Greenacres Care Home

Greenacres Care Home has two wings, each of which has separate adapted facilities. One of the wings specialises in providing care to people living with dementia.

Information about risks and safety was not always comprehensive or up to date. Safety concerns were not always identified or addressed quickly enough. Assessment of people's needs and outcomes identified were not regularly reviewed.

People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice. Unnecessary restrictions were placed on people that limited their lifestyle and independence.

Some improvements had been made in the providers quality assurance systems. However, there was still further improvement needed to ensure the systems in place identified and managed all risks relating to the quality of the service, including ensuring staff had the right competence, qualifications and skills to carry out their roles.

Although people received the care and support required, staff did not always have the time to be flexible or respond to people's changing needs. Staff told us they regularly felt stretched and focused on completing tasks rather than person centred care. We have made a recommendation about deploying staff to ensure they were meeting people's needs.

There was mixed views from staff about the culture of the service and they did not always feel listened to. There was some evidence of lessons learnt although the manager acknowledged this required improving and was part of the quality assurance action plan.

Staff managed medicines consistently and safely. Medicines were stored correctly and disposed of safely. Staff kept accurate medicines records.

The provider managed infection, prevention and control well. Staff were trained and understood their roles

and responsibilities for maintaining high standards of cleanliness and hygiene in the premises.

People were given choice and had access to sufficient food and drink throughout the day. People had access to healthcare professionals when required.