Background to this inspection
Updated
24 August 2023
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 Health and Social Care Act 2008.
Inspection team
The inspection team consisted of 1 inspector, and 1 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.
Service and service type
Glebe Court is a ‘care home.’ People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Glebe Court is a care home without nursing. CQC regulates both the premises and the care provided, and both were looked at during the inspection.
Registered Manager
The provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
The inspection was unannounced.
What we did before the inspection
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.
We reviewed information we had received about the service since the last inspection. We sought feedback from professionals who work with the service. We used all this information to plan our inspection.
During the inspection
We reviewed a range of records including care and support plans for 5 people. We looked at records of recruitment, training, and supervision records for 5 care workers. We reviewed records relating to the management of the service, including quality assurance audits, and building audits. We also looked at accident and incidents and complaints records. We spoke to the registered manager, the nominated individual, team leaders, care workers, people and their relatives.
We used the Short Observational Framework for inspection (SOFI) SOFI is a way of observing care to help us understand the experience of people who could not talk to us.
Updated
24 August 2023
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about the services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.
About the service
Glebe court is a residential care home providing personal care and accommodation to up to 40 people. The service provides support to older people and people living with dementia. At the time of our inspection there was 33 people using the service.
The care home accommodates 40 people in one adapted building over 2 floors.
People’s experience of using this service and what we found
Right Support
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. People were supported by staff to achieve aspirations and goals and were able to take part in activities tailored to meet their interests. People benefited from an interactive and simulating environment.
Right Care
People received kind and compassionate care. Staff protected and respected people's privacy and dignity, and they understood and responded to their individual needs. Staff promoted equality and diversity in their support for people. They understood people’s cultural needs and provided culturally appropriate care.
Right Culture
Staff knew and understood people well and were responsive, supporting people to live a quality of life of their choosing wherever possible. Staff were trained and had the experience to deliver good quality care and support to people to meet their needs and wishes.
We identified a minor concern with the records maintained around medicines stock. The registered manager was taking action to address this at the time of the inspection.
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 (published 16 June 2022) and there were 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
The inspection was prompted by a review of information we held about the 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.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.