Background to this inspection
Updated
20 September 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 3 inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Greenview Hall 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. Greenview Hall is a care home with 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
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since their registration and sought feedback from the local authority. We used this information to plan our inspection. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us 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 11 people who lived at Greenview Hall and 3 relatives about their experience of the care provided. We spoke with 8 members of staff including the registered manager, deputy manager, nurses and care staff. We reviewed a range of records including 7 people's care plans and medicines records. We looked at recruitment checks for 4 staff members. A variety of records relating to the management of the service, including policies and audits were also reviewed.
Updated
20 September 2023
Greenview Hall is a nursing home providing personal and nursing care to up to 60 older people living with various health and physical support needs, some of whom also live with dementia. At the time of the inspection 59 people lived and received care at Greenview Hall. Greenview Hall is run by two companies: Care UK Community Partnerships Ltd and WT UK Opco 4 Limited. These two companies have a dual registration and are jointly responsible for the services at the home.
People’s experience of using this service and what we found
Staff ensured people were able to follow culture and traditions that were important to them and encouraged people to recognise and celebrate the cultures of others. Equality and diversity was promoted throughout the home.
There was a wide range of activities available which people enjoyed and staff organised activities for people based on their individual interests. Staff worked hard to ensure people did not become socially isolated and supported people to make positive contributions to the local community.
People told us they felt safe and well cared for living at Greenview Hall. Staff were aware of their responsibilities to report safeguarding concerns and accidents and incidents were acted upon to minimise the risk of them happening again. Risk assessments were comprehensively completed, and measures implemented to support people to maintain their safety and wellbeing. Sufficient staff were available to spend time with people socially and people did not need to wait for their care.
People were referred to healthcare professionals as required and received their medicines in line with their prescriptions. Staff were aware of people’s needs and involved them in decisions regarding their care. 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.
Staff treated people with dignity and respect. People told us they felt staff were kind and attentive to their needs. People’s individual rooms were personalised with things which were important to them, and the home was designed to meet needs of those living there. People were able to receive visitors when they wished and private areas of the home were available to them.
People were supported by staff who knew them well and understood their needs and preferences. Care plans were person centred and reflected people’s life histories. The atmosphere within the home was relaxed and staff used their knowledge of people to generate conversation. People told us they enjoyed their meals and individual tastes were catered for.
There was a positive culture and staff worked to ensure the aims and values of the service were embedded into their day-to-day practice. People and staff told us they felt valued and listened to by the management team and had the opportunity to share their views. The registered manager completed a variety of audits and reviews to ensure systems were robust and effective in ensuring people received a high standard of personalised care.
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 - This service was registered with us on 10 December 2021, and this is the first inspection. The last rating under the previous provider was good.
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.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.