Background to this inspection
Updated
27 November 2019
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was undertaken by one inspector and one 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.
Service and service type
Green Meadows Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection-
We spoke with 12 people who used the service and one relative about their experience of the care provided. We spoke with eight members of staff including the registered manager, service manager, deputy manager, senior care workers, care workers and the activity coordinator.
We reviewed a range of records. This included four people’s care records and multiple medication records. We looked at four staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with two health professionals who regularly visit the service.
Updated
27 November 2019
About the service
Green Meadows Care Home is a residential care home providing at the time of the inspection, personal care and accommodation to 34 people aged 65 and over who may also be living with dementia. The service can support up to 42 people.
People’s experience of using this service and what we found
People felt safe living at Green Meadows Care Home and they were very much at the heart of the service. The service had maintained their rating of outstanding in caring.We received positive feedback from people and their relatives about the care provided from exceptional caring staff.
People and their relatives told us staff were extremely caring and staff went out of their way to make sure people were cared for.
People received excellent care that was based around their individual needs and that ensured care was personalised and responsive.
Staff working at the service understood people’s needs and supported people in an exceptionally personalised way. Care was provided respectfully and sensitively, taking into account people’s different needs.
Relevant recruitment checks were conducted before staff started working at the service to make sure they were of good character and had the necessary skills.
Medicines administration records (MAR) confirmed people had received their medicines as prescribed.
Staff had received training in safeguarding adults and knew how to identify, prevent and report abuse. There were enough staff to keep people safe.
Staff received frequent support and one to one sessions or supervision to discuss areas of development. They completed training and felt it supported them in their job role.
People were supported with their nutritional needs when required. People received varied meals including a choice of fresh food and drinks. Staff were aware of people’s likes and dislikes.
Staff had developed positive and caring relationships with people and their families. Staff were highly motivated and demonstrated a commitment to providing the best quality care to people in a compassionate way. People’s privacy and dignity was always maintained.
Regular audits were carried out to assess and monitor the quality of the service. There were appropriate management arrangements in place and relatives were positive about the management in the home.
People were supported to have maximum 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
The last rating for this service was good (published 20 February 2017).
Why we inspected
This was a planned inspection based on the previous rating.
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.