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Honiton Manor Nursing Home Good

Inspection Summary


Overall summary & rating

Good

Updated 11 May 2018

This unannounced comprehensive inspection took place on 3 April 2018.

Honiton Manor Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

Honiton Manor provides accommodation with nursing care and support for up to 22 older people. There were 17 people using the service at the beginning of our inspection. The service is located in the town of Honiton and is a detached period property. The home consists of two floors with a passenger lift providing access to each floor. There is a main communal lounge and dining area where people could spend their time as they chose.

At our last comprehensive inspection in February 2017 the service was rated requires improvement overall. We issued the provider with two requirements. These were because the provider had not ensured all staff had received appropriate supervision and appraisal to enable them to carry out the duties they were employed to perform. They had not supported registered nurses employed at the service to demonstrate to their regulator that they continued to meet professional standards required in order to practice.

The provider did not also have systems and processes which were effective to ensure the safety of the service provided. At the last inspection, we asked the provider to take action to make improvements and this action had been completed. For example the registered manager had taken action to put in place systems to ensure all the registered nurses had received regular supervisions and appraisals. They had ensured nurses had training in the management of medicines and completed competency assessments on the nurses. The provider had decided during the last inspection to have thermostatic mixing valves (TMVs) on all hot water outlets accessible to vulnerable people. We received confirmation after the inspection from the registered manager that TMV’s had been fitted. Hot water temperatures were checked weekly to ensure people were not at risk of scalding and actions taken if concerns were found. Relevant information from people’s archived care plans had been added to the new system and reflected people’s needs.

The service had a registered manager. A registered manager is a person who has registered with CQC 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. They led by example and was supported by a deputy manager. They both had a high level of expectation of the staff to deliver good quality care.

People said they felt safe and cared for in the home. There were sufficient, suitably qualified staff to meet people’s needs. The registered manager had been addressing staff sickness which had improved staff attendance. There were robust recruitment checks in place.

People were protected from the risks of abuse as staff understood and carried out what they needed to do when they identified a concern.

There was a safe system to ensure the safe management of medicines at the service. Medicines were administered by registered nurses who had been trained regarding medicine management and had their competency checked.

People’s needs and risks were assessed before they were first admitted to the home and these were reviewed on a regular basis and when a change in their needs was identified. There were environmental risk assessments which ensured the premises were safe.

Staff had the skills and knowledge to support people appropriately. They received regular supervision and appraisals to support them with their performance and future development. New staff undertook a thorough induction when they started working at the service. The registe

Inspection areas

Safe

Good

Updated 11 May 2018

The service had improved and is safe.

Potential risks to people�s health and well-being had been assessed and plans put in place to keep risks to a minimum.

Medicines were safely managed.

Staff knew how to recognise signs of abuse and how to report suspected abuse.

There were sufficient staff on duty to meet people�s needs.

People were protected by a safe recruitment process which ensured only suitable staff were employed.

Accidents and incidents were safely managed.

Infection control processes were in place.

Effective

Good

Updated 11 May 2018

The service had improved and is effective.

All staff received regular training, supervision and appraisals.

Staff asked for consent before they carried out any personal care. The Mental Capacity Act (2005) was followed.

Advice and guidance was sought from relevant professionals to meet people�s healthcare needs.

People enjoyed a varied and nutritious diet.

Caring

Good

Updated 11 May 2018

The service remains good.

People were happy with the care they received. Relatives were welcome to visit at any time and were involved in planning their family member's care.

Staff relationships with people were strong, caring and supportive. Staff spoke confidently about people�s specific needs and how they liked to be supported.

Staff treated people with dignity and promoted independence wherever possible.

Responsive

Good

Updated 11 May 2018

The service had improved and is responsive.

Care plans contained information to help staff support people in a person-centred way.

People experienced end of life care in an individualised and dignified way.

People�s social needs were met and they were encouraged to follow their interests.

There were regular opportunities for people, and those that mattered to them, to raise issues, concerns and compliments.

Well-led

Good

Updated 11 May 2018

The service had improved and is well led.

The registered manager and deputy manager had worked to develop a positive and open culture. Staff understood their roles and responsibilities and felt supported by the registered manager and deputy.

Feedback was sought from people using the service and their relatives and any issues identified were acted upon.

Staff meetings took place regularly and staff felt able to discuss any issues with the registered manager.

There were audits and surveys in place to assess the quality and safety of the service people received.