Background to this inspection
Updated
30 December 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
This inspected was carried out by two inspectors.
Service and service type
Gledholt Mews and Coach House 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.
Notice of inspection
This inspection was unannounced.
What we did before 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.
We reviewed information we had received about the service. We sought feedback from the local authority and professionals who work with the service. We also contacted Healthwatch for their feedback. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all of this information to plan our inspection.
During the inspection
We spoke with six people who lived in the home. We also spoke with the registered manager, head of care, a nurse, four support workers, two further members of staff and a visiting professional.
We reviewed a range of records. This included two people’s care records in full, as well as medication records. We looked at the recruitment of two staff members as well as a variety of records relating to the management of the service, including policies and procedures.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We also contacted commissioners and other professionals who were in contact with the service to gather further feedback.
Updated
30 December 2021
About the service
Gledholt Mews and Coach House is a residential care home which also provides nursing care to people with mental health support needs. At the time of the inspection there were nine people living at this service which can support up to 21 people.
People’s experience of using this service and what we found
The culture within the home was a strength of the service. People and staff shared the same goals and values. The management team and staff worked together with other professionals to deliver outstanding care and support which people were at the centre of. Recording around people’s care needs demonstrated regular reviews which people and professionals participated in. Risks to people had been assessed, monitored and reviewed.
People were supported to independently be part of their local community. Healthy eating was encouraged and kitchen skills were being taught to people living in the home. People were empowered to learn these and other skills to gain confidence and independence.
People spoke positively about the care they received from staff. They told us this was dignified and respected their privacy. Our observations from the inspection supported this.
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.
Medicines were appropriately managed. People said they were safe and staff knew how to recognise and report abuse. There were sufficient numbers of suitably qualified staff to meet people’s needs.
People received access to healthcare services when they needed this. A range of professionals were involved in people’s care journey. The staff team worked well with partners who we contacted following our inspection. They spoke enthusiastically about the support people received.
Staff were suitably supported through a programme of training and supervision.
The living environment was clean and bright. People made suggestions for extra furnishings which had been acted on.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 11 December 2020 and this is the first inspection.
Why we inspected
We inspected the location due to information giving us concerns about the safety and quality of the services operated by the provider.
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 until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.