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CQC report explained · a residential care home

What the CQC found at Greenhill

Goodpublished 20 April 2018, 8 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People said they felt safe. Medicines, finances, risks, staffing, recruitment and fire safety were checked and found to be managed safely, although a missing window restrictor was repaired during the visit.
Effective?
Good
People had assessed needs and care plans. Staff training was up to date, and people received support from a range of health and social care professionals.
Caring?
Good
Staff knew people well, treated them respectfully and supported their privacy, choices and independence. People were involved in planning their care.
Responsive?
Good
Care records gave clear, personalised information about people's needs, preferences and goals. People took part in preferred activities, and low-level concerns were investigated and addressed.
Well-led?
Good
The home had quality checks, regular meetings and a positive, open culture. People and staff were asked for their views, and the outdated service document was updated after inspectors raised it.
The latest report, explained

What inspectors found, April 2018

Rated Good; inspectors found safe, kind and personalised care, with one window safety fault fixed during the visit.

Inspectors visited without warning on 12 March 2018. This was the first inspection since the provider changed in October 2016. They spoke with four people, two staff and the registered manager, observed care and checked care records, medicines, recruitment and other records.

The home was rated Good in all five areas. People said they felt safe and staff were kind. Inspectors found safe medicines management, enough staff, suitable training, clear care plans and good support from health professionals.

People were involved in their care and supported to be independent. They chose activities and helped with meals and household tasks. Inspectors also found regular quality checks and an open management culture.

A missing window restrictor created a risk of someone falling. It was fixed during the inspection. Some carpets and paintwork needed minor refurbishment, and one service document had outdated manager details, which were then updated.

What inspectors praised
  • Kind and respectful staff

    People said staff were kind and inspectors saw relaxed, positive relationships between people and staff.

    “People were comfortable and relaxed in staff presence and we saw staff and people chatting and sharing a joke together.” from the report
  • Support for independence

    Care plans included achievable goals. People were supported to take part in shopping, cooking, cleaning and other daily activities.

    “Promotion of people's independence was evident throughout our inspection.” from the report
  • Safe medicines

    Staff were trained and checked as competent. Medicines records had no gaps, and medicine stock and storage checks were completed.

    “We saw MARs were completed correctly with no administration gaps.” from the report
  • Personalised care

    Care records described people's likes, dislikes, goals and triggers. Staff used informal conversations when formal reviews did not suit someone.

    “These contained good information about the person, their likes, dislikes, goals and triggers for behaviours.” from the report
  • Good involvement and oversight

    People attended house and service meetings, while managers used audits and other checks to monitor quality and identify improvements.

    “A range of checks were in place to ensure the quality of the service.” from the report
What inspectors were concerned about
  • Window safety fault

    serious

    A bedroom window restrictor was missing, allowing the window to fully open and creating a risk of a fall. The fault was fixed during the inspection.

    “This meant there was a risk that someone could fall out of the window.” from the report
  • Minor refurbishment needed

    minor

    Inspectors noted that some carpets and paintwork needed minor refurbishment. The manager said plans were in place.

    “although the registered manager agreed some areas such as the carpets and some paintwork needed minor refurbishment.” from the report
  • Outdated service document

    minor

    The statement of purpose still named the previous registered manager. It was updated and sent to CQC the day after the inspection.

    “However, the document contained the details of the previous registered manager.” from the report
Questions to ask them, based on this report
  1. 01Has all planned refurbishment of the carpets and paintwork been completed?
  2. 02How are building safety checks followed up, and how quickly are faults repaired?
  3. 03How will the person be involved in creating and reviewing their care plan and personal goals?
  4. 04How are people supported to manage or administer their own medicines safely?
  5. 05How often are people and their families asked for views about the home and its activities?

This was an unannounced inspection of the overall service, covering all five CQC areas; it was the first inspection since the provider changed in October 2016. This explanation was written from the published report of 20 April 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.

The story over the years

Every inspection of Greenhill

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. April 2018Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Greenhill →

  2. October 2016

    Registered with the Care Quality Commission on 7 October 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.

Next steps

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