Archived: Manor House

Updated 1 December 2020

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

We received information of concern about infection control and prevention measures at this service. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.

This inspection took place on 19 November 2020 and was unannounced.

Updated 1 December 2020

About the service

Manor House is a care home that provides personal care for up to 16 predominantly older people. At the time of the inspection 12 people were living at the service. Some of these people were living with dementia.

People’s experience of using this service and what we found

There was a relaxed and friendly atmosphere at the service. People made choices about where and how to spend their time. People told us they were happy with the care they received and believed the service was a safe place to live. People were positive about staff, and their caring attitude, and told us they were treated with kindness and compassion.

While we found people’s care needs were met people told us, and we observed, that there were times when there were delays in staff assisting people due to staffing levels. We have made a recommendation about how staffing levels are assessed.

The provider had acted on recommendations made at the last inspection about adapting the environment to support people with dementia, supporting people to access the local community and the effectiveness of quality assurance systems. Signage had been updated to identify shared areas, bathrooms and people’s bedrooms. People’s needs, in relation to their preferences about going out, had been assessed and action taken in line with those wishes. Audits were now being regularly completed and the accuracy of record keeping had been improved by the introduction of an electronic recording system.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People were supported to access healthcare services, staff recognised changes in people's health, and sought professional advice appropriately.

Records of people's care were individualised and detailed their needs and preferences. Risks were identified and staff had guidance to help them support people to reduce the risk of avoidable harm.

The medicines system was well organised and staff received suitable training. People received their medicines on time.

The building was clean, and there were appropriate procedures to ensure any infection control risks were minimised. The environment was safe and people had access to equipment where needed.

Recruitment practices were robust and new staff completed a comprehensive induction. Staff had received appropriate training and support to enable them to carry out their role safely.

People and their families were given information about how to complain and details of the complaints procedure were displayed at the service. The registered manager/provider and staff knew people well and worked together to help ensure people received a good service. People and staff told us the registered manager/provider was approachable and listened when any concerns or ideas were raised.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was Requires Improvement. (Report published on 5 March 2019). While there were not any breaches of regulations there were three recommendations. At this inspection we found improvements had been made and the rating had improved to Good.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.