Green Gables Nursing Home (Downing Green Gables Limited)

The registered manager and staff team lacked knowledge about safeguarding. People told us they felt safe and had no concerns, but we found there was a potential risk to people if a safeguarding concern arose and staff were unable to respond to it appropriately. We signposted the registered manager to information to develop and update their knowledge. The provider and registered manager gave us assurances staff knowledge on safeguarding would be improved.

There was a lack of oversight of the training and competence staff had in managing medicines. The registered manager gave us assurances systems would be put in place to ensure staff had appropriate training and competence.

There was not a robust system in place to ensure the service always recorded and learnt from incidents. Recruitment records were not fully completed with all the required information. The provider gave us assurances the information had been sought at the time staff were employed and told us recruitment checks would be fully documented in future.

There was a lack of leadership in the service in ensuring the care provided was in line with up to date best practice guidance. The registered manager informed us they would undertake a review of the service to check they were following up to date best practice in all areas.

The service did not always communicate effectively with outside agencies. Some of the barriers to this communication were related to technology. The provider had put measures in place to improve this.

We received mixed feedback about the staffing levels in the service. Though we did not observe any concerns about staffing during the inspection, the provider agreed to review their staffing levels based on the feedback we had received from staff and people.

We were assured the provider had robust infection control procedures in place, which staff were following, to keep people safe from the risks of COVID-19. The provider assigned additional staff support for people who were required to isolate upon admission to the home, which helped promote their safety and wellbeing. The provider had also effectively followed recent government guidance to develop safe

procedures around indoor visits for relatives.

We observed staff supporting people appropriately with moving and handling during the inspection. People had a variety of risk assessments in place and these were reviewed regularly.

The registered manager told us they tried to create an open, approachable culture. People, relatives and staff told us they felt able to approach the management of the service with any concerns.