CQC report explained · a nursing home
What the CQC found at Green Gates Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection prevention and control, safe visiting, use of protective equipment, testing and outbreak management.
- Effective?
- Good
- This area was not assessed in the targeted inspection.
- Caring?
- Good
- This area was not assessed in the targeted inspection.
- Responsive?
- Good
- This area was not assessed in the targeted inspection.
- Well-led?
- Good
- This area was not assessed in the targeted inspection.
What inspectors found, February 2022
Inspected but not rated; inspectors found strong infection control and visiting arrangements during the COVID-19 pandemic.
Inspectors visited on 25 January 2022. The visit was announced 24 hours beforehand and focused on infection prevention, infection control, visiting arrangements and staffing pressures linked to COVID-19.
They found the home had suitable arrangements for visitors and visiting professionals. These included testing, vaccination checks, hand sanitising and personal protective equipment. The home was clean, had updated infection control policies and carried out regular checks.
Staff had infection control training and refresher sessions. Inspectors were assured that the home could prevent and manage infection outbreaks, admit people safely and support visits in line with current guidance.
The service was inspected but not rated. This means the report does not provide an overall quality rating from this visit.
Safe professional visits
The home had several checks and precautions for professionals visiting, including testing, vaccination evidence, hand hygiene and protective equipment.
“Safe arrangements were in place for professionals visiting the service.” from the report
Up-to-date infection controls
The home had current COVID-19 policies, procedures and risk assessments to support infection control.
“Policies, procedures and risk assessments related to COVID-19 were up to date which enabled staff to keep people safe.” from the report
Clean environment
Inspectors found the home clean and fresh. Staff also carried out extra cleaning of frequently touched surfaces.
“The service was clean and fresh, staff carried out a number of additional tasks, such as cleaning of any regular touchpoint surfaces.” from the report
Trained staff
Staff had infection prevention and control training, refresher sessions and checks on how they used protective equipment.
“Staff had received training on infection prevention and control guidance.” from the report
Flexible visits
Relatives could visit at suitable times, with visits staggered to reduce the risk of infection transmission between visitors.
“The service had flexible arrangements that enable people's relatives to visit at a time that suited them” from the report
Inspectors raised no specific concerns in this report.
- 01What infection prevention and control arrangements are in place now?
- 02How are visits currently organised, and can relatives visit at flexible times?
- 03How do you manage staffing pressures and make sure they do not affect people living in the home?
- 04How often are infection control audits carried out, and how are actions followed up?
- 05What training and refresher training do staff currently receive about protective equipment and infection control?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; the service was inspected but not rated overall. This explanation was written from the published report of 11 February 2022 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.
What inspectors found, March 2020
Rated Good in all five areas; inspectors found safe, kind and personalised care with effective management.
The CQC made an unannounced visit on 13 February 2020. One inspector spoke with people living in the home, staff and managers, observed care, and checked care plans, medicines records, staff files, complaints and quality checks.
People told inspectors they felt safe and that staff were kind. Inspectors found enough suitably skilled staff, safe medicines management, regular risk reviews and good infection control. Staff knew people's needs and supported their choices, independence, meals, healthcare and activities.
The home was rated Good for Safe, Effective, Caring, Responsive and Well-led. This means inspectors found people's outcomes were consistently good and that the service was consistently managed, but it does not mean that every aspect of care was perfect.
The previous inspection, published on 7 September 2017, also rated the home Good. The CQC said it would continue to monitor the service and plan further inspections.
Safe staffing and medicines
Inspectors found enough staff with the right skills, and medicines were given as prescribed. Staff training and checks supported safe medicines administration.
“Medicines were managed safely. People received their medicines as prescribed.” from the report
Personalised care and activities
Staff knew people's likes, dislikes and support needs. Activities were offered around people's interests and helped support their well-being.
“People were treated as individuals and the service provided activities and experiences that met their individual needs.” from the report
Kind and respectful staff
People said staff were caring and knew how to support them. Inspectors observed people being treated with dignity and respect.
“People told us staff were caring and kind.” from the report
Good leadership and teamwork
The home had a clear management structure and staff worked well together. Quality checks were used to identify and complete improvements.
“There was a clear leadership structure which aided in the smooth running of the service.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you support my relative if they needed palliative or end of life care, given that nobody was receiving this support during the inspection?
- 02How do you make sure care plans are updated promptly when a person's needs or health changes?
- 03How do you decide whether there are enough staff on each shift for the needs of the people living here?
- 04Which activities would match my relative's interests, abilities and communication needs?
- 05How are medicines checked, and what would you tell families if there was a medicines error?
This was an unannounced inspection covering all five CQC questions, based on observations, discussions with three people and staff, and checks of selected care, medicines, staffing and management records. This explanation was written from the published report of 6 March 2020 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 Green Gates Care Home
3 rated inspections over 4 years: the service has held its Good rating throughout.
- February 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- March 2020Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2015GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2013
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- March 2012
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 25 November 2010.
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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38 live-in carers within about an hour of Oxfordshire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,300 a week. 32 can care for a couple. 12 years' experience on average.
“We can all fully relax around Nyarai and she feels like part of our family, which is no mean feat!”
“She was v competent and confident and we felt our mum was safe in her care. She supported us through a difficult time.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.