CQC report explained · a residential care home
What the CQC found at Glenmuir House Residential Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, June 2022
Rated Requires Improvement; inspectors found kind and effective care, but safety risks, cleanliness and management systems needed improvement.
Inspectors visited the home without warning on 12 and 15 April 2022. They spoke with eight people, three relatives, staff and health professionals. They observed care, checked five care records, medicines, training, staffing and safety records.
People were treated kindly and respectfully. Inspectors found good support with food, health appointments, personal choices, activities and end of life care. There were enough staff to provide care, and staff were trained and safely recruited.
However, some risks had not been identified or dealt with quickly enough. Two people with diabetes did not have enough guidance about their care. Hot water was too hot, some fire doors were propped open, parts of the building needed repairs and some areas were not clean.
The overall rating changed from Good at the previous inspection, published in 2017, to Requires Improvement. The Safe and Well-led ratings were Requires Improvement, while Effective, Caring and Responsive remained Good. The provider was required to improve its systems and records.
Kind and respectful staff
People and visitors consistently said staff were caring. Inspectors saw people relaxed and comfortable with staff, who respected privacy and dignity.
“People were relaxed and cheerful in the presence of staff.” from the report
Good health support
The home worked with health and social care professionals and arranged appointments when needed. People's changing needs were reviewed and referrals were made.
“Glenmuir House Residential Care Home continued to ensure joined up working with other agencies and professionals to ensure people received effective care.” from the report
Personalised care
Care plans recorded people's preferences, communication needs, personal care choices and end of life wishes. Families were involved in reviews when appropriate.
“The care plans were individual and reflected a person-centred approach to care.” from the report
Staff training and recruitment
Staff completed essential training, received supervision and had checks before starting work. New staff had an induction that helped them learn about people's needs.
“New staff completed an induction aligned with the Care Certificate.” from the report
Risks were not always assessed
seriousTwo people with diabetes lacked care plans and risk assessments about their condition and insulin. Fire door arrangements, hot water and some building hazards also created risks.
“The provider failed to assess and mitigate risks.” from the report
Poor cleanliness and maintenance
needs fixingSome areas were not clean or hygienic. Inspectors also found problems including broken radiator covers and property defects that had not been dealt with promptly.
“Despite cleaning schedules and audits being completed the home was not cleaned to an adequate standard.” from the report
Incomplete care records
needs fixingSome records about diabetes, insulin and people's changing health needs were missing, incomplete or out of date. Blood sugar and insulin records did not include the person's name.
“Records for blood sugars and insulin administration did not have the person's name on” from the report
Medicines procedure did not match practice
minorMedicines were administered safely, but staff did not use the medicines trolley or take the administration record with them. The written policy did not reflect what staff did.
“The policy for administrating medicines did not reflect the practice followed.” from the report
Activities had reduced
minorActivities had changed since lockdown and many people stayed in their rooms. The management team hoped to encourage more people to join activities as restrictions lifted.
“Activities had changed since lockdown, many people preferred to stay in their room and not visit the communal areas.” from the report
- 01What evidence can you show that the diabetes care plans and insulin guidance are now complete and up to date?
- 02Have the hot water temperatures been checked regularly since the inspection, and what happened to the bathroom that was closed?
- 03How are bedroom doors kept safe during a fire when residents prefer them to remain open?
- 04Who is responsible for cleaning, and how do you check that the home is now clean and hygienic?
- 05How have you improved your audits so that risks, maintenance problems and incomplete care records are found and acted on promptly?
This was an unannounced inspection covering all five key questions and infection prevention and control, with the previous Good ratings reassessed from 2017. This explanation was written from the published report of 1 June 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.
What inspectors found, February 2022
Inspected but not rated; inspectors were assured about infection control and visiting arrangements, with some décor issues that could affect cleaning.
This was an unannounced, targeted inspection on 2 February 2022. Inspectors looked mainly at infection prevention and control, visiting arrangements, and whether COVID-19 staffing pressures affected care.
Inspectors found good arrangements for family visits, including garden, window and video visits. People receiving end of life support could have visitors throughout the pandemic. The home was clean and hygienic, staff used protective equipment correctly, and regular testing was taking place.
The home was meeting the requirement for non-exempt staff and visiting professionals to be vaccinated against COVID-19. Inspectors discussed some décor issues because they could make surfaces harder to clean.
The service was marked inspected but not rated. This was not a full inspection of all five areas of care, so it does not provide an overall Good, Requires improvement or Inadequate rating.
Family contact
The home supported visits in several ways during the pandemic, including garden, window and door visits. People receiving end of life support could have visitors throughout the pandemic.
“People were supported by staff to have visits from their friends and family in various ways throughout the pandemic.” from the report
Infection control
Staff had COVID-19 training, used protective equipment correctly and had access to hand sanitiser. Inspectors were assured that infection risks were being managed.
“They were seen to be following correct infection prevention and control practices (IPC).” from the report
Testing
Regular COVID-19 testing was taking place for people living at the home and staff.
“All staff have a weekly PCR and three lateral flow device test (LFD) weekly.” from the report
Clean environment
The home was clean and hygienic, with cleaning schedules covering high-contact areas and protective equipment stations around the building.
“The home was clean and hygienic. Cleaning schedules showed how staff had included high traffic contact areas to ensure thorough cleaning.” from the report
Décor and cleaning
minorInspectors discussed some décor issues because they could affect effective cleaning of surfaces.
“However we discussed that some décor issues could impact on effective cleaning of surfaces.” from the report
- 01Which décor issues could affect cleaning, and have they now been put right?
- 02How are you managing any COVID-19-related staffing pressures, and what effect have these had on care?
- 03How do you arrange family visits, including visits for people receiving end of life support?
- 04What are the home's current ratings for caring, effective care, responsiveness and leadership, given that this inspection was not rated?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19 staffing pressures; it was not a full inspection of all five quality areas. This explanation was written from the published report of 23 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 Glenmuir House Residential Care Home
3 rated inspections over 6 years: the service has slipped, from Good to Requires improvement.
- June 2022Requires improvementcurrent ratingSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
Read what inspectors found at Glenmuir House Residential Care Home →
- February 2022Inspected but not ratedSafe: Inspected but not rated
Read what inspectors found at Glenmuir House Residential Care Home →
- December 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- December 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2013
Report published without a new overall rating.
- June 2012
Report published without a new overall rating.
- April 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 10 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.
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19 live-in carers within about an hour of East Sussex
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 £1,000 to £1,400 a week. 13 can care for a couple. 10 years' experience on average.
“When he point blank refused to go into hospital for a life saving blood transfusion she talked him through the situation and agreed to go in the ambulance with him and stayed until he was settled.”
“Una felt safe, secure and loved in her time with Debbie which is a gift that I am eternally grateful for.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.