CQC report explained · a residential care home
What the CQC found at Green Lane Farm
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found suitable risk assessments, enough staff, safe recruitment, safe medicines systems and effective infection control. They suggested more complete recording of reflections and lessons learned after incidents.
- Effective?
- Good
- People's needs were assessed before admission and care plans covered their needs and goals. Staff supported communication, healthcare, nutrition and decision-making in line with the Mental Capacity Act.
- Caring?
- Good
- This area was not inspected during this visit. The report says its previous rating was used in calculating the overall rating.
- Responsive?
- Good
- This area was not inspected during this visit. The report says its previous rating was used in calculating the overall rating.
- Well-led?
- Good
- Inspectors found effective oversight, good staff relationships and systems to monitor the service and improve care. People, relatives and staff were involved and communication was described as good.
What inspectors found, December 2023
Rated Good; inspectors found safe, kind and person-centred care, with only minor improvements suggested for record-keeping.
The inspection took place on 26, 27 and 29 October, and 20 November 2023. One inspector visited the home and the provider's head office. They spoke with people, staff and relatives, and reviewed care, medicine and management records.
The home was rated Good overall. Safe, Effective and Well-led were all rated Good. Inspectors found enough suitable staff, safe medicines practice, suitable risk assessments, good infection control and support for people to make choices and take part in activities.
The home supported people's communication, health needs and decisions. Staff knew people well and relatives described communication and care positively. Inspectors discussed recording lessons from incidents more fully, and gave guidance about best practice for one health condition and covert medicines. The medicines issue was addressed during the inspection.
This was not a full inspection of all five areas. Caring and Responsive were not inspected, so their previous ratings were used when calculating the overall rating. The previous overall rating was Good.
Activities and choice
People were supported to choose activities, follow their interests and access the local community. Staff also supported people to make decisions and used the least restrictive approach.
“Staff supported people to take part in activities and pursue their interests in their local area.” from the report
Staffing and safety
Inspectors found enough staff with suitable recruitment checks. Staff supported people safely, including when they were out in the community or taking part in activities.
“The service had enough staff. If required the registered manager and other staff were flexible to cover shifts to ensure people's needs were met.” from the report
Communication and individual support
Staff understood how people communicated and used tools such as pictures, cards and Makaton where needed. Care plans described each person's communication needs.
“People had communication support plans which described exactly how people communicated.” from the report
Kind and respectful care
Inspectors saw positive relationships between people and staff. Relatives said people were treated safely, respectfully and with compassion.
“We saw people and staff laughing and joking together, playing games, and singing songs.” from the report
Leadership
The manager had a clear understanding of people's needs and effective oversight of the home. Staff shared the service's person-centred approach.
“The registered manager had effective oversight of the service.” from the report
Incident records could be fuller
minorIncidents were reported, investigated and reviewed. However, inspectors said the records did not always capture reflections and lessons learned in enough detail.
“We discussed how the registered manager could record reflections on incidents and any lessons learnt in a more comprehensive way.” from the report
- 01How do you record and act on lessons learned after accidents or incidents?
- 02How will you support my relative's particular communication needs, including any use of pictures, cards or Makaton?
- 03How do you support people during periods of distress while keeping restrictions to a minimum?
- 04How do you review medicines, including any covert medicines, and promote the person's independence?
- 05What evidence can you share about the Caring and Responsive areas, which were not inspected during this visit?
This was a focused inspection of Safe, Effective and Well-led only; Caring and Responsive were not inspected and their previous ratings carried over to the overall rating. This explanation was written from the published report of 15 December 2023 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, November 2017
Rated Good; inspectors found safe, caring and personalised support for younger adults with complex needs.
This was the first inspection of the home. It was announced and took place on 17 October 2017. One inspector reviewed care records, risk assessments, medicines, staff recruitment and training, and quality checks.
The inspector visited the permanent living area and the respite accommodation. They spoke with one person, a relative, five staff members and the registered manager. They also contacted local council safeguarding staff and health professionals, who gave positive feedback.
All five areas were rated Good: safe, effective, caring, responsive and well-led. Inspectors found trained staff, detailed care plans, safe medicines systems, good communication with families and strong support for people's choices and independence.
Safe systems
Staff understood safeguarding, risks were regularly reviewed and medicines systems were checked. The environment was clean and safety arrangements included fire checks and personal evacuation plans.
“Risks were managed and reviewed regularly to keep people safe from harm or injury.” from the report
Individual care
Care plans included people's likes, dislikes, communication methods, triggers and support needs. Staff used this information to provide consistent, personalised care.
“Care plans and assessments were detailed and personalised.” from the report
Skilled staff
Staff completed induction and specialist training linked to people's needs, including autism, epilepsy, mental health and changes in behaviour.
“The service had a comprehensive two week induction programme in place which included; initial training, introductions to people, reading care plans and risk assessments, a period of shadowing and competency checks.” from the report
Family involvement
Relatives were involved in care planning, best-interest meetings and regular discussions. The home also gathered feedback through surveys and meetings.
“Feedback was encouraged by regular surveys, meetings and other methods of communication with health professionals, relatives, staff and people living at the service.” from the report
Autism support
The home developed individual communication methods and adapted its environment and activities. It had recently achieved Autism Accreditation.
“Following our inspection the registered manager was pleased to confirm that the service had been awarded the Autism Accreditation.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you adapt the support plan for my relative's particular communication method, triggers and health needs?
- 02What specialist training would the staff supporting my relative have, and how would you check their competency?
- 03How would you involve our family in best-interest decisions and reviews of care?
- 04What activities and choices would be available to my relative each day, including during respite stays?
- 05How would you respond if my relative's behaviour, mental health or medicines needs changed?
This was the first announced inspection and covered all five rated areas, including the permanent living area and the respite accommodation. This explanation was written from the published report of 21 November 2017 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 Lane Farm
2 rated inspections over 6 years: the service has held its Good rating throughout.
- December 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2017GoodSafe: GoodEffective: GoodWell-led: Good
- December 2016
Registered with the Care Quality Commission on 9 December 2016.
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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16 live-in carers within about an hour of East Riding of Yorkshire
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 £1,030 to £1,420 a week. 14 can care for a couple. 7 years' experience on average.
“She was always 'just present enough': attentive, available, kind and engaging, but without ever over-stepping any boundary”
“What truly stands out is how mindful and attentive she is to all of my medical needs, always going above and beyond to ensure I’m comfortable and well cared for.”
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.