This inspection took place on 01 September 2015 and was unannounced.
Great Glens Facility provides rehabilitation and personal care for up to 22 people who have long-term mental health needs. The facilities include 18 single rooms in the main building with a pair of two bedroomed houses allowing care on different levels to suit each stage of rehabilitation. There were 20 people using the service when we visited.
The service had a registered manager. 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.
Risk management plans were not always in place for people who used the service, to promote and protect their safety.
People were protected from abuse and felt safe. Staff were knowledgeable about the risks of abuse and reporting procedures.
There were appropriate numbers of staff employed to meet people’s needs and safe and effective recruitment practices were followed.
There were suitable arrangements in place for the safe management of medicines.
Staff were appropriately trained and skilled and provided care in a safe environment. They all received a thorough induction when they started work at the home and fully understood their roles and responsibilities, as well as the values and philosophy of the service. The staff had also completed training to make sure that the care provided to people living with mental health needs was safe and effective to meet their needs.
People’s consent to care and treatment was sought in line with current legislation. Throughout our inspection we saw examples of good quality care that helped make the service a place where people felt included and consulted.
People were supported to eat and drink sufficient amounts to ensure their dietary needs were met.
Staff supported people to attend healthcare appointments and liaised with their GP and other healthcare professionals as required.
People were looked after by staff that were caring, compassionate and promoted their privacy and dignity.
People’s needs were assessed and regularly reviewed. People and their families contributed to their care plans and they were updated regularly to ensure they were still accurate and relevant.
People were supported to take part in meaningful activities and pursue hobbies and interests.
Systems were in place to obtain people’s view and opinions about their care. People were able to raise concerns or complaints with the service and felt that these would be acted upon.
The service had an open, positive and welcoming culture.
We saw that people were encouraged to have their say about how the quality of services could be improved and were positive about the leadership provided by the registered manager.
The service had a registered manager in post. They were supportive of people and staff and worked alongside them to ensure people received the correct care.
There was a range of quality control and audit procedures in place to help maintain high standards of care and identify areas for development.
We identified that the provider was not meeting the regulatory requirements and was in breach of one of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of the report.