13 Manor Crescent

Updated 14 December 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

The inspection was carried out by one inspector.

Service and service type

Glenholme Specialist Healthcare (Southern Region) Limited - 13 Manor Crescent 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.

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced. Inspection activity started on 23 November 2022 and ended on 29 November 2022. We visited the home on 23 November 2022.

What we did before inspection

We reviewed information we had received about the service since the last inspection, including notifications of significant incidents. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with the registered manager, the deputy manager, the team leader and 2 members of care staff. People who lived at the service were not able to tell us directly about the care and support they received. We therefore observed the interactions and engagement they had with staff. We spoke with 3 relatives to hear their views about the care and support their family members received.

We checked 2 people’s care records, including their risk assessments and support plans, recruitment records for 4 staff, quality assurance checks and audits, the business continuity plan, meeting minutes, and the arrangements for managing medicines.

Updated 14 December 2022

About the service

Glenholme Specialist Healthcare (Southern Region) Limited - 13 Manor Crescent is a care home providing accommodation and personal care for up to 4 people with learning disabilities and/or autism. There were 4 people living at the home at the time of our inspection.

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

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

Right support:

There were enough staff on each shift to keep people safe and meet their individual needs. Staffing levels had increased since our last inspection and the use of agency staff had reduced due to the recruitment of permanent staff. This had improved the consistency of care people received and increased opportunities for people to access their community.

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.

Right care:

Staff attended safeguarding training and understood their responsibilities in protecting people from abuse. Staff were able to describe the potential signs of abuse and the action they would take if they observed these. The provider’s recruitment procedures helped ensure only suitable staff were employed.

Medicines were managed safely. Risk assessments were in place to help keep people safe. Accidents and incidents were reviewed to identify learning, which was shared among the staff team. The home was clean and hygienic and staff understood how to minimise the risk of infection.

Right culture:

People were supported to express their views at meetings with their keyworkers and relatives told us their views were listened to and acted upon. Relatives said staff kept them up to date about their family members’ wellbeing and involved them in the life of the home.

The management team maintained an effective oversight of the service. Quality checks and audits were completed regularly. Staff were well-supported by the management team and told us advice and support was available to them when they needed it. Staff shared and communicated important information effectively and worked well as a team to ensure people’s needs were met.

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 the service was good, published on 10 November 2021.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained good based on the findings of this inspection.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.