22 May 2023
During an inspection looking at part of the service
Greenbanks is a residential care home providing personal care to up to 66 people. The service provides support to older people, some of whom may be living with dementia. At the time of our inspection there were 56 people using the service.
People’s experience of using this service and what we found
People's records did not always contain all the information staff needed to provide safe care and their medicines were not always managed well. Staff did not always report safeguarding concerns and we did not see any evidence of learning from incidents. Staff had not always been recruited safely. People were not always supported by enough staff.
People were not supported to have maximum choice and control of their lives and staff did not always support them in the least restrictive way possible and in their best interests. People were not always supported by staff with the necessary skills.
The provider’s processes to monitor the safety and quality of the service were not effective.
Some staff were not always open and honest when mistakes were made.
The new leadership team had a good understanding of the issues with the service and had plans to rectify them. Staff found the interim manager approachable and supportive. People’s families were kept informed and spoke positively about the care received.
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 21 October 2022). The service remains rated requires improvement. This service has been rated requires improvement for the last three consecutive inspections.
Why we inspected
We received concerns in relation to the management of medicines and oversight of the service. As a result, we undertook a focused inspection to review the key questions of safe, effective and well-led only.
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.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has remained requires improvement based on the findings of this inspection.
You can see what action we have asked the provider to take at the end of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Greenbanks on our website at www.cqc.org.uk.
Enforcement and Recommendations
We have identified breaches in relation to safeguarding, management of risk and medicines, staff recruitment and competency, consent and governance at this inspection.
Follow up
We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.