Updated 17 December 2021
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.
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.
Inspection team
The inspection visit was carried out by two inspectors, one of whom is a pharmacist inspector. One Expert by Experience spoke with people’s relatives by telephone. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Manor Lodge is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a 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.
The service had a manager registered with the CQC. 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
The first day of the inspection was unannounced. We announced the second day of the inspection.
What we did before the inspection
Before the inspection we looked at information we held about the service. This information included any statutory notifications that the provider had sent to the CQC. Statutory notifications include information about important events which the provider is required to send us by law. We also reviewed the last inspection report. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all this information to plan our inspection.
During the inspection
We spoke with six people using the service, the registered manager, quality assurance officer, the nominated individual, three care staff, the cook and activities coordinator. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We observed engagement between staff and people using the service. We reviewed a variety of records which related to people's individual care and the management and running of the service. These records included four people's care files, nine medicine administration records, four staff files in relation to recruitment and staff supervision, policies and quality monitoring audits.
After the inspection
The registered manager provided us with some medicines’ information and documentation. We spoke with ten relatives and one social care professional who had regular contact with the service.