Archived: Glengariff

Updated 26 June 2015

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 19 May 2015 and was unannounced. The inspection was carried out by one inspector and an 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.

Before the inspection we looked at information we had received about the service. This information included notifications sent to the Care Quality Commission (CQC) and all other contact that we had with the home since the previous inspection. During the inspection we talked with seven people using the service, the registered manager, deputy manager, the cook and four care workers. We also obtained feedback about the service from two visitors and two health care professionals. Following the visit we spoke with three relatives of people, a visiting hairdresser and two health professionals.

We spent time observing how staff interacted with and supported people who used the service. We also reviewed a variety of records which related to people’s individual care and the running of the home. These records included; four people’s care files, four staff records, audits and policies and procedures that related to the management of the service.

Updated 26 June 2015

This unannounced inspection of Glengariff took place on the 19 May 2015. Glengariff is a care home registered to provide personal care and accommodation for 16 people. The service provides personal care and support to older people some of whom have dementia care needs. On the day of our visit there were ten people living in the home.

At our last inspection on 11 October 2013, we found the provider met the regulations we inspected.

There was a registered manager in place. 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.

Some medicines were not stored in line with current and relevant regulations and guidance. Staff handling medicines had completed training. However, it was not evident from records that staff had been assessed as competent to administer medicines to people in the home or that staff had received regular reviews of their knowledge, skills and competencies relating to managing and administering medicines safely.

Throughout our visit staff interacted with people in a friendly and courteous manner. People were very complimentary about the staff. They told us staff were approachable, listened to them and were kind. Our observations and the records we looked at reflected the positive comments people made.

People told us staff respected their privacy and they received the support they needed to maintain good health. People’s health was monitored and they received the advice and treatment they required from a range of health professionals.

People told us they felt safe. Staff understood how to safeguard the people they supported. Care plans and risk assessments included specific details of people’s individual needs. People were protected, as far as possible by a robust staff recruitment system.

Staff received a range of relevant training and were supported to obtain qualifications related to their work. Staff were positive about working in the home, understood people’s needs and worked as a team to provide people with the support and care they sought and needed. Staff told us they received the support they needed from the registered manager to enable them to carry out their roles and responsibilities. Most staff had worked in the home for several years so people received consistency of care. People using the service spoke highly about the staff and said they were approachable, kind and listened to them.

People had the opportunity to participate in a range of activities of their choice. Staff respected people’s decision when they chose not to participate in an arranged activity. When people wanted to maintain contact with family, friends and others important to them this was encouraged and supported by staff.

People told us they enjoyed the meals and were provided with an alternative if they wished. We saw the dining experience was relaxed and social. People’s nutritional needs were assessed and monitored closely.

The registered manager knew about the legal requirements of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). Staff had an understanding of the systems in place to protect people who were unable to make particular decisions about their care, treatment and other aspects of their lives. Staff knew a restriction on people’s freedom needed to be lawfully authorised.

There were systems in place to monitor the care and welfare of people and improve the quality of the service.

We found a breach of the Health and Social Care Act 2008 (regulated Activities) Regulations 2010. You can see what action we told the provider to take at the back of the full version of the report.