. We contacted the local authority commissioning and safeguarding teams for their views on the service and if they had any concerns. We reviewed the information sent to us on the Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection we spoke with four people using the service, two care staff and the registered manager. We observed care and support during our inspection and reviewed three people's care records, three staff recruitment files, training records, medicines records and other records relating to the day-to-day running of the service.

Updated 20 April 2018

Our inspection of Greenhill of took place on 12 March 2018 and was unannounced. This was the first inspection of the service since the provider changed in October 2016.

Greenhill 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. Greenhill accommodates up to five people who may have a mental health disability and no longer require hospital based care, in one adapted building. Om the day of our inspection there were five people living at the home.

There was a registered manager deployed at the service. 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.

People told us they felt safe living at Greenhill and had no concerns about the service. Staff had been trained to recognise signs of abuse and we saw they treated people kindly and respectfully. Incidents and accidents were reported, investigated and actions taken where required. Assessments were in place and reviewed to mitigate risks to people.

Medicines were managed safely and some people were supported to administer their own medicines.

Communal areas of the service were clean and the service looked welcoming and homely. People were comfortable and relaxed in the presence of staff. They told us staff were kind and they enjoyed living at Greenhill. Good relationships had developed between staff and people who used the service.

Staff were recruited safely and checks were in place to ensure staff were suitable to work with vulnerable people. A programme of training meant staff were equipped with the required skills to provide effective care and support. Staff received regular supervision, observation and annual appraisal.

People's needs were assessed and plans of care put in place. These focussed on attaining reachable goals and maintaining/increasing people's independence. Records were clear and easy to follow. People were involved in the planning and regular review of their care.

The service was compliant with the legal requirements of the Mental Capacity Act 2005. People were supported in the least possible restrictive manner and their consent was sought. Independent advocates were used where people did not have anyone to speak on their behalf to ensure their viewpoint was represented.

Behaviours that challenge were effectively managed without the use of restraint. Staff had received training on breakaway techniques and positive behavioural support.

People's health care needs were supported with input from a variety of health and social care professionals.

No-one who used the service had specific nutritional needs. People were supported to compile weekly menus using healthy options where possible and people assisted with food preparation.

Activities were planned according to people's preferences and focussed on encouraging independence as well as social interactions.

A range of checks were in place to ensure the quality of the service. People praised staff and the management of the service and told us they were approachable and they could raise any concerns. Meetings took place to gauge the opinion of people living at the service as well as staff.