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What the CQC found at Gilling Reane Care Home

Goodpublished 15 August 2025, 13 months ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The latest report, explained

What inspectors found, December 2023

Gilling Reane Care Home was rated Requires Improvement; inspectors found unsafe employment checks and weak oversight, although care, medicines and safeguarding were generally good.

This was an unannounced focused inspection on 21 and 23 November 2023. Inspectors spoke with people, relatives, staff and health and social care professionals. They reviewed care records, medicine records, staff files, rotas, risk assessments and management records.

The home had enough staff and people received their medicines safely. Care risks were identified and managed. Inspectors found good safeguarding, infection control and support from health professionals. People and relatives said they felt safe and were happy with the care.

However, some recruitment checks were incomplete. Unsafe action had also been taken when there were concerns about whether a staff member was suitable to work with vulnerable people. The provider's oversight and governance systems did not identify these problems.

The overall rating changed from Good at the previous inspection to Requires Improvement. Safe and Well-led were both rated Requires Improvement. The other three questions were not inspected and their previous ratings were carried forward.

What inspectors praised
  • Safe medicines support

    Medicines were administered as prescribed. Staff were trained and controlled drugs were managed according to guidance.

    “The registered and deputy manager and senior staff followed safe processes to ensure people's medicines were managed safely.” from the report
  • Enough staff

    Inspectors found enough staff to support people appropriately, supported by their observations and the rotas.

    “There were enough staff employed. Our observations at inspection and staffing rotas supported this.” from the report
  • People felt safe

    People and relatives reported that people felt safe. Staff understood safeguarding procedures and knew how to report concerns.

    “People felt safe. One person said, "We are checked on regularly and I feel very safe here.” from the report
  • Approachable managers

    People, relatives and staff said the managers were available and supportive. The home also received positive feedback from external professionals.

    “People, their relatives and staff told us the registered and deputy managers were visible, approachable and supportive.” from the report
What inspectors were concerned about
  • Incomplete recruitment checks

    serious

    Some checks with previous health and social care employers had not been completed. This created a risk that unsuitable staff could be employed.

    “Safe recruitment procedures were not always followed. On occasions, checks into an applicant's background had not been thorough enough.” from the report
  • Unsafe employment decisions

    serious

    The home did not use safe processes when concerns were raised about a staff member's fitness to work with vulnerable people.

    “Processes which should have been used when concerns were identified about staff members' fitness to carry out their roles were unsafe.” from the report
  • Weak provider oversight

    serious

    The provider's audits and checks did not identify the employment problems. Leaders did not fully understand the risks or the relevant requirements.

    “Although the registered provider's representatives were involved in audits and checks related to the running of the service, these had not been effective in establishing the breach of regulation seen in the 'safe' section of this report.” from the report
  • Some fire safety work outstanding

    minor

    Most fire safety improvements had been prioritised, but some relatively minor items remained outstanding at the inspection.

    “However, some relatively minor areas were outstanding. The fire service were aware of these remaining items.” from the report
Questions to ask them, based on this report
  1. 01What changes have you made to recruitment checks with previous health and social care employers?
  2. 02How do you now respond when there are concerns about a staff member's conduct or suitability to work with vulnerable people?
  3. 03How are the provider's audits checking that the new employment and disciplinary processes are being followed?
  4. 04What fire safety items were still outstanding at the inspection, and have they now been completed?
  5. 05How will you show families that the changes identified in your investigation are working in practice?

This was a focused inspection of Safe and Well-led only; the ratings for Effective, Caring and Responsive were carried forward from the previous inspection. This explanation was written from the published report of 15 December 2023 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

An earlier report, explained

What inspectors found, February 2022

Gilling Reane Care Home: inspected but not rated; inspectors found good infection control and staffing arrangements during a COVID-19 outbreak.

This was an unannounced, targeted inspection on 7 January 2022. Inspectors checked infection prevention and control during a COVID-19 outbreak and asked about staffing pressures.

The inspectors found examples of good practice. The home had enough PPE, trained staff, regular cleaning and systems for testing, vaccination, safe admissions and visits. Extra agency staff were used to maintain staffing levels.

The overall service was inspected but not rated. The Safe question was also inspected but not rated. This report does not give ratings for Effective, Caring, Responsive or Well-led.

What inspectors praised
  • Infection control

    The home followed guidance during a COVID-19 outbreak and had systems for testing, PPE, cleaning and managing infections.

    “The registered manager had contacted appropriate agencies for advice and support and had followed the guidance they gave.” from the report
  • PPE and staff training

    Staff had training in infection control and safe PPE use, and the provider had sufficient PPE available.

    “Staff were trained in infection prevention and control and using Personal Protective Equipment, (PPE), safely.” from the report
  • Maintaining staffing

    Agency staff were brought in during staffing pressures and worked alongside experienced staff who knew the people living in the home.

    “The registered manager had arranged for agency staff to be deployed to ensure safe staffing levels were maintained.” from the report
  • Clean environment

    The staff team kept the home clean and hygienic, including regular cleaning of frequently touched surfaces.

    “Frequently touched surfaces were cleaned regularly throughout the day to reduce the risk of infection.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How are staffing levels maintained now when COVID-19 or other pressures affect the usual staff team?
  2. 02How do agency staff learn about the needs and routines of residents before providing care?
  3. 03What arrangements are currently in place for testing, PPE and managing an infection outbreak?
  4. 04How would visits work if there were another outbreak?
  5. 05How do you check that staff and visiting professionals meet the current vaccination or exemption requirements?

This was an unannounced targeted inspection of infection prevention and control and COVID-19-related staffing pressures; it did not rate the service overall or give separate ratings for the other four questions. This explanation was written from the published report of 10 February 2022 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Gilling Reane Care Home

5 rated inspections over 9 years: the service has held its Requires improvement rating throughout.

  1. December 2023Requires improvementcurrent rating
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read what inspectors found at Gilling Reane Care Home →

  2. February 2022Inspected but not rated
    Safe: Inspected but not rated

    Read what inspectors found at Gilling Reane Care Home →

  3. August 2018Goodup from Requires improvement
    Safe: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. April 2017Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. May 2015Requires improvementstayed Requires improvement
    Safe: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  6. November 2014Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  7. July 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. July 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. October 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. January 2011

    Registered with the Care Quality Commission on 12 January 2011.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

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