Background to this inspection
Updated
3 June 2017
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 4 May 2017 and was unannounced.
The inspection team consisted of an adult social care 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.
Before our inspection we reviewed the information we held about the home. We looked at the notifications and other intelligence the Care Quality Commission had received about the home. We contacted the commissioning and contracts team and the infection control team at the local authority to see if they had any updates about the home.
During the inspection we spoke with nine people who were living at the home and two relatives. We spoke with a total of five staff, including the registered manager, cook and support staff.
We looked at the care records for people living at the home, four staff personnel files, staff training records, and records relevant to the quality monitoring of the service. We looked round the home, including the kitchen, bathrooms, dining area and lounges. We also observed the support provided to people at various points during the inspection.
Updated
3 June 2017
The inspection took place on 4 May 2017 and was unannounced.
At the last in section in November 2015 we found the provider to be in breach of regulation 12, safe care and treatment, because access to the emergency call system was restricted in some rooms. At this inspection we found the provider had reviewed the situation and made the necessary improvements.
Glenarie House is a large Victorian style house, situated in a suburb of Liverpool overlooking Newsham Park. The home is within easy reach of local shops and amenities and on a major bus route. The people who live in the home have their own single bedrooms and there are ample toilet and bathing facilities on each floor. The home is in good decorative order, with a small parking area to the front of the building, a large well-kept garden to the rear and a passenger lift to the upper floors.
There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
Medicines were managed safely in the home.
Risk assessments had been undertaken to support people safely and in accordance with their individual needs.
The staff we spoke with described how they would recognise abuse and the action they would take to ensure actual or potential harm was reported.
Safety checks of the environment and equipment were completed regularly.
There were enough staff on duty to provide care and support to people living in the home.
The provider had robust recruitment procedures in place to ensure staff were suitable to work with vulnerable adults.
Staff worked in partnership with health and social care professionals to make sure people received the care and support they needed.
Staff were trained to ensure that they had the appropriate skills and knowledge to meet people’s needs. They were well supported by the registered manager.
Staff sought the consent of people before providing care and support. The home followed the principles of the Mental Capacity Act (2005) for people who lacked mental capacity to make their own decisions.
People told us they liked the food and were able to choose what they wanted to eat.
People told us the staff had a good understanding of their care needs and people’s individual needs and preferences were respected by staff.
People at the home told us they were listened to and their views were taken into account when deciding how to spend their day.
Care plans provided information to inform staff about people's support needs, routines and preferences.
People told us staff were kind and polite. We observed positive interactions between the staff and people they supported.
A programme of activities was available for people living at the home to participate in. People were supported to access the community and pursue their hobbies.
A process for managing complaints was in place. People we spoke with knew how to raise a concern or make a complaint.
Feedback we received from people, relatives and staff was complimentary regarding the registered manager’s leadership and management of the home.
Staff told us there was an open and transparent culture in the home.
Systems and processes were in place to assess, monitor and improve the safety and quality of the service.
People living in the home and relatives told us they were able to share their views and were able to provide feedback about the service.
The rating from the previous inspection for Glenarie House Nursing Home was displayed for people to see.