Glebe Court

About the service

Glebe court is a residential care home providing personal care and accommodation to up to 40 people. The service provides support to older people and people living with dementia. At the time of our inspection there was 33 people using the service.

The care home accommodates 40 people in one adapted building over 2 floors.

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

Right Support

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 staff to achieve aspirations and goals and were able to take part in activities tailored to meet their interests. People benefited from an interactive and simulating environment.

Right Care

People received kind and compassionate care. Staff protected and respected people's privacy and dignity, and they understood and responded to their individual needs. Staff promoted equality and diversity in their support for people. They understood people’s cultural needs and provided culturally appropriate care.

Right Culture

Staff knew and understood people well and were responsive, supporting people to live a quality of life of their choosing wherever possible. Staff were trained and had the experience to deliver good quality care and support to people to meet their needs and wishes.

We identified a minor concern with the records maintained around medicines stock. The registered manager was taking action to address this at the time of 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 and update

The last rating for this service was requires improvement (published 16 June 2022) and there were breaches of regulation.

The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

The inspection was prompted by a review of information we held about the service.

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.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

Glebe Court is a residential care home providing personal care to 40 people aged 65 and over. At the time of the inspection there was 30 people living at the home. The home was purpose built and had a specialist unit for people living with dementia.

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

We found improvements with medicines management. However, people did not always receive their medicines as prescribed. Whilst there were improvements to the provider’s auditing processes, they had not identified the issues we found with medicines.

The inspection was prompted by information of concern regarding a lack of person-centred care and support to people living at the home. The senior management team were responsive and transparent when the concerns were raised and took immediate action to investigate the concerns.

Throughout the inspection we observed a relaxed, jovial and friendly atmosphere. People appeared comfortable in the presence of staff. The home was clean and well maintained. People were supported in a caring way and their care was tailored to meet their individual needs and interests.

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.

Since the last inspection, care plans had been updated and were electronic. Staff spoke positively about how this had improved how they were recording care and support. The provider had introduced a dependency assessment for assessing staffing levels at the home. At the time of the inspection there were sufficient staffing levels to care for people and staff we spoke with confirmed this. People’s nutritional and hydrational needs were met.

Staff spoke positively about the management team. The manager demonstrated a willingness to make further improvements to the service.

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

Why we inspected

We received concerns regarding people not receiving person centred care and support. A decision was made for us to inspect and examine those risks. As a result, we undertook a focused inspection to review the key questions of safe and well-led. We carried out a targeted inspection for effective, caring and responsive. Targeted inspections do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.

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 Glebe Court on our website at www.cqc.org.uk.

Rating at last inspection and update

The last rating for this service was requires improvement (published 25 November 2022) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made but the provider was still in breach of regulation.

Enforcement and Recommendations

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.

At the previous inspection the provider was in breach of regulation 12 and 17. At this inspection we found the provider had made some improvements, but they were still in breach of regulation 12.

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 continue to monitor information we receive about the service, which will help inform when we next inspect.

Glebe Court is a residential care home providing personal care to 40 people aged 65 and over. At the time of the inspection there was 33 people living at the home. The home has recently undergone an extensive programme of refurbishments.

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

Medicines were not managed safely which placed people at risk. The provider was not always following their safeguarding policy as they were not notifying the local authority of medicines errors when they occurred.

Risk assessments and care plans were not always updated when people’s needs changed. Staff were not recording incidents and accidents correctly which meant they were not always reviewed to ensure potential risks could be mitigated. There were not always enough staff on duty to ensure people received safe care. Staff were not always recruited safely.

There was a lack of effective governance systems in place to monitor and assess the quality of the service being delivered. This meant the registered manager did not maintain oversight of how the service was being delivered.

The provider had good infection control procedures in place. There were effective systems in place to admit people into the home. 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. Deprivation of Liberty Safeguards (DoLS) had been reviewed and applied for in a timely manner and where required, best interest decisions had been completed.

People spoke well of the staff, and felt they received good care and support. We saw sensitive and gentle interactions between staff and people using the service. Staff could tell us how they maintained people’s privacy and dignity.

The home had been refurbished and was fully accessible, well maintained and clean.

People told us they were happy living at the home, and they spoke positively about the programme of activities that were in place.

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

Rating at last inspection

This is the first inspection for this service. The service was previously registered at a different location.

Why we inspected

This inspection was prompted by a review of the information we had about this service. This indicated a need to prioritise the service for an inspection to review the quality of care provided.

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.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so. We have identified breaches in relation to safe care and treatment and good governance and made a recommendation for staffing levels. Please see the action we have told the provider to take at the end of this report.

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. If we receive any concerning information we may inspect sooner.