Manor Park Care Home

Updated 30 March 2023

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.

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

This inspection was carried out by an inspector and an Expert 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

Manor Park is a care home. People in care homes receive accommodation and nursing or

personal care as a single package under 1 contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection the registered manager had left the service and the deputy manager was acting as manager. We were told they intended submitted an application to register.

Notice of inspection

The inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. This included details about incidents the provider must notify us about. We asked the provider to complete a Provider Information Return (PIR) prior to this inspection. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We also sought feedback from the local authority contracting team. We used all of this information to plan our inspection.

During the inspection

We spoke with 9 people who used the service and 7 visiting relatives to gain their views on the care provided. We spoke with the acting deputy manager, who was supported by members of the provider’s senior team, 2 nurses, a team leader, a care practitioner, 5 care staff, and an activity organiser. We also spoke with 2 healthcare professionals to gain their views of the service.

We reviewed a range of records including 3 people’s care records. We looked at 3 staff recruitment files, staff training records, accident, incident and complaint reports, documents relating to the management of medicines and quality monitoring records. We requested additional evidence to be sent to us. This included staffing and training information, and evidence of the provider quality assurance system. We used this information as part of our inspection.

Updated 30 March 2023

AAbout the service

Manor Park is a residential care home. It is registered to provide personal and nursing care for up to 75 people aged 65 and over. There are 3 separate units within the home divided into nursing care, residential care and care for people living with dementia. At the time of the inspection there were 57 people using the service.

People’s experience of using this service:

Staff were aware of risks to people. People’s care records provided detailed information about their needs. Medicines were managed safely and people were happy with the support they received with their medicines. Staff understood how to recognise the signs of abuse and knew the processes to follow to manage any allegations of abuse. The home was clean and well maintained. Staff understood and followed infection control procedures. There were enough staff to meet people’s needs.

We have made a recommendation about the deployment of staff.

People’s health care needs were well managed. Staff were well trained and well supported by the management team. People were provided with a choice of food and drinks which met their needs and preferences, and everyone we spoke with was happy with the quality of the food. 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 happy with the opportunities for activities and entertainment and were supported to keep in touch with those who are important to them. The provider had appropriate processes in place to make sure people could be supported in a pain free, dignified and sensitive way at the end of their life. People and their relatives knew how to make a complaint if they needed to.

Oversight and auditing of the service had been improved, and issues were identified and addressed by the provider. People, relatives, staff felt involved and consulted. Healthcare professionals praised the improved management of the home.

We have made recommendation about embedding the quality assurance systems into practice.

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

Rating at last inspection and update:

At the last inspection the service was rated Requires Improvement (report published 11 May 2022) and there were breaches of regulation. 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 a focused inspection of this service on 27 January 2022. Breaches of legal requirements were found. 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.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report covers our findings in relation to the key questions Safe and Well-led, which refer to those requirements. The scope of the inspection was widened to include the key questions of Effective and Responsive key questions, as improvement was noted.

For those key questions not inspected, we used the ratings awarded at previous inspections to calculate the overall rating. The overall rating for the service has changed from requires improvement 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 Manor Park Care Home on our website at www.cqc.org.uk.

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.

Follow up:

We will continue to monitor information we receive about the service, which will help inform when we next inspect.