Royal Manor Nursing Home

About the service

Royal Manor Nursing Home is a care home service with nursing providing personal care to people aged 65 and over. The service can support up to 30 people. At the time of the inspection 25 people were using the service.

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

There was no registered manager in post. It is a legal requirement to have a registered manager in post and at the time of the inspection there had been no registered manager since July 2022. The provider had recruited a manager to the post twice since the registered manager left but neither person have remained in post.

Individual assessments were in place to enable staff to support people safely. However, we identified some potential environmental risks. These were addressed during and following the inspection.

A policy regarding safeguarding the people using the service, included information about restraint. We asked the provider to clarify the services position on restraint. This has now been done and confirms the home has a no restraint policy. This ensures that staff have clear guidance. Staff understood the safeguarding procedure to follow to report any concerns and we saw that training had been provided.

People’s needs were assessed prior to moving to the service and they were supported in line with current evidence-based guidance and in accordance with their preferences. People were supported to take their prescribed medicines safely by trained staff. Audits were undertaken to monitor medicines management.

People confirmed there were enough staff and we saw sufficient staff were available to meet their needs. People were supported by staff whose suitability was checked before they commenced employment.

People were supported to follow their dietary requirements and preferences. Where people were at risk of malnutrition and dehydration this was monitored, and referrals made to the relevant healthcare professionals. People were supported to access health care services.

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.

The home was cleaned to a good standard and well maintained. We saw staff used disposable aprons and gloves when required.

People and their relatives confirmed the staff were caring and considerate. People were supported to maintain their privacy and dignity and their wishes were respected. Care plans included people’s needs and preferences and life histories, to enable staff to understand people better. People’s religious/ faith needs were met.

People, relatives, and staff were encouraged to feedback into the running of the service. Complaints were addressed and a procedure was in place.

Audits were in place to monitor the quality of the service and make improvements where needed. The management team worked alongside partner agencies to enhance the support provided to people.

Rating at last inspection (and update)

The last rating for this service was requires improvement (published 25 June 2022)). Since we awarded this rating, the registered provider of the service has changed. We have used the previous rating to inform our planning and decisions about the rating at this inspection. This is the first inspection for this provider.

Why we inspected

We were prompted to carry out this inspection due to concerns we received about the management oversight of the service. A decision was made for us to inspect and examine those risks.

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, which will help inform when we next inspect.