CQC report explained · a residential care home
What the CQC found at The Green Residential Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors reviewed infection prevention and control only. They were assured about hygiene, protective equipment, testing, safe visits and the home's ability to prevent or manage outbreaks.
- Effective?
- Good
- This key question was not covered by the focused inspection.
- Caring?
- Good
- This key question was not covered by the focused inspection, although the report includes positive comments about kind and respectful care.
- Responsive?
- Good
- People received person-centred care and had choice and control. Activities and support to prevent isolation had improved, but records about varied and meaningful activities still needed development.
- Well-led?
- Good
- The home had effective audits and better oversight than at the previous inspection. Staff and people praised communication and leadership, and the manager responded to feedback.
What inspectors found, August 2021
The Green Residential Care Home is rated Good; inspectors found kind, person-centred care and better oversight, with activity records still needing development.
This was an unannounced focused inspection on 29 June 2021. One inspector and an Expert by Experience spoke with four people, two relatives and five staff. They also reviewed five care records and management records.
People were described as well looked after. Care plans gave staff detailed guidance. People had choices about their daily routines, visitors were welcomed safely, and end of life wishes were recorded. Staff were trained to support people approaching the end of life.
The home had improved since its previous inspection, when it was rated Requires Improvement and breached Regulation 17. At this inspection, the oversight systems had improved and the breach had been cleared. The home was rated Good overall, with Responsive and Well-led rated Good.
Safe was inspected only for infection prevention and control and was not rated. Inspectors were assured about infection measures, including protective equipment, testing, visits and outbreak management. Effective and Caring were not covered by this focused inspection.
Personalised care
Care plans reflected people's needs and preferences. Staff knew people well and supported them to make choices about their routines.
“People received person-centred care and felt well looked after.” from the report
End of life support
People's end of life wishes were explored and recorded. Staff had training to provide compassionate, person-centred support.
“Staff received training to help equip them with the knowledge and skills to provide compassionate and person-centred support for people at the end of their life.” from the report
Improved management
Audits and monitoring had improved since the previous inspection. The home was no longer in breach of the governance regulation.
“Enough improvement had been made at this inspection and the provider was no longer in breach of Regulation 17.” from the report
Communication and involvement
People and relatives said they were kept informed and could speak to staff or management about concerns. Staff also reported clear communication between shifts.
“We are very much kept informed, and I speak with my relative every day.” from the report
Infection control
Inspectors were assured that infection risks were effectively managed, including safe visiting, testing and outbreak arrangements.
“We were assured the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
Activity records
needs fixingThe home had improved its activities, but inspectors asked for records to consistently show regular opportunities for varied and meaningful activities. Staff were booked on training to help widen the activity range.
“We spoke with the registered manager about developing records around activities to consistently show people had regular opportunities for varied and meaningful simulation.” from the report
Minor environmental risks
minorInspectors found storage issues and minor cross-contamination risks during the visit. The manager took immediate action to address them.
“They took immediate action to address storage issues and minor cross-contamination risks identified during the inspection.” from the report
- 01How have you expanded the range of activities since the inspection?
- 02How do you now record regular opportunities for varied and meaningful activities?
- 03What changes were made after the inspectors identified storage and minor cross-contamination risks?
- 04How will you keep us informed about our relative's care and involvement in decisions?
- 05How are end of life wishes recorded and reviewed?
This was a focused inspection of Responsive and Well-led, with infection prevention and control also reviewed under Safe; other ratings were carried over from the previous comprehensive inspection. This explanation was written from the published report of 5 August 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 2020
The Green Residential Care Home was inspected but not rated; inspectors found good infection control arrangements during the coronavirus outbreak.
This was an announced, targeted inspection on 03 December 2020. Inspectors looked at infection prevention and control because of the coronavirus outbreak.
They found systems to isolate people who were affected and saw personalised infection control care plans. Staff had access to personal protective equipment, and national guidance was being followed.
The home was clean, with extra cleaning of frequently touched surfaces. Visitors were given clear instructions, and non-essential visits were stopped at the time of the inspection.
The home was inspected but not rated. This was not a full assessment of all areas of care, so it does not provide ratings for all five questions.
Managing infection risk
The home had arrangements to isolate people who were affected and to reduce the spread of infection.
“Systems were in place to isolate affected people to minimise the risk of infection spread.” from the report
Protective equipment
Inspectors found that national guidance was followed and that staff could access PPE safely.
“National guidance was followed on the use of PPE. There was clear signage on the correct use of PPE” from the report
Clean environment
The home was very clean and extra cleaning was taking place, including of frequently touched surfaces.
“The environment was very clean. Additional cleaning was taking place including frequently touched surfaces.” from the report
Testing and outbreak planning
Inspectors were assured that testing was available and that the home had arrangements to prevent or manage outbreaks.
“We were assured that the provider was accessing testing for people using the service and staff.” from the report
Further development suggested
minorInspectors signposted the provider to resources to develop its approach. The report does not explain what specific improvement was needed.
“We have also signposted the provider to resources to develop their approach.” from the report
- 01What infection prevention and control arrangements are in place now?
- 02How do you isolate people who may have an infection?
- 03How do staff access and use PPE safely?
- 04How often are frequently touched surfaces cleaned?
- 05What are the current rules for essential and non-essential visitors?
This was a targeted inspection of infection prevention and control practices during the coronavirus outbreak; the service was inspected but not rated and the other areas were not assessed. This explanation was written from the published report of 17 December 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 Residential Care Home
4 rated inspections over 6 years: the service has improved, from Requires improvement to Good.
- August 2021Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at The Green Residential Care Home →
- December 2020Inspected but not ratedSafe: Inspected but not rated
Read what inspectors found at The Green Residential Care Home →
- July 2019Requires improvementdown from GoodResponsive: Requires improvementWell-led: Requires improvement
- November 2016Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- October 2015Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- December 2014
Report published without a new overall rating.
- August 2014
Report published without a new overall rating.
- December 2013
Report published without a new overall rating.
- October 2013
Report published without a new overall rating.
- August 2013
Report published without a new overall rating.
- May 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- December 2011
Report published without a new overall rating.
- September 2011
Report published without a new overall rating.
- April 2011
Registered with the Care Quality Commission on 13 April 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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