Background to this inspection
Updated
26 October 2022
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by one inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Glenkindie Lodge Residential Care Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Glenkindie Lodge Residential Care Home is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with two people using the service and two relatives in person. We spoke with ten family members by telephone, we sought their views about their experience of the care provided. We spoke with the registered manager, the head of care, two senior carers, two carers and a housekeeper.
We reviewed a range of records. This included four people’s care records and multiple medication records. We looked at three staff files in relation to recruitment. A variety of records relating to the management of the service.
We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
Updated
26 October 2022
Glenkindie Lodge Residential Care Home is a residential care home providing accommodation for up to 33 people. The service provides support to older people, some of whom are living with dementia. At the time of our inspection there were 28 people using the service.
Glenkindie Lodge Residential Care Home is a converted building. Communal areas are located on the ground floor, with bedrooms, shower and bathing facilities located on both the ground and first floor.
People’s experience of using this service and what we found
People’s safety was underpinned by the provider’s policies and processes. Family members said their relatives were safe at the service. Potential risks to people were assessed and measures put in place to reduce these. Lessons were learnt and improvements made through the analysis of accidents and incidents. People were supported by sufficient staff who had undergone a robust recruitment process and had undertaken training in topics to promote their safety. Medicine systems were managed safely. People lived in an environment which was well maintained and clean, with safe infection and prevention measures.
People’s health and wellbeing needs were assessed, and their health and welfare monitored by staff. Family members told us their relative had access to health care services and that they were kept informed about their relative’s health and well-being. Staff liaised effectively with health care professionals to achieve good outcomes for people. Staff had the knowledge and experience to meet people’s needs. Staff were supported by ongoing assessment of their competence to fulfil their role and responsibilities. People’s dietary needs were met. The décor and furnishings of the service continue to be improved.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Family members were complimentary about the quality of care provided to their relatives. They spoke of the kind, caring and compassionate approach of staff, and were confident that their relative’s privacy and dignity was promoted.
People’s needs were recorded in care plans, considering all aspects of their care. People had the opportunity to take part in organised activities with the service. An increase in staff employed to organise and facilitate activities, was acknowledged by the provider as being necessary to improve the frequency of activities to include weekends.
Family members were complimentary about the registered manager and management team and were kept informed of key events affecting their relative. Systems, processes and effective governance and management meant the provider kept under review the quality of the service provided. Staff were supported and monitored to enable them to deliver good quality care. The registered manager and senior staff worked effectively with partner agencies to achieve good quality outcomes for people.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for the service was Requires Improvement, (published 17 March 2022). We identified continued breaches in relation to people’s records relating to the assessment and mitigation of risk and quality monitoring of risk. We placed conditions on the provider’s registration, which required the provider to submit information monthly to the Care Quality Commission to demonstrate how they assessed, mitigated and monitored risk.
At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This inspection was prompted by a review of the information we held about this service, which included the information submitted by the provider as per the conditions placed on their registration. This inspection was carried out to follow up on actions we told the provider to take at the last inspection.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.