- Care home
Radcliffe Manor House
Report from 11 June 2025 assessment
Contents
Ratings
Our view of the service
Date of assessment: 23 June 2025 to 9 July 2025. Radcliffe Manor House is a 'care home' for 26 older people. The building has 2 floors accessible by stairs or lift. There are extensive gardens to the front and rear of the property with accessible pathways. At the time of our inspection there were 24 people using the service.
We undertook this assessment because of emerging risks at the service.
There were not enough staff on duty to meet people’s needs safely and they did not always respond to people in a timely way. People were treated with kindness and compassion by staff; however, they did not receive person-centred care and support with their personal preferences not being met. People’s rights were not always respected under the Mental Capacity Act and timely referrals for Deprivation on Liberty Safeguards had not taken place. The manager did not have effective oversight.
Staff told us they had reported concerns in the past, but action had not always been taken. Improvement was needed to ensure people were always safe. Several staff told us they found it difficult to respond to people’s needs, meaning people had to wait for care.
There was poor oversight of the service by the provider to identify and make sustained improvements at the service. Checks and audits completed by the leadership team were ineffective in driving improvements. We found governance systems were ineffective and had either failed to identify issues or where issues had been identified, timely action was not taken. We asked the provider for an action plan in response to our concerns. The provider responded in a timely manner addressing the issues we found.
We identified breaches of regulation in relation to person-centered care, safe care and treatment, and good governance.
Immediately after this assessment, we took action to ask the provider to mitigate urgent risks. Whilst the provider responded and addressed urgent risks, we found significant shortfalls in safe care delivery. We have taken action to ask the provider to make significant improvements. We asked the provider for an action plan in response to the concerns found at this assessment. In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/or appeals have been concluded.
This service is being placed in special measures. The purpose of special measures is to ensure that services providing inadequate care make significant improvements. Special measures provide a framework within which we user our enforcement powers in response to inadequate care and provide a timeframe within which providers must improve the quality of the care they provide.
People's experience of this service
Most people told us they felt safe living in the home, although several mentioned staffing being an issue for feeling safe. People told us there were not enough staff available to support them which, at times made them feel lonely. Staff rotas showed that care staff numbers remained the same at the weekend as in the week. However, when talking to people about staffing levels, one person told us, “There’s no doubt about it, they’re very short. At weekends it’s even less and no activities either.” Relatives we spoke with told us they worried about the safety of their loved ones due to low staffing numbers. People told us they often had to wait long periods of time particularly for care and support. People we spoke with told us that access to a regular shower or bath was limited.
One relative had some involvement with care planning and reviews. However, no residents could recall any discussion about their care.