Gledhow

Updated 28 July 2021

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team

The inspection was carried out by two inspectors.

Service and service type

Gledhow is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was announced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. The provider sent us a Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. This information helps support our inspections. We reviewed information we had received about the service, such as details about incidents the provider must notify CQC about, for example incidents of abuse. We reviewed all other information sent to us from stakeholders such as the local authority and members of the public. We used all of this information to plan our inspection.

During the inspection

We spoke with four people to ask about their experience of the care provided and one relative. We spoke with the area manager, registered manager and five staff members. We looked at four people's care records and medicine records. We looked at three staff files for recruitment. We also looked at quality monitoring records relating to the management of the service such as audits and quality assurance reports.

Updated 28 July 2021

About the service

Gledhow is a care home providing personal care for 29 older people some of whom may be living with dementia. The service can support up to 50 people.

People’s experience of using the service

People told us they felt safe living at Gledhow. Risk assessments contained the relevant information about risks to mitigate or prevent incidents. Incidents and accidents were reported to CQC and lessons learnt from incidents were shared to drive quality and improvement. There were enough staff to meet people’s needs and recruitment processes were robust. We found medicines were managed safely.

Staff understood their responsibilities in relation to the Mental Capacity Act 2005. People were supported to have maximum choice and control of their lives as staff asked people for their consent and supported them in the least restrictive way. Mental capacity assessments had been completed when a person was being restricted and best interest decisions were carried out in consultation with others.

Quality assurance systems were in place to monitor the home and ensure any improvements required were acted upon. Meetings were held with people, their relatives and staff to ask for their feedback to improve the home.

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 requires improvement (published 8 April 2020).

Why we inspected

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.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion (effective, caring and responsive) were used in calculating the overall rating at this inspection. The overall rating for the service has improved to good. This is based on the findings at this inspection.

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

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.