Background to this inspection
Updated
24 March 2022
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 Care Act 2014.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
One inspector carried out the inspection.
Service and service type
Glebe House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. 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.
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. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
We spoke with six people who lived at the home, two relatives and six staff, including the registered manager, the deputy manager, three care staff and a member of domestic staff. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We checked recruitment records for three staff, records of staff training and supervision, and staff and residents’ surveys. We also checked accident and incident records, the complaints log, quality monitoring checks and audits, and the arrangements for managing medicines. We reviewed two people’s care records, including their support plans and risk assessments.
After the inspection
We received feedback from five relatives and two professionals about the care provided at the home. The registered manager sent us further information to support the inspection, including quality assurance checks and confirmation of scheduled training.
Updated
24 March 2022
About the service
Glebe House Care Home provides accommodation, nursing and personal care for up to 24 older people, including people living with dementia. There were 22 people living at the home at the time of our inspection.
People’s experience of using this service and what we found
There were enough staff on each shift to meet people’s needs and keep them safe. Staff turnover was low and the service did not use agency staff, which meant people received consistent care from staff who were familiar to them.
Staff attended safeguarding training and knew how to recognise and report abuse. People were protected by the provider’s recruitment procedures, which included making pre-employment checks and obtaining references.
Assessments had been carried out to identify any risks to people. Where risks were identified, plans had been developed to mitigate these. Accidents and incidents were reviewed to identify learning, which was shared with the staff team.
Staff maintained the safety of the building and any equipment used in providing people’s care. Staff minimised the risk of infection through their practice and maintaining good standards of hygiene.
People’s medicines were managed safely. Staff supported people to maintain good health and to obtain treatment if they needed, including access to specialist healthcare professionals where necessary.
Staff attended an induction when they started work and had access to appropriate training for their roles.
People enjoyed the food at the home. If people had needs in relation to eating and drinking, these were assessed and recorded.
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 demonstrated kindness and compassion in the way they cared for people. People’s religious and cultural beliefs were respected. Staff treated people with respect and maintained their dignity when providing their care
People and their relatives were involved in the development of people’s care plans. Staff provided care that met people’s individual needs and reflected their preferences.
People had access to activities and families were encouraged to be involved in the life of the home when COVID-19 restrictions allowed.
The management team maintained a good oversight of the service and had implemented effective quality monitoring systems. The registered manager provided good leadership and ensured staff received the support they needed to do their jobs well.
The registered manager and staff communicated effectively with people’s families and other professionals involved in their care.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 17 December 2020 and this is the first inspection under the current registered provider. The last rating for the service under the previous provider was Good (published 21 April 2018).
Why we inspected
This was a planned inspection based on the date the service was registered with us.
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 until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.