Archived: Globe Court Care Home

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.

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. At the time of our inspection there were 40 people using the service.

The care home accommodates 41 people in one adapted building.

People’s experience of using this service and what we found

People spoke positively about the service. One relative said, “We have never had any concerns for [my relative’s] safety.” Another relative said, “I think [my relative] is very safe there. Since they have been there, there hasn’t been any concerns.” Staff understood how to mitigate risks and what action to take in an emergency.

People and their relatives said they felt well cared for by staff. One relative said, “They are really nice. A lot of times [family member] doesn’t respond, they still try and talk to them.” We saw care workers interacting with people and their relatives in a caring manner during the inspection.

Even though some care plans did not have adequate personal history of people, care workers and staff provided personalised care. We spoke to the registered manager who addressed this immediately. One relative said, “[Family member] had their hair done last week and has seen the chiropodist.”

There were systems in place for the reporting of incidents. The registered manager was able to explain what preventative measures and lessons learned were, but it was not always documented. This was discussed with the registered manager who said she would ensure preventative measures and lessons learned would be fully documented.

Staff told us they that they enjoyed working there. One care worker said, “Its’ a nice place to work. The deputy and manager are very supportive.”

People were supported to have the 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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at the last inspection

This service was registered with us on 12 July 2022 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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, which will help inform when we next inspect.