Arran Manor

Updated 14 June 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by one inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Arran Manor is a 'care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Arran Manor is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We sought feedback from the local authority who work with the service. We used all this information to plan our inspection.

During the inspection

We spoke with 2 people who used the service about their experience of the care provided. We had contact with 9 relatives for feedback about the service. Where people were unable to talk to us, we observed people's interactions with staff. We spoke with the registered manager and 4 members of staff.

We reviewed 4 people's care files and 4 staff personnel files. We looked at the provider's arrangements for managing risk and medicines management, staff training, induction and supervision data. We also looked at the service's quality assurance arrangements.

Updated 14 June 2023

About the service

Arran Manor is a residential care home providing nursing and personal care to people. The care home accommodates 22 people in one adapted building. The service provides support to older people and people living with dementia. At the time of our inspection there were 18 people using the service.

People's experience of using the service and what we found

The provider had monitoring systems to ensure they provided good care. People's care was personalised to reflect their individual needs and preferences. People had care plans and risk assessments in place which detailed how they liked to be supported; however, some care plans and risk assessments had not been reviewed since 2020. We have made a recommendation about care plans and risk assessments.

Staff understood how to raise concerns and knew what to do to safeguard people. Effective arrangements were in place to ensure recruitment checks on staff were safe. Minor improvements were required to staff recruitment files. We have made a recommendation about staff recruitment files.

Audits and quality assurance were in place but needed some improvement to ensure the service continually improved and provided positive outcomes for people. We have made a recommendation about quality assurance processes.

We received positive feedback on the service. One person said, ''The manager is great and is very passionate about the service. Staff are excellent and very caring.''

Care and treatment was planned and delivered in a way that ensured people's safety and welfare. People were cared for and supported by staff who had received appropriate training. There were systems in to minimise the risk of infections. There were safe medicine procedures for staff to follow.

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

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

Rating at last inspection

The last rating for the service under the previous provider was good, published on 30 November 2017.

Why we inspected

We carried out an unannounced inspection of this service on 11 May 2023.

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.

Recommendations

We have made recommendations in relation to staff recruitment, care plan, risk assessments and quality assurance.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.