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The Manor Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 27 January 2021

About the service

The Manor Nursing Home providing personal and nursing care for up to 86 people. At the time of the inspection 40 people were living at the home.

The home is laid out over two floors and offers nursing and residential care. The home also provides a respite service.

People’s experience of using this service and what we found

Systems in place to communicate with people and relatives were not always effective. The registered manager was addressing some routines within the service, which had restricted some people’s freedom of movement and choice due to the pandemic.

Staff commented positively about the leadership and management of the home. Staff told us they had concerns in regard to the planned changes to the management of the service.

People and their relatives told us they felt safe at The Manor. Safeguarding incidents were reported to the appropriate agencies. Staff felt confident to raise safeguarding concerns with the registered manager and were aware of external agencies where they could report concerns.

Risks to people were identified and guidance was in place for staff to reduce the level of risk to people. Checks were in place to ensure the environment and equipment was safe.

The service had ongoing monitoring arrangements to ensure all aspects of infection control followed best practice guidance. The provider ensured people were aware of social distancing rules in regards the pandemic. Visitors were able to see their loved one from specially adapted visitor suites.

Medicines were managed safely, and people received their medicines as prescribed from staff who had received training and had their competency assessed.

Some people at the service were living with an acquired brain injury. They had access to the in-house physiotherapist, but they did not have detailed plans to ensure each person reached their full potential.

Governance systems were in place to monitor the quality of service and the health, safety and welfare of people. There were enough staff available to support people safely and meet their needs. Staff were recruited safely.

We found improvements had been made at this inspection. The provider had addressed issues raised at the last inspection in their action plan.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for The Manor on our website at www.cqc.org.uk.

Rating at last inspection

The last rating for this service was requires improvement (published 09 October 2019). Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when. At this inspection we found improvements had been made and the provider was no longer in breach of Regulations 12 (Safe care and treatment), Regulation 17 (Good governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Why we inspected

The inspection was prompted in part due to concerns received about risk to people’s safe care and treatment at the service. A decision was made for us to inspect and examine those risks. The provider has taken action to mitigate the risks and these had been effective. We found no evidence during this inspection that people were at risk of harm from this concern.

At this inspection we only reviewed the safe and well led key questions. This is because of our current methodology and risks related to COVID-19 meant we were not reviewing the key questions in effective, caring and responsive. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Good

Updated 27 January 2021

The service was safe.

Details in our safe findings below

Effective

Requires improvement

Updated 27 January 2021

Caring

Requires improvement

Updated 27 January 2021

Responsive

Requires improvement

Updated 27 January 2021

Well-led

Good

Updated 27 January 2021

The service was well-led.

Details are in our well-Led findings below.