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Inspection report

Date of Inspection: 15 April 2014
Date of Publication: 23 May 2014
Inspection Report published 23 May 2014 PDF


Inspection carried out on 15 April 2014

During a routine inspection

We carried out an inspection at Glebe Villa to help us to answer our five key questions; Is the service caring? Is the service responsive? Is the service safe? Is the service effective? Is the service well led?

Below is a summary of what we found. The summary is based on our observations during the inspection, speaking with five people using the service, the staff supporting them and from looking at records.

If you want to see the evidence supporting our summary please read the full report.

Is the service safe

People told us they were �happy� and they were �safe�. People appeared relaxed and comfortable in the presence of staff. We saw that people were supported safely by staff in line with the risk assessments and individual capability while staff took them out for community activities.

The complaints procedure was accessible to people on the notice board and in the care files and was written in a picture format. This made it easier for the people who lived at the home to understand and to make a complaint in the way they knew how to. We saw from the records that there had been no complaints or incidents since the last inspection.

A safeguarding and whistle blowing policies and procedure were both in place. We were told that these policies and procedures would be followed if concerns were identified about a person's safety. This included contact details for reporting any suspected incidents of abuse and individual staff responsibilities. Staff training records confirmed that all staff had been trained in safeguarding vulnerable adults from abuse


The home also had policies and procedures for mental capacity act, deprivation of liberty safeguards (DoLS). This was to ensure that people who were unable to make their own decisions were protected from harm or abuse. Records showed that three of five staff members have not had the training and the mental capacity act and DoLS. The manager told us that the online training for the three staff had been booked for 22 April 2014.


Is the service effective?

People who used the service were encouraged to make choices in all aspects of their care, how they liked to spend their time and how they liked to be supported. This was documented in people's files.

People�s health and care needs were assessed with them, and they were involved in writing their plans of care. People said that their care plans reflected their current needs.

Supervision processes were in place to enable staff to raise any future training needs and to discuss any concerns with the care of the people who used the service. This demonstrated that staff received support to provide care for the people who used the service.

The home had flexible routines to suit the needs of the people who used the service. People were involved with the running of the home and assisted with cooking meals, setting the tables at meals times and participating in the

house work rota.

Is the service caring?

People were supported by kind and attentive staff. During our inspection we observed that staff provided support and engaged with people positive way. For example we saw a member of staff explained to one person where they were going out for lunch and what time. People were relaxed and comfortable in the presence of staff and an individual told us they were "happy".

People's care plans indicated how they liked to be addressed and their preference for a male or female to assist them with their personal care. This demonstrated that people's privacy and dignity was respected.

Is the service responsive?

Individual's records had details of the other people involved in their care, for example their care coordinators, dentist and general practitioner. Any visits by or to healthcare professionals were recorded to show how the person's healthcare needs were being met.

People had a programme of activities which involved them participating in community activities. These included attending day centres, clubs and day trips. One person told us they had been on holiday to Blackpool with the other people from the home. The person told us �I really enjoyed it and I am looking to going to Brighton in summer�.

Is the service well-led?

The service had a quality assurance system to make sure that people were provided with high quality care. The record we saw included surveys that enabled people to indicate how satisfied they were with the services provided. We saw that people were complementary about the home.

The home also had suggestion form for comments from families and representatives in relation to the home in general, services provided and care provided for the people who used the service. The comments we saw were all positive. Some of the comments included �Glebe Villa is a very clean, friendly and welcoming home. The care given to our relative is of a high standard within the limits of what they will allow due to their illness�.