Archived: Glebe Garden

Updated 25 January 2019

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 31 December 2018 and was unannounced. The inspection was completed by one inspector.

During the inspection process the local authority care commissioners were contacted to obtain feedback from them in relation to the service. We referred to previous inspection reports, local authority reports and notifications. Notifications are sent to the Care Quality Commission by the provider to advise us of any significant events related to the service, this is a legal requirement. As part of the inspection process we also look at the Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We had received the PIR for Glebe Gardens and used this to help inform our inspection plan. During the inspection we spoke with two members of staff, including, the registered manager and an interim team leader. We spoke with all three people who are supported at the service.

Care plans, health records, additional documentation relevant to support mechanisms were seen for all three people. In addition, a sample of records relating to the management of the service, for example staff records, complaints and compliments, quality assurance assessments, health and safety environmental checks and audits were viewed. Staff recruitment and supervision records for three of the staff were looked at. As part of the inspection process we completed observations during the day, as well as interacting with people during the inspection process.

Updated 25 January 2019

Glebe Garden is residential care home for up to four people, that provides a service to younger adults, who have a diagnosis of learning disabilities and / or are on the autistic spectrum, The service is registered to provide accommodation in addition to personal care with a condition that no nursing care is delivered to people. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The home offers four bedrooms and two full bathrooms, with a dining room, communal lounge and access to the kitchen. A spacious rear garden further offers additional space for people to use. Floors are accessible by stairs.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns.

At this inspection we found the service remained Good.

Why the service is rated good

The service continues to keep people safe. Recruitment procedures ensured suitable staff were employed to support people and help keep them safe. Risk assessments continued to consider least restrictive options to enable people to continue engaging in activities that enhances their well-being, with care documents supporting the risk assessments.

Medicine management continued to be provided in a safe way. Audits illustrated that people received their medicines in a timely manner and how they wished. Medicines were correctly stored, disposed of and ordered to ensure that people were not without their medicines at any point. A recent pharmacy inspection rated the service highly, with no recommendations or improvements suggested.

Staff training was kept up to date, and a rolling training programme was in place. Staff received frequent supervisions and annual appraisals that allowed reflective practice.

People's needs were assessed initially upon admission, and thereafter reviewed monthly to ensure care was the most appropriate. People were thoroughly involved in their care plan, with no changes being made, until agreement had been received from the person. People were encouraged to personalise their rooms in a style that they preferred, with furnishings that brought a personal touch to their rooms. People were furthermore encouraged to take an active role in the home, by taking personal responsibility for chores, with staff assisting as required.

People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible. This included making decisions about their care, food choice as well as activities. People received exceptionally responsive care. Staff had a thorough understanding of people’s needs and focused on developing people’s skill sets through personalised and responsive care. Family relationships were encouraged, and developed. People were enabled to achieve and attain personal targets and aspirations.

Staff approach remained caring. People were supported by a staff team that knew them well, and ensured they enabled them to maintain their independence, and retain things important to them. Where care support was required, peoples’ dignity and privacy was maintained. People communicated in their preferred way, with records clearly highlighting this.

The service continued to be well-led. There was a clear vision and direction from the senior management team that reflected on staff practice. A new manager had been appointed who was in their induction process. Whilst new to the service, they hoped they could bring their expertise forward to ensure the service continued to progress in the right direction. An open door policy was practiced, whereby staff were able to approach the management team and discuss any issues.

Good community links were created, and the service worked efficiently with visiting health professionals. The service continued to have good governance and reflective practice, ensuring compliance with the regulations.

Further information is in the detailed findings within the report.