The Manor House

Updated 1 April 2020

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.

Inspection team

This inspection team consisted of two inspectors.

Service and service type

The Manor 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 a manager 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

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. 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 also sought feedback from the local authority safeguarding and quality assurance teams. We used all of this information to plan our inspection.

During the inspection

We spoke with six people who lived in the service and the relatives of two people. We also spoke with the registered manager, deputy manager, four members of care staff, a member of maintenance staff, the activities co-ordinator and a visiting healthcare professional. We looked at the care records for three people and the medicines records for six people. We reviewed one staff recruitment file, staff training records and a range of quality monitoring records which related to the day to day running of the service.

After the inspection

We continued to seek clarification from the registered manager to validate evidence found. We also made telephone calls to relatives and staff.

Updated 1 April 2020

About the service

The Manor House is a residential care home providing personal care to 46 people aged 65 and over at the time of the inspection. The service can support up to 48 people.

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

Staff were not adequately deployed during busy times, such as meal times. Risks relating to people’s individual care needs had been identified and planned for. Assessments and plans to mitigate environmental risks were also in place. Staff understood their responsibilities in relation to keeping people safe and had received training in safeguarding. There were safe recruitment practices in place for new staff. People received their medicines as prescribed by staff who had been trained to give people their medicines. The service was clean, and staff observed good practice around infection prevention and control. Accidents and incidents were recorded and reviewed to mitigate further incidents.

Assessments of people’s needs were carried out prior to them moving to the home. New staff attended an induction and completed training relevant to their role. Staff supported people to maintain a healthy nutritional intake. Timely referrals were made to healthcare professionals when people became unwell. 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 were cared for in a way which upheld their privacy and respected their dignity. Staff knew people’s care needs well and offered reassurance to people in times of unease.

People’s individual needs and preferences were planned for and was regularly reviewed. There was a lack of planning for people’s end of life care. Provisions were in place to ensure people received visits from relatives and maintain their interests. Complaints were responded to appropriately.

There was a positive culture within the service and people enjoyed living in the service. Staff were clear about their roles and the registered manager was a visible presence throughout the home. People, their relatives and staff were involved in developing the service. Staff worked with other organisations to promote positive outcomes for people.

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

Rating at last inspection

The rating at the last inspection was good (published 31 August 2017).

Why we inspected

This was a planned inspection based on the previous rating.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for The Manor House on our website at www.cqc.org.uk.

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.