Archived: Greenmantle Care Home

Updated 23 July 2015

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 16 June 2015 and was unannounced. The inspection was conducted by two inspectors and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.

As part of the inspection we reviewed the information we held about the service. This included the provider information return (PIR) and the notifications that the provider had sent us. The PIR is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. The PIR also provides data about the organisation and service.

During the inspection we spoke with two people, a relative, a volunteer worker, three staff and the registered managers. We spent time observing people’s interactions with other people who used the service and staff. We reviewed five people’s care files, four staff files and other records such as the staff rotas, menus, and the provider’s policies and procedures. We also had a guided tour of the premises.

Updated 23 July 2015

This unannounced inspection took place on 16 June 2015. In January 2014, our inspection found that the nursing home provider breached regulations relating to care and welfare of people who use services, management of medicines and records. Following this inspection the provider sent us an action plan to tell us the improvements they were going to make.

Greenmantle Care Home is a privately owned care home without nursing for 15 older people. At the time of the inspection there were seven people using the service.

The service had two registered managers who shared responsibility for the service. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are “registered persons”. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

We found that the premises were clean but some parts of the home were in need of refurbishment. For example, there were patches of peeling lino that could present a trip hazard to people in one bedroom. We saw worn toilet seat and fittings in a bathroom on the ground floor, and worn carpets and scuff marks on the walls. Even though the registered managers stated that they had a plan to refurbish the home, we found that the environment was not always safe for people.

Care plans were not reviewed monthly as stated in people's files. People's health conditions (for which they were receiving treatment) were not recorded in their files and there was no evidence they were reviewed. This meant that there was no historical information about people’s health conditions and the progress made.

People were happy with the service provided. Comments such as "The staff are excellent" and "good food [at the home]" indicated people's satisfaction with the service. We saw staff were friendly when interacting with and supporting people, for example, with their meal.

Staff told us they were supported by their managers and they had training opportunity to develop their skills. We noted that staff were experienced and knowledgeable about the care. Records showed staff had attended various training programmes including Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). Deprivation of Liberty Safeguards is where a person can be lawfully deprived of their liberties where it is deemed to be in their best interests or for their own safety. The MCA is a law designed to protect and empower people who may lack the mental capacity to make their own decisions about their care and treatment.

The registered managers had various systems for checking and maintaining the service and facilities. We noted that staff had regular meetings and relatives completed surveys annually and gave feedback about the service. This helped the registered managers to understand and respond to people's views about the service.

We found one breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we have told the provider to take at the back of the full version of this report.