Greycliffe Manor

We have made recommendations about the management and follow up of health and safety audits.

Medicines were ordered, stored and disposed of safely. However, medicines needing extra security where not signed by two staff as required.

We have made recommendations about the management of medicines and that the provider actions issues highlighted during our inspection.

The service currently has several people testing positive and isolating due to COVID 19. There were processes in place to prevent and control infection at the service including additional cleaning and safe visiting precautions. However, we found one bin holding used PPE over spilling with no lid on the bin. We also found another used PPE bin with a broken lid. This meant staff where having to open the bin manually which could cause an infection control issue. We received confirmation that the broken bin had been replaced.

We have made recommendations about the management of infection control.

People were supported by staff who completed an induction, training and were supervised. Staff were recruited safely in sufficient numbers to ensure people's needs were met. There was time for people to have social interaction and there was a designated activities staff member to assist people. Staff knew how to keep people safe from harm.

Records were accessible and up to date. However water temperature audit, though completed had not been followed up immediately to help protect people. These taps have since been made safe. The management and staff knew people well and worked together to help ensure people received a good service.

People told us they were happy with the care they received, and people said they felt safe living there. Comments from people included; "Staff are very caring." Another person said; "Staff definitely support me." People looked relaxed, happy and comfortable with staff supporting them. Staff were caring and spent time chatting with people as they moved around the service.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Staff received appropriate training and support to enable them to carry out their role safely, including fire safety and mental health training.

People were supported to access healthcare services, staff recognised changes in people's health, and sought professional advice appropriately.

Records of people's care were individualised and reflected each person's needs and preferences. Risks were identified, and staff had guidance to help them support people to reduce the risk of avoidable harm. People's communication needs were identified, and where they wanted, people had end of life wishes explored and recorded.

People were involved in menu planning and staff encouraged them to eat a well-balanced diet and make healthy eating choices. Special diets were catered for. One person said; "Food is very good, like homemade cooking."

Staff told us the management team, currently supporting the service in the absence of an employed and registered manager, made themselves available and assisted them daily. They went onto say how they were approachable and listened when any concerns or ideas were raised. One staff member said; "It's run very well."

People and their families were provided with information about how to make a complaint and details of the complaint's procedure were displayed at the service.