Glenroyd House

Updated 8 May 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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection team was made up of two inspectors.

Service and service type: Glenroyd House is residential home which provides personal care and accommodation to people with a learning disability.

The service had a manager registered with the Care Quality Commission. This means that they 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 was an unannounced inspection.

What we did:

Before the inspection, we reviewed information we had received about the service since the last inspection. This included details about incidents the provider must let us know about, such as abuse; and we sought feedback from the local authority and other professionals involved with the service. We assessed the information that providers send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection we spoke with the registered and deputy manager 4 members of staff. We spoke with 3 people who used the service. We looked at 7 people’s care records including their medication records and health plans. We looked at 4 staff files. We reviewed training and supervision records and documents relating to the management of the service including complaints and compliments, minutes of meetings and quality audits.

After the inspection we made further requests for information which was provided by the registered manager.

Updated 8 May 2019

About the service: Glenroyd House is a 'care home'. People in care homes receive accommodation and personal care under a contractual agreement. CQC regulates both the premises and the care provided and both were looked at during this inspection. Glenroyd House accommodates up to eight people who may have a learning disability, in one adapted building. At the time of our inspection, seven people were using the service.

People’s experience of using this service:

¿ The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice, and independence.

¿ People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. Policies and systems in the service supported this practice.

¿ People felt safe using the service and under the new management team reported various improvements.

¿ People felt listened to and found the new registered manager approachable and friendly.

¿The safe recruitment of new staff meant improvements had been made in how people could spend their time. There were now more drivers available to support people to access the community when they chose and enjoy a range of activities.

¿ Previously concerns had been raised about how people’s finances were managed but this issue had been addressed and a robust system for monitoring people’s money was in place.

¿ There were systems in place to safeguard people from the risk of harm. Risks to people were very well managed with one exception which placed a person at risk of harm.

We made a recommendation about risk recording.

¿ The local authority had previously found that the service was not pro-active in supporting people to manage their own medicines. This had been addressed and the service was actively supporting people to take on these responsibilities if they chose and were able. We did find several errors relating to administration of medicines which were addressed at the time of inspection.

We made a recommendation about medicine management.

¿ Staff had training in food hygiene and infection control and followed good practice to prevent contamination and the spread of infection.

¿ People had choice around mealtimes and were involved in shopping and meal preparation.

¿ Staff received training and monitoring to ensure they were competent in their role.

¿ Staff enjoyed working at the company and felt well supported.

¿ A new registered manager and deputy had recently been recruited. Both were valued by people and staff.

¿ People were supported to be independent and exercise choice and control in their daily lives and could access a range of activities and interests of their choosing.

¿ Information was provided to people in easy read formats to help people’s understanding, including how to make a complaint or raise concerns.

¿ Systems and processes were in place to monitor safety and quality and drive improvements.

¿Peoples information was protected and confidentiality maintained.

¿ People and staff were included in the running of the service and were provided with opportunities to share their ideas and give feedback.

Rating at last inspection: Requires improvement. (Last report published 12 June 2018). At the last inspection people were not always receiving care which responded to their needs and preferences in relation to accessing the community and following their interests. Improvements were also needed to the management of the service. Some systems had not been reviewed and improved such as the rota arrangements, communication with and involvement of staff and financial systems. As a result the service was in breach of Regulation 9 and 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. We also made two recommendations about keeping people’s information safe and acknowledging people's sexual orientation and their preferences.

Following the last inspection, we asked the provider to complete an action plan to show what they would do and by when as to evidence the improvement in the quality of the service. At this inspection, we looked to see whether the provider had implemented the action plan. We found the required improvements had been made to improve the service since our last inspection.

Why we inspected: This was a planned inspection based on the previous rating.

Follow up: We will continue to monitor the service.

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