Background to this inspection
Updated
13 October 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
The inspection was carried out by two inspectors and two Experts by Experience. 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
Iden Manor 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. Iden Manor is a care home with 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 reviewed information we had received about the service, including details about incidents the provider must notify us about, such as serious injuries. We sought feedback from the local authority who did not have any concerns about the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all this information to plan our inspection.
During the inspection
We spoke with seven people who lived in the service and 15 relatives about their experience of the care provided. 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 observed multiple interactions between people and staff throughout the day. We spoke with 16 members of staff including the quality assurance manager, registered manager, nominated individual, nurses, care staff, housekeeping staff, activity staff, chef and maintenance manager. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We reviewed a range of records including nine peoples’ care records and multiple medication records. We looked at five staff recruitment files. A variety of records relating to the management of the service were reviewed including health and safety checks, meeting notes, training records and audits.
Updated
13 October 2022
About the service
Iden Manor is a residential care home providing accommodation with personal and nursing care for up to 51 people. The service provides support to people with nursing needs and people living with dementia. At the time of our inspection there were 47 people using the service. The service is divided into two ‘wings’, one of which specialises in providing care to people living with dementia. The service was arranged across three floors with lift access to upper and lower floors.
People’s experience of using this service and what we found
People told us they were happy and felt safe living at the service. One person told us, “Staff are always around if you need them.” Another person said, “It is safe. People working here are on top of everything. I never feel unsafe or insecure.” A relative said, [Relative] is safe here, I am sure. But I really chose it because I knew they would love the gardens, and they do.”
People told us staff were kind and caring and treated them with respect and dignity. Potential risks to people’s health and welfare had been assessed. There was guidance in place for staff to reduce risks and keep people as safe as possible. Checks had been completed on the environment and the equipment people used.
The service had been designed and adapted to meet people needs. The service was clean and uncluttered; staff were wearing personal protective equipment in line with government guidance. One relative told us, “It is always clean and there are no smells. It is a nice environment, wide corridors, and [relative’s] room is big and lofty and beautiful.” Another relative said, “The place is tranquil and pleasant. The rooms are nice and the lounge is good here. [Relative] has a lovely view from their room.”
People received their medicines as prescribed. Staff had been recruited safely and there were enough staff to meet people’s needs. Staff had received training appropriate to their role and to give them skills to support people. People and relatives told us staff were kind, caring and friendly.
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.
Although there had been some staff changes recently, people, relatives and staff told us the management team were supportive and approachable and they were confident to raise concerns. Relatives confirmed they were able to visit when they wanted and for as long as they wanted.
Checks and audits had been completed on all aspects of the service; actions had been taken to rectify any shortfalls. People had been asked their opinion about the service and their suggestions had been acted upon.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us as a new provider on 01 May 2022 and this is the first inspection. The last rating for the service under the previous provider was good (published 28 January 2020).
Why we inspected
This inspection was prompted in part by notification of an incident at another service operated by the same provider. The information shared with Care Quality Commission about this incident indicated potential concerns about the management of risks in relation to people’s health, failure to seek follow up care in relation to diagnostic tests and failure to make best interest decisions for someone who lacked mental capacity. This inspection examined those risks.
We found no evidence during this inspection that people were at risk of harm from these concerns. Please see the safe and effective sections of this full report.
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.
The overall rating for the service is good based on the findings from this inspection.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.