• Care Home
  • Care home

Manorfields Residential Care Home

Overall: Good read more about inspection ratings

47 Farley Road, Derby, Derbyshire, DE23 6BW (01332) 346248

Provided and run by:
Normanton Lodge Limited

Latest inspection summary

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Background to this inspection

Updated 28 September 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 focused inspection to check whether the provider had met the requirements of the Warning Notice in relation to Regulation 12 Safe care and treatment and Regulation 17 Good Governance of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. At our last inspection we found concerns in relation to assessing risk, care planning, staff training and quality monitoring of the service.

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 two inspectors and an Expert by Experience. 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

Manorfields residential care home 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. Manorfields residential care home is a care home without 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 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 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 also sought feedback from external professionals who work with this service and reviewed information we had received about the provider before our inspection. We used this information to plan our inspection.

During the inspection

We spoke with three people who used the service. We observed people and their interactions with staff and each other. We spoke with 10 relatives about their experience of the care provided.

We spoke with 12 staff during our inspection including domestic staff, kitchen staff, the staff member responsible for maintenance, carers, senior carers, care planning staff, the care manager, the operations officer and the registered manager.

We reviewed five people’s care records. We looked at three staff files in relation to recruitment practices. We reviewed various records relating to the management of the service including health and safety checks and incidents and accidents.

Overall inspection

Good

Updated 28 September 2022

About the service

Manorfields residential care home is a care home providing personal care for up to 40 people. The service provides support to older people some of whom are living with dementia. At the time of our inspection there were 35 people using the service.

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

Window restrictors had not been fitted to two smaller windows in people's bedrooms. However, the registered manager resolved this during our inspection. Further work was needed to ensure the application of topical creams was managed safely. Other aspects of medicines administration were managed safely, and people received their medicines when needed. Risk assessments and care plans were kept up to date to reduce risks to people's health and wellbeing. There were processes supporting the safe recruitment of staff. Lessons were learnt following incidents and accidents. There were systems to ensure the environment was safe and infection prevention control arrangements were effective. Systems were in place to minimise the risk of abuse. Staff received safeguarding training and knew how to whistle blow.

Improvements had been made since our last inspection. There were systems in place to maintain and improve the quality of service delivery. People, their relatives and staff had opportunities to give feedback on the service and this was used to improve care. Staff received supervision and training. There was a positive culture in the service.

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.

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 (published 11 November 2021) and there were breaches of regulation. At this inspection we found improvements had been made and the provider was no longer in breach of the regulations.

Why we inspected

This inspection was carried out to follow up action we told the provider to take at the last inspection.

We undertook this unannounced focused inspection to check whether the Warning Notice we previously served in relation to Regulation 12, Safe care and treatment, and Regulation 17, Good governance, of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 had been met. We found there had been enough improvement and the warning notice had been met. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.