Archived: Glebe Court Nursing Home

Updated 12 September 2020

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.

This was a targeted inspection looking at the infection control and prevention measures the provider has in place. As part of CQC’s response to the coronavirus pandemic we are conducting a thematic review of infection control and prevention measures in care homes.

This inspection took place on 18 August 2020 and was announced. The service was selected to take part in this thematic review which is seeking to identify examples of good practice in infection prevention and control.

Updated 12 September 2020

This inspection took place on 9 and 10 November 2017 and was unannounced. This inspection was partly prompted by an incident which had some impact on people using the service and this indicated a potential concern about the management of risk in the service. While we did not look at the circumstances of the specific incident, we did look at associated risks.

At our last inspection of the service on 13 and 14 September 2016 we found the service to be meeting regulatory requirements and was rated 'Good'. Glebe Court Nursing Home 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.

Glebe Court Nursing Home provides personal and nursing care support for up to 51 older people some of whom have a physical disability or sensory impairment and may be living with dementia. At the time of our inspection there were 46 people using the service. The home had a registered manager in post. However they had recently left the service and a new manager had been appointed and was applying to the CQC to become the registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Risks to people were assessed and recorded, and staff acted to manage identified risks safely. Medicines were managed, administered and stored safely. People were protected from the risk of abuse, because staff were aware of the types of abuse and the action to take if they had any concerns. There were systems in place to ensure people were protected from the risk of infection. Accidents and incidents were recorded and acted on appropriately. There were safe staff recruitment practices in place and appropriate numbers of staff were deployed throughout the home to meet people’s needs.

There were processes in place to ensure staff new to the home were inducted into the service appropriately. Staff received training, supervision and appraisals that enabled them to fulfil their roles effectively. Staff were aware of the importance of seeking consent from people and demonstrated an understanding of the Mental Capacity Act 2005. Staff were also aware of the conditions under which a person may be deprived or their liberty, and acted in accordance with the Deprivation of Liberty Safeguards, to ensure people were only lawfully deprived when this was in their best interests. People’s nutritional needs and preferences were met and people had access to health and social care professionals when required.

People told us staff treated them with kindness and their privacy and dignity were respected. People were involved in day to day decisions about their care and had care plans in place which reflected their individual needs and preferences. People were supported to maintain relationships with relatives and friends. There was a range of activities available to meet people’s interests and to promote stimulation. The service provided appropriate care and support to people at the end of their lives. People’s needs were reviewed and monitored on a regular basis. People were provided with information on how to make a complaint. The service worked with health and social care professionals to ensure people’s needs were met and the home made connections with people within the local community. There were regular volunteers who supported and facilitated entertainment and activities within the home.

People and relatives were aware of how to make a complaint and expressed confidence any concerns would be addressed by the management. There were robust systems and processes in place to monitor and evaluate the service provided. People’s views about the service were sought and considered through residents meetings and satisfaction surveys. People, relatives and staff spoke highly of the management, and told us the service had improved in recent months.