CQC report explained · a residential care home
What the CQC found at Greenhill Grange Residential Home Limited
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Inspectors found enough staff, detailed risk assessments, suitable recruitment checks and safe systems for medicines.
- Effective?
- Good
- Care plans were personalised and staff had relevant training. People received support with nutrition, health checks and access to healthcare professionals.
- Caring?
- Good
- Staff treated people with kindness, dignity and respect. People were involved in care reviews and decisions about activities and daily life.
- Responsive?
- Good
- Care was planned around people's physical and emotional needs, preferences and interests. People were supported with activities, community links, religious needs and complaints.
- Well-led?
- Good
- Inspectors found approachable management, regular staff support and effective quality checks. The home sought feedback and used it to make changes.
What inspectors found, February 2019
Greenhill Grange Residential Home Limited was rated Good; inspectors found safe, kind and personalised care, with an outdated provider information return noted.
This was an unannounced planned inspection over 21 and 24 January 2019. One inspector and one Expert by Experience visited the home. They spoke with eight residents, two visitors, four staff members and managers. They also checked care plans, medicine records, staff files, rotas, training records, complaints and quality checks.
The home provided personal care and accommodation for up to 25 people, with 23 people living there during the inspection. It did not provide nursing care. Inspectors found enough staff, suitable safeguarding and recruitment checks, detailed risk assessments and safe medicine systems.
Inspectors found care was effective, kind and personalised. People were involved in their care, supported to make choices and helped to access health services, activities and the local community. The home was described as well led, with systems to monitor quality and respond to concerns.
The overall rating was Good, and all five areas were rated Good. This means inspectors found consistently good care and that legal requirements were met in the areas examined. The previous inspection, published on 4 August 2016, had also rated the home Good.
Enough staff
Inspectors found staffing levels were sufficient and call bells were answered promptly. Staff said they had time to talk with people and were not rushed.
“People were supported by enough staff to meet their needs.” from the report
Personalised care
Care plans recorded people's needs, preferences and dislikes. Staff knew how to support people in line with their plans.
“People's care plans included clear information about the support they required to meet both their physical and emotional needs.” from the report
Kind and respectful staff
Staff showed kindness, respect and a good understanding of individual needs. People appeared relaxed and cheerful with staff.
“We observed people were treated with kindness and care by staff.” from the report
People's choice and involvement
People were involved in care planning, reviews, activities and decisions about the running of the home. Staff supported independence where it was safe.
“People contributed to decisions about the activities they attended or wanted to attend.” from the report
Learning from incidents
The home reviewed accidents and falls to look for patterns and improve practice. Inspectors reported that falls had reduced following regular falls awareness meetings.
“Because of regular falls awareness meetings, the incidents of falls in the home had reduced by 36%.” from the report
Outdated provider information
minorThe provider information return used to help plan the inspection was dated 2017. A newer return had not been requested, although inspectors took this into account when making their judgements.
“However, the latest PIR was dated 2017. A more up to date PIR had not been requested.” from the report
- 01The home does not provide nursing care. How would you arrange nursing support if my relative's health needs became more complex?
- 02What is the current staffing level on each shift, and how quickly are call bells usually answered?
- 03How often will my relative's care plan and risk assessments be reviewed, and how will we be involved?
- 04What activities and community visits are currently available, and how are residents' choices taken into account?
- 05Has the provider information return been updated since the 2017 version mentioned in the report?
This was an unannounced planned inspection that looked at the premises and care provided and rated all five key questions; the previous overall rating was Good. This explanation was written from the published report of 26 February 2019 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 Greenhill Grange Residential Home Limited
2 rated inspections over 3 years: the service has held its Good rating throughout.
- February 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Greenhill Grange Residential Home Limited →
- August 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2013
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- April 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 8 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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76 live-in carers within about two hours of Somerset
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 £1,020 to £1,370 a week. 62 can care for a couple. 12 years' experience on average.
“She looked after my mum, who can be incredibly challenging, so well and so gently, and we always felt confident that my mum was getting the best care available.”
“She was not phased by anything, she was adaptable, kind & gave us complete confidence to go away & not worry about a thing!”
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.