Background to this inspection
Updated
16 February 2022
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
As part of CQC’s response to care homes with outbreaks of COVID-19, we are conducting reviews to ensure that the Infection Prevention and Control (IPC) practice is safe and that services are compliant with IPC measures. This was a targeted inspection trigger by an outbreak of COVID-19 to look at the IPC practices the provider has in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.
This inspection took place on 27 January 2022 and was announced. We gave the service 48 hours’ notice.
Updated
16 February 2022
About the service: Manor House Residential Home is a care home. At the time of the inspection it provided personal care and support to 27 people aged 65 and over.
People’s experience of using this service: At the last inspection we found improvements were required to the premises of the home to ensure this was safe and that accurate records were maintained. At this inspection we found improvements had been made.
People were supported safely and protected from harm. There were systems in place to reduce the risk of abuse and to assess and monitor potential risks to people.
The management of medicines was safe. Risk assessments had been completed and provided detailed guidance for staff to follow. Incidents and accidents were managed effectively; lessons learnt were shared with staff to reduce the risk of further occurrences.
There were enough skilled and experienced staff to meet the needs of people who used the service. Recruitment checks were robust and staff completed an induction and training programme.
Most health and safety checks were carried out to ensure people remained safe. However, the electrical checks had been unsatisfactory. The registered manager arranged for checks to be carried out on the day we inspected to ensure people remained safe in the home. Staff used personal protective equipment to prevent against cross infection.
People and their relatives said staff were kind and caring. People and relatives said they were well supported and provided positive feedback about staff. Staff treated people with respect and dignity. People were involved in decisions about their care and encouraged by staff to be as independent as possible.
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.
Initial assessments were carried out to ensure people’s needs could be met. Staff understood people’s likes, dislikes and preferences and people told us they were offered choices about their care.
Some people using the service required end of life care. Care plans recorded people’s preferences for their end of life care.
Care records identified people’s nutritional and dietary needs. People were supported to live a healthy life and staff supported people to access health care professionals when required.
A complaints system was in place and these were managed effectively. People and staff told us they felt confident to raise any concerns and felt these would be managed.
The provider had embedded quality assurance systems to monitor the quality and safety of the care provided. The provider worked in partnership with other services to support people’s care. Surveys were carried out with people using the service to gather their views.
Staff told us the management team were honest and supportive. People told us the management team were approachable and felt concerns would be effectively managed.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection: At the last inspection the service was rated Requires Improvement (published 25 April 2018). The overall rating has improved to good.
Why we inspected: This was a planned inspection based on the previous rating.
Follow up: We will continue to monitor this service and plan to inspect in line with our re-inspection schedule for those services rated Good. If any concerning information is received, we may inspect sooner.