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CQC report explained · a residential care home

What the CQC found at Great Glens Facility

Goodpublished 21 June 2018, 8 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 was managing infection risks, including visitor checks, testing, protective equipment, cleaning, social distancing and visits. The provider also said it had measures to reduce the effect of COVID-19-related staffing pressures.
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, January 2022

Inspected but not rated; inspectors found strong COVID-19 infection controls and visiting arrangements.

This was a targeted inspection on 18 January 2022. Inspectors looked at infection prevention and control, visiting arrangements and the effect of COVID-19 staffing pressures. The inspection was announced 24 hours in advance.

The home had measures to reduce infection risks. Inspectors were assured that visitors were checked, personal protective equipment was used safely, testing was available, and visits followed current guidance.

Inspectors found an up-to-date infection control policy, regular checks and extra cleaning where people could not socially distance. The home also had an infection control lead and tailored staff training.

The home was inspected but not rated. This was not a full assessment of the home's overall quality, and only the safe question was looked at.

What inspectors praised
  • Visitor infection checks

    The home followed COVID-19 guidance and carried out comprehensive checks when visitors arrived.

    “This included comprehensive checks for visitors on arrival.” from the report
  • Infection control systems

    The infection control policy was current, and audits showed that actions had been taken to maintain standards.

    “The infection control policy was up to date. We reviewed audits which reflected actions had been taken to maintain the standards within the home.” from the report
  • Managing infection risks

    The home used regular observation checks and extra cleaning where people could not socially distance. It also had an infection control lead and tailored staff training.

    “Great Glens Facility managed risk in relation to infection well, where people were unable to social distance regular observation checks were recorded and increased touchpoint cleaning was undertaken.” from the report
  • Research and learning

    Staff had carried out research into how the pandemic affected mental health and into infection prevention measures.

    “We saw evidence that staff had conducted a research project into the impact of the covid-19 pandemic on mental health.” 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 have your infection prevention and control arrangements changed since the inspection on 18 January 2022?
  2. 02What checks are currently made when visitors arrive, and how are visits arranged if there is an infection risk?
  3. 03How do you manage staffing pressures when staff are absent because of COVID-19?
  4. 04Who is currently responsible for infection control, and what training do staff receive?
  5. 05How do you use observation checks and extra cleaning when people cannot socially distance?

This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19 staffing pressures; the service was inspected but not rated overall. This explanation was written from the published report of 28 January 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.

An earlier report, explained

What inspectors found, June 2018

Rated Good; inspectors found safe, kind and personalised care, with improvements sustained since the last inspection.

This was a comprehensive inspection on 27 and 30 April 2018. The first visit was unannounced. The inspector spoke with five people, observed staff interactions, spoke with staff and managers, and reviewed care records, medicines, recruitment, training, complaints and other records.

The home supported up to 22 people with long-term mental health needs, and 19 people were living there during the inspection. Inspectors found that people felt safe, received timely support and had their risks, medicines, health needs and nutrition managed appropriately.

Staff were described as kind, respectful and understanding of people's wishes and abilities. Care was reviewed with people, activities were personalised, and the home had systems to monitor quality and act when improvements were needed. All five areas were rated Good.

The home had been rated Requires Improvement overall at the February 2017 inspection. Inspectors found that improvements to the premises, safety checks and management oversight had been made and sustained, so the overall rating improved to Good.

What inspectors praised
  • Improved safety

    The home had addressed the safety problems identified at the previous inspection. Risks were reviewed, staff were trained, and people received timely support.

    “At this inspection, we saw that improvements had been made and sustained and the rating has now improved to good.” from the report
  • Kind and respectful staff

    Staff listened to people, encouraged them to express their views and respected their privacy, dignity and personal choices.

    “People were supported in a caring and inclusive way.” from the report
  • Personalised support

    Care plans reflected people's needs, preferences and abilities. Activities, including access to the community, were tailored to each person.

    “Activities, including accessing the community, suited people's individual likes and dislikes and were tailored to their capabilities and motivation.” from the report
  • Good health support

    People had access to healthcare professionals and received timely medical attention. Their nutrition and medicines were also managed safely.

    “People's physical and mental healthcare needs were met.” from the report
  • Stronger management checks

    The home introduced more rigorous checks of the premises and care quality. Managers recorded and audited these checks and acted when issues were found.

    “The registered manager also introduced a more rigorous quality assurance system so that regular checks were consistently carried out around the premises by all staff.” 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 will you assess and review my relative's mental health needs and risks after admission?
  2. 02How will my relative be involved in writing and reviewing their care plan?
  3. 03What activities and community access could be provided to match my relative's interests and abilities?
  4. 04How will you support my relative to make decisions and give consent to their care?
  5. 05How do you monitor the safety of the premises and make sure any repairs or risks are dealt with promptly?

This was a comprehensive inspection covering all five key questions and the overall quality of the home. This explanation was written from the published report of 21 June 2018 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 Great Glens Facility

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

  1. January 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Great Glens Facility →

  2. June 2018Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Great Glens Facility →

  3. April 2017Requires improvementdown from Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. February 2016Goodstayed Good
    Safe: Requires improvement

    Read this report on cqc.org.uk

  5. November 2015Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  6. March 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. March 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. January 2011

    Registered with the Care Quality Commission on 7 January 2011.

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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