Background to this inspection
Updated
16 March 2018
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, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 20 February and was unannounced. The inspection team included an inspector and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service. The expert by experience had experience of caring for a person with a learning disability.
Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We reviewed the information included in the PIR along with information we held about the service, for example, statutory notifications. A notification is information about important events, which the provider is required to tell us about by law.
Prior to the inspection, we received written feedback on the service from a social worker and an occupational therapist. All but one person living at the service could not speak with us about their experiences so we spoke with this person and five relatives. We also spoke with four care staff, the registered manager and the operations manager.
We reviewed records, which included two people’s care plans and two staff recruitment and supervision records in addition to records relating to the management of the service.
The service last had a comprehensive inspection in January 2016 when one breach of the Regulations was found. This one breach was followed up at a focused inspection held in June 2017 where we found the provider was now meeting this Regulation.
Updated
16 March 2018
The inspection took place on 20 February 2018 and was unannounced. Glen Eldon is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection. Glen Eldon is registered to provide accommodation and support to nine people. At the time of the inspection there were five people living there.
Rating at last inspection
At the last inspection, the service was rated Good.
At this inspection we found the service remained Good.
Why the service is rated Good.
Processes, procedures and staff training were in place to protect people from avoidable harm and abuse. Staff had identified risks to people and these were managed safely. Safe staff recruitment processes were followed and there were sufficient staff to meet people’s needs. Competent staff managed people’s medicines safely. Processes were in place to protect people from the risk of acquiring an infection. Staff learning took place following incidents to ensure people’s future safety.
People’s needs were assessed and their care was delivered in accordance with good practice guidance. People were cared for by staff that had been well supported in their role. Staff ensured people ate and drank sufficient for their needs. The environment was not suitable for everyone’s needs and the provider planned to re-locate the service. Staff worked with other organisations to ensure people received effective care, support and treatment. People were supported to live healthier lives and their healthcare needs were met. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. The service had sustained the improvements they had made in this key area, which is now rated, as good.
Staff treated people with kindness and compassion they cared about people. Staff supported people to make choices about their lives. Staff treated people with respect and upheld their dignity and human rights when delivering their care.
Staff organised the delivery of people’s care around the needs, interests and preferences of each person in their care. People led active and fulfilled lives. Staff understood their role and responsibility to support people or their relatives to make a complaint if they wished.
Staff were observed to apply the provider’s values in their work with people. The service had clear and effective governance and management arrangements. People, their families, professionals and staff were involved with the service in a number of ways. The provider had robust quality assurance systems which were operated across all levels of the service. Staff had worked effectively in partnership with other agencies to promote positive outcomes for people.