The Manor House Nursing Home

Updated 10 December 2022

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 3 inspectors and 2 Experts 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

The Manor House 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. The Manor House Nursing Home is a care home [with/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 a registered manager in post.

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

During the inspection we spoke with 16 people who lived at home and 10 of their relatives. We spoke with 13 members of staff including the Nominated individual, the registered manager, quality assurance manager, regional support manager, nursing and care staff. We also spoke with administration staff and maintenance staff. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We reviewed 11 people’s care records and multiple medicines records. We also reviewed records relating to training, recruitment, quality assurance and complaints.

Updated 10 December 2022

About the service

The Manor House Nursing Home is a nursing home providing personal and nursing care to up to 125 people across three adapted buildings. The service provides support to people with physical and mental health needs, some of whom were living with dementia. At the time of our inspection there were 81 people using the service.

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

People were supported by trained staff and felt able to raise any concerns around their care and support. People were supported by enough staff to meet their needs in a timely way. People were supported by staff who understood and were following best practice infection control guidance. People had comprehensive risk assessments in place which supported staff to meet their needs. People were supported to receive their medicines as prescribed.

People were supported by safely recruited staff. People were supported to eat and drink in line with their needs and wishes. 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 supported in a clean and homely environment. People had access to health and social care professionals as they required them. People were supported by kind and caring staff who knew them well. People's dignity, privacy and independence was supported.

People had end of life care plans in place. People's preferences were included within their care planning and staff provided support in line with these. People had access to information in a range of formats in line with their communication needs.

People knew who the manager was and were encouraged to give feedback about their care and support. Staff had access to regular supervisions and felt supported. The registered manager completed quality assurance tools to ensure any improvements were identified and action was taken to make these improvements.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 21 August 2021). At this inspection the service had been rated as good.

Why we inspected

This inspection was prompted by a review of the information we held about this service and feedback shared by the Local Authority.

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.

Recommendations

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 will continue to monitor the service and will take further action if needed.

We have made recommendations around the variety of activities.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.