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Inspection Summary


Overall summary & rating

Good

Updated 4 May 2019

About the service: At the time of the inspection The Manor House was a nursing home registered to provide personal and nursing care for up to 25 older people, there were 23 people living in the home. The provider contacted us after the inspection to advise that they would now be providing care to adults over the age of 18 years. An updated Statement of Purpose has been submitted to the Commission as required

People’s experience of using this service: People, staff and relatives spoke positively about the registered manager and told us they felt comfortable to report any concerns. The registered manager was visible in the home and undertook checks throughout each day to ensure the home ran smoothly. Staff, relatives and people were invited to express their views and opinions in different ways and told us that they felt listened to.

There was a positive, person-centred culture and staff worked as a team and with external organisations to ensure people experienced good outcomes.

Staff received safeguarding training and spoke confidently about how to identify potential abuse and actions they would take if abuse was suspected. There were posters and leaflets throughout the service including details about how to whistle blow and where to report safeguarding concerns.

People told us they felt safe and relatives confirmed this. Risks to peoples’ safety were assessed, monitored and actions were taken to ensure risks were managed. The service allocated staff in accordance with peoples’ individual needs and maintained staffing levels in accordance with their staffing dependency tool.

The service managed medicines safely and had processes in place to ensure that people received their medicines when they should.

The registered manager had identified areas for improvement, including the range of activities available for people and areas in the home that required some cosmetic updating, and was working to improve these areas at the time of our inspection.

Rating at last inspection: Good (Published in April 2018)

Why we inspected: This inspection was brought forward due to information of risk and concern; there were concerns that people may not be receiving the correct amount of fluids. We inspected the service against two of the key questions which were, ‘is the service safe?’ and ‘is the service well-led?’. None of the concerns were substantiated.

Follow up: We will continue to monitor the service through the information we receive. We will inspect in line with our inspection programme or sooner if required.

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

Inspection areas

Safe

Good

Updated 4 May 2019

The service was safe

Details are in our Safe findings below

Effective

Good

Updated 19 April 2018

The service remained effective.

Caring

Good

Updated 19 April 2018

The service remained caring.

Responsive

Good

Updated 19 April 2018

The service remained responsive.

Well-led

Good

Updated 4 May 2019

The service was Well-led.

Details are in our Safe findings below