We inspected Glenholme Healthcare Ltd on 10 October 2017.This was an unannounced inspection. At our previous inspection on 8 September 2015 the service was rated as good.

Glenholme Healthcare Ltd provides accommodation and care to up to 18 people with mental health needs. The home is made up of two adjoining houses Glenhome and Oakdean providing nine beds in each, with accessible office accommodation for staff on the ground floor. The care home is part of the Glenholme Health Care Group that provides the following range of services: Recovery and rehabilitation services for men with a history of Enduring mental illness, offending behaviour and substance misuse, and Recovery and rehabilitation for men and women with a history of enduring mental illness, Learning disability, and Asperger’s syndrome On the day of our visit there were 15 people living in the home.

The service had 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 and associated Regulations about how the service is run.

People told us they were very happy with the care and support they received. Staff working at the home demonstrated a good knowledge of people’s care needs, significant people and events in their lives, and their daily routines and preferences.

Staff told us they enjoyed working in the home and spoke positively about the culture and management of the service. Staff told us that they were encouraged to openly discuss any issues and had been supported with promotion opportunities within the service. Staff described management as supportive and confirmed they were able to raise issues and make suggestions about the way the service was provided.

The managers of the service provided good leadership and people using the service and staff told us they promoted high standards of care.

The service was safe and there were appropriate safeguards in place to help protect the people who lived there. People were able to make choices about the way in which they were supported and staff listened to them and knew their needs well. Staff had the training and support they needed. There was evidence that staff and managers at the home had been involved in reviewing and monitoring the quality of the service to drive improvement.

Recruitment practices were safe and relevant checks had been completed before staff worked at the home. People’s medicines were managed appropriately so they received them safely.

There were sufficient numbers of suitably qualified, skilled and experienced staff to care for the number of people with complex needs in the home.

The service was meeting the requirements of the Deprivation of Liberty Safeguards(DoLS). Appropriate mental capacity assessments and best interests decisions had been undertaken by relevant professionals. This ensured that any decisions were made in accordance with the Mental Capacity Act, DoLS and associated Codes of Practice.

Staff were caring and always ensured they treated people with dignity and respect.

People participated in a range of different social activities and were supported to attend health appointments. They also participated in shopping for the home and their own needs and were supported to maintain a healthy diet.

We inspected Glenholme Mental Healthcare Ltd on 8 September 2015.This was an unannounced inspection. At our previous inspection on 1 July 2013 we found that the provider was meeting the regulations we inspected.

Glenholme Mental Healthcare Ltd provides accommodation and care to up to 18 people with mental health needs. The home is made up of two adjoining houses Glenhome and Oakdean providing nine beds in each, with accessible office accommodation for staff on the ground floor. The care home is part of the Glenholme Health Care Group that provides the following range of services: Recovery and rehabilitation services for men with a history of Enduring mental illness, offending behaviour and substance misuse, and Recovery and rehabilitation for men and women with a history of Enduring mental illness, Learning disability, and Asperger’s syndrome On the day of our visit there were 14 people living in the home.

The service had a registered manager who had been in post since 2011. 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 and associated Regulations about how the service is run.

People told us they were very happy with the care and support they received.

People were well supported and encouraged to make choices about what they ate and drank. The care staff we spoke with demonstrated a good knowledge of people’s care needs, significant people and events in their lives, and their daily routines and preferences. Staff also understood the provider’s safeguarding procedures and could explain how they would protect people if they had any concerns.

Staff told us they enjoyed working in the home and spoke positively about the culture and management of the service. Staff told us that they were encouraged to openly discuss any issues and had been supported with promotion opportunities within the service. Staff described management as supportive. Staff confirmed they were able to raise issues and make suggestions about the way the service was provided.

The registered manager and deputy manager provided good leadership and people using the service and staff told us the manager promoted high standards of care.

The service was safe and there were appropriate safeguards in place to help protect the people who lived there. People were able to make choices about the way in which they were cared for and staff listened to them and knew their needs well. Staff had the training and support they needed. Relatives of people living at the home and other professionals were happy with the service. There was evidence that staff and managers at the home had been involved in reviewing and monitoring the quality of the service to drive improvement.

There were some issues with staffing levels, but we saw that the deputy manager was taking action to address this. Recruitment practices were safe and relevant checks had been completed before staff worked at the home. People’s medicines were managed appropriately so they received them safely

The service was meeting the requirements of the Deprivation of Liberty Safeguards

(DoLS). Appropriate mental capacity assessments and best interest’s decisions had been undertaken by relevant professionals. This ensured that any decisions were made in accordance with the Mental Capacity Act, DoLS and associated Codes of Practice.

People participated in a range of different social activities and were supported to access the local community. They also participated in shopping for the home and their own needs and some people regularly attended day centres and educational courses. On the day of our visit six people had gone away on holiday with staff support.

We spoke with six people who use the service and three members of staff including the manager. All the people we spoke with told us that their consent was obtained by staff before they were provided care. The provider followed legal requirements regarding obtaining people's consent but some people's care plans did not have their consent recorded.

Although two people felt care could be improved, most people told us they were happy with the care they received. Comments included that staff were "lovely" and "I feel supported". Care was provided taking into account people's welfare and safety.

People told us they were happy with how their medicines were managed. Medicines were administered, stored and managed safely and appropriately.

Staff were appropriately checked before they commenced employment although these checks were not always kept up to date.

All the people we spoke with told us they were involved in how the service was run. Comments included "we are doing a new service user guide which we are inputting into." The provider undertook appropriate checks to monitor the quality of the service.

People who use the service informed us that they were satisfied with the services provided and they were well cared for. They spoke well of staff and indicated that staff had treated them with respect and dignity. We observed that staff were attentive and pleasant towards people who use the service.

The home had consulted with people who use the service regarding the running of the home and activities arranged. Comprehensive assessments, including risk assessments had been carried out and care plans had been prepared for people who use the service. We observed that people who use the service appeared comfortable and were able to go out freely.

People who use the service informed us that the premises had been kept clean and they were pleased with their accommodation. Part of the home had been renovated and refurbished.

People who use the service informed us that they felt safe in the home. They stated that staff were competent and professional in the approach. Staff we spoke with were knowledgeable regarding the individual needs of people who use the service and were able to communicate effectively with them.

The records examined indicated that staff had been given the necessary essential training and support.