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.

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.

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.

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".