What the CQC found at Greystoke Manor

Inspectors found that risks were assessed and staff had guidance to support people safely. People said they felt safe and comfortable in the home.

“People told us they felt safe living in the home and we observed people were relaxed and comfortable.” from the report

Medicine records were completed properly at this inspection. This was an improvement on the previous inspection, when there had been gaps in records for medicines given when needed.

“At this inspection we found staff completed the MARs in line with current best practice.” from the report

Staff built positive relationships with people and supported their dignity, privacy and independence.

“People were treated with dignity and respect.” from the report

Care plans covered people's needs, and staff could explain how people preferred to be supported. Activities and one-to-one options were available.

“People received personalised care from a staff team who responded to their needs.” from the report

Staff received relevant training and people had access to GPs, nurses and other health professionals when needed.

“People received effective care from staff who had the skills and knowledge they needed to carry out their roles and responsibilities.” from the report

An allegation about a person's care had not been reported to the CQC without delay. The inspectors discussed this with the management team.

“One incident regarding an allegation of abuse had not been reported to the Commission for their review without delay in line with health and social care regulations.” from the report

The home's audits did not consistently identify issues raised by people or found by inspectors. This included concerns about night staffing, menus and resident involvement.

“However, these had not addressed all the issues we highlighted at this inspection.” from the report

Some planned review dates had been missed, and some electronic care plans did not contain enough detail for new staff.

“Also the dates the provider had planned to review each care plan had not been adhered to.” from the report

Resident meetings had been infrequent and a residents council was still being set up. Inspectors could not check the minutes of previous meetings.

“We were told there were few formal resident meeting opportunities and the last one had taken place approximately six months prior to the inspection.” from the report

Some people were confused by the names of main meals. Staff did not always know what the names meant, so the inspectors asked the home to review this.

“It's got fancy names and I ask what it is and they (staff) don't know.” from the report