We carried out a review of the data available to us about The Manse Residential Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about The Manse Residential Home, you can give feedback on this service.
At the last inspection, the service was rated Good.
At this inspection we found the service remained Good.
People received support which was individual to their needs, and risks were minimised wherever possible. Staff received training and support which helped them be effective in their roles. We saw people chose what they would like to do with their time and who they spent this with. The registered manager ensured the quality of the service was monitored, and improvements were made when required. People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.
Further information is in the detailed findings below.
The inspection of the Manse Residential Home took place on 19 October 2015 and was unannounced. The home had previously been inspected in October 2013 and was found to be meeting all the requirements of the Health and Social Care Act 2008.
The Manse is a residential home in Knottingley; close to Castleford and Pontefract. It is registered to provide care for up to 18 older people, both male and female aged 55 and over. Some people may be living with dementia.
The home has accommodation over two floors. There are two lounges and a dining room for communal use and a garden to the rear of the building. However, on the day of our inspection there was extensive refurbishment being carried out by the registered provider who was extending the building to include five more bedrooms with en-suite facilities. This meant that access to the garden and second lounge was not possible. The building was also having many windows replaced.
There was a registered manager in post on the day of 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 told us they felt safe and this was endorsed by visiting relatives and a health professional who knew the home well. Staff displayed a detailed knowledge of how to identify any safeguarding concerns and knew the process of reporting such concerns. Medicines were administered, recorded and stored in line with current guidelines.
Risk was managed through person-centred assessments which were linked if there were related issues such as moving and handling and falls. However, we found that not all assessments had the method of minimising the risk detailed on them and the registered manager agreed to look at these.
Staffing levels were appropriate to people’s needs although we acknowledged that staff felt under pressure at times. Staff did visit people who preferred to remain in their rooms at periodic intervals as well and we were aware the home had plans in place for extra staff.
People were supported with their nutritional needs and encouraged to do as much for themselves as possible. Staff had received all necessary training and it was evident through their interactions with people in the home that they had the knowledge and skills to support people effectively.
The home had followed all the requirements of the Mental Capacity Act 2005 and its associated Deprivation of Liberty Safeguards, ensuring that where people lacked capacity to make more difficult decisions they were in their best interests while supporting people to make as many choices as possible for themselves.
Staff were very caring and attentive to people’s needs throughout the day, demonstrating an in-depth knowledge of people’s strengths and where support was needed. They pre-empted people’s needs and ensured a high level of interaction.
Care records were detailed and person-centred reflecting the ethos of the home and complaints were handled in a thorough and timely manner. Activities were a little constrained by the environmental restrictions but people did engage and enjoyed the music.
The home was well led by a registered manager who had supported staff to endorse the home as being in existence solely for the people living there. This was evidenced through excellent leadership shown in staff support, robust and considered audit systems and a transparency of approach encouraging people or staff to raise any concerns.
We looked around the home and found that liquid soap was readily available.
We saw that the provider had taken appropriate steps to address the concerns raised.
People told us they were happy with the care being provided at the home and were happy with the staff. One relative told us 'Mum feels like she's in a guest house. When we have been out for a coffee the staff welcome her back, there is a really good sense of belonging.'
The residents we spoke with told us they liked living at The Manse, one resident told us 'If it wasn't good I wouldn't be here.'
The relatives we spoke with had all been involved in care planning and were happy that a good standard of care was being provided. Comments included:
'She gets well fed and looked after.'
'I am comfortable that my mum is taken care of, I feel included and welcomed when I visit.'
'I have absolute peace of mind.'
The bedrooms and communal living areas we looked around were clean and tidy. We found there were a number of issues around waste management and hand hygiene. This raised concerns around an increase in the spread of infection.
The inspection team was led by a Care Quality Commission (CQC) inspector and joined by a practising professional.
Because people with dementia are not always able to tell us about their experiencs, we sat in the dining room during the lunch time period to observed their mood and how they interacted with staff and their environment. We call this the 'Short Observational Framework for Inspection' (SOFI). This involved us observing in a formal way people who used the service for a period of one hour and recording their experience at five minute intervals.
People told us they felt safe living at the home and if they were worried about anything they would tell the manager. One person said 'You feel safe in here' and other people confirmed they didn't feel at risk within the home.
One person said 'It's great, it's the best.' People also said they were involved in their care, with their preferences being sought and taken into consideration. This included being enabled and supported to live their lives as independently as they wished.
People told us they were happy with the food served at the home. They were able to make suggestions and requests for future meals. If they didn't like what was on the menu they were able to ask for something else to be prepared. We observed some people needing encouragement to eat their meal. Staff were respectful of people's dignity during this time.
One person said 'The staff are very good, lovely people' and another person told us 'The staff look after me well all the time.' People said they could approach the staff at any time if they wanted something and they were always available.
People were observed being supported by staff in a kind respectful manner and in a way that upheld their dignity. Though not all people in the home could express themselves verbally staff had worked in the home for a number of years and understood peoples needs .