The Glen Nursing Home

Updated 31 May 2022

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.

As part of CQC’s response to the COVID-19 pandemic we are looking at how services manage infection control and visiting arrangements. This was a targeted inspection looking at the infection prevention and control measures the provider had in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.

This inspection took place on 22 February 2022 and was announced. We gave the service 24 hours’ notice of the inspection.

Updated 31 May 2022

This inspection took place on 22 August 2017 and was unannounced.

The Glen Nursing Home is a 56-bed service and is registered to provide accommodation and personal care for people living with dementia. Nursing care is provided. The accommodation is arranged over two floors linked by a passenger lift. All of the bedrooms have en-suite toilet facilities and there are communal lounges and dining areas for people to use.

At the time of the inspection there were 54 people using the service.

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.

The last inspection took place on 15 October 2014 and the service was assessed as being ‘good’ in all domain areas and had a quality rating of ‘good’ overall.

At this inspection we found standards had been sustained and again rated the service as ‘Good’ overall. We found areas of governance and leadership had further developed and identified some outstanding areas of practice. This led us to award the ‘Is the service well led’ domain a rating of ‘Outstanding.’ There were clear lines of accountability. The home had outstanding leadership and direction from the registered manager, provider and management team.

The visions and values of the service were embedded into practice and the management team used research to make further improvements. Partnership working was excellent, for example, working with health care professionals and this had been sustained over time.

The managers strove to maintain, sustain and further improve the experiences of people living in the home through robust quality assurance processes

Why the service is rated ‘Good’ in other domain areas:

Staff were given regular training updates, supervision and development opportunities. People spoke positively about staff and the support they received. Staff demonstrated a good knowledge of the people and topics we asked them about.

People told us they felt safe and secure living in the home. Staff understood people well and knew how to keep them safe. Risk assessments were in place which provided detailed information to staff on how to maintain people’s safety.

Medicines were managed safely and overall, people received their medicines as prescribed. Good checking and auditing systems were in place to highlight any discrepancies with the medicines management system.

There were sufficient staff deployed to ensure people were provided with prompt care and support. Staff responded quickly to people’s requests for assistance. Safe recruitment procedures were in place to ensure staff were of suitable character to work with vulnerable people.

People’s consent was gained before care and support was provided. The service was acting within the legal framework of the Mental Capacity Act (MCA) and Deprivation of Liberty Safeguards (DoLS). People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.

People had access to a range of suitably nutritious food. People’s nutrition was closely monitored and action taken to investigate any weight loss. The service liaised well with external healthcare professionals and people’s healthcare needs were being met.

The service was very caring. People were treated with a high level of dignity and respect by both staff and the management team. Good, caring relationships had been developed and staff and the registered manager knew people well. There was a positive, inclusive and person centred culture within the home.

People’s care needs were assessed and detailed plans of care put in place which were amended when people’s needs changed. People, visitors and healthcare professionals said care needs were met by the service. People had access to a range of activities and opportunities and their social care needs were met by the service.

Staff and the registered manager listened to people and ensured any complaints or concerns were investigated. People and staff spoke extremely positively about the way the service was managed and said the registered manager was friendly and approachable.