Background to this inspection
Updated
2 December 2020
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
As part of CQC’s response to the coronavirus pandemic we are conducting a thematic review of infection control and prevention measures in care homes.
The service was selected to take part in this thematic review which is seeking to identify examples of good practice in Infection prevention and control.
This inspection took place on 18 November 2020 and was announced.
Updated
2 December 2020
This inspection was carried out on 6 September 2017 and was unannounced. Glebe House Care Home (Nursing) provides residential, nursing and respite care for older people who are physically frail. It is registered to accommodate up to 41 people. At the time of our inspection 30 people were living at the service. There were four other people living at the service that were under the care of the First Community Health Team and as such would be inspected separately.
There was a manager in post and present on the day of the inspection. They had submitted their application to become registered manager. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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 said that they felt safe with staff. There were systems in place to ensure that people were protected against the risk of abuse. People, relatives and staff felt there were sufficient staff at the service. Staffing numbers at the service were adequate to meet the needs of people. People were protected from being cared for by unsuitable staff because robust recruitment was in place
Risks to people were minimised as there were appropriate measures in place to protect people. Incidents and accidents were reviewed and action taken to reduce these. People's medicines were managed appropriately.
People said that they enjoyed the meals at the service. People’s nutritional and hydration needs were being met and health care professionals were involved in their care.
People’s rights were protected because staff acted in accordance with the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLs). People told us that they were asked for consent by staff.
Staff received appropriate induction, training and supervision to undertake their role effectively.
People and relatives said that staff at the service were caring, attentive to their needs and treated them dignity and respect.
Staff understood the needs of people and people and the relatives were involved in the care planning.
There were adequate activities in place and people told us that they were not bored.
Care plans outlined individual's care and support and staff understood the care they needed to provide. Staff communicated changes to people’s care with each other.
Complaints and concerns reviewed and used as an opportunity to improve the service. People told us that they would know how to complain if they needed to. Compliments were received at the service and these were shared with staff.
People, relatives and staff felt the service was managed well. They felt that they were listened to and any concerns acted on.
The provider worked with external professionals to ensure the quality of care. Staff said that they felt valued and appreciated.
There were robust systems in place to ensure the quality of care. This included internal and external audits, surveys and feedback.
The manager had informed the CQC of significant events including significant incidents and safeguarding concerns. Records were accurate and kept securely. There was a contingency plan in place in the event of an emergency at the service.