Background to this inspection
Updated
6 May 2021
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
The inspection team consisted of one inspector due to the small size of the service.
Service and service type
Glendale Residential Home 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.
Notice of inspection
We gave the service 72 hours’ notice of the inspection. This was because we held evidence from external stakeholders that the service had improved, and the current rating was not reflective of the care provided. The service was struggling to gain insurance due to the poor rating, which meant they may have had to close without urgent reinspection.
What we did before the inspection
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.
At the announcement of the inspection, we asked the provider to send us various documents to evidence some of the improvements they had made at the service. We used all of this information to plan our inspection.
During the inspection
We spoke with two people who used the service. We spoke with registered manager about the improvements made at the service.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We contacted two professionals who regularly visit the service and contacted 10 members of staff. We received feedback from five relatives who had written to the service about the quality of care.
Updated
6 May 2021
About the service
Glendale Residential Care Home is a 'care home' which accommodates up to 20 older people who may or may not be living with dementia in one adapted building. 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. At the time of our inspection there were 12 people living at the service.
People’s experience of using this service and what we found
People received care that was well coordinated, person centred and met their varying needs. Care staff had received additional training to meet people’s needs.
Staff ensured the environment was clean, inviting and safe. People had a variety of options open to them to visit and speak with loved ones.
The registered manager was constantly making improvements to the service with support from the provider. The provider had learnt lessons from the previous inspection and supported good improvement within the home.
Staff and relatives felt able to raise concerns and were confident these would be dealt with in an open and transparent manner.
The registered manager and provider had recognised staff morale was key to good care provision during the pandemic. To promote this, they had put in place excellent support for staff which had resulted in a flexible, caring and motivated staff team.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement and inadequate in the well led domain (published 23 March 2020) and there were multiple breaches of regulation.
The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment; staffing; good governance and fit and proper persons, director.. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the key questions safe and well-led which contain those requirements.
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.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Glendale Residential care home on our website at www.cqc.org.uk
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.