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Inspection Summary


Overall summary & rating

Good

Updated 26 March 2020

About the service

Manor House is residential care home providing personal care for up to 47 people aged 65 and over some of whom may be living with dementia. At the time of the inspection, 36 people were living in the service.

The care home is made up of two units, Manor Lodge a purpose-built extension and the older Manor House. There are some bedrooms on the first floor accessed by a lift. All communal areas, such as lounges, or dining rooms are on the ground floor.

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

People and relatives felt safe with the service. There were enough trained and competent staff to meet people’s needs. Risks were assessed, and staff understood how to manage them to prevent harm occurring. People received their medicines as prescribed. If things went wrong for example when people had accidents or other incidents, these were reviewed, and systems put in place to safeguard people in the future.

There was a thorough, holistic assessment process which ensured the service was able to meet people’s needs when they moved into the home. Mealtime experiences were positive, staff understood people’s dietary requirements and all food was freshly prepared. The premises had been adapted to people’s needs both physically, with wide corridors and handrails as well as appropriate signage to help people orientate themselves around the home. 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.

Relatives and people told us staff were kind and helpful. One relative told us, “Staff are passionate about working with older people.” Staff spent time to get to know people well, they knew people’s histories and were aware of people’s wellbeing. They could spot signs that people were not well if they were unable to communicate. Staff promoted people’s independence, privacy and dignity.

Care was personalised to people’s needs. The service monitored, and staff were updated, when people’s needs changed. There were communication plans in place to support people’s communication where they had difficulties. There was a full activities programme which aimed to reduce people’s isolation either in groups or on a one to one basis. The service was skilled at caring for people at the end of their life. Staff had been trained and made sure that additional support was offered at this time, both to the individuals themselves as well as keeping in contact with relatives.

The service was well managed. People, relatives and staff were positive about the management of the service and the input from the provider. Managers were described as open, accessible, and supportive. Managers understood their roles and there were robust systems in place to monitor the quality of care provided. Relatives and people were involved in the service through regular contact with the provider and there was an annual questionnaire used to gather people’s views. The provider had an ongoing process to improve the service in response to feedback, learning, and new information based on best practice advice. The action plan was delivered and monitored through supervisions with the manager.

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 15 August 2017).

Why we inspected

This was a planned inspection based on the previous rating.

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

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.

Inspection areas

Safe

Good

Updated 26 March 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 26 March 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 26 March 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 26 March 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 26 March 2020

The service was well-led.

Details are in our well-Led findings below.