• Care Home
  • Care home

Archived: Glenarie House Nursing Home Limited

Overall: Good read more about inspection ratings

26 Prescot Drive, Newsham Park, Liverpool, Merseyside, L6 8PB (0151) 228 7440

Provided and run by:
Glenarie House Nursing Home Ltd

All Inspections

4 May 2017

During a routine inspection

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.

18 August 2015

During a routine inspection

This unannounced inspection took place on 18 August 2015.

Glenarie House is a residential service providing care and support for people with mental health conditions. It is registered to provide nursing and personal care for a maximum of 20 adults. It 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.

At the time of the inspection the location was providing services for 20 people.

A registered manager was not in post. The current acting manager is in the process of making an application to become the registered manager. 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.

There were sufficient numbers of staff available to meet the needs of each person living at the home. There was a programme of staff training available, which included topics relevant to the needs of the people using the service. Staff were recruited subject to satisfactory references and appropriate checks being completed.

Staff were knowledgeable about the people who lived at the home. People told us that they felt safe living at the home.

The emergency call system was not readily accessible to some people living at the home. We have asked the provider to review access to the system in each room.

We looked at some aspects of fire safety in the home. People living at the home did not have personal emergency evacuation plans in place. Two fire doors in the location did not close fully. These were repaired before the end of the inspection. Staff were not required to sign to confirm that they had completed regular safety checks around the building. The provider was asked to introduce a system to ensure that checks had been completed.

Systems were in place for people living in the home, their relatives and staff to raise concerns. Evidence of appropriate and timely responses to issues raised was provided. The provider shared documents which demonstrated that they had listened to and acted on concerns and complaints.

The location had a system for the ordering, storage, administration and disposal of medication and conducted regular audits and checks. Medication was administered in accordance with this system. The location did not have detailed support plans for people who were receiving administration of PRN (as required) medication.

We were told that six people were on standard Deprivation of Liberty Safeguards (DoLS) authorisations. CQC was notified of one of these authorisations in the previous twelve months. The provider was advised to review the requirement to notify CQC of these authorisations as a matter of urgency.

We saw that staff sought people’s consent before providing routine support or care. People living at the home had a mental capacity assessment completed and reviewed as part of the care planning process. Assessments were in place for specific decisions.

Individual dietary requirements were met through the production of personalised menus. This was documented in care files.

People had access to a range of primary health care and specialist services, such as GPs, dentists and mental health teams.

People were supported with dignity and respect throughout the inspection. Staff spoke to them before providing care and checked that people understood what this meant. Staff demonstrated awareness of the needs of the people and interacted with them in a professional, caring and courteous manner.

Each person was supported to be as independent as possible through a process of positive risk taking. Appropriately detailed risk-assessments supported this process.

People had private space within the service and staff were respectful of this when engaging with them.

Relatives and friends were free to visit the service without any obvious restriction.

Systems were in place to encourage people to discuss any concerns with staff. Changes to care plans demonstrated that the provider had responded to people’s preferences and changing needs.

Care files were inconsistently structured and contained current and out of date information. This meant that staff may have difficulty in accessing important information and guidance efficiently.

Some areas of the accommodation had been recently decorated. There was evidence that bedrooms had been personalised.

All staff spoke positively about the influence of the management team and its leadership.

The service had systems in place to monitor and support quality assurance.

3 June 2013

During a routine inspection

We spoke with nine people who used the service during our inspection. Everyone we spoke with was happy with the care and support provided at Glenarie House. Some comments made were:

'I am happy living here'.

'We all get along and we have a laugh with the staff'.

'The food is nice and I help out with the garden'.

The people who accessed the service provided at Glenarie House were cared for by staff that were appropriately recruited, well trained and experienced at supporting them. The organisation managed the administration of medicines safely and had systems in place to deal appropriately with any complaints.

25 July 2012

During a routine inspection

People who used the service and their relatives told us they were happy with the service

provided and the standard of support and care they received. Some comments made

were:

"There is a happy atmosphere here".

"We all get on with one another".

"This is my home".