Archived: Greswold House

Updated 25 October 2022

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 undertaken by three 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

Greswold House is a ‘care home’. People in care homes receive accommodation and personal care as a single package under one contractual agreement dependent on their registration with us. Greswold House 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 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.

Inspection activity started on 15 September when a site visit was undertaken and concluded on 28 September when formal feedback was provided. We requested and reviewed records virtually during this time.

What we did before the inspection

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. 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. We used all this information to plan our inspection.

During the inspection

We spoke with 10 people and three relatives about their experience of the care provided. We also spoke with seven staff which included care and senior staff, domestic, the deputy manager, and registered manager.

We reviewed a range of documents and records including the care records for four people, 14 medicine records, three staff recruitment files. We also looked at records that related to the management and quality assurance of the service.

Updated 25 October 2022

About the service

Greswold House is a residential care home providing personal care and accommodation for up to 30 people some of whom may live with Dementia. The service was supporting 30 people at the time of the inspection. The home has three separate units across three floors.

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

The providers internal checks had not identified the shortfalls we found during our inspection. These needed to more detailed to ensure they covered all required areas to identity and drive improvements. The management of medicines required improving to ensure the recording, and storage of medicines was safe.

People were supported by staff that understood their needs and had been trained and understood how to protect people from abuse. People had access to healthcare professionals to ensure their healthcare needs were met. Systems were in place to reduce the risk of infection, and to review any incident and accidents to see if there were any lessons to learn from these.

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. People enjoyed the food provided which met their preferences. People were supported to access meaningful activities which they enjoyed.

People made positive comments about the staff that supported them. Staff were described as kind, caring and respectful. People were treated with respect and dignity and their independence was promoted. People knew how to raise concerns and felt confident any issues would be addressed. People were supported to provide feedback about the way the service was managed.

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 the service under the previous provider was good published on 01 April 2019.

Why we inspected

We undertook this comprehensive inspection due to the service being unrated following a change in provider.

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.