Manor Court

Updated 11 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. 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

This inspection was carried out by 1 inspector, an assistant inspector, an inspector from the medicines team 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 Court 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. Manor Court 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 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 not a registered manager in post.

A new manager had been in post for two weeks and was in the process of completing their application to register.

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 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 (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 9 members of staff including the new manager, district manager, a registered manager from another service, and care staff. We spoke with 5 people and 3 relatives for feedback on their experience of care and carried out observations. A range of documents were reviewed including 9 people’s care records and 15 medicine records. We also looked at a variety of records relating to the management of the home including 3 recruitment files, handover records, audits, improvement plans, policies and procedures.

Updated 11 March 2023

About the service

Manor Court is a residential service providing personal care in one adapted building. The service provides support to older people some of whom are living with dementia. The service is registered to support a maximum of 37 people. There were 22 people living at the service at the time of the inspection. Each person had their own room with a kitchenette and en-suite bathroom.

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

People told us they felt safe living at Manor Court because staff were aware of their safeguarding responsibilities and knew how to report any concerns. Risks to people had been assessed, reviewed and managed to ensure people received safe care. Staff followed infection control guidance and had access to Personal Protective Equipment (PPE).

There were adequate numbers of staff available to meet people’s needs and robust recruitment and selection processes were in place to ensure staff were suitable to work with people.

People said staff were kind and caring in their approach and staff respected people’s privacy and dignity as well as promoting their independence. 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 and their relatives were asked for their views about the quality of the care delivered at the service through surveys and meetings. People had access to healthcare services when required to meet their needs.

Regular audits were completed by the management team to check the safety and quality of the service delivered. This included competency checks of staff practice.

We have made a recommendation about the management of some medicines.

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 outstanding (published 5 December 2017.)

Why we inspected

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

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.