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What the CQC found at Glencairn Residential Home

Goodpublished 21 January 2026, 8 months ago

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

The latest report, explained

What inspectors found, June 2023

Glencairn Residential Home is rated Good; inspectors found kind, personalised care but some safeguarding, reporting and decision records needed improvement.

This was an unannounced inspection on 24 and 25 May 2023. Inspectors spoke with people, relatives, staff and health professionals. They reviewed care plans, medicines records, staff files and management records.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines arrangements, clean surroundings, good food, personalised care plans and kind interactions.

There were some weaknesses. Safeguarding referrals and notifications to CQC had not always been made when required. Mental capacity and best-interest records were not always complete. End-of-life plans lacked some detail, and some staff had not had formal supervision for a long time. The provider and manager said they were taking action, and the report made recommendations rather than recording breaches.

What inspectors praised
  • Kind and respectful care

    Inspectors saw relaxed, compassionate interactions. Staff took time to listen, offer reassurance and respect people's choices and privacy.

    “We observed friendly and positive interactions between staff and people.” from the report
  • Personalised support

    Care plans included people's lifestyles, interests and important relationships. People and relatives were involved in reviews and daily decisions.

    “People had care plans that were personalised to their individual needs and wishes.” from the report
  • Safe medicines and staffing

    Medicines records were clear and complete, and staff were trained and assessed as competent. People and relatives said there were enough staff to meet care needs.

    “Medicines administration records were clear, accurate and complete.” from the report
  • Food and activities

    People were offered nutritious food, alternatives and support when needed. They could join activities linked to their interests and maintain contact with family and the community.

    “People told us they enjoyed a wide range of activities made available to them by the home.” from the report
  • Open management

    People, relatives and staff said managers were approachable and listened to them. The home used audits, meetings and reviews to monitor care and learn from incidents.

    “The provider and registered manager promoted a positive culture that was person centred, open, inclusive and empowering.” from the report
What inspectors were concerned about
  • Safeguarding referrals

    needs fixing

    Some falls were not referred to the local safeguarding team, even though action had been taken to support people. Inspectors recommended reviewing the safeguarding policy and following local procedures.

    “We recommend the provider reviews their safeguarding policy to ensure this follows the local safeguarding procedure.” from the report
  • Reporting serious incidents

    serious

    A grade 3 pressure sore had not been notified to CQC, although this was a legal requirement. Inspectors recommended making sure managers understood their reporting duties.

    “It is a legal requirement for these types of incidents to be notified to CQC however we had not received a notification.” from the report
  • Mental capacity records

    needs fixing

    Staff understood the Mental Capacity Act, but records did not always show that people's capacity and best interests had been properly assessed or that decisions were least restrictive.

    “The home did not always follow robust systems to demonstrate people's capacity had been assessed and the least restrictive decisions had been made in people's best interest.” from the report
  • End-of-life plans

    needs fixing

    End-of-life care plans did not always explain in enough detail how people wished to be cared for. The manager planned to discuss this with people and relatives at future reviews.

    “These did not always include specific details as to how person wished to be cared for.” from the report
  • Staff supervision

    minor

    Some staff had not had a formal supervision meeting for a long time, although they said they could discuss concerns and training informally with managers.

    “Some staff reported they had not had a supervision for a long time.” from the report
Questions to ask them, based on this report
  1. 01How do you now make sure every safeguarding concern, including falls, is referred to the local safeguarding team when needed?
  2. 02How do you check that serious incidents, such as pressure sores, are reported to CQC within the required timescale?
  3. 03Can you show how mental capacity assessments and best-interest decisions are recorded and kept under review?
  4. 04How are people's end-of-life wishes recorded in enough detail and discussed with relatives?
  5. 05How often does each staff member receive formal supervision, and how do you check that this happens?

This was an unannounced inspection covering all five key questions, including infection prevention and control under Safe. This explanation was written from the published report of 10 June 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.

The story over the years

Every inspection of Glencairn Residential Home

3 rated inspections over 7 years: the service has held its Good rating throughout.

  1. June 2023Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Glencairn Residential Home →

  2. March 2021Inspected but not rated
    Safe: Inspected but not rated
  3. November 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  4. July 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good
  5. February 2022

    Registered with the Care Quality Commission on 2 February 2022.

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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