Background to this inspection
Updated
8 December 2020
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was carried out by two inspectors.
Service and service type
Manchester House Nursing 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.
The service had a manager who was in the process of registering with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave the service 12 hours’ notice of the inspection. This was because we wanted to check key staff would be available to support the inspection and to check the COVID-19 status of the home prior to the visit.
Inspection activity started on 24 November when we visited the service and ended on 27 November 2020 when we made telephone calls to staff and relatives of people living at Manchester House.
What we did before inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority.
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all this information to plan our inspection.
During the inspection
We spoke with eight people who used the service and two relatives about their experience of the care provided. We received feedback from 11 members of staff as well as the quality manager, estates manager and the acting manager. We also spoke with a visiting professional.
We reviewed a range of records. This included five people’s care records and medication records. A variety of records relating to the management of the service, including audits, policies and procedures were also reviewed.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
After the inspection
Although we gave some verbal feedback to managers on the initial day of the inspection visit we arranged a Videoconference on 30 November 2020 to reiterate and discuss the full inspection findings in more detail.
Updated
8 December 2020
Manchester House is registered to provide accommodation and nursing care for up to 67 older people and younger adults. There were 53 people accommodated at the time of the inspection.
People’s experience of using this service and what we found
People's experience of using the service was positive. People received the care and support they needed when required. People said they were supported by the same carers most of the time. People and family members told us staff were helpful and kind and treated people with dignity and respect. Positive relationships had been developed between staff and people they supported.
All the people we spoke with told us they felt safe living at Manchester House. We were told, “Staff are excellent” and “I like living here, It’s a good place.” One relative told us how their loved one had improved overall following admission to the service.
People reported good support regarding the management of their medicines and told us they got their medicines on time. The medications records we looked at were clear and supported best practice. Staff administering medicines were suitably trained and competent.
Risks associated with people’s care were identified and managed to minimise harm. The service supported a wide range of people with complex and diverse nursing care needs. Supporting care records mostly identified risks clearly and there were plans in place to help keep people safe.
The service was following good practice guidance regarding the management of COVID-19 and maintaining standards of hygiene and infection control.
Following the last registered manager leaving, a senior manager for the provider was running the service and providing effective leadership. A new manager had been appointed and was due to start in the New Year.
The provider’s governance systems and organisational structure was well developed and provided effective monitoring and support for the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 31 July 2018).
Why we inspected
We responded to our current risk rating of this service, which showed the service as high risk. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
The overall rating for the service has remained as Good. This is based on the findings at this inspection.
We found no evidence during this inspection that people were at risk of harm. Please see the Safe and Well-led sections of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Manchester House Nursing Home on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.