Archived: The Manor House Residential Home

Updated 11 April 2019

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection was carried out by an adult social care inspector and an expert by experience who was knowledgeable about care of older people. 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: The Manor House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The Manor House accommodates up to 15 older people in a large three storey detached house in the East Devon seaside town of Seaton. On the day of the inspection, 14 people lived in the home.

The service had a manager, who was also one of the providers, registered with the Care Quality Commission (CQC). 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:

The inspection was unannounced.

What we did:

Before the inspection we reviewed the records held on the service. This included the Provider Information Return (PIR) which is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We also reviewed notifications. Notifications are specific events registered people have to tell us about by law.

During the inspection we spoke with:

• nine people

• one relative

• The registered manager, provider, two senior care assistants, two care assistants, a housekeeper and the cook.

After the inspection, we contacted twelve healthcare professionals for their views of the service, two of whom replied to us.

Updated 11 April 2019

About the service: The Manor House Residential Home is registered to provide accommodation for 15 people who require personal care, aged 65 and over. At the time of our visit 14 people were living at the service.

People’s experience of using this service:

People at The Manor House were valued as individuals and treated with care and compassion. Staff knew each person well and provided person centred care. Staff engaged positively with people throughout the day. Staff knew how to communicate with people, so people understood the options available to them. The registered manager, director and staff extended their care and compassion to people’s family members and saw them as part of the home’s community.

Staff promoted people’s dignity and privacy. Staff understood their responsibilities to protect people from abuse and discrimination. They knew to report any concerns and ensure action was taken.

People’s views were sought, and opportunities taken to improve the service. Staff were supervised, supported and clear about what was expected of them. People’s care was provided in line with best practice. People were cared for by staff who received regular training that was tailored to meet the needs of the people living in the service.

People, relatives, staff and professionals gave positive feedback about the registered manager and director. They were role models and staff had adopted the registered manager’s approach to the care of the people living in the service.

People lived in a service that kept them safe. Staff had been recruited safely and had received training on how to recognise and report abuse. People were supported to take their medicines safely. Audits and checks were carried out, so any problem could be identified and rectified.

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

People’s needs and preferences regarding food and drink were known and respected. People told us they liked the food and staff gave examples of things they did to help ensure people got the food they liked, whilst maintain their health.

People’s views were sought and listened to in relation to the home. People were offered a variety of different ways to spend their time. Staff understood what people enjoyed doing and constantly worked to offer a variety of activities based on people’s preferred pastimes and hobbies.

Rating at last inspection:

At the last inspection in September 2016 the service was rated as Good.

Why we inspected: This was a planned comprehensive inspection based on previous rating.

Follow up: We will continue to monitor the service to ensure that people continue to receive safe, compassionate, high quality care.

The service met the characteristics for a rating of "good" in all the key questions we inspected. Therefore, our overall rating for the service after this inspection was "good". For more details, please see the full report which is on the CQC website at www.cqc.org.uk