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

Glenmore House Care Home is in a residential area of Corby and is registered to provide accommodation and personal care to people who may or may not have nursing care needs. They provide care for older people who may also be living with dementia and can accommodate up to 59 people at the home. When we visited there were 55 people living there.

At our last inspection in March 2017 we rated the home as ‘Requires Improvement’ and found that there had been a breach of Regulation 14 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 – Meeting nutritional and hydration needs. This was because people were not always adequately supported to have sufficient amounts to eat and drink to maintain their health and wellbeing.

At this inspection we found that improvements had been made, and the home was no longer in breach of Regulation 14. However the home continued to be rated as ‘Requires Improvement’. This is the second consecutive time this home has been rated ‘Requires Improvement’. They were in breach of one of regulation relating to the governance of the home as the service did not have sufficient systems and processes in place to assess, monitor and evaluate the quality of the service.

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.

Improvements were required to ensure staffing arrangements were adequate to meet people’s needs, and they could receive timely support at all times of the day. Improvements were also required to enhance people’s mealtime experiences. Further action was required to ensure that people’s meals were adequately spaced throughout the day, people were given the support they required to eat independently and that people had a variety of choices at every mealtime.

The environment was clean and safe however it did not enable people with dementia to be as independent as possible and further consideration should be given to this. Quality assurance procedures also required improvements as actions were not always accurately recorded or updated to show the timeliness of the improvements identified. In addition, action was required to ensure people’s care was adequately reviewed and in line with people’s preferences. People and relatives also commented that they would like to see the registered manager around the home more often.

Staff had a good understanding of abuse and the safeguarding procedures that should be followed to report abuse and incidents of concern. Risk assessments were in place to identify and manage potential risks within people’s lives. The staff recruitment procedures ensured that appropriate pre-employment checks were carried out to ensure only suitable staff worked at the service.

Staff induction training and on-going training was provided to ensure staff had the skills, knowledge and support they needed to perform their roles. Specialist training was provided to make sure that people’s needs were met and they were supported effectively.

People's consent was gained before their care was provided. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Staff treated people with kindness, dignity and respect and spent time getting to know them and their specific needs and wishes. Care plans reflected people’s likes and dislikes, a

This unannounced inspection took place on the 16 February 2017. Glenmoor House provides accommodation for up to 59 people who require nursing or residential care for a range of personal care needs. There were 56 people in residence during this inspection.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission (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.

The registered manager and provider recognised there were areas that needed improvement in communication between staff and systems for reporting through the management structure.

People’s needs were not always met in line with their individual care plans and assessed needs. Staff did not always provide enough detail in the monthly updates of care plans to reflect people’s current needs.

People did not always receive their care from sufficient numbers of experienced staff which left some people living with dementia waiting for support to have their food and drink. People’s nutritional risk assessments were not always accurate; staff did not always identify when people were at risk.

People were monitored closely following an accident. Staff monitored people’s health and well-being and ensured people had access to healthcare professionals when required. People were protected from the risks associated with medicines management.

Recruitment procedures protected people from receiving unsafe care from care staff unsuited to the job. Staff received training in areas that enabled them to understand and meet the care needs of each person.

People were safeguarded from harm as the provider had systems in place to prevent, recognise and report any suspected signs of abuse. Staff knew their responsibilities as defined by the Mental Capacity Act 2005 (MCA 2005) and Deprivation of Liberty Safeguards (DoLS) and had applied that knowledge appropriately.

Staff understood the importance of obtaining people’s consent when supporting them with their daily living needs. People experienced caring relationships with the staff that provided good interaction by taking the time to listen and understand what people needed. People had been involved in planning and reviewing their care when they wanted to.

The quality of the service was monitored by the audits regularly carried out by the manager and by the provider, their findings were analysed and acted upon.

There was a breach of one Regulation of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. We have asked the provider to provide an action plan which we will follow up.