CQC report explained · a nursing home
What the CQC found at Glebe Farm
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that people were protected from risks linked to their care and support. Staff understood the risks and followed regularly reviewed guidance.
- Effective?
- Good
- Does the care work? Training, consent, food and drink, working with GPs and nurses.
- Caring?
- Good
- Are people treated with kindness and dignity?
- Responsive?
- Good
- Is care built around the person? Care plans, activities, complaints.
- Well-led?
- Good
- Is the home run well? The manager, the culture, how problems get found and fixed.
What inspectors found, December 2021
Inspected but not rated; inspectors found good safety arrangements during a targeted visit, but did not carry out a full inspection.
The inspection was unannounced and took place on 24 November 2021, with inspection activity ending on 10 December 2021. Two inspectors visited the home, spoke with relatives and staff, and reviewed care records, accident and incident reports, and infection control information.
The visit was prompted by concerns about people's safety. Inspectors found no evidence that people were at risk of harm from this concern. Staff understood people's risks, care plans gave clear guidance, and accidents and incidents were reviewed for learning.
The inspectors were assured about infection prevention, including the use of protective equipment, testing, visiting arrangements and outbreak planning. The home was not given a new overall rating. Safe remained recorded as good from the previous inspection but was inspected without being rated during this visit.
Clear risk management
Care plans and risk assessments gave staff detailed instructions about people's health conditions, behaviours and support needs. These were reviewed and updated when circumstances changed.
“Risk assessments and care plans provided detailed guidance for staff to follow to minimise identified risks.” from the report
Learning from incidents
Senior staff reviewed accidents and incidents, looked for patterns and took further action where needed to reduce risks.
“The registered manager analysed accidents and incidents for any themes or trends and implemented actions to reduce risk where necessary.” from the report
Infection control
Inspectors were assured that the home had arrangements for infection prevention, protective equipment, testing, safe admissions and managing outbreaks.
“We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
Respectful, person-centred support
The report says people were supported to make decisions and that their privacy, dignity and human rights were protected.
“People were encouraged and supported to make decisions. People's care was person-centred and their privacy, dignity, and human rights were protected.” from the report
Home size and current guidance
minorThe home is registered for nine people, which the report says is larger than recommended by current best practice guidance. It was designed to meet the needs of people with complex needs.
“Although this is a new home (built in 2018), it is registered to support nine people, which is larger than recommended by current best practice guidance.” from the report
- 01How will you assess and manage my relative's particular risks, and how often will their care plan be reviewed?
- 02What lessons have you learned from recent accidents or incidents, and what actions were taken?
- 03How would you manage an infection outbreak, and what arrangements are currently in place for visits?
- 04How do you make sure staff understand changes in a person's health, behaviour or support needs?
- 05How does the home support people to make decisions while protecting their privacy, dignity and human rights?
This was a targeted inspection of specific safety concerns and infection prevention and control; the previous ratings were not comprehensively reviewed. This explanation was written from the published report of 22 December 2021 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, June 2021
Rated Good; inspectors found kind, personalised care and major improvements since the previous inspection.
Inspectors visited on 21 April 2021 and completed the inspection on 3 June 2021. They met five of the eight people living there, spoke with two people and six relatives, and talked with nine staff. They also checked care, medicines, recruitment and management records.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough trained staff, improved risk management, safe medicines systems, kind support and activities based on each person's choices.
The home had previously been rated Requires Improvement, with several legal breaches. Inspectors found that improvements had been made and that the provider was no longer in breach of those regulations.
Personalised care
Care plans were detailed and staff adapted support to each person's needs, choices and communication style.
“Support plans were personalised, detailed and fully available to staff.” from the report
Kind staff
Inspectors saw positive relationships, laughter and respectful communication between people and staff.
“During our observations it was clear people felt supported and were treated well.” from the report
Choice and independence
People chose their daily activities and were supported to take positive risks, develop skills and pursue personal goals.
“Staff worked hard to enable each person to live the life they wanted to live.” from the report
Improved leadership
Management, teamwork and quality checks had improved considerably since the previous inspection.
“Management of the service had improved considerably since our last inspection.” from the report
Communication with families
The home used calls, emails, photographs and electronic equipment to help people keep in touch with relatives.
“Staff kept in contact with relatives as much as each relative wanted, with telephone calls or weekly emails, which included photographs” from the report
End-of-life planning
minorEnd-of-life plans were not yet in place. The manager had plans to begin these sensitive discussions with families.
“However, the staff team were continuing to develop good relationships with people's families and the registered manager already had plans in place to get these sensitive discussions underway.” from the report
Home size
minorThe home is registered for nine people, which the report says is larger than current best practice. Eight people were living there at the inspection.
“Although this is a new home (built in 2018), it is registered to support nine people, which is larger than current best practice.” from the report
- 01How will you involve my relative and our family in creating an end-of-life plan?
- 02How do you make sure risk assessments and care plans remain up to date after an incident or change in needs?
- 03What activities and community opportunities would be available for my relative, based on their interests and goals?
- 04How would you support my relative to communicate choices, concerns or complaints?
- 05How do you decide whether the home's size, shared spaces and staffing are suitable for my relative's needs?
This was an unannounced planned inspection covering all five key questions, including infection prevention and control; the visit took place on 21 April and the inspection was completed on 3 June 2021. This explanation was written from the published report of 26 June 2021 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Glebe Farm
2 rated inspections over 2 years: the service has improved, from Requires improvement to Good.
- December 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- June 2021GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2021Inspected but not ratedSafe: Inspected but not rated
- September 2019Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate
- August 2018
Registered with the Care Quality Commission on 29 August 2018.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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17 live-in carers within about an hour of Cambridgeshire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £1,020 to £1,200 a week. 14 can care for a couple. 12 years' experience on average.
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.