Mansgrove Farm House

Updated 20 January 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 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 was carried out by one inspector

Service and service type

Mansgrove Farm House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had two managers registered with the Care Quality Commission. 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

We gave a short period notice of the inspection. This was because the service is small, and people are often out and we wanted to be sure there would be people at home to speak with us.

Inspection activity started on 21 December 2021 and ended on 10 January 2022. A site visit took place on 21 December 2021.

What we did before inspection

We reviewed information we had received about the service since the last inspection. 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 of this information to plan our inspection.

During the inspection

We spoke with three people who used the service. We spoke with five members of staff, a registered manager, a team leader and support workers. We reviewed two people’s care records.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.

Updated 20 January 2022

About the service

Mansgrove Farm House is a residential care home providing personal care to three people who may have a learning disability or are autistic at the time of the inspection. The service can support up to five people.

The service has four bedrooms and a shared kitchen, lounge, dining room and utility room. There is a separate annexe in the grounds which supports one person.

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

Systems were in place to keep people safe. Risks to people were assessed, regularly reviewed and managed well to ensure their safety and promote their independence. Staff recruitment processes were in place to ensure staff were suitable to work with people who used the service. Training was provided to staff including agency staff to ensure they had the right skills and knowledge to carry out their roles effectively.

Infection prevention and control and medicines were being managed well including risks associated with COVID-19. People and staff had received COVID-19 vaccinations and boosters to help minimise the risk of catching the infection.

People were supported to eat and drink enough to maintain a balanced diet. The registered manager and staff worked well with other professionals to ensure people had access to healthcare appointments and received the right support to manage their health needs.

People's care plans were personalised to reflect how they wanted to be supported and what was important to them. Staff were knowledgeable about people’s needs and supported them to live fulfilling lives.

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.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

Right support:

• Model of care and setting maximises people’s choice, control and independence. The premises provided each person with their own individual bedroom and shared facilities. Staff had a good understanding of people's individual support needs and empowered people to achieve their own aspirations.

Right care:

• Care is person-centred and promotes people’s dignity, privacy and human rights. Staff were knowledgeable about people's emotional needs, understood the link between their anxiety and behaviours and supported people well when they needed it. Staff were observed treating people with kindness, respect and compassion.

Right culture:

• Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives. People were at the heart of the service with staff providing a network of support around them.

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

Rating at last inspection

This service was registered with us on 11 June 2020 and this is the first inspection.

Why we inspected

This was the first inspection since they registered in June 2020.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

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