Glanmore

Glanmore provides accommodation and nursing or personal care for up to seven people. On the day of our inspection, six people were receiving services. Glanmore supports people who have a learning disability, autistic spectrum disorder or mental health conditions.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence.

People’s experience of using this service and what we found

People received safe care and support as the staff team had been trained to recognise potential signs of abuse and understood what to do to safely support people.

The provider had assessed the risks to people associated with their care and support. Staff members were knowledgeable about these risks and knew what to do to minimise the potential for harm to people.

Staff members followed effective infection prevention and control procedures when supporting people. Staff members had access to, and used, appropriate personal protection equipment.

People received safe support with their medicines by trained and competent staff members.

The provider supported staff in providing effective care for people through person-centred care planning, training and one-to-one supervision.

We have made a recommendation regarding the identification and recording of end of life wishes.

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 at Glanmore supported this practice.

People had access to additional healthcare services when required. Staff members knew people’s individual health outcomes and supported them appropriately.

People were supported to maintain a healthy diet by a staff team which knew their individual preferences.

People received help and support from a kind and compassionate staff team with whom they had developed positive relationships.

People were supported by staff members who were aware of their individual protected characteristics like age, gender and disability.

People were provided with information in a way they could understand.

The provider had systems in place to encourage and respond to any complaints or compliments from people or those close to them.

The provider, and management team, had good links with the local communities within which people lived.

The management team and provider had systems in place to identify improvements and drive good care.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was ‘Good’ (published 16 May 2017).

Why we inspected

This was a planned inspection based on the previous rating.

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.

Rating at last inspection

At the last inspection, in January 2015, the service was rated Good. At this inspection we found the service remained Good.

Why the service is rated Good.

People continued to receive care which protected them from avoidable harm and abuse. Staff supported people’s needs in a safe way, monitored risks to their safety and were available when people needed support. People’s medicines were managed and stored in a safe way, and they had their medicines when they needed them.

Staff received training to give them the skills and knowledge they needed to meet people's needs. These skills were kept up to date through regular training and staff were supported in their roles by managers and their colleagues. Staff asked people's permission before they helped them with any care or support. People's right to make their own decisions about their own care and treatment were supported by staff.

People were supported by staff who knew them well and had good relationships with them. People felt involved in their own care and staff and managers listened to what they wanted. Staff respected people's privacy and dignity when they supported them.

People received care and support that was individual to them. Their support needs were kept under review and staff responded when there were changes in these needs. People had opportunities to give feedback and make complaints about the care and support they received. They also had opportunities to make suggestions for improvements at the home and these were listened to.

People lived in a home where they felt confident to express themselves and felt comfortable to speak with staff and managers about concerns and issues that affected them. The provider had systems in place that continued to be effective in assessing and monitoring the quality of the service provided.

Further information is in the detailed findings below.

We saw that people who received a service were involved and consulted in the care and support they received. People told us that they helped develop their support plans and took part in regular reviews to ensure they still reflected their needs, goals and objectives. Records reflected this.

People were supported to meet their individual assessed needs in ways that promoted their health and wellbeing. People told us how they lived their lives as independently as they were able with support from staff when they needed it. Staff were very knowledgeable about people's individual support needs.

We saw how the staff team supported people when they were at risk or vulnerable. Incidents were well detailed and actions taken reflected risk assessments and support plans.

Staff told us that they 'Loved' their jobs and were aware of their individual roles and responsibilities. They told us that managers were very approachable and supportive. Staff received regular opportunities to meet as a team and individually with managers. Staff told us that they had good training opportunities.

There were effective systems in place to assess and monitor the quality of the service provided. People who received a service told us that they were asked if they were happy with the service. Records seen had all being reviewed and updated.