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CQC report explained · a nursing home, run by Glenholme Senior Living (Sleaford)

Glenholme Holdingham Grange

Whittle Road, Holdingham, Sleaford, NG34 8YU

Goodpublished 30 January 2024, 2 years ago

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

The five questions inspectors ask
Safe?
Good
People received their medicines safely and staff understood safeguarding and risk management. Some people reported slower call bell responses at night, and kitchen cleaning and food labelling needed better monitoring.
Effective?
Good
Care was based on people's needs, choices and preferences. Staff training and supervision were up to date, and the environment had been improved for people living with dementia and sensory loss.
Caring?
Good
People were treated with kindness, dignity and respect. Staff supported people's choices, mobility, personal care and pain relief.
Responsive?
Good
Care plans were personalised and reviewed regularly. People could take part in a wide range of activities, maintain relationships and access the community.
Well-led?
Good
Quality checks, record keeping and management systems had improved. The home had a positive and open culture, but night-time call bell monitoring still needed further development.
The latest report, explained

What inspectors found, January 2024

Rated Good; inspectors found kind, well-organised care, with some delays to night-time call bells and kitchen monitoring needing attention.

This was an unannounced follow-up inspection. Inspectors visited on 7, 13 and 14 December 2023. They spoke with people living at the home, relatives, staff and health professionals, and checked care records, medicines, staffing and management records.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that medicines were managed safely, care plans were personalised and regularly reviewed, and people were treated with dignity and respect.

There were some concerns. Some people said call bells could take longer to answer at night. Inspectors also found that cleaning schedules and food labelling in the commercial kitchen needed better monitoring. These issues were raised during the inspection and action was taken or planned.

What inspectors praised
  • Safe medicines management

    Medicines were administered as prescribed. Staff had relevant training and their competence was checked regularly.

    People received their medicines safely, as they were prescribed.from the report
  • Kind and respectful care

    Inspectors saw staff treating people respectfully and supporting their privacy, dignity and independence.

    People were well supported and their privacy and dignity respected and promoted.from the report
  • Personalised care

    Care plans included people's life histories, preferences, communication needs and required support. They were reviewed monthly or sooner.

    Care plans and risk assessments were well written, person-centred and reviewed regularly.from the report
  • Activities and social contact

    People could join activities in their rooms, in groups and in the community. Relatives were able to visit freely and were included in social events.

    People were able to access a broad range of meaningful activities whether at the service or in the community.from the report
  • Improved management

    The home had made improvements since the previous inspection, including better quality checks and records. It was no longer in breach of regulations.

    At this inspection, the provider had made sufficient improvements, and the service was no longer in breach of the regulation.from the report
What inspectors were concerned about
  • Night-time call bells

    needs fixing

    Some people said call bells were not always answered quickly at night, particularly when there was an emergency. The existing system could not provide data to analyse response times, although management planned checks and a system update.

    The system used did not allow for the data to be analysed.from the report
  • Kitchen monitoring

    minor

    Inspectors were not always assured that hygiene practices in the commercial kitchen were being monitored well enough. Cleaning schedules and some food and date labelling needed better oversight, although these were corrected when raised.

    Cleaning schedules, some food and date labelling in the fridges required better monitoring.from the report
Questions to ask them, based on this report
  1. 01How quickly are night-time call bells answered now, and how do you check this?
  2. 02Has the call bell system been replaced or updated so response times can be analysed over time?
  3. 03What daily checks are now made on kitchen cleaning schedules and food date labelling?
  4. 04How are medicines staff assessed to make sure they remain competent to manage medicines safely?
  5. 05How will you involve relatives when reviewing improvements following this inspection?

This was an unannounced follow-up inspection covering all five CQC questions and checking improvements required after the previous inspection. This explanation was written from the published report of 30 January 2024 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 Glenholme Holdingham Grange

3 rated inspections over 5 years: the service has improved, from Requires improvement to Good.

  1. January 2024Goodcurrent ratingup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Glenholme Holdingham Grange

  2. April 2021Requires improvementstayed Requires improvement
    Safe: Requires improvementCaring: Requires improvementWell-led: Requires improvement

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

  3. July 2019Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. July 2018

    Registered with the Care Quality Commission on 11 July 2018.

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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