This inspection took place on 22 August 2017 and was unannounced.

The Glen Nursing Home is a 56-bed service and is registered to provide accommodation and personal care for people living with dementia. Nursing care is provided. The accommodation is arranged over two floors linked by a passenger lift. All of the bedrooms have en-suite toilet facilities and there are communal lounges and dining areas for people to use.

At the time of the inspection there were 54 people using the service.

There was a registered manager in post. 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 last inspection took place on 15 October 2014 and the service was assessed as being ‘good’ in all domain areas and had a quality rating of ‘good’ overall.

At this inspection we found standards had been sustained and again rated the service as ‘Good’ overall. We found areas of governance and leadership had further developed and identified some outstanding areas of practice. This led us to award the ‘Is the service well led’ domain a rating of ‘Outstanding.’ There were clear lines of accountability. The home had outstanding leadership and direction from the registered manager, provider and management team.

The visions and values of the service were embedded into practice and the management team used research to make further improvements. Partnership working was excellent, for example, working with health care professionals and this had been sustained over time.

The managers strove to maintain, sustain and further improve the experiences of people living in the home through robust quality assurance processes

Why the service is rated ‘Good’ in other domain areas:

Staff were given regular training updates, supervision and development opportunities. People spoke positively about staff and the support they received. Staff demonstrated a good knowledge of the people and topics we asked them about.

People told us they felt safe and secure living in the home. Staff understood people well and knew how to keep them safe. Risk assessments were in place which provided detailed information to staff on how to maintain people’s safety.

Medicines were managed safely and overall, people received their medicines as prescribed. Good checking and auditing systems were in place to highlight any discrepancies with the medicines management system.

There were sufficient staff deployed to ensure people were provided with prompt care and support. Staff responded quickly to people’s requests for assistance. Safe recruitment procedures were in place to ensure staff were of suitable character to work with vulnerable people.

People’s consent was gained before care and support was provided. The service was acting within the legal framework of the Mental Capacity Act (MCA) and Deprivation of Liberty Safeguards (DoLS). People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.

People had access to a range of suitably nutritious food. People’s nutrition was closely monitored and action taken to investigate any weight loss. The service liaised well with external healthcare professionals and people’s healthcare needs were being met.

The service was very caring. People were treated with a high level of dignity and respect by both staff and the management team. Good, caring relationships had been developed and staff and the registered manager knew people well. There was a positive, inclusive and person centred culture within the home.

People’s care needs were assessed and detailed plans of care put in place which were amended when people’s needs changed. People, visitors and healthcare professionals said care n

We inspected The Glen Nursing Home on 15 October 2014 and the visit was unannounced.  This was the first inspection of the service since it was registered in March 2014.

The Glen Nursing Home is a 56-bed service and is registered to provide accommodation and personal care for people living with dementia. Nursing care is provided. The accommodation is arranged over two floors linked by a passenger lift. All of the bedrooms have en-suite toilet facilities and there are communal lounges and dining areas for people to use. On the day of our visit there were 55 people who used the service.

The home has a registered manager who had worked at the service since it opened. 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 and associated Regulations about how the service is run.

The Glen Nursing Home is a family run service and the owner is also the registered manager. People who used the service, relatives, staff and two health care professionals all told us the management of the service was very good. They said the manager was very hands on, approachable, responsive and available. We found a very open culture at the service whereby people felt able to raise issues without hesitation. We also found any concerns were dealt with effectively.

On the day of our visit we saw people looked well cared for. We saw staff speaking calmly and respectfully to people who used the service. Staff demonstrated that they knew people’s individual characters, likes and dislikes. People who used the service or their relatives were involved in planning their care and support to make sure their needs were being met in a personalised way.

People told us they felt safe at the home. Staff understood how to keep people safe and responded appropriately to situations when people were observed to become unsettled. Their interventions meant potential incidents between people who used the service were quickly diffused.

We found the service was meeting the legal requirements relating to Deprivation of Liberty Safeguards (DoLS).

People told us the meals were good. There was a choice available for each meal and the cook was well aware of people’s preferences and spoke with them directly about their likes and dislikes.

We saw people who used the service were engaged in a variety of activities during our visit and were kept stimulated and occupied. People also told us they enjoyed the trips out that were arranged on a regular basis. People were able to choose where they spent their time for example in a quiet lounge, their bedroom or in a busier lounge area.

There were enough staff on duty to meet people’s needs. Staff told us they felt supported by the manager and that training opportunities were good. People and relatives we spoke with told us they liked the staff and had confidence in them.

Visitors told us they were always made to feel welcome and could have a meal with their relative if they wished. They also said staff kept them up to date about their relative’s well-being.