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CQC report explained · a residential care home

What the CQC found at Glengariff Residential Home

Goodpublished 1 February 2019, 7 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors were assured that the home had effective infection prevention and control arrangements. These included testing, personal protective equipment, safe admissions, visiting controls and isolation zones.
Effective?
Good
Does the care work? Training, consent, food and drink, working with GPs and nurses.
Caring?
Good
Are people treated with kindness and dignity?
Responsive?
Good
Is care built around the person? Care plans, activities, complaints.
Well-led?
Good
Is the home run well? The manager, the culture, how problems get found and fixed.
The latest report, explained

What inspectors found, March 2021

Glengariff Residential Home was inspected but not rated; inspectors were assured that infection control and visiting arrangements were safe.

This was an unannounced, targeted inspection on 3 March 2021. It looked at how the home prevented and controlled Covid-19 infection.

The home was near the end of an outbreak. Inspectors found good arrangements for testing, personal protective equipment, handwashing, visiting, admissions and separating people who needed to isolate.

The inspectors said they were assured about the infection control measures. The home was not given an overall quality rating or a Safe rating from this inspection.

What inspectors praised
  • Infection control

    The home worked with local health and council organisations during a Covid-19 outbreak. Inspectors found suitable supplies, training and procedures to manage infection.

    “We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
  • Visiting arrangements

    The home had pre-arranged visiting, a glass pod and other ways for relatives to keep in touch. Arrangements were also in place for relatives to visit people at the end of their life.

    “Alternative arrangements to visiting in person included video or telephone calls and weekly updates from the manager.” from the report
  • Safe admissions and isolation

    People were not admitted without a negative Covid-19 test and were isolated for 14 days. Separate areas and dedicated staff were used during the outbreak.

    “During the outbreak, isolation zones were implemented effectively using the third floor and a ground floor wing with dedicated staff.” from the report
  • Staff wellbeing

    The manager introduced informal sessions where staff could talk about their wellbeing. Staff feedback said these sessions were helpful and they were going to continue.

    “Feedback from staff found this very helpful and a decision has been made for it to continue.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How are Covid-19 testing arrangements for people and staff managed now?
  2. 02How can relatives visit, and what alternatives are available if an in-person visit cannot take place?
  3. 03What happens if a new resident returns from hospital or tests positive for Covid-19?
  4. 04How would the home separate people and staff if there was another infection outbreak?
  5. 05How is staff wellbeing supported now that the report's drop-in sessions were introduced?

This was a targeted inspection of infection prevention and control under Safe; the service was inspected but not rated and the other questions were not assessed. This explanation was written from the published report of 23 March 2021 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, February 2019

Rated Good; inspectors found safe, kind and personalised care, with clear improvements since the previous Requires improvement rating.

Inspectors made an unannounced visit on 4 January 2019. They spoke with people, relatives, staff and health professionals. They reviewed care plans, medicines, staffing records, complaints, accidents and quality checks.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. People were described as safe and well cared for. Staff were kind, medicines were managed safely, care plans were detailed, and the home worked well with other professionals.

The home had improved since the previous inspection, when all five areas were Requires improvement and four regulations were breached. Some further work was still needed on involving people in redecoration and creating a more suitable environment for people with dementia.

What inspectors praised
  • Clean and safer surroundings

    Inspectors found communal areas, bedrooms, bathrooms and toilets clean. Improvements included new flooring and better controls on access to hazardous materials.

    “We found that the bathrooms, toilets, people's rooms and the communal areas were clean and free of unpleasant odours.” from the report
  • Kind and respectful staff

    Staff were gentle, familiar and respectful. Inspectors saw people being supported with dignity and encouraged to express their views.

    “People were supported and treated with dignity and respect; and involved as partners in their care.” from the report
  • Personalised care

    Care plans included people's histories, preferences, health needs and support requirements. Staff could explain how individual care should be provided.

    “Care plans were comprehensive and contained information about people's diverse physical, social and mental health need.” from the report
  • Good partnership working

    The home acted on advice from health professionals and shared information when people needed hospital or other services.

    “The service worked very well with a variety of health and social care professionals.” from the report
What inspectors were concerned about
  • Dementia-friendly environment

    needs fixing

    Inspectors saw few fixtures, fittings or other features to support interaction and stimulation for people with complex communication and dementia-related needs. They recommended exploring good practice guidance and involving people more in redecoration.

    “We saw minimal fixtures or fittings or equipment which provided support, interaction and stimulation for people with complex communication and dementia related needs.” from the report
  • Waiting for staff

    minor

    A small number of people said they sometimes waited for staff, particularly on the upper floors, although inspectors found people's needs were generally attended to quickly.

    “People's needs were attended to quickly, although a small number of people told us they had to wait sometimes for staff, especially those on the upper floors.” from the report
  • Employment history records

    minor

    There were gaps in some staff employment histories. The manager agreed to improve this, and the report says it was completed shortly after the inspection.

    “However, there were some gaps in the employment history of the staff they employed.” from the report
Questions to ask them, based on this report
  1. 01What refurbishment has been completed since the inspection, and how have residents helped choose the redecoration?
  2. 02What changes are being made to make the environment more supportive for people with dementia?
  3. 03How do you monitor call bell response times on the upper floors?
  4. 04How do you check that food, fluid and repositioning records show the required amounts and any concerns?
  5. 05How do you make sure staff employment histories and other recruitment checks are complete?

This was an unannounced inspection covering all five key questions, including the premises and care provided; it followed up improvements required after the previous inspection. This explanation was written from the published report of 1 February 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 Glengariff Residential Home

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

  1. March 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Glengariff Residential Home →

  2. February 2019Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Glengariff Residential Home →

  3. February 2018Requires improvementdown from Good
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. July 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. August 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. July 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. May 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. December 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. December 2010

    Registered with the Care Quality Commission on 2 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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