Greenways

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. At our last assessment we rated this key question requires improvement. At this assessment the rating has changed to good. Staff knew people well and were knowledgeable about their care needs. Consent was sought and people were involved in decisions about their health and wellbeing. If there was a concern a person lacked capacity to make individual decisions, an assessment was carried out in accordance with the Mental Capacity Act 2005 (MCA). Staff had a comprehensive understanding of people’s rights and told us about how they gained people’s consent before providing support and delivering care. Staff worked to achieve positive outcomes for people.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

People's needs were assessed before they moved into the service. The registered manager told us the process of a new person moving in included: introducing them slowly to people already living at the service, sharing mealtimes and joining in some of the activities offered. People’s communication needs were assessed and met to maximise the effectiveness of their care. At our last inspection in April 2022 the service was moving their records to a new electronic system, however this was never completed. The provider had restarted the process in 2024, which meant some care plans were not up to date and did not reflect people’s current needs. The registered manager showed us the progress the service had made updating people’s risk assessments which were on the new system. The registered manager told us the service worked on reviewing and updating everyone’s care plans on the new system with the aim to finish it in the first quarter of 2025. The service had paper-based one-page profiles with information relating to people’s routines, likes, dislikes and other general information.

Relatives told us they had seen an improvement in the way their family members’ dietary needs were met. One relative said, “Staff are much better than they were.” People’s nutrition and hydration needs were assessed and met. When required, people were referred to the speech and language therapist (SALT). SALT undertake assessments of swallowing or communication difficulties for people with medical, neurological and surgical conditions. People’s dietary requirements were clearly recorded in their care plans. Mealtimes were flexible to meet people's needs. We observed people were provided with a selection of meal options which were communicated in a person-centred way. This enabled people to engage in their care, treatment and support to maximise their experience and outcomes.

The service worked well across teams and services to support people. A health and social care professional said, “With regard to the person's (health need) I feel that the staff team provide flexibility and continuity of care.” Staff and the registered manager demonstrated an awareness of people’s care and support needs. Daily handovers were in place to discuss people’s care, and staff had access to people’s care records. One staff member said, “The staff who work here will do anything to support the people. The team is amazing, they go above and beyond supporting each other and the people.”

The service supported people to live healthier lives and where possible, reduce their future needs for care and support. People were supported to see healthcare professionals when required. The service had effective working relationships with a wide range of health and social care professionals. People were supported to attend yearly health checks. Relatives told us they had noticed an improvement in the way the service supported their family members. One relative said, “There has been an improvement, especially in (person’s) diet. They (the service) are trying.”

People’s care records showed the service had systems in place to observe and record people’s health needs. Where required, people’s weight was closely monitored, and they were weighed weekly. Staff told us they knew people well and worked as a team to achieve positive outcomes for people. One staff member said, “I got to know people well as I've been working here for years. Some people I know better, especially as I am a keyworker to 1 person.”

Staff had received training in relation to MCA and had a good understanding of MCA and the importance of consent. Comments included, “People have the capacity to decide for themselves, you have to respect their choices,” “We don’t assume people don’t have capacity until it is proven they don’t have it,” and “People have the right to make their own decisions, even unwise ones, until it is proven they don’t have mental capacity. We need to support them to make their decisions.” People’s care plans contained information about their capacity to consent and make decisions for themselves. It was clearly recorded people should not be treated as unable to make decisions unless an assessment found they lacked capacity to make specific decisions.