Manor Lodge

Manor Lodge is a residential care home providing the regulated activities of accommodation for persons who require nursing or personal care and treatment of disease, disorder or injury to up to four people. The service provides support to older people. At the time of our inspection there were four people using the service, although one person was in hospital. The premises is an ordinary home in a residential area.

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

Medicines were not always managed in a safe way. Risk assessments did not always include sufficient information about how to mitigate the risks people faced. Quality assurance and monitoring systems were not always effective.

There were enough staff working at the service and robust staff recruitment practices were in place. Systems had been established to help safeguard people from the risk of abuse. Measures had been taken to promote infection prevention and control.

Initial assessments were carried out of people's needs before they started using the service to see if the provider could meet them. Staff received training and supervision to support them in their role. People were able to make choices about what they ate and drank. People were supported to access health care professionals.

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 told us that staff were kind and caring and treated people well. People were supported to have control and choice over their daily lives. People's privacy was respected, and staff understood how to support people in a way that promoted privacy, dignity and independence.

Care plans were in place, which set out how to meet the individual needs of people. People were involved in developing these plans, which meant they were able to reflect people's needs and preferences. People's communication needs were met. People told us they had confidence that any complaints raised would be addressed. People were able to maintain relationships with family and friends, and to have access to community facilities.

There was an open and positive culture at the service, which meant people and staff could express their views. The provider worked with other agencies to develop best practice and share knowledge.

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

Rating at last inspection

This service was registered with us on 9 April 2019 and this is the first inspection.

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.

We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of this full report.

You can see what action we have asked the provider to take at the end of this full report.

Enforcement

We have identified breaches in relation to the way medicines were managed, risk assessments and quality assurance practices 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.