CQC report explained · a residential care home
What the CQC found at Gleavewood Residential Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that risks, medicines, infection control and safeguarding were managed safely. They also found suitable staff recruitment, training and staffing levels.
- Effective?
- Good
- This area was not inspected during this focused visit. Its previous rating was used when calculating the overall rating.
- Caring?
- Good
- This area was not inspected during this focused visit. Its previous rating was used when calculating the overall rating.
- Responsive?
- Good
- This area was not inspected during this focused visit. Its previous rating was used when calculating the overall rating.
- Well-led?
- Good
- Inspectors found an open and positive culture, clear management arrangements, regular audits and evidence that feedback and learning were used to improve the service.
What inspectors found, December 2023
Gleavewood Residential Care Home is rated Good; inspectors found people were safe and the home was well managed.
This was an unannounced focused inspection on 16 November 2023. Two inspectors spoke with people, relatives, managers and staff. They reviewed support records, medicines records, recruitment files and other management records.
The inspection looked only at Safe and Well-led. Both areas were rated Good. Inspectors found that risks were managed, medicines were given safely, staff recruitment and training were suitable, and infection control arrangements were in place.
People and relatives said they felt safe and trusted the staff. Inspectors also found an open management culture, regular audits and evidence that the provider listened to feedback and acted on it.
The overall rating stayed Good, as the ratings for the areas not inspected were carried forward from the previous inspection. The previous overall rating was Good, published in April 2018.
People felt safe
People and relatives said they felt safe and trusted the staff to keep them safe.
“People told us they felt safe and their relatives also found the service safe and well managed.” from the report
Safe medicines practice
The home had medicines training, competency checks and audits. Records showed people received their medicines as required.
“People's medication records and medication audits confirmed they received their medicines as required.” from the report
Welcome for visitors
Relatives said they could visit at any time and were made to feel welcome.
“Relatives told us they could visit at any time and were always made to feel welcome.” from the report
Active quality checks
The provider used audits and performance checks to monitor care, maintain standards and identify improvements.
“Audits and performance checks were used to manage the service, maintain standards and identify areas for improvement.” from the report
Inspectors raised no specific concerns in this report.
- 01What are the current ratings or evidence for Effective, Caring and Responsive, which were not inspected in this visit?
- 02How are risks such as falls assessed, recorded and reviewed for each person?
- 03How do you check that medicines continue to be given safely and that staff remain competent?
- 04How often are support plans reviewed, and how are families involved in those reviews?
- 05What recent improvements have resulted from audits, feedback or lessons learned from incidents?
This was a focused inspection of Safe and Well-led only; the other areas were not inspected and their previous ratings were used for the overall rating. 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.
What inspectors found, February 2022
Inspected but not rated; inspectors found strong infection control arrangements but incomplete agency staff records and admission checks to review.
This was an announced, targeted inspection on 18 January 2022. It focused on infection prevention and control, visiting arrangements and whether COVID-19 staffing pressures affected care.
Inspectors were assured that the home was using protective equipment safely, managing visitors, testing people and staff, and keeping the building clean. People and families were supported to stay in contact through visits, telephone calls and video calls.
The service was inspected but not rated. The report gives a finding for safety only and does not provide a new overall quality rating.
COVID-19 planning
The home had regularly reviewed procedures covering positive cases, staffing, visitors and protective equipment.
“There were policies and procedures in place to manage risks associated with the COVID-19 pandemic which were regularly reviewed and updated.” from the report
Contact with families
People were supported to keep in touch with relatives through planned visits and, when visits were restricted, by telephone and video calls.
“People living in the home and their family were supported to maintain contact.” from the report
Protective equipment
Inspectors saw staff using protective equipment correctly. Supplies, hand sanitiser and reminders were available throughout the home.
“Staff had received updated training on the use of PPE, and we observed staff wearing it correctly during our inspection.” from the report
Cleanliness
The home appeared clean and hygienic, with daily cleaning schedules and extra cleaning during the day and night.
“The home appeared clean and hygienic throughout. Daily cleaning schedules were implemented by housekeepers.” from the report
Agency staff records
needs fixingVaccination and testing checks for agency staff were carried out, but the records were not always complete.
“However, records of vaccination status and testing results for agency staff working at the home should be fully documented.” from the report
New admissions
needs fixingThe home was asked to review isolation periods and regular testing after admission so that they followed national guidance.
“Isolation periods and regular testing during isolation after admission should be reviewed to ensure they follow the national guidelines.” from the report
- 01How do you now make sure vaccination and testing records for agency staff are complete before they work here?
- 02How are isolation periods and testing after a person is admitted checked against current national guidance?
- 03What arrangements are currently in place for visits if there is an infection outbreak or visiting restriction?
- 04What is the home’s current staffing position, including any use of agency staff?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19 staffing pressures; only Safe was inspected and it was not rated. This explanation was written from the published report of 3 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.
Every inspection of Gleavewood Residential Care Home
2 rated inspections over 6 years: the service has held its Good rating throughout.
- December 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Gleavewood Residential Care Home →
- February 2022Inspected but not ratedSafe: Inspected but not rated
Read what inspectors found at Gleavewood Residential Care Home →
- April 2018GoodSafe: GoodWell-led: Good
- October 2017
Registered with the Care Quality Commission on 30 October 2017.
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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