Background to this inspection
Updated
24 April 2021
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.
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 undertaken by two inspectors.
Service and service type
Conewood Manor Nursing Home 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 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. 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 spoke with three people who used the service and three relatives about their experience of the care provided. We spoke with nine members of staff including the nominated individual, registered manager, nurses, care workers and domestic staff.
We reviewed a range of records. This included two people’s care records, two staff files in relation to recruitment and a range records relating to the management of the service, including policies and procedures.
We spoke with external professionals involved with the service, these included local authority commissioning teams’ representatives from Clinical Commissioning Groups (CCG) and local authority safeguarding officers.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.
Updated
24 April 2021
About the service
Conewood Manor Nursing Home accommodates up to 44 older people, some of whom live with dementia. At the time of our inspection 39 people lived at the home.
The home was originally an Edwardian house. Various extensions have been made at different times over the years to create the care home as it is today, further plans were in place to extend the home further by creating a ground floor lounge. The home offers accommodation on three levels.
People’s experience of using this service and what we found
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 appeared safe and contented living in Conewood Manor Nursing Home. There were enough staff, safely recruited, to ensure people had their needs met in a timely way. People and relatives praised staff for being kind and caring. Pleasant and appropriate interactions were observed between staff and people.
Staff clearly described how they could report any concerns internally to the management team and externally to local safeguarding authorities. Staff were supported through regular training, supervision and appraisals to provide safe care. Their skills and knowledge were regularly reviewed through competency assessments carried out by the nursing staff and the registered manager.
The registered manager carried out regular audits to evaluate the service provided and continuous monitoring helped to improve the quality of care delivered and people’s experiences. The registered manager was responsive to advice and guidance from external professionals and was keen to embrace new learning. Lessons learned were shared with staff at regular meetings.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 22 November 2019).
Why we inspected
We had received concerns in relation to staff communication skills and staff approach to people living with dementia. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
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.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the Safe and Well-led sections of this full report. You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Conewood Manor Nursing Home 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.