CQC report explained · a residential care home
What the CQC found at Green Trees Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, August 2022
Green Trees Care Home was rated Good overall, with kind and personalised care and improved activities since the last inspection.
This was an unannounced comprehensive inspection on 27 July 2022. One inspector, a nurse specialist adviser and an expert by experience spoke with the manager, staff and people living at the home. They observed care and checked care records, staff records and management documents.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough suitably checked staff, safe medicines support, regular risk assessments and good infection control. People were involved in their care, treated with dignity and supported to make choices.
Activities had improved since the previous inspection, when this area needed improvement. Inspectors found regular entertainers, quizzes, games and one-to-one activities. The overall rating remained Good, as it had been at the previous inspection published in 2018.
Safe staffing
Inspectors found enough staff to meet people's assessed needs. Recruitment checks had been completed before staff started work, and low staff turnover provided consistency.
“People were supported by enough staff to meet their needs.” from the report
Personalised care
Care plans recorded people's preferences, communication needs and support requirements. People and relatives were involved in reviews.
“Care plans detailed clearly how the person wanted their needs and preferences met.” from the report
Kind and respectful support
People described staff as kind and caring. Inspectors observed a relaxed, homely atmosphere and respectful support with personal care.
“There was a relaxed and homely feel at the home during our inspection.” from the report
Improved activities
The home had acted on the previous recommendation about activities. Inspectors found entertainers, quizzes, games and individual activities.
“Regular activities were now taking place including an entertainer, quizzes and games.” from the report
Open management
People and staff said the manager was approachable and that concerns or suggestions would be listened to. Inspectors found a positive culture.
“People and staff praised the managers of the service and agreed that they were approachable, knowledgeable, fair and did their job well.” from the report
Some activities were still planned
minorThe home was considering further activities, including visits from a local school, but these had not yet been possible. Families may wish to ask what activities are currently available and how often.
“The registered manager told us they were looking into increasing activities including visits from local school but this had not yet been possible to achieve due to the pandemic” from the report
- 01What activities are available now, including for people who do not want to join group activities?
- 02How will you continue to increase activities and support visits or community links?
- 03How will you assess and review my relative's individual risks and care needs after they move in?
- 04How do you check that medicines are administered safely by trained and competent staff?
- 05How will my relative and our family be involved in care plan reviews and giving feedback?
This was an unannounced comprehensive inspection covering all five key questions, including infection prevention and control measures. This explanation was written from the published report of 23 August 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, November 2020
Green Trees Care Home: infection control arrangements were reassuring, but this inspection was not rated and covered only COVID-19 measures.
Inspectors visited on 2 November 2020 as part of a national review of infection prevention and control in care homes. The visit was announced.
The home had 15 people living there, with space for up to 16. Inspectors found good arrangements for visitors, including symptom screening, face coverings, hand hygiene and an outdoor garden area for family visits.
Inspectors were assured that the home was using personal protective equipment safely, arranging COVID-19 testing, following shielding and social distancing rules, and keeping its infection control policy up to date.
This inspection was marked 'Inspected but not rated'. It does not provide an overall quality rating or ratings for most areas of care.
Visitor safety
Visitors were screened for symptoms and supported to use face coverings and hand hygiene. The home also provided a sheltered garden for safer family visits.
“All visitors were screened for symptoms of acute respiratory infection before being allowed to enter the home.” from the report
Testing arrangements
The home was following government guidance on testing people and staff. Plans were in place to reduce the risk of infection spreading after a positive result.
“The provider was following government guidance on testing and had appropriate arrangements in place to test people and staff for COVID- 19.” from the report
Staff training
Staff had training and support to manage COVID-19, including infection control and the use of PPE. The home also worked with local authority and community nursing colleagues.
“All staff had received training on COVID-19, infection control and the use of PPE.” from the report
Infection prevention
Inspectors were assured that the home used effective measures across visitor safety, PPE, testing, premises hygiene and outbreak management.
“We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
Inspectors raised no specific concerns in this report.
- 01What is the home's current policy for visiting, including screening, face coverings and hand hygiene?
- 02How are COVID-19 or other infection outbreaks identified and managed now?
- 03How often are people living here and staff tested when testing is required?
- 04What arrangements are available for family visits during bad weather?
- 05Can you show me the latest full CQC inspection rating and explain whether there has been a later inspection?
This was an announced thematic review focused on infection prevention and control during the coronavirus pandemic; it did not assess the other four CQC questions. This explanation was written from the published report of 17 November 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 Trees Care Home
4 rated inspections over 7 years: the service has held its Good rating throughout.
- August 2022Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2020Inspected but not ratedSafe: Inspected but not rated
- August 2018Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good
- April 2017Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- April 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2014
Report published without a new overall rating.
- August 2013
Report published without a new overall rating.
- July 2012
Report published without a new overall rating.
- May 2011
Report published without a new overall rating.
- April 2011
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 24 December 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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