CQC report explained · a nursing home
What the CQC found at The Green Care Home with Nursing, Hasland
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough suitable staff, safe medicine management, regular risk assessments and effective infection control. Safeguarding concerns, accidents and incidents were recorded, investigated and acted on.
- Effective?
- Good
- This area was not inspected during this focused inspection. The rating was carried over from the previous inspection.
- Caring?
- Good
- This area was not inspected during this focused inspection. The rating was carried over from the previous inspection.
- Responsive?
- Good
- This area was not inspected during this focused inspection. The rating was carried over from the previous inspection.
- Well-led?
- Good
- Inspectors found clear management arrangements, regular audits and a positive, open culture. People, relatives and staff had opportunities to give feedback and suggest improvements.
What inspectors found, December 2023
The Green Care Home with Nursing, Hasland is rated Good; inspectors found safe care and good management, but only two areas were inspected.
This was an unannounced, focused inspection on 15 November 2023. One inspector and an expert by experience spoke with people, relatives, staff and a visiting professional. They reviewed care records, medicine records, recruitment files and management records.
Safe and Well-led were both rated Good. Inspectors found enough suitable staff, safe medicine systems, regular risk checks and appropriate infection control. People and relatives said they felt safe, and staff responded quickly to call bells.
Inspectors found a positive, person-centred approach. The home had regular audits, an action plan and opportunities for people, relatives and staff to suggest improvements. The overall rating stayed Good, as it was at the previous inspection in 2020.
Safe staffing
The home had enough suitable staff, and staffing levels were reviewed against people's needs. People and relatives said staff responded quickly when help was needed.
“The provider ensured there were sufficient numbers of suitable staff.” from the report
Medicines and risk checks
Staff who gave medicines were trained and observed. Risks linked to mobility, nutrition and health conditions were regularly monitored.
“Medicine was administered by trained staff who received regular checks and direct observation of their practice to ensure medicines were administered safely.” from the report
Person-centred care
Staff understood the people they supported and helped them achieve positive outcomes. Activities and support were shaped around people's interests.
“There was a positive person-centred approach to the delivery of people's care.” from the report
Listening to people
People, relatives and staff could raise ideas with managers or at meetings. Inspectors found that suggestions made by people had been acted on.
“People using the service had regular opportunities to suggest improvements to the service in person to the manager or in resident's meetings.” from the report
Refurbishment still in progress
minorThe home had an action plan for areas that needed refurbishment. The report says actions were in progress, so families may want to ask which work remains and when it will be completed.
“The service had an action plan in place which was regularly reviewed and updated.” from the report
A medication error had occurred
needs fixingThe report records that a medication error had been identified. It says the error was promptly followed up and appropriate action was taken, but families may wish to ask what was learned and how recurrence is prevented.
“where a medication error had been identified this had been promptly followed up, with appropriate actions taken.” from the report
- 01Which refurbishment actions are still outstanding, and what are the planned completion dates?
- 02What medication error was identified, and what changes were made to prevent it happening again?
- 03How will you assess my relative's individual risks, including mobility, nutrition and health conditions?
- 04How quickly do staff usually respond when a resident uses the call bell?
- 05How can relatives raise concerns or suggest improvements between residents' and relatives' meetings?
This was a focused inspection of Safe and Well-led only; the other ratings were carried over from the previous inspection in 2020. This explanation was written from the published report of 5 December 2023 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, September 2020
Inspected but not rated; inspectors found good infection control arrangements during the coronavirus pandemic.
Inspectors made an announced, targeted visit on 27 August 2020. They looked at infection prevention and control measures as part of a coronavirus pandemic review. The home had 28 people living there, with space for up to 40.
Inspectors were assured that the home was managing visitors, social distancing, shielding, new admissions, testing and personal protective equipment safely. They also found suitable cleaning arrangements and an up-to-date infection control policy.
The home had agreed ways for relatives to keep in touch, including visits, video calls, emails and telephone calls. Staff received support, training and updated guidance. This visit was inspected but not rated, so it does not provide an overall quality rating or ratings for most areas of care.
Personal protective equipment
The home had the required PPE and staff had been trained to use it correctly. Inspectors said this reduced the risk of infection spreading.
“The provider had ensured the required personal protective equipment (PPE) was in place. Staff had received training in how to use it appropriately.” from the report
Family contact
The home had an agreed approach to relatives visiting. Other contact included video calls, emails and telephone calls.
“There was an agreed approach to relatives being able to visit. In addition to video calls, emails and telephone contacts.” from the report
Cleaning
Cleaning had increased, supported by more domestic staff and agreed cleaning schedules.
“Cleaning of the home had increased, through the use of more domestic staff and agreed schedules of cleaning.” from the report
Staff support and oversight
Staff received supervision, meetings and new guidance. The provider also used audits and video links to maintain oversight and share information.
“The provider continued to have oversight, with regular audits and video links. to share good practice and any new or developing guidance and changes.” from the report
Inspectors raised no specific concerns in this report.
- 01How are PPE supplies and staff training kept up to date now?
- 02What are the current arrangements for relatives to visit and keep in contact?
- 03How often are communal areas and other parts of the home cleaned, and how is this checked?
- 04How are residents and staff tested for infections?
- 05What arrangements are in place to prevent or manage an infection outbreak?
This was a targeted inspection of infection prevention and control during the coronavirus pandemic; it was inspected but not rated and did not assess the full range of care quality. This explanation was written from the published report of 5 September 2020 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 The Green Care Home with Nursing, Hasland
3 rated inspections over 8 years: the service has held its Good rating throughout.
- December 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at The Green Care Home with Nursing, Hasland →
- September 2020Inspected but not ratedSafe: Inspected but not rated
Read what inspectors found at The Green Care Home with Nursing, Hasland →
- August 2018Goodstayed GoodSafe: GoodWell-led: Good
- January 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2014
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- August 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 24 January 2011.
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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