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CQC report explained · a residential care home, run by Lifeways Community Care

Greenlands View

45 Kyles Way, Bartley Green, Birmingham, B32 4JW

Requires improvementpublished 2 December 2023, 2 years ago

Rated Requires improvement: inspectors found the service was not performing as well as it should and told it what to change.

The five questions inspectors ask
Safe?
Requires improvement
Risk management, safeguarding, staffing, medicines and infection control had improved. However, some incident records lacked important detail, further work to fire doors was in progress, and some medicine signing procedures were not always followed.
Effective?
Good
Care plans had been updated, staff had relevant training, people were supported with food and drink, and health professionals were involved. The home was working within the Mental Capacity Act.
Caring?
Good
Staff treated people with kindness, dignity and respect. People and their relatives were involved in decisions, and staff supported individual choices and preferences.
Responsive?
Requires improvement
Care plans were more personalised, but did not always clearly record people’s goals, progress or support to develop everyday skills. More improvement was also needed in activities and opportunities at home and in the community.
Well-led?
Requires improvement
Leadership, audits and quality checks had improved, and the manager promoted a positive culture. Further work was needed to embed incident reporting, care records and other governance systems so improvements could be sustained.
The latest report, explained

What inspectors found, December 2023

Greenlands View is rated Requires Improvement; care had improved greatly, but records, independence planning and management systems still needed work.

The inspection took place on 12 and 16 October 2023. One inspector spent time with all three people living at the home, observed care, spoke with staff, relatives and professionals, and checked care, medicine, recruitment and training records.

Inspectors found major improvements since the previous inspection. People were protected from abuse, medicines were generally managed safely, staffing levels were sufficient, and staff were kind and respectful. Care planning, incident records and the home’s quality checks had also improved.

Some work was not yet complete. Records did not always clearly show people’s progress towards goals or independence, some incident records lacked detail, and the policy requiring two staff to sign for a particular medicine was not always followed. The overall rating is Requires Improvement. The home was no longer in breach of regulations or special measures, but CQC said it would continue to monitor progress.

What inspectors praised

  • Kind and respectful care

    Inspectors saw staff communicating positively and at a pace suited to people’s needs. Relatives said they were happy with their family members’ care.

    “People were supported by caring and kind staff.” from the report

  • Improved safety systems

    Risk management, safeguarding processes and incident oversight had improved significantly since the last inspection. Staff understood how to raise safeguarding concerns.

    “Significant improvements had been made to the recording, reporting and oversight of incidents and accidents.” from the report

  • Staff training and support

    Staff had training relevant to the people living at the home, including learning disability, autism, epilepsy and dysphagia. Their practice and competence were checked.

    “Staff had received training, so they had the relevant skills and knowledge to support people safely.” from the report

  • People’s choices were respected

    People were involved in decisions about their care and were offered choices about daily routines, activities, food and drink.

    “People were supported to have as much choice and control of their lives as possible.” from the report
What inspectors were concerned about

  • Incomplete incident records

    needs fixing

    A few records did not contain enough information about incidents, including their duration and injuries. Inspectors said this was needed to support learning from incidents.

    “A few records we saw required further information regarding the details of the incident, for example duration of the incident and clarity regarding some injuries.” from the report

  • Goals and independence not recorded clearly enough

    needs fixing

    Care plans did not consistently show how people were supported to achieve their goals, build everyday skills or become more independent. Records did not always show progress clearly.

    “Care plans did not always capture consistently how people were supported to achieve their personal goals and aspirations.” from the report

  • Medicine signing procedure not always followed

    needs fixing

    On a few occasions, the home’s policy requiring two staff to sign for a specific medicine was not followed. Immediate action was taken when this was identified.

    “We saw a few occasions where the providers policy on 2 staff signing for a specific medicine, with associated risks, had not always been followed.” from the report
Questions to ask them, based on this report
  1. 01How will you record each person’s goals, progress and support to develop everyday living skills?
  2. 02What checks now make sure incident records include the full details, including duration and any injuries?
  3. 03How do you ensure two staff sign for medicines where the care plan and policy require this?
  4. 04Has the work to the fire doors been completed, and are there any other outstanding environmental safety works?
  5. 05How are you making sure recent improvements continue despite the management changes mentioned by relatives?

This was a monitoring inspection to check progress on earlier breaches and it rated all five key questions; infection prevention and control was also checked. This explanation was written from the published report of 2 December 2023 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Greenlands View

4 rated inspections over 5 years: the service has slipped, from Good to Requires improvement.

  1. December 2023Requires improvementcurrent ratingup from Inadequate
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read what inspectors found at Greenlands View →

  2. February 2023Inadequatedown from Requires improvement
    Safe: InadequateWell-led: Inadequate

    We are reading this report · the original is on cqc.org.uk

  3. August 2022Requires improvementdown from Good
    Safe: Requires improvementEffective: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. December 2018Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. April 2017

    Registered with the Care Quality Commission on 13 April 2017.

Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.

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