Background to this inspection
Updated
18 November 2023
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 Health and Social Care Act 2008.
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
The inspection team consisted of 2 inspectors 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
Globe Court Care Home 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. Globe Court Care Home is a care home without] nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This 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
This 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 the local authority and 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 4 people. We looked at records of recruitment, training, and supervision for 5 care workers. We reviewed records relating to the management of the service, including quality assurance audits. We also looked at records for accidents and incidents, and complaints. We spoke to the registered manager, assistant manager and the clinical lead, 3 care workers, health care professionals. We spoke to 7 people, and 4 relatives.
Updated
18 November 2023
About the service
Globe Court care home is a residential care home providing accommodation and personal care for up to 41 people. The service provides support to people living with dementia, physical disabilities, older people and younger adults. People are supported in one adapted building situated over 3 floors. At the time of our inspection there were 40 people using the service.
People’s experience of using this service and what we found
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 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.
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 take part in activities tailored to meet their interests. People benefited from an interactive and stimulating 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.
People said that they felt safe at the home. A relative said, “[Family member] is safe. The place is secure and there are enough staff, they are attentive, and they have a lovely relationship with [family member]”
The provider had a wide range of quality audits and checks in place to monitor and keep people safe in the home. The home was clean, bright and welcoming. There were enough care workers available to support people with their care needs throughout the day.
People told us they thought that the home was caring. We received comments like, “The [care workers] are all kind. They do find time to talk to me now and again, but they are very busy”, and “The [care workers] are kind and respectful and I can have a laugh with them.”
We saw that care plans and accompanying risk assessments were detailed. They contained information about people’s care and social goals and ambitions as well as their care needs.
People told us they thought the home was well led. We received comments like, “[Registered manager] is helpful, if I need anything it will get sorted”, and “[Registered manager] is friendly. [Registered manager] gets about the place and is very approachable.”
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection.
The last rating for this service was good (published 23 March 2023).
Why we inspected
The inspection was prompted in part due to concerns received about the poor recording of falls and of incidents being minimised in their seriousness. Concerns were also raised of care plans and risk assessments being of poor quality and concern about lack of clinical oversight within the home. A decision was made for us to inspect and examine those risks.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the Safe and Well led sections of this full report.
Focused inspection
We received concerns in relation to poor recording of falls, concerns of incidents being minimised in their seriousness, care plans and risk assessments being of poor quality, and concern of a clack of clinical oversight within the home. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well led sections of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Globe Court Care Home on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.