We carried out a review of the data available to us about Greensleeves Care Home 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 Greensleeves Care Home, you can give feedback on this service.
Greensleeves Care Home is a care home providing accommodation and personal care for up to 34 older people. People living in the service had a range of needs associated with older age such as physical frailty and dementia. There were 32 people living at the service on the day of our inspection. Accommodation was only available to women, the provider told us they continued to consider whether they could meet the needs of any men who wanted live to at the service.
People’s experience of using this service and what we found
People received an outstanding, well-led service which was exceptionally responsive to their needs. We were told, “This is by far, the Buckingham Palace of care homes.” And, “The place is heaven on earth. It has an amazing reputation and is well run.”
People’s well-being was placed at the heart of the service. Innovative and inventive practices were in place to holistically meet people’s needs by well trained staff who were contented in their roles. The service had a sensory room called Namaste, people who were living with dementia used the space experienced calming and person-centred care which enhanced their well-being. Relatives told us, “[Person] is well and her health and well-being have improved since she’s been there.” And “[Person] has improved since they have been there, and she can have a better conversation now.”
The service was led by a passionate and committed registered manager and management team who were proud to work at the service. The management team continually strived to drive service improvement for the benefit of people and staff, this included researching initiatives from organisations such as the Alzheimer’s Society. Everyone we spoke with praised the management team. One person told us, “The management are very good, they are understanding, and are there for any concerns.”
People and their relatives were empowered and encouraged to give feedback on the service. The management team listened and strived to continually improve people’s experiences. One relative told us, “There is always a person of management around. I am happy with the manager and they always ask if I am happy with things and my opinion.” People told us they felt safe as staff and management knew them well and were approachable.
People were encouraged to personalise their space and surround themselves with items important to them, staff respected people’s space and belongings. One person told us, “All the staff are very good here without exception. I made it my home, it's a good place to be." Research was carried out to enhance the environment, ensuring it was homely and accessible for those living with dementia.
People were actively involved with decisions relating to their care and environment. One person told us, “My family and I have meetings with [deputy manager], they talk to me about my care and whether I am happy. I can make changes as I wish.” We saw people we able to make suggestions, and the management team had worked hard to accommodate them.
People were supported by kind and caring staff; we saw people and staff interacting positively during the inspection. One relative told us, “The best thing is the care, everyone is so sweet to the residents and so caring in every way.” There was a full schedule of activities developed at people’s request with their involvement. One person told us, “The thing I like is the people, I have made friends and we do all kinds of wonderful things.”
People enjoyed home cooked food which was tailored to their tastes. Where people required an alternative diet due to health or cultural needs, these were well catered for. People experienced dignified and relaxed mealtimes.
Only females lived at the service; this had been kept under continuous review. The registered manager frequently consulted people and their relatives on this decision; their wishes and opinions were listened to and respected. One relative told us, “It is amazing it is all ladies, for dementia ladies.” People were supported by a gender mix of staff, one person told us, “Originally I said I don’t want men to help me, now I don’t mind as they are well trained and respectful. I changed my mind as I got to know them.”
People's needs were robustly assessed before they moved into the service. Person-centred care plans were developed with people and their families, this included people’s life stories and wishes. Staff ensured people were seen by healthcare professionals where needed. Visiting healthcare professionals spoke highly of the staff and the care they delivered to people.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 1 October 2020 and this is the first inspection. The last rating for the service under the previous provider was good, published on 29 January 2019.
Why we inspected
This is the first inspection for this newly registered 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. This included checking the provider was meeting COVID-19 vaccination requirements.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
We found the following examples of good practice.
People were well supported by staff to have telephone and video call contact with their family and friends. The service facilitated in person visits in a manner which minimised the risk of infection spread, including visits in the gardens. A visitor’s suite fitted with a large glass panel and intercom, enabled families and friends to visit people who lived in the home in person.
Plans were in place to isolate people with COVID-19 to minimise transmission. The service had good supplies of personal protective equipment (PPE) that were readily available in stations throughout the service.
There was a meet and greet protocol in place where visitors are asked screening questions, their temperature taken and sanitise their hands before entering the home. PPE was also provided where appropriate for indoor visits.
Staff had received training on how to keep people safe during the COVID-19 pandemic and staff and residents were regularly tested for COVID-19. The building was clean and free from clutter.
Staff ensured people’s welfare had been maintained and they had sufficient stimulation, such as themed crafts and bringing different experiences into the home such a creating a beach in the garden instead of a planned day trip to the beach. The garden had been adapted to increase access for residents such as raised beds with wheelchair access. Physiotherapists were brought in to support residents where appropriate to help regain mobility after periods of illness and care staff had developed person specific exercise and mobility programmes.