Background to this inspection
Updated
15 May 2018
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 9 April 2018 and was unannounced.
The inspection team consisted of two adult social care inspectors.
Prior to the inspection, we gathered information from a number of sources. We reviewed the information we held about the service, which included correspondence we had received and notifications submitted to us by the service. A notification should be sent to CQC every time a significant incident has taken place. For example, where a person who uses the service experiences a serious injury. We reviewed the Provider Information Return (PIR), which the registered provider completed before the inspection. The PIR is a form that asks the registered provider to give some key information about the service, what the service does well and improvements they plan to make.
We contacted Sheffield local authority and Healthwatch (Sheffield) to obtain their views of the service. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. All of the comments and feedback received were reviewed and used to assist and inform our inspection.
During our inspection, we spoke with eight people using the service and one of their relatives to obtain their views about the service. We spent time in communal areas observing how staff interacted with each other and the people they were supporting.
We looked around different areas of the service, which included some communal areas, bathrooms, toilets and with their permission, some people’s rooms.
We spoke with nine staff, which included the registered manager [matron], the assistant matron, three care staff, an activity coordinator, a housekeeper, the cook and kitchen assistant to obtain their views.
We reviewed a range of records, which included three people’s support plans, three staff support and employment records, training records and other records relating to the management and monitoring of the service.
Updated
15 May 2018
The Glen is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The Glen is registered to provide accommodation for up to 19 people who require nursing and personal care, some of whom may be living with dementia. The home is a converted house with a purpose built extension. The home is situated within its own grounds within a residential area of Sheffield.
There was a manager at the service who was registered with the Care Quality Commission (CQC). A registered manager is a person who has registered with the CQC 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 and associated Regulations about how the service is run.
Our last inspection at The Glen took place on 11 January 2017. We found a breach in the regulations of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, in Regulation 19, Fit and proper persons employed.
The registered provider sent an action plan detailing how they were going to make improvements. At this inspection, we checked improvements the registered provider had made. We found sufficient improvements had been made to meet the requirements of Regulation 19: Fit and proper persons employed, as the registered manager had obtained all of the required information prior to people working at the home.
This inspection took place on 9 April 2018 and was unannounced. This meant the people who lived at The Glen and the staff who worked there did not know we were coming. On the day of our inspection, there were 14 people living at The Glen.
People spoken with were very positive about their experience of living at The Glen. They told us they felt safe and they liked the staff.
Staff were aware of safeguarding procedures and knew what to do if an allegation was made or they suspected abuse.
We found systems were in place to make sure people received their medicines safely so their health was looked after.
Staff recruitment procedures were robust and ensured people’s safety was promoted.
Sufficient numbers of staff were provided to meet people’s needs.
Staff were provided with relevant training, supervision and appraisal so they had the skills they needed to undertake their role.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The registered provider’s policies and systems supported this practice.
People had access to a range of health care professionals to help maintain their health. A varied diet was provided, which took into account dietary needs and preferences so people’s health was promoted and choices could be respected.
Staff knew people well and positive, caring relationships had been developed. People were encouraged to express their views and they were involved in decisions about their care. People’s privacy and dignity was respected and promoted. Staff understood how to support people in a sensitive way.
A programme of activities was in place so people were provided with a range of leisure opportunities.
People said they could speak with staff if they had any worries or concerns and they would be listened to.
There were systems in place to monitor and improve the quality of the service provided. Regular checks and audits were undertaken to make sure full and safe procedures were adhered to.