CQC report explained · a nursing home
What the CQC found at Greathed Manor Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, June 2018
Rated Good; inspectors found safe, kind and personalised care, with some improvements still being put in place.
This was an unannounced inspection on 11 April 2018. Two inspectors, a nursing specialist and an expert by experience observed care, meals, medicines, activities and the home. They spoke with five people, two relatives and four staff, and checked care plans, staff records, medicines and quality checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines systems, good infection control and appropriate safeguarding arrangements. People were treated with kindness and respect, received suitable food and healthcare, and had activities linked to their interests.
The manager had started in February 2018 and had applied to become registered. The previous inspection in January 2016 was also rated Good. Improvements had been made following earlier recommendations about activities and care planning. Inspectors also raised some issues during this visit, and the manager took action on several of them.
Safe medicines
Inspectors found clear systems for ordering, storing, administering and checking medicines. Records were complete and weekly audits were carried out.
“MAR charts were legible with no gaps.” from the report
Kind and respectful care
Staff knew people well, protected their privacy and encouraged them to remain independent. Inspectors saw staff spending time with people without appearing rushed.
“Staff treated people with kindness, dignity and respect.” from the report
Activities and inclusion
The home had activities during the week and at weekends, including arts, gardening, music, games and outings. An extra staff member helped people cared for in their rooms join in.
“The extra member of staff meant that people had access to activities at weekends in addition to weekdays.” from the report
Listening and improvement
The manager improved communication and used meetings to gather views about food and activities. A new food trolley followed complaints about cold food.
“People had been asked for their ideas about the food at the home and these had formed the basis of the new menu.” from the report
Emergency evacuation confidence
needs fixingOne staff member did not feel confident about emergency evacuation procedures. The manager arranged refresher fire training after inspectors raised this.
“one member of staff told us that they did not feel confident in emergency evacuation procedures.” from the report
Mental capacity training
needs fixingOne staff member did not feel confident in their knowledge of the Mental Capacity Act. The manager arranged face-to-face training for all staff after the inspection.
“One staff member told us they had all the training they needed to meet people's needs but did not feel confident in their knowledge of the MCA.” from the report
Dining table access
needs fixingOne wheelchair user could not sit at a table with other people because their wheelchair did not fit underneath. Table raisers had been ordered after the inspection.
“I'm always put here by the wall, and I want to sit at a table, I'm always sitting alone” from the report
Laundry complaint
minorOne relative complained that items had gone missing in the laundry and was not satisfied with the manager's response at the time. The manager was still working towards a solution.
“They were not satisfied with the manager's response and told us that the manager was considering their response.” from the report
- 01Has the manager's application to become the registered manager been completed?
- 02Has a clinical lead been appointed, and how is clinical oversight provided now?
- 03Was the planned refresher fire training completed, and are all staff confident about emergency evacuation procedures?
- 04Was face-to-face Mental Capacity Act and Deprivation of Liberty Safeguards training completed for all staff?
- 05What was the final outcome of the missing laundry items complaint, and were the table raisers installed?
This was an unannounced inspection of the whole care home, covering all five CQC questions and both the premises and the care provided. This explanation was written from the published report of 16 June 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Greathed Manor Nursing Home
4 rated inspections over 3 years: the service has improved, from Inadequate to Good.
- June 2018Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2016Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good
- October 2015Requires improvementup from InadequateSafe: Requires improvementEffective: Requires improvementResponsive: Requires improvement
- October 2015InadequateSafe: InadequateEffective: InadequateCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- October 2013
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- August 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 24 January 2011.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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