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Inspection Summary


Overall summary & rating

Good

Updated 19 April 2018

The Manor House is a nursing and residential care service providing support and accommodation for older people. The service is registered to accommodate a maximum of 25 people and at the time of the inspection 20 people were living in the home. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, we looked at both during this inspection.

The home has extensions built on either side of the main older building. The communal areas and several bedrooms are on the ground floor and because of the design of the building a few of the corridors are narrow. At the front of the building is a large car parking area and at the back is a patio area and a sloping garden. The building was currently going through a phase of planned redecoration and upgrading.

At the last inspection on the 12 and 13 November 2015 the service was rated as Good. At this inspection we found the service remained Good.

People were safe living at the home and with the staff supporting them. We saw people were happy and trusted the staff. There were systems and processes in place to minimise risks to people. These included recruiting the right staff and making sure they knew how to recognise and report abuse. We were told by some people, their relatives and some staff that there should be more staff. The provider was going to review staffing levels.

People had their medicines managed safely, and received their medicines in a way they chose and preferred. Staff undertook regular training and understood the importance of safe administration of medicines.

People received effective care from staff who knew them well and had the skills and knowledge to meet their needs. Staff monitored people's health and well-being and made sure they had access to healthcare professionals according to their individual needs.

People were supported to have maximum choice over their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People were supported by staff who were kind and caring. People's privacy and dignity was promoted and respected. However staff did not always knock before entering people’s bedrooms.

The service was responsive to people's needs and choices about their daily routines and how they wanted to be supported by staff. People had access to a limited range of organised and informal activities. Relatives were welcomed in the home and their views and feedback were taken into account when planning care. Information about the service was available for in communal areas for people and visitors to read.

People we spoke with told us they were happy and had no complaints. Systems were in place to deal promptly and appropriately with any complaints or concerns raised about the service. The registered manager and provider treated complaints as an opportunity to learn and improve. There were also regular, complimentary comments made about the service from relatives.

The home was well led by an experienced registered manager and the provider had systems in place to monitor the quality of the service, seek people's views and make on-going improvements.

Further information is in the detailed findings below.

Inspection areas

Safe

Good

Updated 19 April 2018

The service remained safe.

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 19 April 2018

The service remained well led.