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Archived: Care Management Group - 62 Manor Green Road

Overall: Requires improvement read more about inspection ratings

62 Manor Green Road, Epsom, Surrey, KT19 8RN (01372) 726131

Provided and run by:
Care Management Group Limited

All Inspections

28 October 2015

During a routine inspection

Care Management Group (CMG) 62 Manor Green Road is a home for up to five people with mental health needs and learning disabilities. At the time of our visit in October 2015 five people lived here.

Care and support are provided on one level. Communal areas include a large lounge and separate dining area. Extensive adaptations have been made to the home to meet people’s needs, such as smooth flooring and wide corridors to aid with people’s mobility. This has been done without losing the character and homely feel of the home.

The inspection took place on 28 October 2015 and was unannounced. At our previous inspection in August 2013 we had not identified any concerns at the home.

There was not currently a registered manager in post. The new manager had begun the application process to become registered with us in September 2015. 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.

One person said, “It’s a nice house, staff are nice, it’s my home and I love it here.” The staff were good at meeting the needs of the people that live here. There was positive feedback about the home and caring nature of staff from people and their relative’s. Staff showed very good level of care and kindness to people during the inspection. The staff were seen to be very kind and caring to people and treated them with dignity and respect.

Where people did not have the capacity to understand or consent to a decision the provider had followed the requirements of the Mental Capacity Act (2005). An assessment of people’s ability to make decisions for themselves had been completed. The manager had these under review to ensure they were up to date and based on specific decisions, rather than general statements of a person’s capacity. Staff were seen to seek peoples consent, and give good clear explanations about choices and decisions that needed to be made.

Where people’s liberty may be restricted to keep them safe, the provider had not always followed the requirements of the Deprivation of Liberty Safeguards (DoLS) to ensure the person’s rights were protected. Staff’s understanding of their roles and responsibilities within the DoLS was good. Applications had not always been made where someone’s freedom may be being restricted to keep them safe.

People were safe at CMG 62 Manor Green Road. The home had been well maintained and was clean and tidy. Regular maintenance and improvements were made to the building to ensure it met the needs of the people who live here. Adjustments had been made to the environment to better suit the needs of individuals, for example hand rails to support people’s mobility.

There were enough staff to meet the needs of the people. An assessment of people’s needs had been completed by the manager and staffing levels were set to match them. The provider had carried out appropriate recruitment checks to ensure staff were suitable to support people in the home.

The training and induction processes for staff was good. One person said, “ We have well qualified staff.” Staff were up to date on their training, and their knowledge of people’s medical conditions, as well as cultural needs was good. Staff had regular one to one meetings with their manager, and were able to discuss their performance, training needs, and any concerns they may have. Staff told us they felt very supported by the management, and they loved working here. One said, “The manager is good as he has encouraged me in my career. I have learnt a lot from him and the deputy.”

Quality assurance processes had been effective at improving the home for the people who live here. Regular audits were completed around the home by staff and visiting senior managers. Items identified as requiring action had been completed within the timescales set by the provider. The manager had a clear plan for what was required to further improve the home.

People, their relatives, and staff had the opportunity to be involved in how the home was managed. Regular feedback was sought to check that the home was meeting people’s needs. The feedback we received, or read, was positive about the staff and home.

Care plans were based around the individual preferences of people as well as their medical needs. They gave a good level of detail for staff to reference if they needed to know what support was required. People received the care and support as detailed in their care plans. People were supported to maintain good health as they had access to relevant healthcare professionals when they needed them.

People received their medicines when they needed them. Staff managed medicines in a safe way and were trained in the safe administration of medicines. People understood what their medicines were for, so they could make an informed choice about whether to take them or not.

People had access to activities that met their needs. They had access to the local community and could attend a variety of activities and clubs. More individualised activity plans were being developed with people by the staff, so that people’s interests could be supported.

People had enough to eat and drink, and received support from staff where a need had been identified. Specialist diets to meet medical, religious or cultural needs were provided. People were involved in what they ate, and they had a good variety and choice of food and drink.

People and relatives knew how to make a complaint. The complaint policy was in an easy to read format using pictures and clear language so people would be able to understand it. No formal complaints had been received since our last inspection.

We have identified one breach in the regulations. You can see what action we have asked the provider to take at the back of the full version of this report.

12 August 2013

During a routine inspection

We visited 62 Manor Green Road to look at the care and welfare of people who used the service. We spoke with three people who lived there and three staff members, including the registered manager.

All three people we spoke with said they felt staff treated them with respect. One person said “Yes, they do respect me. Staff speak nicely and are not rude to me.” Another person said “Staff treat us in the right way, with respect and we do it back to them.”

We saw that people’s needs had been assessed and support was given to meet those needs. One person said “This is the best home I have been in; they really help me here.” We saw that risks had been identified to protect the welfare and safety of people.

The house was clean and there were systems in place to protect people from the spread of infection.

All the staff we spoke with said they felt supported to do their job. Staff received appropriate training and supervision to enable them to support the people who lived there.

All three people we spoke with said they knew how to raise a complaint. They also said that the manager listened to what they said and took action.

21 September 2012

During a routine inspection

On the day of our inspection two people who used the service were on holiday and one person was at work. We spoke to people one person who used the service and two relatives.

One person told us that they loved living there and said that the staff were “One hundred per cent.” They also told us that they felt they could go out when they liked and we saw this was the case during our inspection.

We saw that the staff and the people were very relaxed in each others’ company. One person told us that they enjoyed the company of the staff.

One relative told us that they thought the place was “Run very well” and that the staff were “Caring and hard working.” They also thought that the manager always put the needs of the people using the service first. They told us that their relative always said how happy they were living there.