This inspection visit took place on 31 January 2019 and was unannounced.

Glenthorne No2 Care Home Limited is a detached property close to local amenities in Thornton-Cleveleys. The home provides personal care for up to 15 people. Bedrooms are on the ground and first floor. All bedroom accommodation is for single occupancy. Communal space consists of a lounge, a separate dining room, and a small conservatory which is also used as a smoking room. At the time of our inspection visit on 31 January 2019 there were 15 people who lived at the home.

Glenthorne No2 Care Home Limited is a 'care home.' People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

There was a registered manager in place. 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.

At the last inspection on 07 and 13 December 2017 we made a recommendation for the provider to carry out frequent risk assessments during the renovation work being undertaken at the home. This was because we identified risks such as raised plank/uneven flooring in the hall had not been noted as a possible trip hazard. These were rectified when brought to the attention of the management team. During the inspection on 31 January 2019 we found risk assessments had been developed to minimise the potential risk of harm to people when renovation work was to be undertaken.

At the last inspection on 07 and 13 December 2017 we made a recommendation for the provider to further develop people's care records including care plans and risk assessments. During the inspection on 31 January 2019 we found care plans were well maintained and informative about people’s care provision. We saw people had consented to their care and treatment and where appropriate family members who had the legal authority to do so.

People who lived at the home told us they were happy with the care provided and staff were caring and compassionate. They told us staff were kind and attentive and spent time with them. Comments received included, “I am very happy here. There is lots of laughter.” And, “I am happy here and I do feel safe.”

Relatives spoken with during the inspection told us they were happy with the care provided and had no concerns about their family members safety. One person visiting the home said, “The staff are lovely. They are kind to my [relative].”

Procedures were in place to record safeguarding concerns, accidents and incidents and take necessary action as required. Staff had received safeguarding training and understood their responsibilities to report unsafe care or abusive practices.

Staff had been recruited safely, appropriately trained and supported.

We saw there was an emphasis on promoting dignity, respect and independence for people supported by the service. They told us they were treated as individuals and received person centred care.

We observed the daily routines and practices within the home and found people were treated equally and their human rights were constantly being respected.

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 responsible for assisting people with their medicines had received training to ensure they had the competency and skills required. People received their medicines as prescribed and when needed and appropriate records had been completed.

We looked around the building and found substantial improvements in the homes environ

This inspection took place on 7 and 13 December 2017 and was an unannounced inspection.

Glenthorne No2 Care Home Limited is a detached property close to local amenities in Thornton-Cleveleys. The home provides personal care for up to 15 people. Bedrooms are on the ground and first floor. All bedroom accommodation is for single occupancy. Communal space consists of a lounge, a separate dining room, and a small conservatory which is also used as a smoking room.

At the time of the inspection visit 15 people lived at the home.

There was a registered manager in place. 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.

This is the first inspection for Glenthorne No2 Care Home Limited since it was registered with the Care Quality Commission (CQC) on 21 July 2017. Prior to Glenthorne No2 Care Home Limited taking over the home, the service was owned by another registered provider. At that time it was not meeting regulations and needed significant improvements. The new service provider Glenthorne No2 Care Home Limited had made substantial improvements in the homes environment and documentation. However further work was needed. The director of Glenthorne No2 Care Home Limited was the nominated individual and temporary registered manager. They assured us the improvements were continuing and has kept us informed of further improvements. Most of the staff team had remained in the home’s employment. This meant they had knowledge of the home and people who lived there and people were cared for by staff who were familiar to them.

When the new registered provider took over the home, the environment was in a poor state of repair and maintenance. The building needed refurbishment to make it a pleasant place to live in. Since then there had been substantial work carried out with new floorboards and other urgent remedial work needed to make the home safe. Significant improvement had been made to the décor and furnishings in the home. People told us the refurbishment had made the home much nicer to live in. One person said, “It’s so much better. It’s lovely.” A relative commented, “What a difference in a short time. I am so pleased.”

Although the staff team attempted to keep people safe during the renovation work and many risks were minimised, we found others were not. We found risks such as raised plank/uneven flooring in the hall had not been noted as a possible trip hazard. When we informed the management team of this they immediately rectified it and during the inspection carried out a visual risk assessment of the whole property to check for hazards. They then prioritised these. The major renovations in the home had caused some disruption but the management team were attempting to keep this to a minimum.

We made a recommendation to carry out frequent risk assessments during the renovation work.

The home had recently had a food safety inspection, an infection control inspection and a fire safety inspection. All had highlighted a number of issues. Many related to the fabric of the building such as old and dated kitchens and bathrooms and furnishing such as chairs, fire systems and call bells. The management team told us many of the issues highlighted had been rectified and this had reduced the risks. There were plans to remove and fully refurbish the kitchen and to renovate one of the bathrooms by early 2018. These measures would improve inspection control in the home.

Staff had received infection control training and were pleased with the improvements already made and positive about those planned. On the first day of the inspection we noted several commodes and toilet frames were in poor condition. By the second day of the inspection these had been