Glebe Villa

This was a responsive assessment to review 3 breaches of the legal regulations in relation to staff recruitment, staff training and good governance, identified in our previous assessment in November 2022. We assessed 34 quality statements in the safe, effective, caring, response and well led key questions.

At our last assessment we rated this service as requires improvement. At this assessment the rating has changed to good. The service had now improved, and robust systems were now in place to ensure staff were recruited safely and the staff team received ongoing training. Governance arrangements were now robust and driving improvement at the service.

We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. We found people received care and support in accordance with the principles of this guidance.

There were enough staff to meet people’s needs. The provider carried out checks on staff to ensure they were suitable to work at Glebe Villa. Improvements had been made to ensure staff received appropriate training enabling them to support people in a person-centred way.

The environment was clean and well-maintained. Improvements had made to the environment affording people more communal space. The office had been moved to a garden room, which meant professionals and relatives had a space to meet with the registered manager in privacy.

People were assessed before they were supported to move to Glebe Villa. From these assessments it was noted that two people had a clear diagnosis of mental health and were supported by local mental health services. Whilst it was evident they were meeting the needs of the people and staff had received training in mental health, the service did not have the service user band mental health. We have recommended the service adds this to their registration.

People were treated with kindness and compassion. Systems were in place to protect people from risk of abuse. People were involved in their care, care plans were person centred and reflected their needs, personal history and their wishes and aspirations. Risk assessments were in place to ensure people received safe care. People’s independence was encouraged and staff responded to people’s needs in a timely manner. Staff promoted choices and involved people in making decisions about what they wanted.

Leaders were visible, knowledgeable, and supportive. They helped staff develop through continual learning, helping them develop in their roles. Staff were confident to give feedback and were treated equally, free from bullying or harassment.