Archived: Glen Rose

Updated 11 January 2017

We carried out this unannounced focused 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 was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008 and to provide a rating for the service under the Care Act 2014.

This inspection took place on 22 November 2016 and was completed to check that improvements to meet legal requirements, regarding warning notices we had served had been completed by the registered provider. The service was inspected against three regulations which fall into four of the five key questions we ask about services: Is the service safe, is the service effective, is the service caring and is the service well led? This is because the service was not meeting some legal requirements.

The inspection team consisted of one inspector and an expert by experience in the care of older people. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Before our inspection we reviewed the information we held about the home, including previous inspection reports. We reviewed notifications of incidents we had been sent to us since the last inspection. A notification is information about important events which the service is required to

send us by law.

We spoke with one person who lived at the home and four relatives to gain their views of the home in relation to the areas we looked at. We observed care and support being delivered by staff in all communal areas of the home. We spoke with the manager and general manager. We also spoke with four members of staff including; nurses and care staff. We also spoke to an external healthcare professional and an external social care professional.

We looked at records relating to the management of the service including incident and accident records and audits which we then crossed referenced to care records of six people to ensure the systems effectiveness. We reviewed staff training records, meeting records and some polices. Following the inspection we requested the manager send us further information regarding staffing and training. This information was received.

Updated 11 January 2017

This focused inspection took place on 22 November 2016 and was unannounced.

Glen Rose is a service that is registered to provide accommodation and nursing for up to 47 older people, most of whom are living with dementia. Accommodation is provided over two floors and there is a lift to provide access to people who have mobility problems. There are two communal areas on the ground floor and one on the first floor that people could choose to spend their time in. At the time of our visit 23 people lived at the home.

We had carried out an unannounced inspection of this home on 26 and 27 April 2016. We found breaches of the legal requirements in relation to; the environment and premises, governance systems and dignity and respect. The environment was unclean and not well maintained. Equipment to meet people’s needs was not always available. Staff did not always demonstrate they treated people with dignity and respect and the systems in place to monitor the service and drive improvements were ineffective.

Following this comprehensive inspection we served three warning notices with respect to these breaches, on the registered provider of the service. We required them to achieve compliance with Regulation 15, Equipment and premises and Regulation 10, dignity and respect, by 21 June 2016. We required them to achieve compliance with Regulation 17, good governance by 20 October 2016.

We undertook this unannounced focused inspection to check they had met the legal requirements and made necessary improvements in relation to the warning notices served. This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Glen Rose on our website at www.cqc.org.uk

We found some improvements had been made and the warning notices had been made. However, further improvements were needed and the improvements made needed to be embedded into the home.

At the time of the focussed inspection a registered manager was not in place. 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 provider had appointed a new manager who had submitted an application to become the registered manager to the Commission.

More equipment had been purchased to ensure there was enough to meet people’s needs. Areas in the home that required a level of maintenance had improved but further work was needed. Some areas were much cleaner and more systems were in place to monitor this; however, some areas remained unclean.

People told us the staff were kind and caring. No one had any concerns and said they were happy with the care and support they received. Staff respected people’s privacy and dignity and used their preferred form of address when they spoke to them. Observations showed that staff had a kind and caring attitude, though one member of staff told us they felt more training sessions would be useful to ensure staff practice remained person centred and not task focused.

Improvements had been made to the systems used to assess quality although further improvements were required to ensure these were fully effective and embedded into the service.

We found one breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of this report.