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CQC report explained · a residential care home

What the CQC found at Glebe House

Goodpublished 21 December 2023, 2 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People told inspectors they felt safe. Staff understood people's risks and mental health needs, medicines were managed safely, and staff followed infection prevention practices.
Effective?
Good
This area was not inspected during this visit. The previous rating was used when calculating the overall rating.
Caring?
Good
This area was not inspected during this visit. The previous rating was used when calculating the overall rating.
Responsive?
Good
This area was not inspected during this visit. The previous rating was used when calculating the overall rating.
Well-led?
Good
Inspectors found an open culture, supportive management and robust checks on care quality. People and staff were involved in the running of the home.
The latest report, explained

What inspectors found, December 2023

Glebe House is rated Good; inspectors found safe, well-managed care, but this visit did not review all five areas.

Inspectors made an unannounced focused visit on 23 November 2023. They spoke with five people living at the home, a relative, a visitor, managers and staff. They also reviewed care records, medicine records and management checks.

The home was rated Good for Safe and Well-led. People told inspectors they felt safe. Staff understood people's mental health needs, risks were assessed, medicines were managed safely and infection control practices were followed.

Inspectors found a caring and open culture, with support for people's independence, religious beliefs and daily living skills. Managers used audits, meetings and incident reviews to identify improvements.

This was not a full inspection. The ratings for Effective, Caring and Responsive were not reviewed and were carried forward from the previous comprehensive inspection, which was rated Good in 2018.

What inspectors praised
  • Good safety arrangements

    Risks were assessed and staff knew how to support people when their mental health changed. The home also reviewed incidents and shared learning with staff.

    “Where people had dips in their mental health there was information in their care plans to show what the triggers could be” from the report
  • Medicines managed safely

    Inspectors found that medicines were administered safely. Staff followed professional advice for a person who had difficulty swallowing.

    “Medicines were managed safely and staff followed safe practice when administering medicines.” from the report
  • Support for independence

    The home supported people to build daily living skills and work towards more independent lives. A rehabilitation area and rehabilitation coordinators supported these goals.

    “The service had a rehabilitation area which was set up to help people improve their daily living skills.” from the report
  • Strong management checks

    The manager used audits to look for patterns in accidents and incidents and made changes when needed. Staff said they felt supported and could raise issues.

    “The registered manager undertook robust auditing processes in all aspects of people's care.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How will you recognise and respond if my relative's mental health changes, including their known triggers?
  2. 02What support could my relative receive to build daily living skills and work towards greater independence?
  3. 03How do you make sure learning from incidents or safeguarding events is put into practice?
  4. 04How are the building and shared areas maintained so they can be cleaned effectively?
  5. 05How will you keep me informed if concerns or changes in my relative's care are identified?

This was a focused inspection of Safe and Well-led only; the ratings for Effective, Caring and Responsive were carried over from the previous comprehensive inspection in 2018. This explanation was written from the published report of 21 December 2023 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.

An earlier report, explained

What inspectors found, November 2018

Glebe House was rated Good in all five areas; inspectors found safe, kind and personalised care with no serious risks or concerns.

Inspectors made an unannounced, comprehensive visit on 7 November 2018. They spoke with eight people living in the home, staff, a relative and a visiting health professional. They also observed care, checked three care plans and watched medicines being given.

The home was rated Good for Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines systems, clean surroundings and suitable recruitment checks. People were supported with food, health appointments, choices, privacy, activities and their personal goals.

The home had also been rated Good at the previous inspection on 20 May 2016. Inspectors said the rating remained supported and found no evidence of serious risks or concerns.

What inspectors praised
  • Safe staffing and medicines

    Inspectors found enough staff to provide support when needed. Medicines were given safely, and people were supported to understand or manage their medicines where appropriate.

    “We saw a member of staff administering medicines and they followed good practice guidance and safe procedures.” from the report
  • Positive relationships

    Staff knew what mattered to people and how to reduce anxiety. Inspectors saw friendly interactions and support that respected privacy, dignity and independence.

    “Relationships between staff and people were friendly and positive.” from the report
  • Personalised care

    People helped plan and review their care. Staff supported individual goals, including moving towards independent living and taking part in chosen interests.

    “People received personalised care that was responsive to their needs.” from the report
  • Good oversight

    The registered manager was visible and available. The home used audits, meetings and surveys to identify improvements and respond to people's views.

    “Audits had been effective and were used to improve the quality of the service.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How would you support my relative to become more independent with medicines or other daily tasks?
  2. 02How would you recognise and respond if my relative became anxious or distressed?
  3. 03How are care plans reviewed with residents and their families when needs or preferences change?
  4. 04What activities and community opportunities would be suitable for my relative?
  5. 05How would you support my relative to access health professionals when needed?

This was an unannounced comprehensive inspection covering all five key questions, and the ratings in all five areas were Good. This explanation was written from the published report of 27 November 2018 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.

The story over the years

Every inspection of Glebe House

3 rated inspections over 8 years: the service has held its Good rating throughout.

  1. December 2023Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Glebe House →

  2. November 2018Goodstayed Good
    Safe: GoodWell-led: Good

    Read what inspectors found at Glebe House →

  3. May 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. December 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. February 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. January 2012

    Registered with the Care Quality Commission on 30 January 2012.

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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