Glanmor

Updated 16 October 2020

The inspection

This was a targeted inspection to check whether the provider had met the requirements of Regulation 12 (Safe care and treatment) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

As part of this inspection we also looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection team consisted of one inspector.

Service and service type

Glanmor is a ‘care home’. People in care homes receive accommodation and nursing or 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. The service had a manager registered with the Care Quality Commission. The registered manager 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

We gave the service short notice of the inspection. This was because we needed to be sure that arrangements were in place to maintain infection control procedures during the inspection

What we did before the inspection

We reviewed information we had received about the service since the last inspection. This included the action the provider said they would take to address the shortfalls identified at the last inspection. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with the registered manager, a support worker and two people who use the service.

We reviewed a range of records relating to fire safety and infection prevention and control.

Updated 16 October 2020

About the service

Glanmor is a residential care home providing personal care. It is registered to provide personal care and accommodation for up to seven people with mental health and associated health needs. At this inspection six people were being supported by this service.

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

Individual risks were assessed, and action plans devised on minimising the risks. Some risks assessments lacked detail on how to reduce the risk.

Fire safety checks were occurring as required but further action was needed to ensure the safety of people in the event of fire. There was action outstanding in relation to replacement of fire doors.

There were parts of the building that were well decorated but delays in replacing fire doors meant repairs and redecoration had not happened. Better cleaning routines need to be developed. The manager had audited the cleanliness of the property and cleaning schedules were to be developed.

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. We recommend the provider considers current guidance on the legal authority that must be in place before best interest decisions can be taken on behalf of people by their relatives.

Care plans were person centred but lacked detail on how to support people. People knew a care plan was in place.

There were monthly monitoring visits from the director to ensure improvements were taking place. Audits were completed. Further action was needed to pull shortfalls from the audits and from the improvement plan together into a development plan. We have made a recommendation about ensuring reporting of notifiable incidents are reported to CQC.

People we spoke with said they felt safe living at the home. The staff had attended training and knew the procedures for safeguarding people from risk.

Staffing levels were in line the commissioner’s assessment of people's needs. There were two staff and the manager on duty throughout the day. At night there was one member of staff sleeping in the premises and staff said there was “good support from the on-call system.”

Medicines were safely managed. People had access to the GP and to community NHS facilities.

People told us they liked the staff and said they “liked living at the home.” People told us the staff were caring. We saw the staff have good interaction with the people. The staff knew it was important to develop relationships with people and understood how to support people in their preferred manner.

The staff were supported to develop their skills and with their performance. There were regular one to one meetings with the line manager, annual appraisals and team meetings. The staff said morale had improved and there was good team working. They said the manager was approachable and improvements had taken place.

The person we spoke with said they would approach the staff if they had concerns. Complaints were investigated, and the complainants received a response on how their concerns were to be resolved within the timescales.

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 Inadequate (published 31 December 2018). There were multiple breaches of regulations. 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 however there were other parts of the regulations that were breached. This meant there was a continued breach of regulation.

This service has been in Special Measures since 28 November 2018. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

Why we inspected

This was a planned inspection based on the previous rating. We have found evidence that the provider needs to make improvements. Please see the Safe, Effective and Well-Led sections of this full report.

This inspection was carried out to follow up on action we told the provider to take at the last inspection.

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

Enforcement

At the inspection dated December 2018 we identified breaches in relation to Regulation 12 and 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. We imposed conditions on the providers registration. This meant monthly action plans had to be submitted on the audits and any actions taken or to be taken as a result of those audits. This was to demonstrate how service users' needs were being identified and met. The provider has met the conditions on the notice of decisions imposed.

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.