Glebelands

There was a registered manager at the home. 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. The provider notified CQC about significant events that happened in the care home and had acted in line with regulatory requirements.

The registered manager was a prominent presence in the service and understood people's needs well. There was a system of audits and quality assurance in place to monitor the quality and safety of the service.

People living at Glebelands were cared for by staff who understood their needs. Staff had undertaken a programme of training in induction which helped to give them the skills to work with people with complex needs. The registered manager provided bespoke staff training, induction and ongoing support tailored to the needs of people, which helped to ensure that staff were confident and competent in their role. The provider had robust systems in place to help ensure that appropriate recruitment choices were made.

There were sufficient numbers of staff in place in order to meet people's needs. Staffs understood how to safeguard people from abuse and harm and were confident in reporting concerns to the registered manager.

People's care plans were developed in partnership with people's families and other stakeholders involved in people's care. Care plans were very detailed and contained information for staff to support people to remain safe in the event of escalating anxiety and behaviours. Care plans were regularly reviewed as changes in people's needs were identified through analysis of incidents and reflection on staff's working practices.

The service was focussed on ensuring that restrictions that had been assessed as necessary to maintain people's safety were regularly reviewed to ensure they were minimised as much as possible. There were policies and procedures in place to ensure that people's rights and freedoms were respected and staff understood the need to gain consent before providing care.

People's families told us that staff were caring and dedicated in their roles. People were encouraged to lead active lives and develop their everyday life skills which encouraged them to increase their independence. People were treated with dignity and respect and their individual needs were considered in the delivery of care by staff.

Staff were aware of people's individual communication needs and were creative in ensuring there were systems in place to help people communicate their needs and make choices where possible. The provider had made adaptations to the environment which promoted people's privacy and safety.

People were supported to access healthcare services as required and there were systems in place to manage their medicines effectively. People were supported to follow a diet in line with their requirements and preferences.

There were systems in place to gain people and relatives feedback about the service. There was a complaints policy in place and people's relatives told us they were confident in raising concerns. Relatives told us that the service worked in partnership with them and communicated well with them when incidents occurred or to share updates about their wellbeing.

The five questions we ask about services and what we found