Manor House Care Home LTD

Updated 8 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.

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

One inspector undertook this inspection.

Service and service type

Manor House Care Home LTD 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. Manor House Care Home LTD 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 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 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

People using the service lacked capacity and were not able to tell us verbally about their experience of living at Manor House Care Home LTD. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We spoke with five members of staff including the registered manager, senior care workers and care workers. We also spoke with a relative and received responses from two external professionals.

We reviewed a range of records. This included two people’s care records and medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to review and evaluate information collated in the site visit. We spoke with two relatives.

Updated 8 September 2022

About the service

Manor House Care Home Ltd provides accommodation with personal care for up to 16 mainly older people some living with dementia. There were 11 people using the service at the time of our inspection. The service is in one adapted building over two floors.

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

People were supported by a staff team who understood people’s needs. However, the changing needs of a person had not been effectively communicated to the family. A relative told us they were disappointed. We judged no harm had come to the person and other professionals were involved to help support staff. The registered manager acknowledged the delay and assured us they would address the issue with immediate effect.

We recommend the service continues to ensure the environment is suitably maintained and decorated.

Risks were identified, assessed and monitored. Staff knew how to protect people from known risks while supporting their independence. Where a person’s needs had changed the service had involved other professionals to help support the staff team and had made changes in the environment to support the person.

There were generally enough staff to meet people's needs and ensure their safety. Due to the layout and design of the service, this meant there were times when no staff were in certain areas. However, the call system was effective and there had been no increase in accidents or injuries. Staff told us they were alerted to any call bells and responded quickly. The registered manager also supported when staff were busy.

Appropriate recruitment procedures ensured prospective staff were suitable to work in the home.

There was equipment available to support staff in providing safe care and support. Health and safety checks of the environment and equipment were in place.

There were processes in place to prevent and control infection at the service.

Systems to assess and monitor the quality and safety of the care provided were in place. They were effective in assessing quality and identifying and driving improvement.

Peoples medicines were managed safely. Staff had the necessary training and skills to administer medicines. Oversight was in place to ensure medicines were managed safely.

Staff told us, and records demonstrated that they had received the training they needed to meet people’s needs safely and effectively. The registered manager maintained oversight of training to ensure staff had the necessary training, knowledge and skills to provide consistent care.

Staff were supported in their roles through a plan of supervision. Staff told us they felt supported by senior staff and the registered manager. A staff member told us, “We are really well supported, and the office door is always open for us.”

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.

People living at Manor House Care Home Ltd had care plans which detailed their needs and preferences. There was no formal approach for the staff team to engage people in activities. We observed staff support people on a one to one basis. Staff told us there were also small group activities.

People were supported to eat balanced diet and drink enough to keep hydrated.

The management team maintained oversight of complaints, accidents and incidents and safeguarding concerns. The management team engaged well with health and social care professionals. The service had clear and effective governance systems in place.

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

This service was registered with us on 15 November 2021 and this is the first inspection.

The last rating for the service under the previous provider was Good, published on 1 December 2020.

Why we inspected

This was the first inspection since the provider registered with the commission.

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.