CQC report explained · a residential care home
What the CQC found at Greensleeves Care Home
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- Inspectors found clear safeguarding systems, enough staff, safe recruitment and safe medicines arrangements. Risks such as falls, choking, diabetes and dehydration were assessed and managed.
- Effective?
- Good
- Staff had relevant training and supervision. People were supported with food, drink, healthcare, accessible communication and decisions under the Mental Capacity Act.
- Caring?
- Outstanding
- People were treated as individuals and their dignity, equality, choices and independence were strongly respected. Staff adapted support around people's routines, interests and personal wishes.
- Responsive?
- Outstanding
- Care was exceptionally personalised. Inspectors highlighted the Namaste room, meaningful activities, support with relationships and highly compassionate end of life care.
- Well-led?
- Outstanding
- The management team promoted an open and inclusive culture and acted on feedback. Inspectors found strong leadership, staff development, innovation and partnership working.
What inspectors found, June 2022
Rated Outstanding overall; inspectors found exceptionally caring, responsive and well-led care, with safe and effective care rated Good.
This was the first inspection of the newly registered home. It was unannounced. Inspectors visited on 4 March 2022 and carried out further inspection activity until 9 March 2022. They spoke with people, relatives, staff and healthcare professionals, and checked care records, medicines records, staff files and management records.
The overall rating was Outstanding. Caring, Responsive and Well-led were rated Outstanding. Safe and Effective were rated Good. Inspectors found that people were treated with kindness and respect, involved in their care, and supported by staff who knew their needs and preferences.
The home had personalised care plans, activities shaped around people's interests, and a sensory Namaste room for people living with dementia. Inspectors also found good arrangements for medicines, staffing, safeguarding, infection control, food, healthcare support and consent.
Personalised care
Staff knew people well and adapted care around their routines, preferences, culture and wishes. People and families were involved in care planning.
“People's well-being was placed at the heart of the service.” from the report
Support for dementia
The Namaste room offered calming, individual support using music, touch, scents and sensory lighting. Inspectors found evidence that it improved people's wellbeing.
“The use of anti-psychotic medicines were not required for some people who had been previously prescribed them, we saw a reduction of falls and people were alert.” from the report
Leadership and improvement
The management team encouraged feedback and tested new ideas to improve care. Staff were given champion roles and opportunities to develop their skills.
“The registered manager and management team promoted an extremely positive and inclusive culture where person-centred care was at the heart of their ethos.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you assess and manage my relative's specific risks, such as falls, choking, diabetes or dehydration?
- 02How would you support my relative's personal routines, culture, communication needs and preferred activities?
- 03Could my relative use the Namaste room, and how would you measure whether it helped their wellbeing?
- 04How would you involve our family in care planning and in decisions if my relative could not make a particular decision?
- 05How would you meet my relative's needs in a care home without nursing care, and does the women-only arrangement apply to their circumstances?
This was an unannounced first inspection of the newly registered home covering all five key questions, including infection prevention and control and COVID-19 vaccination requirements. This explanation was written from the published report of 11 June 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. The report was longer than we could read in one go; the later sections may not be reflected.
What inspectors found, March 2021
Greensleeves Care Home was inspected but not rated; inspectors found good COVID-19 infection control and support for family contact.
This was an announced, targeted inspection on 3 March 2021. It checked infection prevention and control arrangements during the coronavirus pandemic.
Inspectors were assured that visitors, residents and staff were protected through screening, hand sanitising, social distancing, testing and suitable use of PPE. The building was clean and free from clutter, and plans were in place to isolate people with COVID-19.
The home supported people to keep in touch with family and friends through telephone, video and carefully managed visits. People also had activities, adapted garden access and personalised exercise and mobility support.
The service was inspected but not rated. This means the visit did not provide a full new rating of the home or all five areas of care.
Family contact
People were supported to stay in contact with family and friends by telephone, video calls and visits. A visitor suite and garden visits helped reduce infection risks.
“People were well supported by staff to have telephone and video call contact with their family and friends.” from the report
Infection control
The home had visitor screening, hand sanitising, PPE, testing and plans to isolate people with COVID-19.
“Plans were in place to isolate people with COVID-19 to minimise transmission.” from the report
Clean environment
Inspectors found the building clean and free from clutter, with PPE readily available.
“The building was clean and free from clutter.” from the report
Activities and mobility
People had activities and stimulation, and staff provided personalised exercise and mobility programmes. The garden had been adapted to improve access.
“Staff ensured people's welfare had been maintained and they had sufficient stimulation, such as themed crafts” from the report
Inspectors raised no specific concerns in this report.
- 01How are people with COVID-19 isolated now, and how are outbreaks managed?
- 02How often are residents and staff tested for COVID-19, and what happens after a positive result?
- 03How can families visit, and are telephone or video calls still available?
- 04How are personalised exercise and mobility programmes provided for people who need them?
- 05How is the adapted garden and other activities used to support people's wellbeing?
This was a targeted inspection of infection prevention and control during the coronavirus pandemic; it did not provide full ratings for the other four questions or a new overall rating. This explanation was written from the published report of 24 March 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.
Every inspection of Greensleeves Care Home
3 rated inspections over 5 years: the service has improved, from Requires improvement to Outstanding.
- June 2022Outstandingcurrent ratingSafe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Outstanding
- March 2021Inspected but not ratedSafe: Inspected but not rated
- January 2019Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2017Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- October 2020
Registered with the Care Quality Commission on 1 October 2020.
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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28 live-in carers within about an hour of West Sussex
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 £1,170 a week. 23 can care for a couple. 11 years' experience on average.
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