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Glen Pat Homes Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 24 April 2020

About the service

Glen Pat Homes is a residential care home providing personal care to seven people at the time of the inspection and a supported living service providing personal care and support to nine people.

The care home is in Winchmore Hill, North London and the supported living service is a block of nine flats in East London.

The care home and supported living service are for people who have a learning disability or autistic spectrum condition and/or mental illness. Some people also had a hearing impairment. In the supported living service, not everyone using the service receives personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

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

Risks to people’s health and safety were not always properly assessed and acted on. There was a lack of knowledge and guidance provided to staff about people’s serious health conditions and how these might impact on them. This left people at risk of their health needs not met due to a lack of clear information.

The service didn’t consistently apply the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence. The outcomes for people did not fully reflect the principles and values of Registering the Right Support in the care home as people went out as a group daily according to a timetable and there were limited opportunities for people to go out on their own to follow their interests with staff support. We have made a recommendation that the service follows best practice guidance in accordance with Registering the Right Support principles and person centred care planning.

People in the supported living service received care and support with a more person centred approach which enabled them to become more independent and follow their individual interests. The service supported them to access specialist support where they needed it and to follow their goals.

People said they were happy in the service and thought that the registered manager and staff were caring and supportive. People had good relationships with staff. Staff said they felt well supported in their work.

The environment was safe.

There was mixed feedback from relatives and professionals involved with people living at the service. The majority made positive comments about the home, staff and quality of care provided and said people were happy and settled, while some said they felt the service did not always follow best practices in person centred care in the care home.

The registered manager and provider showed a commitment to continuous improvement and acted on our concerns after the inspection.

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 11 August 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified breaches of regulations in relation to looking after people’s health, medicines and risks to their safety at this inspection. There was also a breach of regulation due to a lack of regular management audits to ensure any risks were addressed.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 24 April 2020

The service was not always safe. Details are in our safe findings below.

Effective

Requires improvement

Updated 24 April 2020

The service was not always effective. Details are in our effective findings below.

Caring

Good

Updated 24 April 2020

The service was caring. Details are in our caring findings below.

Responsive

Requires improvement

Updated 24 April 2020

The service was not always responsive. Details are in our responsive findings below.

Well-led

Requires improvement

Updated 24 April 2020

The service was not always well led. Details are in our well led findings below.