Village Green Care Home

Updated 24 March 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

This inspection was completed by two inspectors.

Service and service type

Village Green Care Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Village Green Care Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. At the time of our inspection there was a manager in post who had started the process of registering with the CQC.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 8 people who used the service and 7 relatives about their experience of the care provided. We spoke with 10 members of staff including care workers, senior care workers, housekeeping staff, the cook, the manager, and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We reviewed a range of records. This included 4 people’s care records and numerous medication records. We looked at 3 staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.

Updated 24 March 2023

About the service

Village Green Care Home is a residential care home providing personal and nursing care to up to 41 people. The service provides support to older and younger adults who may be living with dementia, a physical disability or need support with their mental health. At the time of our inspection there were 24 people using the service. The service is set up over two floors, one of which is set up to support people living with dementia. People have their own bedrooms with access to en-suite toilets and share communal areas such as lounges, dining rooms and a large garden.

People’s experience of using this service and what we found

The manager and provider had made positive changes at the service leading to an improved service for people. They acknowledged more work was needed in some areas to help keep making and sustaining these improvements. There was a positive culture at the service and staff clearly enjoyed their job roles. People and their relatives were happy with the support from the management and staff team. One person said, ‘‘There has been a lot of changes to the staff team and things keep getting better. I am very happy and am in a good place here.’’

People felt safe living at the service. Staff were trained in safeguarding and knew how to report concerns if they thought people may be at risk. The management team assessed risk to people and put plans in place to mitigate these as far as possible. There were enough staff to support people safely. People were supported safely with their medicines. Staff followed good infection control procedures and the service was clean.

People’s needs were assessed when they started using the service and reassessed when needed. Staff had the training, supervision, and competency to perform their job roles effectively. People were supported to eat and drink if this was necessary, and food looked and smelled appetising. Health professionals were consulted and involved in people’s support of this was necessary. 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 were kind and caring and people were very positive about the support they received. People were able to make day to day choices about their support and were involved in discussions about their care. Staff respected people’s privacy and dignity and promoted their independence where possible. People received individualised person-centred care, though the management team acknowledged this was not always reflected fully in people’s support and care plans. Staff supported people to follow their interests and be a part of their community if this was people’s choice. If people had concerns, these were listened to and responded to in a timely manner. People received dignified care at the end of their lives.

People were happy and relaxed being supported by staff. The manager completed audits and surveys to monitor the quality of the service. People, relatives, and the staff team were able to feedback about the service and this was used to drive improvements. The staff team linked and worked with other organisations and health professionals to promote good outcomes for people.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (report published 05 July 2022) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.