The Manor House Knaresborough

Updated 21 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.

Inspection team

The inspection was undertaken by two inspectors 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

The Manor House Knaresborough 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. The Manor House Knaresborough is a care home without 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 since the last inspection. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

During the inspection, we spoke with the area manager, registered manager, deputy manager, three senior carers, three carers, one activity coordinator, one maintenance person, the chef and one member of domestic staff. We spoke with 15 people living at the service. We reviewed 10 medication administration records (MAR) and five care plans. We reviewed evidence following the inspection including training records and audits.

Updated 21 October 2022

About the service

The Manor House Knaresborough is a residential care home providing accommodation for people who require nursing or personal care. The service can support up to 75 people. The service supports adults over the age of 65 and people living with dementia. At the time of our inspection there were 69 people using the service. The Manor House Knaresborough is a purpose-built building split over three floors, with one floor specialising in supporting people living with dementia.

People’s experience of using this service and what we found

Systems were in place to protect people from the risk of harm or abuse. People were safe because robust individual risk assessments were in place as well as safety checks of the environment. Medication was stored and administered safely with a focus on people’s preferences and routines. Infection prevention and control practices were in place and visiting was facilitated in line with guidelines. There were enough staff to meet people’s needs and lessons were learnt if something went wrong.

People were at the centre of their care and decision making demonstrated in both interactions with staff and also within plans of care. Staff felt they had the skills and training to provide high quality, safe care. Staff worked closely with other agencies to ensure people lived a healthy life with positive outcomes. People consented to their care and people who were unable to consent had the correct mental capacity assessments and best interest decisions in place.

People received compassionate, caring and dignified care. Complaints were responded to, and staff had a good understanding of what good end of life care was.

People received high quality activities and events which reduced social isolation and had positive outcomes for people. People living with dementia had social events with a strong focus on improved nutritional outcomes and intergenerational care.

The service was well-led with clear oversight and quality checks completed. The staff team reported they were supported and kept informed by the registered manager.

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.

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

Rating at last inspection

This service was registered with us on 22 July 2019. We completed an infection prevention and control inspection in January 2021, but this did not provide a rating. This is the first inspection which will provide a rating.

Why we inspected

We inspected this service as we have not rated the service since it first registered with CQC.

Follow up

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