Honiton Manor Nursing Home

Updated 2 November 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. 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 carried out by 2 inspectors.

Service and service type

Honiton Manor Nursing Home 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.

Honiton Manor Nursing Home is a care home with nursing care. 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 there was a registered manager in post.

Notice of inspection

This inspection was announced.

What we did before the inspection

We reviewed information we had received about the service. We sought feedback from the local authority. 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

We spoke with 10 staff members including the registered manager, lead nurse, clinical lead, registered nurse, senior care staff, care staff, the cook and housekeeper.

We met everybody at the home and spoke with 6 people who could tell us about their views of the home, and a visiting relative. We also spoke with the GP who was undertaking their weekly visit to the home.

Not everyone living at the service was able to or wanted to speak with us, therefore we spent time observing interactions between staff and people in the communal lounge, dining room and some who were being supported with their lunch in their rooms.

We reviewed a range of records. This included 7 people’s care records on the providers electronic care system and medicine records on a different electronic medicine system. We looked at 2 staff files in relation to recruitment and staff supervision. We reviewed a variety of records relating to the management of the service, including, policies, audits, accidents and incidents and maintenance records.

Updated 2 November 2023

Honiton Manor provides accommodation with nursing care and support for up to 22 older people. There were 16 people using the service at the beginning of our inspection.

The service is in the town of Honiton and is a detached period property. The home consists of two floors with a passenger lift providing access to each floor. There is a main communal lounge and dining area where people could spend their time as they chose. Improvements have been made so people had access to a safe outside area.

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

Systems in place safeguarded people from the risk of abuse and neglect.

People’s individual risks were assessed, managed, and monitored. Where improvements were needed these were acted upon.

Environmental risks were managed well which protected people from the risk of harm. A few areas for improvement were identified regarding fire safety at the home. The registered manager acted upon these promptly to ensure people would be safe in the event of a fire.

There were enough suitably trained staff to safely meet people’s needs. Staff were recruited safely.

Medicines were managed safely. Staff completed training in medicine administration and had their competency assessed.

Lessons were learnt when things went wrong. People were protected from the risk of infection, as the home had robust infection prevention control processes in place.

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 positive about the care and support they received and told us staff were friendly, kind and knowledgeable about them and their support needs.

The registered manager and senior team ensured the service was homely, person centred, open and inclusive. They understood their responsibility to be open and honest with people and had acted when things went wrong.

Effective systems and processes were in place to continually improve and develop the quality of care provided.

People were kept informed and involved in developing the service. The management team worked well with the GP and health and social care partners to improve the care provided.

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 11 May 2018).

Why we inspected

This inspection was prompted by a review of the information we held about this service and when the service was last inspected.

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.