Greenbanks Care Home

We reviewed 8 quality statements for this key question.

We found staff now had good knowledge of how to manage risk. Staff could now demonstrate how they understood their responsibilities to keep people safe from avoidable harm and abuse. They had now received the relevant training in relation to their roles and responded promptly to people’s needs. During our observations, we witnessed staff talking to people appropriately and sought consent before supporting people. People, relatives and staff were able to raise concerns about the service and were confident that concerns would be dealt with. There was evidence of lessons learned from safety incidents and complaints. There were enough staff to meet people’s needs and staff were supported through regular supervisions or team meetings. Professionals were now encouraged to feedback to the service and there were now safe systems and pathways in place for people moving into the home. There were systems and policies and procedures in place to keep people safe.

However, we found concerns around people’s medicines optimisation and safe and effective staffing which resulted in 2 breaches.

We reviewed 7 quality statements for this key question.

We found staff and leaders now demonstrated a positive, compassionate, listening culture. Leaders monitored and reviewed the progress against the delivery of the strategy. Staff and leaders had now been provided with appropriate training to be effective in their roles. There were now mechanisms in place to allow people, relatives and staff to speak up and have their voices heard. There were policies and procedures in place to support workforce equality, diversity and inclusion. Learning, improvement and innovation had now increased since the last inspection. There was now evidence of the provider liaising with various health professionals to ensure safe care and treatment for people living in the service.

There were now clear governance, management and accountability arrangements in place. However, we found that some of the audits completed by the provider were not effective and had not identified some of the concerns we found. This was in relation to medicines optimisation which resulted in a breach.