Archived: Glyn Domiciliary

Updated 7 October 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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.

The provider was given 48 hours' notice because the location provides a domiciliary care service and we needed to be sure that someone would be in.

Before the inspection we reviewed the information we held about the service and the service provider. This included notifications. A notification is used by registered managers to tell us about important issues and events which have happened within the service.

During our inspection visits we spoke with five people who used the service. We looked at four people's care records and medicine administration records (MAR). We spoke with the registered managers, the training manager and five staff. We reviewed a range of records relating to the management of the service. These included two staff files, quality assurance audits, minutes of meetings with people and staff and incident reports.

Updated 7 October 2017

This inspection took place on 31 July 2017 and 2 August 2017 and was announced. The provider had short notice that an inspection would take place. This was because the service provides a supported living and a domiciliary care service to people in their own homes and we needed to ensure that the registered managers would be available to assist us.

Glyn Domiciliary is a service which is registered to provide people with personal care. At the time of the inspection the service was providing personal care to 13 people who were living in supported living services. Two supported living houses, Robins Way and Dimmock House, accommodated people who were profoundly deaf or hard of hearing, some of whom had physical or learning disabilities. Another house, Estann House accommodated people who had a physical or learning disability. Staff were supporting a further person who had occasional respite in a separate house in the grounds of Robins Way.

The service also provided a number of deaf people or people who were hard of hearing living in the surrounding community with services such as help with communication. The service was registered to provide personal care support for people living in their own homes although at the time of our visits no people living in the community were receiving personal care support. We therefore focussed our inspection around people who were living in the supported living services.

There were two registered managers in post. They had clearly defined roles and worked well together. One registered manager was in charge of services provided to people who were profoundly deaf and the other registered manager was in charge of the supported living services for hearing people with a learning or physical disability. 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 majority of staff who supported deaf people were also deaf or were hard of hearing. Nearly all staff supporting people at Robins Way or at Dimmock House could converse in British Sign Language. This meant communication was effective throughout the service.

People told us they felt safely cared for and said the service they received was good. Staff had a clear understanding of how to safeguard people and acted on their knowledge to protect people's health and well-being. People received their medicines as prescribed. The service employed enough safely recruited, suitably qualified and experienced staff to meet people's needs.

Staff knew what people’s care and support needs were and communicated with them effectively to ensure they received the care and support they needed and expected. People were supported to have choices and control of their lives and staff ensured they received safe care and support in the least restrictive way possible. The registered managers and staff had a good understanding of the Mental Capacity Act 2005 and applied its principles in their work.

Staff were well supported and received appropriate training to carry out their roles effectively. Staff understood and took action to meet people’s nutritional and healthcare needs.

Staff treated people with kindness, compassion and respect and promoted people's independence and right to privacy. Staff supported and encouraged people to engage with a variety of activities of their choice within the service as well as in the community.

People knew how to complain and concerns were managed in accordance with the provider's complaints policy.

Glyn Domiciliary had a clear management structure which was open, transparent and promoted strong organisational values. This resulted in a caring culture that put people using the service at the centre of it.

The provider had effective quality assurance systems which promoted good quality care.

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