Manorcourt Homecare

Updated 13 September 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 service was inspected by two inspectors and one 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

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.

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 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 start of the inspection there was not a registered manager in post. However, during the inspection the manager had been successful in registering with CQC.

Notice of inspection

We gave the service 24 hours’ notice of the inspection. This was because it is a small service and we needed to be sure the provider or registered manager would be in the office to support the inspection.

Inspection activity started on 13 July 2022 and ended on 9 August 2022. We visited the location’s office on 21 July 2022.

What we did before the 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. We used the information the provider sent us in the provider information return. 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

We spoke with three people and seven relatives of people who use the service about their experiences of the care provided. We spoke with six members of care staff including the registered manager.

We reviewed a range of records. This included five people's care records and medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 13 September 2022

About the service

Manorcourt Homecare is a domiciliary care agency registered to provide personal care to people living in their own homes. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. At the time of our inspection there were 33 people using the service.

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

We have made recommendations to the provider around safe recruitment practises and involving people in discussions about their care and support. Please see the Safe and Well- led section of this report.

Minor improvements were needed in the staff recruitment files to ensure they met with the requirements of the regulation. People and their relatives told us they were not consulted prior to changes to in their allocated call times. The registered manager responded to the concerns raised and has sought to rectify them.

People and their relatives felt safe and spoke positively about care workers because they had confidence in their knowledge and skills. Staff told us they felt confident their training provided them with the knowledge they needed to support people. People were supported to take their medicines safely by trained staff. Incidents and accidents were reported, investigated and actions taken to prevent recurrence. Staff had received safeguarding training and knew how to act on any concerns. Staff had completed a comprehensive induction. Competency was monitored through spot checks and supervisions. Staff were provided appropriate personal protective equipment (PPE) which they used effectively to prevent spread of infection.

Although there were systems in place to monitor the safety and quality of the service provided, these systems and processes were still being modified and developed by the registered manager and support team. The registered manager also had a focus on improving the service provided before expanding the business further. The registered manager further demonstrated how the service continued to work well with external agencies to provide a better outcome for people who use the service.

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 CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for the service at the previous premises was Good (published 7 October 2018).

Why we inspected

This inspection was prompted by a review of the information we held about this service. 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 remains Good.

Follow up

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

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