CQC report explained · a residential care home
What the CQC found at Greenways Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, February 2021
Inspected but not rated; inspectors found strong infection-control arrangements, but PPE practice needed improvement.
This was an unannounced, targeted inspection on 19 January 2021. It followed concerns about infection prevention and control. Inspectors looked at how the home managed infection risks.
The home had several arrangements to reduce infection risks. These included a sealed visitor pod, visitor screening, PPE, a booking system, social distancing changes and testing for people and staff.
Inspectors were assured about most areas they checked, including safe admissions, hygiene, outbreak planning and the infection-control policy. However, staff needed to follow best-practice guidance more consistently when using PPE.
The home was inspected but not rated. This means the inspection did not give an overall quality rating or a standard rating for the service.
Safer visiting
The home had a sealed visitor pod, visitor screening, PPE and a booking system. People could also stay in contact with family and friends by telephone and video calls.
“A sealed visitor's pod was built so all year round visiting could take place safely.” from the report
Social distancing arrangements
The layout was changed to support social distancing, and extra rooms were made available for staff breaks.
“Changes were made to the layout to promote social distancing and more rooms were made available for staff to take their breaks.” from the report
Outbreak planning
The home had identified areas for isolation and zoning if future outbreaks occurred.
“Areas of the home were identified for isolation and zoning in the event of future outbreaks.” from the report
Infection-control checks
Staff received PPE training and spot checks were used to monitor whether they followed the required approach.
“Staff were trained in PPE and spot checks carried out to monitor their compliance.” from the report
PPE practice
needs fixingInspectors found that staff did not always follow best-practice guidance on using PPE effectively and safely in care homes. The provider was signposted to resources to improve its approach.
“However, improvements were needed to ensure that best practice guidance on using PPE effectively and safely in care homes was followed.” from the report
- 01What changes have you made since the inspection to ensure staff follow best-practice PPE guidance?
- 02How are staff currently trained and checked when using PPE?
- 03How would you manage a future infection outbreak, including isolation and zoning?
- 04How does the visitor pod booking and screening system work now?
- 05How are residents supported to keep in touch with family and friends if visiting is restricted?
This was an unannounced targeted inspection of infection prevention and control, and the service was inspected but not rated. This explanation was written from the published report of 24 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, December 2018
Greenways Care Home was rated Good; inspectors found safe, kind and well-managed care, with some care records and food arrangements still being improved.
This was a comprehensive inspection on 21 and 23 November 2018. Inspectors spoke with people, relatives, staff and managers. They observed care and looked at care records, medicines, risk assessments, staffing and quality checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines management, suitable training, kind care, activities and effective management systems.
The inspection followed earlier concerns, when the overall rating and all five areas were Requires Improvement. Inspectors found that improvements had been sustained. However, not all care records had yet been moved to the new format, and people had mixed views about the food.
Safe medicines and risk management
Medicines were stored, monitored and given safely. Individual risks were assessed and reviewed, including risks affecting people's skin and safe evacuation.
“At this inspection, we found improvements to the management of medicines had been sustained.” from the report
Consistent staffing
Inspectors found enough staff to support people safely. Relatives also valued having familiar staff who knew people well.
“There were enough staff at the home to keep people safe and provide consistent care from staff they knew well.” from the report
Kind and personal care
Staff knew people's histories, preferences and communication needs. People were supported to make choices and maintain their privacy and independence.
“Staff members could tell us about the people they supported.” from the report
Activities and community links
People could take part in music, exercise, crafts, outings and activities linked to their interests. A monthly timetable helped people know what was available.
“There was a range of external activities organised for people with local community groups, such as attending church services, cafes, local schools and the local pub.” from the report
Improving management systems
The home had regular checks of care, premises, equipment, accidents and incidents. The provider used these checks to plan improvements.
“At this inspection we continued to find quality assurance procedures were maintained, and were effectively used to identify areas that could be improved at the home.” from the report
Care records not all transferred
needs fixingThe new care record format had been introduced, but not everyone's records had yet been changed. The provider planned to complete this by the end of 2018.
“However, more work needed to be done to change everyone's care records over to the newer format.” from the report
Mixed views about food
needs fixingSome people said the food was not as good as before or that portions were too small. The usual cook was away and the oven had broken, although the oven was fixed during the inspection.
“People had mixed opinions about the quality of food provided.” from the report
One radiator awaiting a cover
minorOne radiator in the downstairs visitors' toilet did not yet have a specialist cover. Inspectors said it was set low and was not a risk while the planned work was completed.
“Whilst a specialist radiator cover was being made, the radiator was set to a low setting, so it was not a risk to people and visitors.” from the report
- 01Have all residents' care records now been moved to the newer format, and how are they reviewed when needs change?
- 02How do you maintain food quality and portion sizes when the usual cook is absent?
- 03Was the specialist radiator cover installed, and were the planned accessibility improvements, including the stair lift, completed?
- 04How are activities matched to each resident's interests, abilities and changing needs?
- 05How do you use feedback, complaints and accident records to make further improvements?
This was a comprehensive inspection of the whole service, following an earlier focused inspection of Safe and Well-led; inspectors looked at all five key questions and the previous ratings had been Requires Improvement. This explanation was written from the published report of 21 December 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 Greenways Care Home
6 rated inspections over 3 years: the service has improved, from Requires improvement to Good.
- February 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- December 2018Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2018Requires improvementstayed Requires improvementSafe: Requires improvementWell-led: Requires improvement
- January 2018Requires improvementup from InadequateSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- December 2017Inadequatestayed InadequateSafe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate
- March 2017Inadequatedown from Requires improvementSafe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate
- April 2016Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- May 2014
Report published without a new overall rating.
- September 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- July 2011
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 20 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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