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CQC report explained · a residential care home

What the CQC found at Glen Lyn

Goodpublished 28 February 2020, 6 years ago

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

The five questions inspectors ask
Safe?
Good
People felt safe, staffing levels were adequate and risks were assessed. Medicines, infection control, equipment and fire safety were checked and managed.
Effective?
Good
Staff had suitable training and support, care plans were reviewed and people received help with healthcare, food and drink. The report found that legal requirements around consent were followed.
Caring?
Good
People said staff were kind and respectful. Their privacy, dignity, independence, choices and involvement in care were supported.
Responsive?
Good
Care was personalised around people's routines, preferences and communication needs. People could join activities, keep in touch with family and use community facilities.
Well-led?
Good
The home was managed openly and the manager worked alongside staff. Audits were used to identify shortfalls and make changes.
The latest report, explained

What inspectors found, February 2020

Rated Good; inspectors found safe, kind and personalised care, with earlier medicines recording errors addressed.

This was an unannounced inspection on 04 February 2020. One inspector spoke with eight people, one visitor and three care staff. They also reviewed care, medicines, staff and management records.

The inspectors found that people felt safe and well cared for. The home was clean and well maintained. Staff were trained, knew people well and supported their health, choices, independence, activities and relationships.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This was the same overall rating as the previous inspection, published on 16 August 2017.

What inspectors praised
  • People felt safe

    People said they felt safe with staff. The inspector found adequate staffing and systems to protect people from abuse and avoidable harm.

    “I haven't felt safe everywhere I've lived but I do feel safe here. The staff are very nice to you.” from the report
  • Kind and respectful care

    Staff treated people with kindness, dignity and respect. People were involved in decisions about their care and supported to remain independent.

    “Throughout the inspection we heard, and saw, people were spoken with in a friendly and respectful manner.” from the report
  • Personalised support

    Care plans recorded people's routines, likes, dislikes and lifestyle choices. People could choose when to get up, go to bed and where to eat.

    “Each care plan had detailed information about people's morning and evening routines.” from the report
  • Good links with families and the community

    Visitors were welcomed and people could take part in activities, local events, religious services and community outings.

    “There was a variety of organised activities and entertainment to provide social stimulation and promote people's well-being.” from the report
  • Active management

    The manager worked alongside staff, listened to people's views and used checks to improve the service when needed.

    “The registered manager led by example. They worked alongside other staff to monitor standards and identify where improvements could be made.” from the report
What inspectors were concerned about
  • Earlier medicines recording errors

    needs fixing

    The report says audits had found errors in medicine recording. The home had updated its policy and introduced administration by two staff to reduce the risk of further errors.

    “For example, following recording errors on medication records the policy for administering medicines had been up dated and reviewed.” from the report
Questions to ask them, based on this report
  1. 01What checks are now used to make sure medicines are recorded correctly every time?
  2. 02How would you support my relative's specific health needs, including appointments and any specialist advice?
  3. 03How would my relative's daily routines, choices and independence be recorded and supported?
  4. 04What activities and community visits would be suitable for my relative?
  5. 05How would you keep our family involved and respond if we raised a concern?

This was an unannounced inspection covering all five CQC questions, including the premises and care provided; all five ratings remained Good. This explanation was written from the published report of 28 February 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.

An earlier report, explained

What inspectors found, August 2017

Glen Lyn was rated Good; inspectors found safe, kind and personalised care, with no major concerns.

This was an unannounced comprehensive inspection on 27 July 2017. The inspector spoke with eight people living at the home, three staff members, the manager and two relatives. They observed care and lunch, and checked care plans, medicines, staff files and quality records.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe, listened to and well cared for. Staff knew people's needs, supported their choices and worked in a calm and unhurried way.

The home had enough staff and used checks to make sure staff were suitable and trained. Care plans were detailed, medicines were monitored and people's health, food and activities were supported. The manager and owners were closely involved in the daily running of the home.

The home was rated Good at the previous inspection in December 2015 and remained Good. The report notes one minor area being reviewed: the annual satisfaction survey had a very low response rate.

What inspectors praised
  • Enough staff

    Inspectors found enough staff to meet people's needs without rushing them. Staffing had been increased after a review of people's needs.

    “People were supported by sufficient numbers of staff to meet their needs in a relaxed and unhurried manner.” from the report
  • Personalised care

    People could make choices about daily life and were supported according to their preferences, including where and when they ate.

    “People received care and support that was personalised and respected their wishes and preferences.” from the report
  • Kind relationships

    People spoke very positively about staff. The small, stable team knew people well and offered individual attention.

    “People were very pleased with the care and support they received from staff.” from the report
  • Good care planning

    Care plans gave staff clear information about people's physical and mental needs, risks and preferred support.

    “People's care plans demonstrated that the easy-going, relaxed atmosphere in the home was based on careful, skilled care planning and implementation.” from the report
  • Close management

    The manager and owners were involved in the home every day. They used audits, conversations and reviews to monitor care and make improvements.

    “Both owners worked in the home on a daily basis.” from the report
What inspectors were concerned about
  • Low survey response

    minor

    Very few people had completed the existing annual satisfaction survey. The manager was reviewing its format and use, but families should ask what changed afterwards.

    “The registered manager was currently reviewing the format and use of the annual satisfaction surveys as there had been a very low completion rate using the existing questionnaire format.” from the report
Questions to ask them, based on this report
  1. 01What changes have been made to the annual satisfaction survey since the inspection, and how do you now gather views from people and families?
  2. 02How do you check that current staffing levels still match the needs of people living here?
  3. 03How are medicines, including any medicines that need to be crushed, checked and reviewed?
  4. 04How will you support my relative's personal routines, food preferences, activities and choice about where to spend time?
  5. 05How will you keep me informed if my relative's health or care needs change?

This was an unannounced comprehensive inspection covering all five questions, and the report states that the Good rating from December 2015 remained unchanged. This explanation was written from the published report of 16 August 2017 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 Glen Lyn

3 rated inspections over 4 years: the service has held its Good rating throughout.

  1. February 2020Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Glen Lyn →

  2. August 2017Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Glen Lyn →

  3. November 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. February 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 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. December 2010

    Registered with the Care Quality Commission on 23 December 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

Weigh the report against the rest

Care at home

76 live-in carers within about two hours of Somerset

These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.

Most charge £1,020 to £1,370 a week. 62 can care for a couple. 12 years' experience on average.

“She looked after my mum, who can be incredibly challenging, so well and so gently, and we always felt confident that my mum was getting the best care available.”
Holly C., about Dace L.
“She was not phased by anything, she was adaptable, kind & gave us complete confidence to go away & not worry about a thing!”
Karen C., about Mandy E.
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