CQC report explained · a residential care home
What the CQC found at Greenacres Residential Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that infection risks were being managed, including visitor checks, PPE, testing, cleaning, ventilation and outbreak arrangements.
- Effective?
- Good
- This was not covered by the targeted inspection.
- Caring?
- Good
- This was not covered by the targeted inspection.
- Responsive?
- Good
- This was not covered by the targeted inspection.
- Well-led?
- Good
- This was not covered by the targeted inspection.
What inspectors found, February 2021
Greenacres Residential Care Home was inspected but not rated; inspectors found good infection control arrangements during the COVID-19 pandemic.
This was an announced, targeted inspection on 3 February 2021. Inspectors checked whether infection prevention and control arrangements were safe and met legal requirements.
Inspectors were assured about visitor checks, testing, PPE, cleaning, ventilation, social distancing and arrangements for people who tested positive. They also found enough staff and additional infection control training.
The inspection was not a full review of the home. It was marked “Inspected but not rated”, so it does not provide an overall quality rating.
Visitor infection checks
Visitors were given information about infection control. Their temperatures were checked and they completed a symptom questionnaire.
“Temperature checks were completed, along with a questionnaire to establish if visitors had recently displayed any symptoms of COVID-19.” from the report
Keeping families connected
The home used video calls, window visits and a large screen to help people stay in touch with family and friends.
“Various methods had been used to enable people to keep in touch with their family and friends during the pandemic.” from the report
PPE and hygiene
Inspectors saw enough PPE, correct use of PPE and hand sanitiser available throughout the building.
“Enough personal protective equipment (PPE) was available and we saw staff wore it appropriately all times during our visit.” from the report
Outbreak arrangements
The home used zoning, testing and isolation arrangements when people tested positive. Inspectors were assured that outbreaks could be prevented or managed.
“Zoning arrangements were used when people had tested positive for COVID-19 and needed to self-isolate in certain areas of the home such as bedrooms.” from the report
Staffing and training
Inspectors found enough staff to care for people safely. Staff had received extra infection control training during the pandemic.
“There were enough staff to care for people safely, with staff receiving additional infection control training during the pandemic.” from the report
Inspectors raised no specific concerns in this report.
- 01What infection prevention and control arrangements are in place now, and how have they changed since February 2021?
- 02How do you manage visits when there is an infection outbreak?
- 03How do you test residents and staff, and what happens when someone tests positive?
- 04How often are infection control audits completed, and what actions have followed recent audits?
- 05How do you make sure there are enough trained staff to manage infection risks safely?
This was a targeted inspection of infection prevention and control practices, recorded under Safe; the other areas of care were not assessed and no overall rating was given. This explanation was written from the published report of 17 February 2021 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 2018
Rated Good; inspectors found kind, responsive care, but several safety and confidentiality issues needed prompt action.
This was the first comprehensive inspection since the provider re-registered with CQC in November 2017. The inspection took place on 11 and 15 October 2018. The inspector spoke with people living at the home, relatives and staff, and checked care plans, medicine records, recruitment files, training records and building checks.
The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe and well cared for. Inspectors saw respectful staff, detailed care plans, suitable activities, good food support and systems for complaints and quality checks.
On the first visit, inspectors found environmental risks, including unsecured kitchen and laundry areas and four upstairs windows that opened too widely. They also found medicines trolley security and storage of confidential records needed improvement. The registered manager took prompt action before the second visit.
Kind and respectful care
People and relatives were positive about the care. Inspectors saw staff treating people with dignity, privacy and kindness.
“We saw staff acting in a kind and caring way towards people who lived at the home and sharing light hearted banter.” from the report
Detailed, personal care planning
Care plans covered people's needs, preferences and risks. Inspectors saw examples of staff following those plans in daily care.
“Each person living at the home had their own care plan in place, covering areas such as mobility, nutrition, hygiene, skin integrity, continence and sleeping.” from the report
Staffing and training
Inspectors found enough staff at the time of the inspection. Staff had induction, training and supervision and said they felt supported.
“We found staff received sufficient training, supervision and induction to support them in their role.” from the report
Activities and relationships
People could join activities, choose spontaneous activities and maintain relationships with relatives. There were no restrictions on visiting times.
“There were activities available within the home if people wished to take part.” from the report
Quality monitoring
The home used audits, staff meetings and handovers to monitor care and share information about people's needs.
“A range of internal audits were in place that were completed by the registered manager, covering areas such as the building/maintenance, meal times, medication and infection control.” from the report
Environmental safety risks
seriousOn the first visit, the kitchen and laundry areas were not secure at some times. Four upstairs windows opened beyond the stated safety guidance, creating a risk of someone falling or fitting through.
“We also noted four upstairs bedroom windows did not meet the HSE (Health and Safety Executive) guidance” from the report
Medicines trolley security
seriousOn two occasions, the medicines trolley was left open or its keys were left in the door while staff were not always watching it. The manager acted promptly after this was raised.
“This included the keys being left in the door and the medicines trolley door being left open when staff were not always present.” from the report
Confidential records
needs fixingCare plans and staff records were initially kept in unlocked cupboards, so unauthorised people could access personal information. The cabinets were locked by the second visit.
“This meant people who were not authorised could see people's personal information.” from the report
Pending DoLS follow-up
needs fixingSome DoLS applications were still awaiting assessment. The manager was asked to keep an audit trail showing that these applications were being followed up.
“We spoke with the registered manager about ensuring they maintained an audit trail regarding following these applications up” from the report
- 01How do you now check that the upstairs bedroom windows meet the relevant safety guidance?
- 02What checks make sure the medicines trolley is locked and watched throughout every medicines round?
- 03How are care plans and staff records kept secure, and who can access them?
- 04What is the current position of any pending DoLS applications, and how are follow-ups recorded?
- 05How do you use audits and feedback from residents and relatives to improve the home?
This was the first comprehensive inspection since the provider re-registered with CQC in November 2017, and it assessed all five key questions. This explanation was written from the published report of 28 November 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 Greenacres Residential Care Home
Each visit the CQC has published, newest first, back to the day the home was registered.
- February 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
Read what inspectors found at Greenacres Residential Care Home →
- November 2018GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Greenacres Residential Care Home →
- October 2017
Registered with the Care Quality Commission on 30 October 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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