Manor House Residential Home

Updated 18 October 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.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was conducted by one inspector.

Service and service type

Manor House Residential 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. Manor House Residential Home is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

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 professionals who work with the service. The provider was not asked to complete a provider information return prior to this inspection. 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

We spoke with three people living at the home, seven relatives, three support workers, the registered manager, the director, the chef and the activities co-ordinator. We reviewed a range of records. This included six people's care records, three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including audits, training records, policies and procedures were reviewed.

Updated 18 October 2022

About the service

Manor House Residential Home provides residential accommodation for up to 23 older people. At the time of our inspection there were 21 people using the service.

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

We found a number of areas of improvement that the provider needed to address.

Although feedback from people and relatives was generally positive, we found that staff did not always provide care that was dignified or respectful of people’s needs.

We observed some instances of poor care, especially during mealtimes.

There were gaps in the training that staff had completed and we found that staff supervisions were not being completed regularly.

We also found the provider’s quality assurance checks were not robust enough to identify the issues we found at this inspection.

We have made a number of recommendations to the provider in relation to staff recruitment checks, management of risk, the physical environment and layout of the home, activities provision and engagement with people and relatives.

People using the service told us they felt safe living at Manor House Residential Home. The provider used a dependency tool to work out safe staffing levels. Staff supported people to take their medicines on time.

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’s dietary needs were met and the provider worked with healthcare professionals to ensure people’s needs were met.

People were supported to maintain relationships that were important to them and care plans reflected their individual needs. Relatives told us they had no complaints but, if they did, would speak to the registered manager and felt their concerns would be taken on board.

Relatives and staff told us there was an open culture in the service and the registered manager was approachable.

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

Rating at last inspection

This was the first inspection of the service under a new provider since it registered with us on 23 November 2021. The last rating for this service was good (published 13 November 2018), this was published under the previous provider.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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.

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

Enforcement

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 identified breaches in relation to safe care and treatment, staffing, treating people with dignity and respect and good governance at this inspection. Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from 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 continue to monitor information we receive about the service, which will help inform when we next inspect.