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CQC report explained · a residential care home

What the CQC found at Glen Rosa & Kitwood House

Goodpublished 14 November 2017, 8 years ago

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

The five questions inspectors ask
Safe?
Requires improvement
Staffing levels were below the home's expected level on some day and night shifts. Other safety arrangements, including risk assessments, medicines, recruitment checks and the premises, were found to be satisfactory.
Effective?
Good
Staff had relevant training and support. People had suitable food and drink, nutritional risks were addressed, and the home worked with health professionals.
Caring?
Good
Inspectors saw kindness, compassion, respect for privacy and support for people's choices and independence.
Responsive?
Good
Care plans reflected people's needs and preferences and were reviewed. The home provided daily activities and followed its complaints process.
Well-led?
Good
People, relatives and staff spoke positively about the management team. Audits, meetings and feedback were used to monitor and improve the home, although staffing shortfalls showed that one management system had not worked consistently.
The latest report, explained

What inspectors found, November 2017

Rated Good overall, but safe care was Requires Improvement because staffing levels were not always maintained.

Inspectors visited on 2 October 2017. They observed care, looked around the building and checked care, staff and management records. They spoke with people living there, relatives, staff and health professionals.

The home was rated Good overall, and was also rated Good for effective, caring, responsive and well-led care. People and relatives were positive about the care. Inspectors saw kind, personalised support, safe medicines management, suitable activities and good links with health professionals.

Safe care was rated Requires Improvement because staffing levels were not consistently maintained on day and night shifts. Inspectors found no significant impact on people, and the home was recruiting extra staff. The previous overall rating of Good from July 2015 was maintained.

What inspectors praised
  • Kind and personal care

    Staff knew people well and adapted their approach to individual moods, needs and communication. Inspectors saw warm and compassionate interactions.

    “We observed staff were kind and compassionate in their approach to people.” from the report
  • Safe medicines

    Medicines were given as prescribed. Records, storage, checks and staff competency arrangements were found to be safe.

    “Medicine administration records (MARs) were well completed demonstrating people had received their medicines as prescribed.” from the report
  • Responsive care planning

    Care plans included people's preferences, life histories and changing needs. Staff were able to describe and follow them.

    “People's needs were assessed prior to admission to the service.” from the report
What inspectors were concerned about
  • Staffing was inconsistent

    needs fixing

    The home did not always have its expected staffing level. This happened on both day and night shifts and staff said it could delay responses or make care rushed.

    “We saw on five of the last 22 days, only seven staff had been on duty.” from the report
Questions to ask them, based on this report
  1. 01What are the current staffing levels on day and night shifts, and how often are shifts below the planned level?
  2. 02Has the plan to recruit an additional 10% of staff resolved the staffing shortfalls?
  3. 03Who is currently responsible for managing the home, and what happened with the application to become the registered manager?
  4. 04How do you use people's changing needs and dependency levels to decide how many staff are needed?
  5. 05What changes were made after the inspection about staff leaving people during mealtime support?

This was an inspection of the overall service covering all five questions, with additional focus on falls risks and moving and handling after two reported incidents. This explanation was written from the published report of 14 November 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 Rosa & Kitwood House

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

  1. November 2017Goodcurrent ratingstayed Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Glen Rosa & Kitwood House →

  2. September 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

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

  3. December 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. July 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. December 2010

    Registered with the Care Quality Commission on 22 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

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