Greenwood Court Care and Nursing Home

Updated 11 June 2024

During the assessment of this location the provider notified the CQC the location name would be changing from Baycroft Great Baddow to Greenwood Court Care and Nursing Home. For the remainder of the report the location will be referred to as Greenwood Court Care and Nursing Home. Greenwood Court Care and Nursing Home is a ‘care home’ with nursing care. 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. CQC regulates both the premises and the care provided, and both were looked at during this inspection. This is the first assessment of this service under its new provider. At the last inspection under the old provider the service was given an overall rating of good, and outstanding in the domain of responsive (published 19/04/2019). We reviewed 33 quality statements during this assessment covering safe, effective, caring, responsive and well-led. The service did not currently have a manager registered with the Care Quality Commission. However, the manager overseeing the day to day running of the service was in the process of submitting their application and shall be referred to as the manager throughout this report. We found 3 breaches of the legal regulation in relation to safe care and treatment including the unsafe management of medicines; inadequate staffing and poor staff deployment; and a lack of robust clinical governance. We were not assured there were enough suitably qualified, competent, skilled and experienced staff deployed to ensure people’s care and treatment needs were met. The provider did not have effective systems in place to safely manage medication. Internal audits had failed to identify concerns found during our assessment. Governance systems and audits were not effective in identifying or addressing areas for improvement. We have asked the provider for an action plan.

Updated 11 June 2024

People’s experience varied. Some people told us they felt safe, and staff were kind and caring. However, other people we spoke with told us when they called for assistance staff took a long time and they would be told ‘we are busy’. On the day of our on-site assessment visit 2 people were admitted to the service for respite care, once shown to their rooms we observed they spend a prolonged period with no intervention from staff to help settle them into the service. People received their medicines on time. However, during the assessment we identified concerns relating to the safe management of medicines. People and their relatives were aware of the complaints process, however not all relatives were confident they would be dealt with satisfactorily. Staff told us there had been a lot of changes since the new provider had taken over it had been an unsettling time. Staff we spoke with felt supported by the current management team and were confident things were improving. People were complimentary of the food and activities the service provided. They were able to access external healthcare professionals should they need them. The providers governance systems and processes in place to monitor the overall quality of the service were not always effective as they failed to identify the concerns we found on the day of our onsite assessment visit. Staff wore appropriate personal protective equipment [PPE] and had received infection prevention and control training.