CQC report explained · a nursing home
What the CQC found at Green Pastures Christian Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People felt safe, risks were assessed and managed, and there were enough staff. Inspectors found that PRN and covert medicines records needed improvement, although people received their medicines safely and managers acted immediately.
- Effective?
- Good
- People's needs were assessed before they moved in. Staff had suitable training and skills, and people were supported with nutrition, healthcare and decisions under the Mental Capacity Act.
- Caring?
- Good
- Staff treated people with kindness, dignity and respect. People were involved in their care and encouraged to remain independent.
- Responsive?
- Outstanding
- The home offered exceptional opportunities for activities, social contact and involvement in the local community. Care plans recorded people's preferences and staff provided personalised support.
- Well-led?
- Good
- The management was described as open and approachable. The home used feedback, meetings and audits to monitor and improve care, although medicine audits had not identified the recording issues found by inspectors.
What inspectors found, March 2018
Rated Good overall, with Outstanding responsiveness; inspectors found kind, personalised care but identified medicine-recording improvements.
Inspectors visited the home without notice on 6 February 2018. They spoke with people, relatives, staff and health professionals. They reviewed care plans, medicines records, staff files, complaints, incidents and quality checks.
The home was rated Good overall. Safe, Effective, Caring and Well-led were also rated Good. Responsive was rated Outstanding.
Inspectors found people were treated with dignity and respect. Staff knew people's needs, care plans were personalised and there were enough staff. People were supported with food, medicines, healthcare and end of life care.
There were some medicine-recording weaknesses. PRN medicines did not always have clear protocols, and instructions for covert medicines were not always clear. Managers took immediate action during the inspection to address these points.
Activities and social life
Inspectors found an unusually broad range of activities, including outings, entertainment and links with local groups. Activities were matched to people's interests and helped support their well-being and sense of purpose.
“People had exceptional opportunities to enhance their social inclusion and participate in various activities” from the report
Personalised care
Care plans recorded people's wishes, routines, communication needs and life histories. Staff knew people well and used this information in day-to-day care.
“People's care plans were current and gave clear guidance to staff on how people wished to be supported.” from the report
Kind and respectful staff
Inspectors observed warm interactions and found that staff protected privacy, offered choices and encouraged independence.
“People were supported by caring staff who treated them with dignity and respect and supported them to maintain their independence.” from the report
Staffing and skills
The home had enough staff at the inspection, and staff had training, supervision and support to carry out their roles.
“Green Pastures had enough staff to meet people's needs and keep them safe.” from the report
Open management
People, relatives and staff described the management as visible, supportive and open to feedback. Quality checks and meetings were used to make improvements.
“The leadership created a culture of openness that made people feel included and well supported.” from the report
PRN medicine records
needs fixingSome medicines taken when needed did not have protocols explaining when and why they should be given. Inspectors saw that the medicines were given safely on the day, and managers took immediate action.
“People taking as required medicines (PRN) did not always have PRN protocols in place.” from the report
Covert medicine instructions
needs fixingInstructions were not always clear when medicines were given in a disguised form, such as in food or drink. The clinical manager contacted the pharmacist and rewrote the guidance during the inspection.
“Where people required to receive medicines covertly, we found there was not always clear instructions from the pharmacist on how the medicines should be taken.” from the report
Dementia-friendly signs and colours
minorCorridors and bathrooms were the same colour. Inspectors said this could make it harder for people living with dementia to find their way around. Managers said plans were already in place to address this.
“The corridors and bathrooms were all the same colour which could easily confuse people living with dementia” from the report
- 01What changes were made to PRN medicine protocols after the inspection, and how are they checked now?
- 02How are instructions for covert medicines agreed with pharmacists and kept up to date?
- 03Were the planned colour changes to corridors and bathrooms completed, and how do they help people living with dementia?
- 04How have the home's medicine audits changed so that issues like these are identified promptly?
- 05Which activities, outings and community links are still available to residents now?
This was an unannounced inspection covering all five CQC questions, the premises and the care provided. This explanation was written from the published report of 30 March 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 Green Pastures Christian Nursing Home
Each visit the CQC has published, newest first, back to the day the home was registered.
- March 2018Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good
Read what inspectors found at Green Pastures Christian Nursing Home →
- August 2017
Registered with the Care Quality Commission on 4 August 2017.
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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Most charge £980 to £1,300 a week. 32 can care for a couple. 12 years' experience on average.
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