Greenhill

Greenhill is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Greenhill accommodates up to five people who may have a mental health disability and no longer require hospital based care, in one adapted building. Om the day of our inspection there were five people living at the home.

There was a registered manager deployed at the service. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People told us they felt safe living at Greenhill and had no concerns about the service. Staff had been trained to recognise signs of abuse and we saw they treated people kindly and respectfully. Incidents and accidents were reported, investigated and actions taken where required. Assessments were in place and reviewed to mitigate risks to people.

Medicines were managed safely and some people were supported to administer their own medicines.

Communal areas of the service were clean and the service looked welcoming and homely. People were comfortable and relaxed in the presence of staff. They told us staff were kind and they enjoyed living at Greenhill. Good relationships had developed between staff and people who used the service.

Staff were recruited safely and checks were in place to ensure staff were suitable to work with vulnerable people. A programme of training meant staff were equipped with the required skills to provide effective care and support. Staff received regular supervision, observation and annual appraisal.

People's needs were assessed and plans of care put in place. These focussed on attaining reachable goals and maintaining/increasing people's independence. Records were clear and easy to follow. People were involved in the planning and regular review of their care.

The service was compliant with the legal requirements of the Mental Capacity Act 2005. People were supported in the least possible restrictive manner and their consent was sought. Independent advocates were used where people did not have anyone to speak on their behalf to ensure their viewpoint was represented.

Behaviours that challenge were effectively managed without the use of restraint. Staff had received training

on breakaway techniques and positive behavioural support.

People's health care needs were supported with input from a variety of health and social care professionals.

No-one who used the service had specific nutritional needs. People were supported to compile weekly menus using healthy options where possible and people assisted with food preparation.

Activities were planned according to people's preferences and focussed on encouraging independence as well as social interactions.

A range of checks were in place to ensure the quality of the service. People praised staff and the management of the service and told us they were approachable and they could raise any concerns. Meetings took place to gauge the opinion of people living at the service as well as staff.

The five questions we ask about services and what we found