Background to this inspection
Updated
14 August 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team
Our inspection was completed by one inspector.
Service and service type
Mantley Chase is a 'care home' that provides accommodation for up to 12 people who require personal care. People in care homes receive accommodation and personal care as 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 who was 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
The inspection was announced. We gave the service 24 hours’ notice of the inspection. This was because the service is small and people are often out and we wanted to be sure there would be people at home to speak with us.
What we did before the site visit
We reviewed the information we had received about the service since the last inspection. This included previous inspection reports and details about incidents the provider must notify us about, such as abuse, serious injuries and deaths. 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.
During the inspection
We visited Mantley Chase on 17 July 2019. We spoke with the registered manager and one care worker. We observed staff interacting with people throughout the day, including supporting people with various activities. We reviewed a range of records. This included one care record, and staff training and supervision records. We undertook a comprehensive tour of the home to review changes made to the environment and we also reviewed records relating to the management and monitoring of the service.
After the inspection
We sought feedback from a local authority commissioner about Mantley Chase.
Updated
14 August 2019
About the service
Mantley Chase is a care home operated by Holmleigh Care Homes Limited. The service provides support, personal care and accommodation for up to 12 people. It provides care to adults living with a learning disability, autism and behaviours that may challenge. Eight people were living at Mantley Chase at the time of our inspection.
People’s experience of using this service and what we found
At the last inspection we told the provider they needed to improve the oversight and governance of the service. Systems had not been effective in identifying and responding to maintenance issues and ensuring the home was clean with infection control measures adhered to. At this inspection we found the provider had made the improvements necessary to meet legal requirements.
During this inspection we found that the provider had made changes to the environment at Mantley Chase. For example, the carpets in people’s bedrooms and on the main staircase had been replaced and items that had required fixing had been repaired or replaced.
Changes had been made to the systems in place to assess the quality of the service and plan improvements. The management team were making regular checks of all aspects of the service. This was used to develop a comprehensive service improvement plan, which was regularly reviewed. Further time was needed to ensure that systems in place routinely identified areas for development and encouraged continuous improvement.
Medicines were safely managed. People were supported to take the medicines they had been prescribed. Staff had received training and managers regularly checked to ensure the systems were working well.
Risks people faced had been assessed and there were clear plans setting out the support they needed to stay safe. Staff had a good understanding of the risks and support people needed to stay safe.
More time was needed to fully imbed the quality assurance systems the provider had implemented. This was to ensure they were fully effective in identifying and responding to issues identified through these audits.
Rating at last inspection
The last rating for this service was requires improvement (published 24 April 2019) and there were breaches of regulations. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We carried out an unannounced comprehensive inspection of this service on 20 March 2019. Two breaches of regulations were found and we served a warning notice against the provider in relation to Good Governance. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment and governance of the service.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions ‘Is the service Safe?’ and ‘Is the service Well-led?’ which contain those requirements.
The ratings from the previous comprehensive inspection for those Key Questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has improved to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Mantley Chase 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.