Archived: Manor House Care Home

Updated 6 February 2015

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, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 15 December 2014 and was completed by two inspectors. This was an unannounced inspection.

Before our inspection we looked at information we held about the service including statutory notifications. A statutory notification is information about important events which the provider is required to send us by law. We reviewed all other information sent to us from other stakeholders including local authority commissioners and members of the public.

During the inspection we spoke with eight people living in the home, the provider’s visiting care manager, the interim manager, the senior nurse, two relatives and five staff. We also spent time observing care to help us understand the experience of a few people who could not talk with us.

We looked at four people’s care plans. We also looked at other records including medicines administration records, staff meeting minutes, service user quality assurance survey questionnaires, staff recruitment files and training records. We checked records for things such as legionella bacteria checks, fire, gas and electrical systems.

Updated 6 February 2015

Manor House Residential and Nursing Home provides accommodation, personal care and nursing care for up to 40 older people including those living with dementia. Accommodation is located over two floors. There were 34 people living in the home when we visited.

This inspection was undertaken on 16 December 2014 and was unannounced, Our previous inspection was undertaken on 30 April 2014, and during this inspection we found that all of the regulations were being met.

The home did not have a registered manager in post. The registered manager left their post in October 2014. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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 and associated Regulations about how the service is run.

The CQC monitors the operation of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS) which applies to care services. We saw that there were policies and procedures in relation to the MCA and DoLS to ensure that people who could not make decisions for themselves were protected. We saw that staff had followed guidance and were knowledgeable about submitting applications to the appropriate agencies. Records viewed showed us that where people lacked the capacity to make decisions they were supported to make decisions that were in their best interests. People were only deprived of their liberty where this was lawful.

There was a process in place to ensure that people’s health care needs were assessed. This helped ensure that care was planned and delivered to meet people’s needs safely and effectively. Staff knew people’s needs well and how to meet these. People were provided with sufficient quantities to eat and drink.

People’s privacy and dignity was respected at all times. Staff were seen to knock on the person’s bedroom door and wait for a response before entering. They also ensured that people’s dignity was protected when they were providing person care. Care records we reviewed showed us that, wherever possible, people were offered a variety of chosen social activities and interests. People told us that the staff were very kind and knock on their door before entering.

The provider had an effective complaints process in place which was accessible to people, relatives and others who used or visited the service.

The provider had a robust recruitment process in place. Staff were only employed within the home after all essential safety checks had been satisfactorily completed.

The provider had effective quality assurance systems in place to identify areas for improvement and appropriate action to address any identified concerns. Audits, completed by the provider and registered manager and subsequent actions taken, helped drive improvements in the home.