Glebefields Care Home

Updated 20 August 2019

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

Inspection was carried out by two inspectors and one Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Glebefields Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as 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 who was in a process of registering 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

This inspection was unannounced and took place on 18 July 2019.

What we did before the 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 also looked at the notifications we had received for this service. Notifications are information about important events the service is required to send us by law.

During the inspection

We spoke with ten people who used the service and one relative about their experience of the care provided. We spoke with nine members of staff including the regional manager, the manager, a nurse, senior care staff, care staff, activities and kitchen staff. We reviewed a range of records. This included five people’s care records and multiple medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including complaints log and audits were viewed. We also spoke with one visiting external professional.

After the inspection

We contacted five external health and social care professionals, including commissioners to obtain their views about the service.

Updated 20 August 2019

About the service

Glebefields Care Home is a service providing personal and nursing care for people aged 65 and over. It accommodates up to 48 people across two separate wings, each of which has separate adapted facilities. One of the wings is designated to provide care to people living with dementia. There were 32 people living at the service at the time of our inspection.

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

People told us they received caring and kind support from compassionate staff. Staff respected people’s privacy and dignity. Staff told us the caring nature came from their hearts, staff were enthusiastic, motivated and supportive to each other.

The team was committed to respecting people’s individual needs, including communication and diversity needs. People were supported to be independent and their confidentiality was respected.

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; the policies and systems in the service supported this practice.

People were very well supported to meet their nutritional needs and complimented the food. Staff worked with a number of external professionals to maintain people’s health and to enable them to access health care services. External professionals were complimentary about the home and care provided to people.

People told us they received support that met their needs. There were opportunities for people to participate in various, meaningful activities of their choice. People knew how to raise any concerns and had confidence any concerns would be promptly addressed.

People told us they were safe and there was a sufficient number of safely recruited staff. People were supported to take their medicines as prescribed. Risks to people’s, such as surrounding mobility or skin integrity had been assessed and recorded. The lessons learnt process took place where the service could be improved further for people.

The service was well-led by a new manager who was in a process of registering with the Care Quality Commission. The culture they created was positive, inclusive and empowered staff and people. There was a clear staffing structure in place and staff worked well as a team. There were effective quality assurance systems in place that were used to monitor various aspects of the service deliver and plan further developments.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service awarded at the most recent full, comprehensive inspection was requires improvement (published 17 August 2018). We also carried out a responsive, focussed inspection that covered safe and well-led domains in January 2019. The overall rating remained requires improvement (published 20 March 2019). At our last visit in January 2019 we found one breach of regulation. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

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.