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CQC report explained · a residential care home, run by Pearlcare

Glenfield Woodlands Care Home

11 Holmwood Drive, Glenfield Woodlands, Glenfield, Leicester, LE3 9LG

Goodpublished 12 May 2025, 15 months ago

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

The latest report, explained

What inspectors found, November 2023

Glenfield Woodlands Care Home rated Requires Improvement; inspectors found risks with medicines, safety checks, infection control and management oversight.

Inspectors visited on 04 and 05 July 2023. The first day was unannounced and about 20 hours’ notice was given for the second day. They spoke with people, relatives and staff, and reviewed care files, medicine records, recruitment files and management records.

The home was not always safe. Falls and choking risks were not always assessed properly. Medicines were not always given or recorded safely. Inspectors also found problems with infection control, including dirty kitchen equipment, stained mattress covers and poor hand hygiene.

People did not always receive effective, respectful or person-centred care. There was a lack of activities, some communication needs were not met, and people were not always offered a choice of meals. Staff training checks and fluid monitoring also needed improvement.

The overall rating is Requires Improvement. Safe, Effective and Well-led were each rated Requires Improvement. Caring and Responsive were not inspected in this focused inspection, so the overall rating used previous ratings for those areas. The previous overall rating was Good in 2019.

What inspectors praised
  • Enough staff

    Inspectors found that staffing levels were sufficient and recruitment checks were completed.

    People were supported by enough staff, and safe recruitment checks were in place.from the report
  • Positive relationships

    People and relatives gave positive feedback about staff and the atmosphere. Staff also said they felt valued and comfortable raising concerns.

    People and their families spoke positively about the care staff and the atmosphere at the service.from the report
  • Action during inspection

    The provider responded to several issues raised by inspectors, including reviewing care plans and risk assessments and replacing damaged equipment.

    The provider was responsive to concerns raised during our inspection and took action to improve safety and quality of care.from the report
What inspectors were concerned about
  • Medicines and risk management

    serious

    Medicines were not always administered or recorded safely. Falls and choking risks were also not always assessed accurately, creating a risk of harm.

    Unsafe medicine practices, poor risk management and poor infection prevention and control measures, put people at risk of potential harm.from the report
  • Infection control

    serious

    Inspectors found dirty kitchen equipment, stained mattress covers, damaged handrails and hand hygiene that did not always follow expected practice.

    We found some areas of the kitchen where cooking equipment was stored to be visibly dirty.from the report
  • Dignity, communication and activities

    serious

    Staff did not always respond when people were uncomfortable, support hearing aid use or provide activities described in care plans.

    A lack of activity engagement, meeting people's communication needs, and poor response by staff to people expressing discomfort, was a breach of regulation 10 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.from the report
  • Staff competency

    needs fixing

    Medicine competency assessments were incomplete and moving and handling competency assessments had not been completed. Inspectors observed a damaged sling being used.

    There were no moving and handling competency assessments completed by the provider.from the report
  • Food and fluids

    needs fixing

    People were not always offered a choice of meals, and fluid records were disorganised and did not always show whether people drank enough.

    People were not always provided with meal options during mealtimes.from the report
  • Management oversight

    serious

    Quality systems did not reliably identify problems in care plans, medicines, pressure-relieving mattresses or complaints.

    Quality assurance processes and service oversight was not always effective.from the report
Questions to ask them, based on this report
  1. 01What changes have you made to medicines administration, recording and checks since the inspection?
  2. 02How are falls, choking and swallowing risks now assessed and kept up to date?
  3. 03How do you check that staff are competent in medicines administration and moving and handling?
  4. 04What activities and communication support are now available, including help with hearing aids?
  5. 05How do you now monitor meal choices, fluid intake, infection control and care plan reviews?

This was a focused inspection of Safe, Effective and Well-led only; Caring and Responsive were not inspected and their previous ratings were used to calculate the overall rating. This explanation was written from the published report of 28 November 2023 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 Glenfield Woodlands Care Home

4 rated inspections over 8 years: the service has slipped, from Good to Requires improvement.

  1. November 2023Requires improvementcurrent rating
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read what inspectors found at Glenfield Woodlands Care Home

  2. February 2022Inspected but not rated
    Safe: Inspected but not rated

    We are reading this report · the original is on cqc.org.uk

  3. March 2019Goodstayed Good
    Safe: GoodEffective: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. September 2017Goodstayed Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. January 2016Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  6. September 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. July 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. January 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. November 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. May 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  11. August 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  12. December 2010

    Registered with the Care Quality Commission on 9 December 2010.

Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.

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