Glencairn Residential Home

Updated 10 June 2023

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 an 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

Glencairn Residential 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. Glencairn Residential 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 provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

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. We sought feedback from the local authority 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 8 people who used the service and 6 relatives about their experience of the care provided. We received written feedback from 3 relatives. We spoke with 8 members of staff including the owner/provider, registered manager, senior care staff, chef, housekeeping and care staff and received written feedback from 5 staff including activities, senior care staff and care staff. We also received feedback from 3 health professionals who work closely with the home. We reviewed a range of records, this included 5 people's care records and multiple medication records. We looked at 2 staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 10 June 2023

About the service

Glencairn Residential Home is a residential care home providing accommodation for persons who require personal care to up to 23 people. The service provides support to older people. At the time of our inspection there were 19 people using the service.

People’s experience of using this service and what we found

People and relatives told us Glencairn Residential Home was safe, staff knew them well and they were well cared for. One person said, “It’s very nice here, the staff are very nice, kind and I have a good relationship with them. I feel safe living here, this is my home.”

Safeguarding referrals had not always been made appropriately to the local authority. We have made a recommendation about using local safeguarding procedures when necessary. Reportable incidents had not always been reported to CQC. We have made a recommendation about the provider and registered manager’s legal requirements.

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; however, the policies and systems in the service did not support this practice. Mental capacity and best interest decision paperwork had not always been completed to show the least restrictive decision had been made for people who lacked capacity. We have made a recommendation about the policies and systems at Glencairn Residential Home to support people who lack capacity.

Staff knew how to recognise signs and symptoms of abuse and who to report their concerns to. Risks to people’s health, safety and well being had been assessed and were regularly updated to keep people safe. People received their medicines as prescribed by staff who had been trained to administer medicines safely.

The home was clean and tidy, staff had received training on how to keep people safe from the spread of infections. Staff had access to personal protective equipment (PPE) and wore this appropriately.

There were enough staff to meet people’s care needs and staff had been recruited safely into the service. Throughout the inspection we saw kind, relaxed, compassionate and caring interactions between people and staff. We observed staff were respectful of people and took time to offer support and reassurance when needed. Staff received training, support and supervision. Staff told us they felt well supported to carry out their roles and told us everyone worked very well together as a team for the benefit of the people living at Glencairn Residential Home.

People had access to nutritious, home cooked food that they enjoyed and were given choice in their menu selections.

Care plans were person centred and detailed how people wished and needed to be cared for. People and relatives felt included in the planning of care and knew who to complain to if they needed to do so.

People, relatives and staff were complimentary about the registered manager and provider. One person said, “I would recommend anyone to come and live here, the [registered manager] and [provider] speak to me most days, they are nice, kind and caring.” There were governance arrangements in place and systems to monitor the quality and safety of the service provided. Where shortfalls had been found during the inspection, the registered manager and provider took immediate action to address this.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 2 February 2022, and this is the first inspection. The last rating for the service under the previous provider was Good, published on 11 March 2021.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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.