Greenfields Care Home

people with a diagnosis of dementia.

The assessment took place due to the length of time since the previous assessment. We also reviewed information received about the service from partners and the public.

Audit and governance processes had not been sufficiently effective in identifying, monitoring, and driving improvement in relation to the consistency of person-centred interactions, the promotion of choice, implementation of specialist guidance, and aspects of record keeping. Whilst these issues were not reflective of the culture observed across the wider service, they highlighted the need for improvement.

People benefited from detailed, person-centred care planning, effective partnership working with healthcare professionals and a stable, knowledgeable staff team. Care records reflected people's preferences, life histories and individual needs, supporting staff to provide personalised care.

Relatives spoke positively about communication, involvement in care and the way staff responded to changing health needs. Staff were described as caring, approachable and skilled, particularly when supporting people living with dementia.

Management of the home had established a range of governance systems to monitor quality and safety, including regular audits, health monitoring systems, competency assessments and quality reviews.

There was evidence of learning, reflection and continuous improvement across the service, with management responsive to feedback and committed to developing the home further. Staff spoke positively about the leadership team and described an open culture where learning and development were encouraged.

Throughout the inspection, we observed many positive interactions between staff and people. Staff knew people well, communicated warmly and supported people with kindness and patience. Healthcare needs were monitored closely and people had access to a wide range of healthcare professionals, helping to support positive outcomes and reduce avoidable hospital admissions.