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Archived: Manchester Court Requires improvement

Inspection Summary

Overall summary & rating

Requires improvement

Updated 7 July 2021

About the service

Manchester Court is a care home that provides accommodation and personal care for up to 20 adults who are living with a mental health condition in one adapted building. At the time of the inspection 14 people were living at the service.

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

There was an inconsistent approach to the management of risks associated with choking, falling and the management of people’s medicines.

We were partially assured with some aspects of IPC practice in response to the pandemic. However we have signposted the registered manager to relevant guidance.

The provider's audit system had not always identified all shortfalls in quality and risks to people using the service.

We found all required staff recruitment checks had not been completed on staff, before they delivered people's care. We made a recommendation to support good recruitment practice.

People were protected from harm and abuse through the knowledge of staff and management.

For more details, please see the full report which is on the CQC website at

Why we inspected

The inspection was prompted in part by notification of a specific incident. Following which a person using the service died. This incident is subject to a Coroner’s investigation. As a result, this inspection did not examine the circumstances of the incident.

The information CQC received about the incident indicated concerns about the management of choking. This inspection examined those risks.

We inspected and found there was a concern with the management of risks to people such as choking and falls, so we widened the scope of the inspection to become a focused inspection which included the key questions of Safe and Well-led

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.

The overall rating for the service has changed from Good to Requires Improvement. This is based on the findings at this inspection.

You can see what action we have asked the provider to take at the end of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Manchester Court on our website at


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 have identified breaches in relation to Safe care and treatment and Good governance.

We have made a recommendation about staff recruitment procedures.

Follow up

We will request an action plan for 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 return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas


Requires improvement

Updated 7 July 2021

The service was not always safe.

Details are in our safe findings below



Updated 7 July 2021



Updated 7 July 2021



Updated 7 July 2021


Requires improvement

Updated 7 July 2021

The service was not always well-led.

Details are in our well-led findings below.