CQC report explained · a residential care home
What the CQC found at Glanmor
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, October 2020
Inspected but not rated; fire safety improved, while the previous Requires Improvement rating remained in place.
This was a targeted inspection on 30 September 2020. One inspector spoke with the manager, a support worker and two people living at the home. Records about fire safety and infection control were checked.
The inspection found that the earlier fire safety problems had been addressed. New fire doors had been fitted throughout the home. Fire equipment and alarms were checked, and staff had fire safety training and drills.
People said they felt safe. Inspectors were assured that infection control measures, including personal protective equipment, testing, social distancing and hygiene, were being used effectively.
This was not a full inspection. The home was inspected but not rated, and its previous overall Requires Improvement rating remained in place. The earlier breach of Regulation 12 had been addressed.
Fire safety improved
The home had completed the actions identified in its fire risk assessment. New fire doors were installed and fire equipment was regularly serviced and tested.
“New fire doors had been fitted throughout the home by a specialist fire safety contractor.” from the report
Staff prepared for emergencies
Staff had completed fire safety training and taken part in fire drills.
“Staff had completed training on fire safety and taken part in fire safety drills.” from the report
Infection control
Inspectors were assured that the home was using protective equipment safely, supporting social distancing and shielding, and accessing testing for residents and staff.
“We were assured that the provider was using PPE effectively and safely.” from the report
People felt safe
People living at the home told inspectors that they felt safe there.
“People told us they felt safe living at Glanmor.” from the report
Monitoring could be developed
minorAlthough infection control was being carried out effectively, inspectors signposted the provider to resources to improve its auditing and monitoring.
“Although infection prevention and control measures were being implemented effectively, we have signposted the provider to resources to develop their approach to auditing and monitoring.” from the report
- 01What was the outcome of the next comprehensive inspection after this targeted visit?
- 02How are you now auditing and monitoring infection prevention and control?
- 03How often are the new fire doors, fire equipment and alarm tested?
- 04What were the areas for improvement under the previous Requires Improvement rating?
- 05How do you check that staff continue to complete fire safety training and drills?
This was a targeted inspection of specific fire safety concerns, with additional checks on infection prevention and control; it did not assess the full Safe question or the other key questions, so the previous ratings carried over. This explanation was written from the published report of 16 October 2020 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.
What inspectors found, July 2019
Glanmor is rated Requires Improvement and is no longer in special measures; inspectors found kind care but fire safety and management still needed improvement.
This was an unannounced follow-up inspection on 24 June 2019. Two inspectors spoke with three people, three staff, the manager and director. They reviewed care, medicines, staffing, recruitment and management records, and spoke with two visiting professionals.
The home had improved from Inadequate at the previous inspection. Caring and Responsive were rated Good. People said they felt safe, liked the staff and liked living at the home. Inspectors found kind, respectful support, safe medicines management, enough staff and access to health services.
The overall rating was Requires Improvement. Fire doors had not been replaced, some cleaning needed improving and some risk assessments and care plans lacked detail. Audits were taking place, but the home did not have one clear development plan bringing all the required actions together.
The home was previously in special measures, but it is no longer in special measures because it was no longer rated Inadequate overall or in any key question. However, the report found a continued breach of Regulation 12 because fire safety arrangements did not adequately protect people.
Kind and respectful staff
People said staff were caring and liked living at the home. Inspectors saw staff spending time with people and supporting them in a respectful way.
“People told us the staff were caring and "liked living at the home".” from the report
Safe medicines support
Medicines records showed that medicines were given as prescribed. Records also included information about people's medicines, allergies and when-required medicines.
“MAR were signed by staff to show medicines administered. The MAR confirmed medicines were administered as prescribed.” from the report
Staffing and support
Inspectors found enough staff during the day, with on-call support at night. Staff had induction, training, supervision and appraisals.
“One to one supervision meetings with a line manager were regular for staff to discuss concerns, personal development and their performance.” from the report
Community involvement
People were supported to keep in touch with friends and relatives, use the wider community and develop independent living skills.
“People were supported to access the wider community and to maintain contact with their friends and relatives.” from the report
Fire doors were still outstanding
seriousApproved replacement fire doors had not been installed for a significant period. Inspectors said this left people and staff at risk of harm in the event of a fire.
“The delays in replacing fire doors continue to place people and staff at risk of harm if there was a fire in the home.” from the report
Cleaning needed improvement
needs fixingSome areas of the home were not clean enough. The manager had identified this, but cleaning schedules still needed to be developed.
“There were areas of the property that needed better cleaning regimes.” from the report
Risk and care plans lacked detail
needs fixingSome risk assessments did not clearly explain how risks should be reduced. Some care plans also lacked enough detail for staff to provide consistent support.
“Some risk assessments lacked detailed on how to minimise the risk while others were very detailed but difficult to follow on the most up to date actions.” from the report
Incident reporting was inconsistent
needs fixingSome incidents referred to safeguarding were not also reported to CQC. The inspectors recommended that current guidance on reporting accidents and incidents be followed.
“Accidents and incidents were not always reported as required by Regulation 18 of the Care Quality Commission (Registration) Regulations 2009.” from the report
- 01Have all the replacement fire doors now been installed, and has the work been checked by the relevant fire safety authority?
- 02What cleaning schedules are now in place, and how is the home checking that cleaning is completed?
- 03How have risk assessments and care plans been brought together and made more specific for each person?
- 04Is there now a registered manager in post, and who is responsible for the home if registration is still being processed?
- 05How are incidents now checked to make sure all required reports are sent to CQC and the safeguarding team?
This was an unannounced follow-up inspection based on the previous Inadequate rating and covered all five key questions, with particular attention to earlier required improvements. This explanation was written from the published report of 23 July 2019 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.
Every inspection of Glanmor
4 rated inspections over 3 years: the service has slipped, from Good to Requires improvement.
- October 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- July 2019Requires improvementup from InadequateSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- December 2018Inadequatedown from GoodSafe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate
- May 2017Goodstayed GoodSafe: Good
- September 2016GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2013
Report published without a new overall rating.
- May 2013
Report published without a new overall rating.
- January 2012
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 25 November 2010.
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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