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Archived: The Manor Care Homes Requires improvement

The provider of this service changed - see new profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 5 March 2018

The inspection took place on 23 January 2018, and the visit was unannounced.

The Manor provides residential and nursing care for older people. The Manor is registered to provide care for up to 67 people, over three units in the home. At the time of our inspection there were 15 people living at the home in Windsor unit, and Sovereign and Tudor units are currently closed. The Manor Care Homes is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

At the last inspection of the service on 16 and 19 September 2017 we found there was an absence of the provider managing risks. This was a breach of Regulation 12 and 17 of the Health and Social Care Act 2008, and a breach of Regulation 18 (Registration) Regulations 2009, Notification of incidents.

Following the last inspection, we asked the provider to complete an action plan to show what they would do and by when to improve the key questions of Safe and Well Led to at least good. We did not receive an action plan from the provider which should have outlined the action they were going to take. At this inspection we found that the provider had made improvements in all three areas where there was a breach. This followed the involvement of a consultant who brought their own staff team into the home to support the provider.

There was no registered manager in post. The provider confirmed the acting manager had begun the application process. 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.

The Manor Care Homes is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The provider has formulated an action plan and has commenced improvements in the home. There is an extensive plan of refurbishment where improvements to the fire safety have been highlighted. Decoration of areas has commenced and these are being planned with people’s dementia and failing sight in mind so areas will be highlighted in vivid colours.

At the last inspection of the service we found there was a lack of oversight by the provider to check quality monitoring had been carried out effectively. At this inspection, we found that the provider had commenced a wide range of quality monitoring checks. We will return to ensure these are embedded and protect people in the home.

The provider carried out quality monitoring checks in the home supported by the acting manager and home’s staff. The provider had a clear management structure within the home, which meant that the staff were aware who to contact out of hours if an emergency arose, or an equipment repair was necessary. The provider had developed opportunities for people to express their views about the service. These included the views and suggestions from people using the service, their relatives and health and social care professionals. Staff were aware of the reporting procedure for faults and repairs and had access to the maintenance diary to manage any emergency repairs.

We found that applications had been made to the local authority to legally deprive people of their liberty. The acting manager and care staff had been trained in the Mental Capacity Act (MCA) 2005. They were also aware of best interests meetings to ensure peoples treatment was in line with the MCA and Deprivation of Liberty Safeguards. People were asked for their written consent to care following their admission to the home. This was in

Inspection areas

Safe

Requires improvement

Updated 5 March 2018

The service was not consistently well led safe.

Potential risks to people�s needs were mostly managed well though an incident had occurred whereby a person�s safety was compromised. Some health and safety issues had not been identified.

Concerns about people�s safety and lifestyle choices were discussed with them or their relatives to ensure their views were supported. Staff understood their responsibility to report any observed or suspected abuse. Staff were employed in sufficient numbers to support people. Medicines were ordered, administered and stored safely.

Effective

Good

Updated 5 March 2018

The service was effective.

Staff understood the requirements of the Mental Capacity Act 2005 and sought people�s consent to care before it was provided. Staff had completed essential training to meet people�s needs safely and to a suitable standard. People received appropriate food choices that provided a well-balanced diet and met their nutritional and cultural needs.

Caring

Good

Updated 5 March 2018

The service was caring.

Staff were caring and kind and treated people as individuals and recognised their privacy and dignity at all times. Staff understood the importance of caring for people in a dignified way, and people and their relatives were encouraged to make choices and were involved in decisions about their care.

Responsive

Good

Updated 5 March 2018

The service was responsive.

People received personalised care that met their needs. People and their families were involved in planning how they were cared for and supported. Staff understood people�s preferences, likes and dislikes and how they wanted to spend their time. People were confident to raise concerns or make a formal complaint when necessary. People were supported to have a dignified and pain free death.

Well-led

Requires improvement

Updated 5 March 2018

The service was not consistently well led.

There was an acting manager in post. The provider has commenced using audits to check people were being provided with good care. Once these are established and developed they could demonstrate a well led home. People using the service and their relatives had opportunities to share their views and influence the development of the service.