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CQC report explained · a nursing home

What the CQC found at Glastonbury Care Home

Goodpublished 17 January 2019, 7 years ago

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

The five questions inspectors ask
Safe?
Good
People said they felt safe. Inspectors found suitable staffing, risk assessments, safe recruitment, infection control arrangements and medicines procedures.
Effective?
Good
Staff had relevant training and people had access to nurses and other health professionals. Care plans varied in quality, and one person waited 20 minutes for a meal during the inspection.
Caring?
Outstanding
Inspectors saw numerous caring and compassionate interactions. Staff knew people well, respected their choices and supported their dignity, relationships and emotional wellbeing.
Responsive?
Good
Care was personalised and reviewed as people's needs changed. People had activities, trips out, support for their faith and compassionate end-of-life care.
Well-led?
Good
The management team had systems to monitor quality and learn from incidents and complaints. A new registered manager had been appointed since the previous inspection.
The latest report, explained

What inspectors found, January 2019

Rated Good overall, with Outstanding caring; inspectors found safe, personalised care and some records and mealtime improvements still needed.

This was an unannounced inspection in December 2018. Inspectors spoke with people living in the home, visitors and staff. They observed care and mealtimes and checked care plans, medicines, staff records, meetings and quality checks.

The home was rated Good overall. Safe, Effective, Responsive and Well-led were also rated Good. Caring was rated Outstanding. Inspectors found kind staff, enough staff to meet people's needs, personalised care, good support with health needs and a strong focus on people's comfort and dignity.

Some care plans varied in quality and detail. One person waited 20 minutes for a meal, and people were not offered a choice of condiments. The home was reviewing the mealtime experience. The overall rating stayed Good, the same as at the previous inspection.

What inspectors praised
  • Kind and compassionate staff

    Staff were consistently described as kind, helpful and respectful. Inspectors observed staff offering reassurance and supporting people calmly.

    “Throughout the inspection we observed and heard numerous caring and compassionate interactions between staff and people.” from the report
  • People were treated as individuals

    Staff knew people's histories, preferences and routines. People and relatives were involved in decisions about care.

    “Staff were able to tell us about people's past life history and what was important to them, staff recognised the importance of this.” from the report
  • Good safety arrangements

    The home had enough staff, suitable recruitment checks and systems for managing risks, accidents, abuse concerns and medicines.

    “There were sufficient numbers of staff to meet people's needs and to keep them safe.” from the report
  • Strong end-of-life care

    People's end-of-life preferences were recorded. The home had achieved Platinum status under the Gold Standards Framework.

    “People could be sure that at the end of their lives they would be cared for with kindness and professionalism.” from the report
  • Activities and community links

    People could join group or one-to-one activities, use the minibus and maintain links with local organisations, schools and faith groups.

    “People had access to a variety of social and leisure activities.” from the report
What inspectors were concerned about
  • Care plan quality varied

    needs fixing

    Some care plans were less detailed or personalised than others. Inspectors said staff knew people well, but records were being improved.

    “Care plans we saw were variable in quality and comprehensiveness” from the report
  • Mealtime improvements needed

    minor

    One person waited 20 minutes for their meal, and people were not offered a choice of condiments. The manager said this was under review.

    “We did however, observe one person waiting 20 minutes for their meal on the first day of the inspection.” from the report
  • Some waits for call bells

    minor

    Call bells were generally answered promptly, but one person said they could sometimes have to wait.

    “They usually come quickly but I can have to wait.” from the report
Questions to ask them, based on this report
  1. 01What changes have been made to ensure every care plan is fully personalised and kept up to date?
  2. 02How do you monitor waiting times for meals now?
  3. 03How do people choose meals and extras such as condiments?
  4. 04How quickly are call bells answered, especially for people who may not be able to use them?
  5. 05How has the new registered manager maintained the Outstanding standard for caring?

This was an unannounced inspection covering all five CQC questions, and the overall rating remained the same as at the previous inspection. This explanation was written from the published report of 17 January 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.

The story over the years

Every inspection of Glastonbury Care Home

2 rated inspections over 3 years: the service has held its Good rating throughout.

  1. January 2019Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good

    Read what inspectors found at Glastonbury Care Home →

  2. June 2016Good
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. October 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. January 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. April 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. April 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. November 2010

    Registered with the Care Quality Commission on 9 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.

Next steps

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