Background to this inspection
Updated
6 October 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 two inspectors.
Service and service type
Glottenham Manor 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.
The service had a manager registered with the Care Quality Commission. 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. The registered manager was on annual leave at the time of the inspection.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed the information we held about the service and the service provider. We looked at notifications and any safeguarding alerts we had received for this service. We sought feedback from the local authority and professionals who work with the service. Notifications are information about important events the service is required to send us by law.
The provider was 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. We used all this information to plan our inspection.
During the inspection
We looked around the service and met with the people who lived there.
We spoke with nine people to understand their views and experiences of the service and we observed how staff supported people. We spoke with the deputy manager, and seven further staff members. This included care staff, housekeeping, administrative, catering staff and maintenance staff.
We reviewed the care records of five people and a range of other documents. For example, medicine records, four staff recruitment files; staff training records and records relating to the management of the service. We also looked at staff rotas, and records relating to health and safety.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We spoke with four relatives and a visiting health care professional and completed these discussions on 17 September 2021.
Updated
6 October 2021
Glottenham Manor is a care home with nursing and accommodates up to 50 people. The service supports adults whose primary needs are nursing care. They support people who live with diabetes, lung and heart disorders, Parkinson’s disease, and general frailty. At the time of our inspection there were 19 people living at the service.
People’s experience of using this service:
The providers’ governance systems had not identified the shortfalls found at this inspection. Records lacked reference and guidance for staff on how to manage peoples’ health related needs, such as diabetes.
People received safe care and support by enough numbers of staff who had been appropriately recruited and trained to recognise signs of abuse or risk and understood what to do to safely support people. One person said, “It’s safe and lovely here.” Care plans and risk assessments meant peoples’ safety and well-being were protected. People were supported to take positive risks, to ensure they had as much choice and control of their lives as possible. We observed medicines being given safely to people by appropriately trained staff, who had been assessed as competent.
Staff had all received essential training to meet peoples support and care needs. Further service specific training was being arranged by the registered nurses as requested by care staff. There was an induction programme to introduce new staff to the service and during this process they got to know people and their needs well. Staff told us that they felt the induction was in -depth and good. People's dietary needs were assessed, and people were provided with a choice of cooked meals each day. Feedback about the food was positive and people said they enjoyed the meals. People’s health needs were consistently met with involvement from a variety of health and social care professionals.
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.
Staff were caring in their approach to the people they supported and at this inspection we saw people were treated with respect and dignity. People and visitors to the service were consistent in their views that staff were kind, caring and supportive. One health professional said, “The home atmosphere is positive, and people seem to be content.” People were relaxed, comfortable and happy in the company of staff and engaged with in a positive way.
People confirmed they were involved in their care planning. End of life care planning and documentation guided staff in providing care at this important stage of people’s lives.
Complaints made by people were taken seriously and investigated. Resident and family meetings were recommencing.
The registered manager and staff team were committed to continuously improve and had plans to develop the service and improve their care delivery to a good standard. Feedback from staff about the leadership was positive, “It’s a good place to work, communication is good, and we share information. We all feel we can contribute, and we work as a team.”
Rating at last inspection:
The last rating for this service was requires improvement (19 October 2019) and there were three breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve.
At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected:
This inspection was prompted by our data insight that assesses potential risks at services, concerns raised and based on the previous rating. This enabled us to review the previous ratings.
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.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Haven Care Home on our website at www.cqc.org.uk.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.