Background to this inspection
Updated
14 October 2021
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 care homes with outbreaks of COVID-19, we are conducting reviews to ensure that the Infection Prevention and Control practice was safe, and the service was compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place.
This inspection took place on 09 September 2021 and was announced.
Updated
14 October 2021
This inspection visit took place on 31 January 2019 and was unannounced.
Glenthorne No2 Care Home Limited is a detached property close to local amenities in Thornton-Cleveleys. The home provides personal care for up to 15 people. Bedrooms are on the ground and first floor. All bedroom accommodation is for single occupancy. Communal space consists of a lounge, a separate dining room, and a small conservatory which is also used as a smoking room. At the time of our inspection visit on 31 January 2019 there were 15 people who lived at the home.
Glenthorne No2 Care Home Limited is a 'care home.' People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.
There was a registered manager 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.
At the last inspection on 07 and 13 December 2017 we made a recommendation for the provider to carry out frequent risk assessments during the renovation work being undertaken at the home. This was because we identified risks such as raised plank/uneven flooring in the hall had not been noted as a possible trip hazard. These were rectified when brought to the attention of the management team. During the inspection on 31 January 2019 we found risk assessments had been developed to minimise the potential risk of harm to people when renovation work was to be undertaken.
At the last inspection on 07 and 13 December 2017 we made a recommendation for the provider to further develop people's care records including care plans and risk assessments. During the inspection on 31 January 2019 we found care plans were well maintained and informative about people’s care provision. We saw people had consented to their care and treatment and where appropriate family members who had the legal authority to do so.
People who lived at the home told us they were happy with the care provided and staff were caring and compassionate. They told us staff were kind and attentive and spent time with them. Comments received included, “I am very happy here. There is lots of laughter.” And, “I am happy here and I do feel safe.”
Relatives spoken with during the inspection told us they were happy with the care provided and had no concerns about their family members safety. One person visiting the home said, “The staff are lovely. They are kind to my [relative].”
Procedures were in place to record safeguarding concerns, accidents and incidents and take necessary action as required. Staff had received safeguarding training and understood their responsibilities to report unsafe care or abusive practices.
Staff had been recruited safely, appropriately trained and supported.
We saw there was an emphasis on promoting dignity, respect and independence for people supported by the service. They told us they were treated as individuals and received person centred care.
We observed the daily routines and practices within the home and found people were treated equally and their human rights were constantly being respected.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
Staff responsible for assisting people with their medicines had received training to ensure they had the competency and skills required. People received their medicines as prescribed and when needed and appropriate records had been completed.
We looked around the building and found substantial improvements in the homes environment had continued to be made. These were ongoing and further work was scheduled for updating bedrooms and the downstairs bathroom which are in need of improvement.
The design of the building and facilities provided were appropriate for the care and support provided. People had access to an enclosed rear garden to enjoy during the better weather.
The service had safe infection control procedures in place. People who lived at the home told us they were happy with the standard of hygiene in place.
We received mixed reviews about the meals provided with some people saying they would like more choices. This was discussed with the registered provider.
Although the service provided social activities some people spoken with said they would like these to be organised more often. The registered manager told us this was something he would address.
The service had a complaints procedure which was made available to people and their family when they commenced using the service. The people we spoke with told us they were happy with the service and had no complaints.
The service used a variety of methods to assess and monitor the quality of the service. These included regular audits and satisfaction surveys to seek people’s views about the service provided.
Further information is in the detailed findings below.