Middlesex Manor Care Home

Updated 22 December 2022

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 Health and Social Care Act 2008.

This was a targeted inspection on a concern we had about the home’s management of pressure area sores.

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

This inspection was carried out by a single inspector.

Service and service type

Middlesex Manor is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Middlesex Manor is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We reviewed the home’s records in relation to pressure area care. We spoke with the registered manager, the deputy manager and two nurses. We were unable to speak with people receiving pressure area care as they were unable to communicate with us. Following our visit, the provider sent us copies of quality monitoring records relating to the management of pressure area sores.

Updated 22 December 2022

About the service

Middlesex Manor is a residential care home providing personal and nursing care to 77 people with complex needs at the time of the inspection. The home can support up to 83 people in three separate units, each with their own communal areas. Many people at the home are living with dementia or other conditions associated with ageing.

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

People told us they felt safe and staff were kind to them. Engagement between staff and people using the service was caring and respectful. Staff provided people with personalised care that met their needs and preferences.

People's care plans and risk assessments were up to date and personalised. They included information about people’s individual needs and preferences. Guidance was provided for staff to ensure people received the care and support they required.

Staff were caring and treated people with dignity and respect. People’s differences including cultural, religious and relationship needs and preferences were understood and respected by staff.

People were supported to maintain good health and to eat and drink well. People were supported to access healthcare services when they required.

People’s independence was promoted and supported by staff. Staff recognised and respected people’s abilities.

Staff knew what their responsibilities were in relation to keeping people safe. They understood the importance of reporting any concerns they had about people's safety and how to protect them from harm or abuse.

Arrangements were in place to ensure that people received their prescribed medicines safely. Medicines were safely stored and recorded.

The provider recruited staff carefully to ensure that staff were suitable for their role. Staffing numbers were flexible and decided by the home’s evaluation of people’s needs.

Staff had the skills and knowledge to provide people with the care and support that they needed. They received the training and support that they required to enable them to carry out their roles and responsibilities effectively.

People had opportunities to participate in a range of social and leisure activities. People were supported to maintain relationships with family and friends. Faith representatives visited the home to support people’s religious preferences.

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

The home was clean and safely maintained.

The registered manager showed effective leadership and the home was well run. Staff felt supported. Systems were in place to assess and monitor the quality and delivery of care to people and drive improvement. Actions had been taken to ensure that concerns arising from quality monitoring were addressed.

Rating at last inspection:

The last rating for this service was Good. (Report published 6 January 2017).

Why we inspected:

This was a scheduled planned comprehensive inspection.

Follow up:

We will continue to monitor the service through the information we receive. We will inspect in line with our inspection programme or sooner if required.

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