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Manor Residential Home (Arnold) Limited Good

Inspection Summary


Overall summary & rating

Good

Updated 24 October 2017

This inspection took place on 24 August 2017 and was unannounced.

The Manor Residential Home (Arnold) Limited provides accommodation for up to 27 older people who require support with their personal care. At the time of our inspection there were 25 people living at the service.

At the last inspection, on 9 and 10 February 2015, the service was rated Good. At this inspection we found that the service remained Good.

The service had a manager who had submitted an application to register with the Care Quality Commission (CQC). They had been in post for two weeks at the time of our inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People using the service felt safe. Staff had received training to enable them to recognise signs and symptoms of abuse and felt confident in how to report them.

People had risk assessments in place to enable them to be as independent as they could be in a safe manner.

There were sufficient staff, with the correct skill mix to support people with their care needs. Effective recruitment processes were in place and followed by the service.

Staff received a comprehensive induction process and on-going training. Staff said they were supported by the manager and had supervision meetings. Staff had attended a variety of training to ensure they were able to provide care based on current practice when supporting people.

Staff gained consent before supporting people. They were supported to make decisions about aspects of their life; this was underpinned by the Mental Capacity Act 2005.

People usually received enough to eat and drink. Staff did not always give people support to eat when they needed this. Charts to monitor people's food intake were not always completed correctly. People were supported to access health appointments including opticians and doctors, to make sure they received continuing healthcare to meet their needs.

People’s privacy and dignity was maintained by staff. Staff treated people with kindness and compassion.

People were involved in their assessments and in developing their support plans. The support plans were reviewed and updated to reflect people’s current needs.

People were encouraged to participate in activities. An activities plan was being developed based on what people wanted to do. Information was available for people on how to raise any concerns or complaints about the service they received. The provider responded to complaints following their policies and procedures.

The manager and provider had identified areas for improvement and were working to develop an action plan to address these.

A variety of quality audits were carried out, which were used to drive continuous improvement and used to good effect in supporting people and staff to express their views about the delivery of care.

Inspection areas

Safe

Good

Updated 24 October 2017

The service remains safe.

Effective

Requires improvement

Updated 24 October 2017

The service was not consistently effective.

People received support from staff who had the necessary knowledge and skills.

People were encouraged to make decisions about their support and day to day lives. Staff asked people for their consent before providing support to them.

People were encouraged to follow a healthy diet. Food monitoring charts were not always completed correctly. People were not always supported at mealtimes. People had access to healthcare services when they required them.

Caring

Good

Updated 24 October 2017

The service remained caring.

Responsive

Good

Updated 24 October 2017

The service remained responsive.

Well-led

Good

Updated 24 October 2017

The service remained well-led.