Archived: Glenarie Manor

Updated 16 May 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check 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 focused inspection took place on 01 February 2018 and was unannounced. It was carried out by an adult social care inspector and an adult social care inspection manager.

Before the inspection we contacted Liverpool City Council Quality Assurance department. They told us that they had no concerns about the service since the new provider had taken over. We looked at all of the information that CQC had received about and from the service since the last inspection. This included notifications about issues that had happened in the service.

During the inspection we spoke with the manager and a nurse on duty. We spoke with six people who lived in the home. We looked at building safety records. We looked at staff rotas and recruitment records. We looked at care records for four people who lived in the home.

Updated 16 May 2018

We last inspected Glenarie Manor on the 19, 20 and 21 September 2016. At this visit the home was rated inadequate. The provider ‘Colin C McCabe’ had breached multiple health and social care regulations which placed people at significant risk of harm. Subsequent to this visit, the provider sold the service to a new provider and this provider has now taken over the management of the home.

At the present time, the service is still currently registered with the old provider. This is because the new provider is currently going through the registration process with CQC to register the service under ‘their name’. Once this registration process is complete, they will become the legal provider of the regulated activity, accommodation with personal or nursing care for people who live at the home.

This inspection took place on the 01 February 2018 and was unannounced. We undertook this inspection to check that whilst the provider’s registration process with CQC was being undertaken, the service was safe and well-led. This type of inspection is called a focused inspection and this report will only cover our findings in relation to the domains of safe and well-led.

Glenarie Manor is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided and both were looked at during this inspection.

Glenarie Manor supports people living with complex mental health needs and provides accommodation with nursing care. The home can accommodate up to 26 people. At the time of our visit, 25 people lived at the home.

The home is a large, Victorian house situated in Sefton Park. Local shops and public transport are within walking distance. Accommodation consists of 26 single bedrooms. On the ground floor, there is a communal dining room for people to use and on the first floor there is TV room and games room.

The service had a manager who was in the process of registering with the Care Quality Commission (CQC) . A registered manager is a person who has registered with CQC 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.

We spoke with six people who lived in the home. They all gave positive feedback about the home and the new staff who worked in it. It was clear from what people said that the service had significantly improved under the new provider and that they felt they had a much better quality of life. Everyone we spoke with was happy with the support they received and during our visit we observed people were relaxed and comfortable with staff members. One person told us they didn’t realise how strict the home was before the new provider came into manage the service and another said that they felt life now held much more opportunities for them.

The manager had a clear understanding of how to protect vulnerable people from abuse and safeguarding incidents were reported appropriately to the Local Authority and CQC.

People’s risks were assessed and we saw that staff had clear guidance on how to prevent or mitigate these risks. The number of staff on duty was sufficient to meet people needs and records showed that safe recruitment procedures had been followed when new staff members were employed.

Accidents and incidents had been properly documented and appropriate action had been taken to prevent further harm. Complaints received had been listened to and responded to in a timely manner by the manager.

The home was safe and suitable for the people who lived there. Health and safety checks were completed on the premises and its equipment to keep it in good repair. The manager told us about the improvement plans they had in place to refurbish and improve people’s living environment over the coming months.

There were a range of quality assurance checks in place to monitor the quality and safety of the service. The manager was open and transparent about the current checks in place and told us that further improvements were required to ensure that the current checks were sufficiently robust to mitigate risks to people’s health, safety and welfare. They told us that they were supported by the regional manager and the provider and both could be relied upon for managerial support as and when required.

We saw that staff meetings took place and the manager met regularly with the nurses to ensure that their practice was consistent with the needs of the home.

We found that the current management of the service was good. Significant improvements to the service and people’s well-being had been made since the new provider had taken over. The manager in post was open, transparent and a good role model for other staff members providing support. People told us that they were much happier since our last inspection and it was clear they felt safe.