Glenfield

Updated 12 August 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.

Inspection team

This inspection was carried out by 1 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.

Service and service type

Glenfield 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. Glenfield 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. However, the registered manager was in the process of transferring to another service. Shortly before our inspection visit, the provider had appointed a new manager to oversee the quality and safety of the service. They intended to submit an application to register with the Care Quality Commission.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

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 the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 6 staff members including the new manager, managing director, area operations manager and care staff. We observed staff interactions, communications and responses with 3 people who communicated through non verbal methods. We also spoke with 4 people's relatives to gain their feedback about the care and support provided to their family member.

We reviewed a range of records. This included 3 people's care plans and care records and a sample of people's medicines records. We reviewed staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures, audits, training data, cleaning schedules and environmental checks were reviewed.

We used the Quality of Life Tool which is designed to support the corroboration of all sources of evidence gathered during inspection.

Updated 12 August 2023

About the service

Glenfield is a residential care home providing personal care to up to 6 people. The service provides support to younger adults with a sensory impairment, physical disability, mental health needs and/or a learning disability or autistic spectrum disorder. At the time of our inspection there were 5 people using the service.

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

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. 'Right support, right care, right culture' is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Right Support: Overall the management of risks associated with people's care and support had improved. People had personalised strategies which provided guidance in the event they became distressed. However, care records did not reflect all staff fully understood or followed these strategies during incidents. Improvements had been made in the management of people's medicines. These had been reviewed to ensure prescribed medicines remained effective and appropriate.

We have made a recommendation that the provider ensures medicines are stored in accordance with National Institute for Care and Excellence (NICE) guidance.

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 enough staff to meet their individual needs and to pursue hobbies and interests in their local community.

Right Care: Staff knew people well and used people's preferred communication methods effectively. Care plans had been updated to support staff to provide person-centred care. Staff had received additional training around people's health conditions and responses and interventions for people who experienced distress. The number and range of activities had increased since our last inspection, and people were going out more to places of interest.

Right Culture: Improvements had been made in provider oversight and governance systems. Our evidence identified that improvements needed more time to fully embed into working practices. The provider had learnt lessons from our previous inspection findings and been open about where things had gone wrong. A new manager had been appointed who was committed to supporting people to achieve the best possible outcomes from their care. Relatives and staff were positive about changes, including improved communication, consultation and encouraging innovation.

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

Rating at last inspection and update

The last rating for this service was inadequate (26 October 2022) and there were breaches of regulation. We served the provider a Warning Notice under Section 29 of the Health and Social Care Act 2008 and undertook additional enforcement action. The notice required the provider to become complaint with breaches relating to consent, safe care and treatment and governance. At this inspection we found improvements had been made and the provider was no longer in breach of regulations

Why we inspected

We undertook this focused inspection to check the provider had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the key questions Safe, Effective and Well-led which contain those requirements. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed to requires improvement

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.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Glenfield on our website at www.cqc.org.uk.

Enforcement and recommendations

We have made a recommendation that the provider ensures medicines are stored in accordance with National Institute for Care and Excellence (NICE) guidance.

This service has been in Special Measures since 26 October 2022. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

Follow up

We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.