Formby Manor Care Centre

Formby Manor Care Centre is a residential care home providing personal and nursing care to 51 people aged 65 and over at the time of the inspection. The service can support up to 76 people across three floors, each of which has separate adapted facilities. One of the floors specialises in providing care to people living with dementia and another floor supports people with nursing care.

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

Medicines were not always managed safely. The system for ordering, recording and administration was not effective, which placed people at unnecessary risk.

Systems to assess, monitor and improve the quality and safety of the service being provided were not always effective. Audits did not identify all the concerns we found at this inspection. Analysis and reviews of incidents that occurred in the home were not effective to ensure lessons were learned and used to improve safety.

Risks to people were assessed and appropriate plans were in place to keep people safe. However, some plans needed further details to guide staff in supporting people safely.

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. However, we identified a concern with the recording of the mental capacity assessments. This was addressed during the inspection.

Relatives told us communication with the home was generally good and had improved in the last few months. However, some relatives felt communication between the staff could be improved to ensure concerns were handed over fully to better support people.

The home was well maintained and clean throughout. There were procedures in place to ensure visitors followed appropriate infection control procedures.

There were enough staff to meet people's needs. Staff told us improvements were being made at the home. Staff were positive about the support they received from the new manager, and from the provider.

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 21 May 2021).

Why we inspected

We received concerns in relation to the management of medicines, staffing levels and leadership in the home. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from good to requires improvement based on the findings of this inspection. We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of this full report.

You can see what action we have asked the provider to take at the end of this 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 coronavirus and other infection outbreaks effectively.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Formby Manor Care Centre on our website at www.cqc.org.uk.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.

We have identified breaches in relation to the management of medicines and governance. Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.

Formby Manor Care Centre is a residential care home providing personal and nursing care to 34 people aged 65 and over at the time of the inspection. The service can support up to 76 people across two floors, each of which has separate adapted facilities. One of the floors specialises in providing care to people living with dementia.

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’s needs were assessed, and care was delivered in line with their preferences and choices. Staff received support, induction and training to ensure they had the skills to carry out their role.

People told us they were happy living at the home and were treated with respect. Staff knew people well and spoke about people in respectful and caring ways.

People were supported to access a comprehensive programme of activities and people's spiritual wellbeing was promoted. The provider was thoughtful and compassionate about how they supported people receiving end of life care and worked in partnership with other professionals to ensure comfortable and considerate care was provided.

Staff were aware of their responsibilities in safeguarding people from abuse. Risks were well managed. Care records gave clear guidance to staff on what needed to happen to keep people safe, whilst respecting peoples choices. Staff had received training to guide them on managing risks. Health and safety checks in the home had been carried out. There was a programme of regular maintenance to the building and servicing of equipment. Medicines were managed safely. Safe systems of recruitment were in place.

Staff were complimentary about the support they received from the registered manager and the wider management team. The registered provider and manager were committed to ensure continuous improvements were made at the service. The registered manager was passionate about further increasing the range of activities available and the homes presence in the local community.

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 on 19 July 2019 and this is the first inspection.

Why we inspected

The inspection was prompted in part due to concerns received about person-centred care. A decision was made for us to inspect and examine those risks.

We found no evidence during this inspection that people were at risk of harm from this concern. Please see the responsive section 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.

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.