Background to this inspection
Updated
22 September 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, and to provide a rating for the service under the Care Act 2014.
The inspection took place on 18th November 2014 and was unannounced. The inspection team consisted of an adult social care inspector.
We used a number of different methods to help us understand the experiences of people who used the service. We spoke with three people who used the service, one care worker, and the unit manager. We spent time observing care and support being delivered. We looked at three people’s care records and other records which related to the management of the service such as training records and policies and procedures.
Before the inspection, we reviewed all the information held about the provider.
Updated
22 September 2015
Greenhill provides accommodation for up to five people at any one time. On the date of the inspection, 18th November 2014, five people were living in the service.
A registered manager was in place. A registered manager is a person who has registered with the Care Quality Commission 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 and associated Regulations about how the service is run.
Staff we spoke with understood their responsibilities under the Mental Capacity Act 2005(MCA), for example how to ensure the rights of people with limited mental capacity when making decisions were respected. We found the home to be meeting the requirements of the Deprivation of Liberty Safeguards (DoLS).
People told us care was excellent at the home and they were treated well by staff and the management team. We observed staff were kind and caring and demonstrated a good understanding of people’s individual needs.
Arrangements were in place to assess people’s healthcare needs and care plans were in place for staff to follow to help them meet these needs. There was regular input from a range of health professionals.
Care plans were regularly reviewed to ensure they met people’s individual needs. People and /or their relatives were involved in care plan reviews and it was evident their comments in relation to care and support were recorded and acted on.
People spoke positively about the food. We saw people had a choice and had been involved in the development of their own individual menu based on likes and dislikes. People’s weights were regularly monitored and action was taken where the service had concerns over people’s nutritional intake and advice from dieticians was sought.
Systems were in place for checking the quality of the care provided to people. People were encouraged to share their views about the service.