CQC report explained · a residential care home, run by Wellburn Care Homes

Glenholme Residential Care Home

4 Park Avenue, Roker, Sunderland, SR6 9PU

Goodpublished 26 May 2023, 3 years ago

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

The five questions inspectors ask

Safe?: Good; Inspectors found enough staff, safe recruitment, safeguarding procedures, reviewed risk assessments and good infection control. They identified improvements needed in controlled-drug storage and some recording.
Effective?: Good; This key question was not inspected in this visit, so no new rating was given.
Caring?: Good; This key question was not inspected in this visit, so no new rating was given. Inspectors did report positive feedback about staff's caring and respectful approach.
Responsive?: Good; This key question was not inspected in this visit, so no new rating was given.
Well-led?: Good; Inspectors found clear management oversight, regular checks and audits, effective communication and good involvement of people, relatives and staff.

The latest report, explained

What inspectors found, May 2023

Glenholme Residential Care Home was rated Good; inspectors found safe, caring care and strong management, with some medicine recording improvements needed.

This was an unannounced inspection carried out on 20 and 25 April 2023. One inspector and one Expert by Experience spoke with people, relatives, staff and a health professional. They also observed care and checked care, medicine, staff and management records.

The home was rated Good overall. Safe and Well-led were both rated Good. Inspectors found enough staff, safe recruitment, good safeguarding arrangements, suitable risk assessments and generally safe medicine systems. They also found the home clean and good infection control arrangements.

People and relatives spoke positively about staff being kind, respectful and approachable. The management team had effective checks, listened to feedback and acted on concerns. Inspectors discussed improvements to controlled-drug storage and some recording, and the manager took immediate action on part of this.

What inspectors praised

Kind and respectful staff
People and relatives trusted staff and described positive relationships. Staff supported people discreetly, compassionately and as individuals.
“People and relatives were very positive about the caring nature of staff and had good relationships with them.” from the report
Safe staffing and safeguarding
There were enough staff to support people safely. Staff understood how to recognise and report abuse, and concerns were investigated.
“There were sufficient staff to support people safely.” from the report
Good management oversight
The management team used checks, audits and feedback to monitor the service and make improvements. Staff and relatives found communication effective.
“There was a strong and effective governance system in place.” from the report
Clean home and infection control
Inspectors were assured that infection risks were managed, the home was clean and visits were not restricted.
“Staff followed good infection control practices and the home was clean and well maintained.” from the report

What inspectors were concerned about

Controlled-drug storage and records
needs fixing
Inspectors discussed improvements to the storage of controlled drugs and records made when visiting professionals administered them. The manager took some immediate action and said other issues would be addressed in good time.
“We discussed improvements for the additional storage of controlled drugs and the current recording of controlled drugs by staff, where they were administered by visiting professionals.” from the report

Questions to ask them, based on this report

01What changes have you made to the additional storage of controlled drugs since the inspection?
02How do you check that controlled drugs administered by visiting professionals are recorded correctly?
03What were the remaining medicine issues mentioned by inspectors, and have they now been fully resolved?
04How do you use feedback from people, relatives and staff to make changes?
05What are the current ratings for Effective, Caring and Responsive, which were not assessed in this inspection?

This was a focused inspection of Safe and Well-led, including infection prevention and control; the other key-question ratings were not newly assessed and the overall rating remained Good. This explanation was written from the published report of 26 May 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 Glenholme Residential Care Home

4 rated inspections over 8 years: the service has held its Good rating throughout.

May 2023Goodcurrent rating
Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Glenholme Residential Care Home →
November 2020Inspected but not rated
Safe: Inspected but not rated
We are reading this report · the original is on cqc.org.uk
October 2017Goodup from Requires improvement
Safe: GoodWell-led: Requires improvement
Read this report on cqc.org.uk
July 2016Requires improvementdown from Good
Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
Read this report on cqc.org.uk
September 2015Good
Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read this report on cqc.org.uk
June 2013
Report published without a new overall rating.
Read this report on cqc.org.uk
January 2013
Report published without a new overall rating.
Read this report on cqc.org.uk
May 2011
Report published without a new overall rating.
Read this report on cqc.org.uk
January 2011
Registered with the Care Quality Commission on 28 January 2011.

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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What inspectors found, May 2023

Kind and respectful staff

Safe staffing and safeguarding

Good management oversight

Clean home and infection control

Controlled-drug storage and records

Every inspection of Glenholme Residential Care Home

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