Greenline Healthcare Group Ltd

Updated 2 February 2023

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 Health and Social Care Act 2008.

Inspection team

This inspection was carried out by one inspector 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.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave the service 48 hours' notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

Inspection activity started on 1 December 2022 and ended on 21 December 2022. We visited the location's office on 8 December 2022.

What we did before the inspection

We reviewed information we had received about the service. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the action plan following their last inspection. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all of this information to plan our inspection.

During the inspection

We spoke with 10 staff including the registered manager, operations manager and support workers. We spoke with 2 people who used the service and 3 relatives about the experience of the care provided by Greenline Healthcare Group Limited. We reviewed 4 staff files in relation to recruitment. We reviewed 4 peoples' care plans, medicine records and supporting documents in relation to their care and the visits they received. We reviewed a range of information requested from the provider, including audits and staff meeting minutes.

Updated 2 February 2023

About the service

Greenline Healthcare Group Limited is a domiciliary care agency providing personal care to older and younger adults. The service supported 5 people at the time of the inspection. Everyone who used the service received personal care. The Care Quality Commission (CQC) only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.

People’s experience of using this service and what we found

Medicines were managed safely. Medicine administration records provided detailed instructions in how to give prescribed medicines safely. Risks were assessed and risk reduction measures in place. Incidents were reported and reviewed by the management team in a timely manner to ensure lessons were learnt. Staff were recruited safely and there were enough staff to ensure people received safe support according to their needs and preferences. There was an updated infection control policy in place and staff worked in line with this.

Care was delivered in line with best practice guidance and the law. 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. Staff received training in a variety of areas. Specialist training was sought following our last inspection to ensure people received safe and effective support. People’s nutrition and hydration needs were assessed, and support provided in line with their individual needs.

The management team had embedded quality monitoring systems and audits in place picked up on issues in a timely manner. The registered manager was aware of their responsibility to notify CQC of certain events. People and staff told us the registered manager was open and honest, listened when issues were raised and worked in partnership with others.

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 5 August 2022) and there were multiple breaches of regulations. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This inspection was carried out to follow up on action we told the provider to take at the last inspection. 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 changed from requires improvement to good based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Greenline Healthcare Group Ltd on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.