Archived: Manor Park

The service had a registered manager at the time of the inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People living in the service felt safe. Staff were trained to identify signs of abuse and to take action to protect people if they suspected abuse. People had individual risk assessments and regularly reviewed plans were in place to mitigate risk. People were supported by staff who had been recruited through a robust process that ensured they were safe and suitable to work with people. People received their medicines safely by staff who were competent to administer them. People were safe in the event of an emergency because staff knew what actions to take to protect them from harm.

People received effective care delivered by a trained staff team. The management team ensured that staff received supervision and appraisal. People gave consent to the care they received and received support in line with the Mental Capacity 2005. People ate nutritious meals and were supported with regular and timely access to healthcare services.

People received support from staff who were caring and who they had known for a long time. Staff respected people’s privacy and treated people with dignity. People received the assistance they required to be as independent as they could be. Relatives felt welcome when they visited.

People had detailed needs assessments that were regularly reviewed to ensure they were up to date. Care plans contained enough information to ensure that staff met people’s needs in line with their references. People were supported to engage in activities of their choosing and received the support they required to meet their spiritual needs. The provider actively sought the views of people and acted on their feedback.

People and staff told us the registered manager and her deputy were approachable and had an open management style. Staff felt supported and able to share their views. The leadership team carried out robust quality auditing and the provider worked in partnership with other organisations to ensure people’s well-being.

Staff told us that they had received training in medication administration. We reviewed the records of medicines administered and the record for medicines returned to the pharmacy and found them to be correct.

We took the opportunity to talk with three of the people using the service. All three told us that they felt well cared for, the staff were kind and they were happy.

We saw that there were a number of different activities people could do in the home, but that people wanted more outings and external activities.

Most people had a care plan and risk assessment in place that had been regularly reviewed. Staff were familiar with the care each person required, and we saw that people using the service had a good rapport with the staff.

People using the service were not protected from the possibility of abuse as staff did not have current guidance and policies or procedures to refer to. We also found some minor errors in the records of financial transactions relating to people's monies.

We saw that medication was administered safely and accurately recorded. However we have asked the provider to take action with regard to how unused or unwanted medication is disposed of.

We found that the provider had improved their systems for monitoring the quality of the care provided. A number of quality audits were being carried out at regular intervals, and action taken where necessary.