Last updated: 10 February 2026
"Staff feel well supported by available management with high staffing levels and specialist training, but serious medicines safety errors hold it back."
We identified some concerns over medicines practice. These included staff carrying out medicines practice that was not in accordance with their medicines policy, and a staff member using one person's prescribed thickening agent to thicken another person's drink.
Staff were very positive about working at the service, and the support they received. Staff told us it was a happy place to work.
Rotas evidenced high levels of staffing to ensure people had access to the care that met their needs and protected them from risks. People told us there were always plenty of staff on duty, and care staff only supported people with their personal care.
Bespoke training was used to ensure staff had specialist skills and knowledge to work with people with complex needs. Training for supporting people living with dementia was delivered in line with best practice and included experiential training.
Staff told us Green Tree Court was a positive place to work, and they were well supported by the management team, who were always available or on call.
Children from the local nursery and primary schools visited the service weekly. This was part of an intergenerational care project, with people living at Green Tree Court supporting some of the 10-year olds by helping them to practice their reading and social skills.
Staff made mistakes giving medicines, like one nurse preparing them for another to give and using one person's thickener for someone else.
We saw registered nursing staff carrying out a practice, which was not in accordance with the service's own medicines policy. This had involved one nurse taking medicines from the medicines pack and then the medicines being administered to the person by another nurse... We saw another instance when a member of care staff used one person's prescribed thickening agent to thicken the drink of another person.
AI Generated
Last inspected: February 2020
Management Quality
Well-led: Good
Direct feedback from current and former employees

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