14 September 2021
During an inspection looking at part of the service
Green Lane is a care home without nursing providing accommodation and personal care to 14 adults at the time of the inspection. The service can support up to 15 people. People who live in the home all have a diagnosis of a mental health condition. The home is an adapted building which includes three self-contained flats.
People’s experience of using this service and what we found
People were not always kept safe from the risk of infection. Cleaning schedules were not followed and updated consistently. This caused confusion as to what cleaning responsibilities had been completed.
People were not always supported with meaningful activities that were suited to their hobbies and preferences. We have made a recommendation in relation to this.
There was no registered manager in post at the home. This meant various day to day management responsibilities were not consistently completed.
Risks were assessed and reviewed and guidance was available for staff to follow to keep people safe. People were supported with their medicines by staff that had received relevant training.
Staff were recruited in a safe way and were up to date with all relevant training. Staff felt supported by the temporary management team.
People told us that staff were kind and caring and supported them to access social and health care professionals. Accidents and incidents were recorded, analysed and action taken to ensure preventative measures were put in place.
People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 28 February 2020) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection, not enough improvement had been made and the provider was still in breach of regulations. The service remains requires improvement. This service has been rated requires improvement for the last two consecutive inspections.
Why we inspected
This inspection was prompted by our data insight that assesses potential risks at services, concerns raised and based on the previous rating. This enabled us to review the previous ratings.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
We have found evidence that the provider needs to make improvements. Please see the safe, responsive and well-led sections of this full report. You can see what action we have asked the provider to take at the end of this full report.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.