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Inspection Summary


Overall summary & rating

Good

Updated 20 October 2018

This inspection took place on the 2 October 2018 and was unannounced, which meant the staff and provider did not know we would be visiting.

Glebe Villa provides accommodation, for seven people. People who live at the home have a learning disability. There were six people living in the home at the time of the inspection. Glebe Villa was in a residential area of Bristol, close to shops and other local amenities.

People in care homes receive accommodation and personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

At the last inspection, the service was rated Requires Improvement. This was because some improvements were required to ensure the service was effective and well led. The registered manager was to seek support and training, about current legislation in respect to the Health and Social Care Act 2008 Regulations 2014. This was because the registered manager and the provider were still working with the previous legislation. Many of the policies and procedures required updating. The induction of new staff was not meeting the current standards as set down

by Skills for Care with staff completing the Care Certificate. Action had been taken to address these shortfalls and improvements made with the service now being rated overall as Good.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen. People were care for taking into consideration these principles.

People were supported to lead the life they wanted including accessing social activities based on their interests and hobbies. There was a relaxed and friendly atmosphere. People were treated with kindness by staff who knew them well.

Systems were in place to ensure people were safe including risk management, and safe recruitment processes. People received their medicines safely. Sufficient staff supported people and this had been kept under review.

People were protected from the risk of abuse because there were procedures in place to recognise and respond to abuse and staff had been trained in how to follow the procedures.

People were involved in making decisions about their care. People had a care plan that clearly described how they wanted to be supported. The service was introducing a new electronic system of recording to capture how people were supported.

People had opportunities to take part in activities in both the home and the local community. Other health and social care professionals were involved in the care of the people living at Glebe Villa.

People were treated in a dignified, caring manner, which demonstrated that their rights were protected. Where people lacked the capacity to make choices and decisions, staff ensured people’s rights were protected by involving relatives or other professionals in the decision making process. Appropriate applications had been made in respect of deprivation of liberty safeguards.

People were provided with a safe, effective, caring and responsive service that was well led. The registered provider was aware of the importance of reviewing the quality of the service. This included seeking the views of the people they supported.

Inspection areas

Safe

Good

Updated 20 October 2018

The service continues to be safe.

Effective

Good

Updated 20 October 2018

The service had improved and was now effective. The registered manager and provider had responded to a recommendation to review the induction to ensure meeting current good practice based on Skills for Care.

Caring

Good

Updated 20 October 2018

The service continues to be caring.

Responsive

Good

Updated 20 October 2018

The service continues to be responsive.

Well-led

Good

Updated 20 October 2018

The service had improved and was now well led. This was because the provider and the registered manager were more up to date with the changes in legislation and practice.

Checks on the quality were being completed. Staff were clear on their roles and aims and objectives of the service and supported people in an individualised way.

The staff and the registered manager worked together as a team. Staff were well supported by the management of the service.