This inspection took place on 27 January 2017 and was unannounced. At our last inspection on 3 and 4 December 2015 we found that the provider ‘required improvement’ overall. This was because of shortfalls in three domains, safe, effective and well-led. We found that improvements in all of those areas had been made.

Greenleigh provides accommodation and personal care for up to 35 older people. At the time of the inspection there were 31 people living at the home.

There was a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People told us that they felt safe in the home. They were confident that staff were aware of the risks to them on a daily basis and how to support them appropriately and keep them safe from harm. Staff had received training in how to safeguarding people from abuse and were aware of their responsibilities to report any concerns they may have.

Staff were aware of their roles and responsibilities on each shift and staffing levels were assessed in line with people’s dependency levels. People were supported to take their medication and staff competencies were regularly assessed to ensure they supported people safely and in line with their care needs.

People were supported by staff who benefitted from an induction and training that provided them with the skills and knowledge to support people safely and effectively.

People’s human rights were respected by staff because staff applied the principles of the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards in their work practice.

People were supported to have sufficient to eat and drink and maintain a healthy diet. People were offered choices at mealtimes and where assistance with eating their meals was required, this was done discreetly and respectfully.

Staff were aware people’s healthcare needs and requirements. People were supported to access a variety of healthcare services such as the GP, optician, dentist and dietician, in order to maintain good health.

Staff were described as ‘kind’ and ‘caring’ by people living at the home. People were supported to make their own decisions on a daily basis by staff who respected their wishes. People were treated with dignity and respect.

People contributed to the assessment and planning of their care needs and staff were aware of how people wished to be supported and what was important to them.

There was a wide variety of activities available for people to participate in. Efforts were made to provide people with a number of opportunities to engage in activities that were of particular interest to them.

People had no complaints but were confident that if they did raise concerns, they would be listened to and acted on appropriately.

People were complimentary of the registered manager and the improvements she had made to the home. Staff felt well supported in their role and confident that if they had any concerns they would be listened to.

Staff were on board with the registered manager’s vision for the home and were motivated and worked well as a team. Audits were in place to assess the quality of the service provided and to drive improvement across the home.

This inspection took place on 3 and 4 December 2015 and was unannounced. This was the first inspection under this provider as the home was previously owned by Select Healthcare (2006) Ltd.

Greenleigh is a care home for older people who may have dementia and is registered to provide accommodation and personal care for up to 35 older people. On the day of the inspection there were 32 people living at the home.

The manager was registered with us as is required by law. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The registered manager had retired from her role on 27 November 2015 and a new manager had been appointed and was in post. The registered manager had agreed to stay on for two days a week to assist the new manager in the handover process. The new manager had submitted her application to become the registered manager.

People told us they felt safe in the home. Staff were aware of the risks to people living in the home and had received training in how to recognise abuse.

People told us they received their medication on time however, we found some discrepancies in the dispensing of some medication.

We received mixed responses with regard to staffing levels. We saw that staff worked hard but found that at times, they lacked direction and leadership which led to people waiting to be supported.

Where accidents and incidents took place, the information was assessed to see if there were any trends or lessons to be learnt.

People were cared for by staff who were well trained to do their job and supported by the manager.

Staff had a good understanding of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS) and what this meant for people living at the home.

People were offered a choice of meals at lunchtime, but could not be confident that their preferences would always be taken into consideration.

People were supported to access healthcare services such as their GP, the dentist and optician.

People told us that they felt they staff were very supportive and caring. Relatives told us they found the provider, registered manager and the staff group very welcoming and approachable.

Staff were aware of people’s likes and dislikes, how they liked to spend their day and what was important to them. People were able to participate in a variety of group or individual activities on a daily basis.

People had not had to raise any concerns or complaints but if they did, they knew who to speak to and were confident that they would be dealt with satisfactorily.

People living at the home, their relatives and staff all thought that the home was well led. Visitors to the home felt welcomed and felt included.

Staff enjoyed their work, felt supported and listened to. They spoke positively about the provider and the manager.

Feedback was obtained from people living at the home; their views were sought and taken on board.  The provider had introduced a number of quality audits in order to monitor care provided however, medication audits had failed to identify a number of areas that required improvement.