CQC report explained · a residential care home
What the CQC found at Greenways Rest Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, December 2022
Rated Requires Improvement; inspectors found risks with building security and medicines, although care was kind and the home had a positive culture.
This was an unannounced focused inspection on 19 October and 8 November 2022. Inspectors looked mainly at Safe and Well-led. They spoke with people, relatives and staff, and checked care records, medicines, recruitment records, audits and policies.
The home was not always safe. Exits had not been secured well enough after a serious incident, fire safety work was still unfinished, and some medicines records and processes were not reliable. The provider took immediate steps about building security and medicines after inspectors gave feedback.
There were also positive findings. The home was clean and comfortable. Staff knew people well, people were protected from abuse and infection risks, and the manager had improved how the home learned from incidents. The overall rating stayed Requires Improvement, and the Safe and Well-led ratings were also Requires Improvement.
Staff knew people well
People were supported by staff who knew them well. Relatives spoke positively about the quality of care and communication.
“The quality of care is very good, and the staff have got to know him well.” from the report
Protection from abuse
Inspectors found up-to-date safeguarding arrangements. Staff knew how to raise concerns, and people told inspectors they felt safe.
“People were protected from the risk of abuse.” from the report
Infection control
Inspectors were assured that the home had arrangements to prevent and manage infections, including safe visiting and the use of protective equipment.
“We were assured that the provider was using PPE effectively and safely.” from the report
Learning from incidents
The manager had improved the way accidents and incidents were recorded and used to change practice.
“The registered manager had made improvements.” from the report
Building security
seriousExits were not secured sufficiently before or after a serious incident. This created a risk of avoidable harm, although the provider put immediate measures in place after feedback.
“Systems to manage risks regarding the security of the building were not effective. This placed people at risk of harm.” from the report
Medicines records
seriousInspectors found gaps in records for covert medicines, thickener added to drinks and some as-needed medicines. They found no evidence of harm, but people could not be assured of receiving medicines as prescribed.
“Although we found no evidence of harm, systems to manage medicines safely were not effective.” from the report
Fire safety work
needs fixingFurther work was still needed to meet fire safety guidance. The fire service had extended the deadline to December 2022, and the CQC said it would request evidence of completion.
“Actions were still required to become compliant with fire safety.” from the report
Family involvement
needs fixingSystems for getting feedback from people and relatives were not fully in place. Relatives said they were not always asked for feedback or involved in care plans.
“Systems to engage with people and relatives were yet to be embedded.” from the report
- 01What immediate and longer-term measures are now in place to secure every exit from the building?
- 02Has all the fire safety work been completed, and can you show the evidence requested by the CQC?
- 03How do staff now record the amount of thickener added to drinks?
- 04How are covert medicines and as-needed medicines checked and recorded?
- 05How will relatives be involved in care plan reviews and asked for feedback?
This was a focused inspection of Safe and Well-led only; the ratings for Effective, Caring and Responsive were carried forward from the previous inspection. This explanation was written from the published report of 21 December 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.
What inspectors found, June 2022
Rated Requires Improvement; inspectors found kind and effective care, but fire safety and management systems needed improvement.
This was an unannounced focused inspection on 12 May 2022. Inspectors spoke with people, relatives and staff. They reviewed care plans, medicine records, staff files, audits and health and safety records.
The home was rated Requires Improvement overall. Safe and well-led were rated Requires Improvement. Effective was rated Good. The inspection followed concerns about staffing, training, medicines and fire safety, although the inspectors only assessed safe, effective and well-led.
People were described as safe, well cared for and happy. The home was clean, food was well liked, staff were trained, and medicines were managed safely. However, fire safety work was not complete, incidents were not always reviewed for lessons, and some required safeguarding notifications had not been sent to the CQC.
The previous overall rating was Good, published on 27 August 2019. The rating fell because improvements were needed, although the report found no evidence that people had been harmed because of the concerns. The provider took immediate action after the inspection.
Staff knew people well
Staff had good knowledge of people's needs, preferences and risks. Relatives said people were well looked after.
“People were kept safe by staff that had good knowledge about people's needs, likes and dislikes.” from the report
Effective support
People received support with health, nutrition and appointments. Staff had the training and skills needed for their roles.
“There was effective staff support and staff had the necessary skills and experience meaning people received high standards of care.” from the report
Food and nutrition
There was a wide choice of food and drink, with meals prepared from fresh ingredients. Staff understood people's dietary needs.
“There were choices available and all meals were prepared from fresh ingredients at the home.” from the report
Clean and homely environment
The home was clean and tidy. Bedrooms were personalised and people were reported to be comfortable and happy.
“All rooms were comfortable and had a homely feel with personalised items.” from the report
Medicines managed safely
Medicine audits were thorough, staff competency was checked, and storage and disposal arrangements were safe.
“The manager completed thorough medicine audits and they were supported by the pharmacy who also completed audits.” from the report
Fire safety work unfinished
seriousThe fire service had issued an enforcement notice. New fire doors were still needed, and one fire door was found propped open.
“The provider completed many of the actions although they still needed to install new fire doors.” from the report
Incidents were not always reviewed
needs fixingNot all incidents were recorded, monitored and audited in a way that identified patterns or lessons. The manager introduced a new system after inspectors raised this.
“There were not always effective systems to record incidents, identify themes and lessons learned.” from the report
Safeguarding notifications
needs fixingThe provider had not notified the CQC about some safeguarding incidents because of incorrect advice from a third party. The provider said notifications would be made retrospectively and introduced a new system.
“However, due to incorrect advice from a third party, the provider failed to notify the CQC about safeguarding incidents.” from the report
- 01Have all the new fire doors now been installed, and how do you check that fire doors are kept closed?
- 02How are incidents such as falls now recorded, reviewed and checked for patterns or lessons?
- 03How do you make sure all safeguarding incidents that must be reported are notified to the CQC?
- 04Has the registered manager application been completed since this inspection?
- 05What improvements have been made since the focused inspection in May 2022?
This was a focused inspection of Safe, Effective and Well-led only; Caring and Responsive were not assessed in this report, and the overall rating used the previous ratings for questions not inspected. This explanation was written from the published report of 17 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.
Every inspection of Greenways Rest Home
4 rated inspections over 6 years: the service has slipped, from Good to Requires improvement.
- December 2022Requires improvementcurrent ratingstayed Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- June 2022Requires improvementSafe: Requires improvementWell-led: Requires improvement
- March 2021Inspected but not ratedSafe: Inspected but not rated
- August 2019Goodstayed GoodSafe: GoodEffective: GoodWell-led: Good
- December 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2014
Report published without a new overall rating.
- February 2014
Report published without a new overall rating.
- September 2013
Report published without a new overall rating.
- August 2013
Report published without a new overall rating.
- May 2012
Report published without a new overall rating.
- March 2012
Report published without a new overall rating.
- December 2011
Report published without a new overall rating.
- June 2011
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 17 November 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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85 live-in carers within about an hour of Lancashire
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 £980 to £1,260 a week. 78 can care for a couple. 11 years' experience on average.
“She understands the needs of an elderly person in the early stages of dementia and has treated my mother with great kindness and skill.”
“Thanks to Tracy, Dad was always immaculately dressed and clean, his meals were all home cooked and nutritionally well balanced and his home was always kept really clean and tidy.”
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