All inspections: Iden Manor Nursing Home

We carried out this responsive assessment between 29 September and 16 October due to concerns received about the service, specifically regarding risk management and the quality of care provided to people. Iden Manor Nursing Home provides accommodation and personal/nursing care to up to 51 people. At the time of our visit 50 people were using the service. We spoke with people who use the service, their relatives, staff, and the registered manager. We received feedback from professionals involved in the service. We reviewed people’s care records, staff records and records relating to the management of the service. We observed staff supporting people in communal areas.

Risks to people were assessed and managed effectively to reduce harm to them. There were systems and processes in place to safeguard people from the risk of abuse. Incidents and accidents were investigated, and lessons were shared with staff to improve their learning when things went wrong. People’s medicines were administered and managed safely. There were enough suitably skilled and qualified staff including registered nurses available to support people safely. Staff were safely recruited and supported with training to be effective in their roles. Registered nurses received clinical support and supervision and the training to maintain their professional development and ensure their registration remained current.

Infection control procedures were followed. Health and safety checks were completed looking at various aspects of the service.

The service had effective systems to monitor the quality and safety of the service. The quality of the service was regularly assessed using various means including audits, checks and quality reviews. There was visible leadership in the service and staff told us they felt supported in their roles. Staff knew and felt confident to speak up if they needed to. People were asked for their views, and their feedback was used to develop the service. The registered manager understood their roles and promoted the vision and values of the organisation. The provider was committed to continuously improving the service and care provided to people. They were working towards achieving accreditation to the Gold Standard Framework status. They partnered with various agencies and organisations to develop ways to improve the service.

About the service

Iden Manor is a residential care home providing accommodation with personal and nursing care for up to 51 people. The service provides support to people with nursing needs and people living with dementia. At the time of our inspection there were 47 people using the service. The service is divided into two ‘wings’, one of which specialises in providing care to people living with dementia. The service was arranged across three floors with lift access to upper and lower floors.

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

People told us they were happy and felt safe living at the service. One person told us, “Staff are always around if you need them.” Another person said, “It is safe. People working here are on top of everything. I never feel unsafe or insecure.” A relative said, [Relative] is safe here, I am sure. But I really chose it because I knew they would love the gardens, and they do.”

People told us staff were kind and caring and treated them with respect and dignity. Potential risks to people’s health and welfare had been assessed. There was guidance in place for staff to reduce risks and keep people as safe as possible. Checks had been completed on the environment and the equipment people used.

The service had been designed and adapted to meet people needs. The service was clean and uncluttered; staff were wearing personal protective equipment in line with government guidance. One relative told us, “It is always clean and there are no smells. It is a nice environment, wide corridors, and [relative’s] room is big and lofty and beautiful.” Another relative said, “The place is tranquil and pleasant. The rooms are nice and the lounge is good here. [Relative] has a lovely view from their room.”

People received their medicines as prescribed. Staff had been recruited safely and there were enough staff to meet people’s needs. Staff had received training appropriate to their role and to give them skills to support people. People and relatives told us staff were kind, caring and friendly.

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

Although there had been some staff changes recently, people, relatives and staff told us the management team were supportive and approachable and they were confident to raise concerns. Relatives confirmed they were able to visit when they wanted and for as long as they wanted.

Checks and audits had been completed on all aspects of the service; actions had been taken to rectify any shortfalls. People had been asked their opinion about the service and their suggestions had been acted upon.

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

Rating at last inspection

This service was registered with us as a new provider on 01 May 2022 and this is the first inspection. The last rating for the service under the previous provider was good (published 28 January 2020).

Why we inspected

This inspection was prompted in part by notification of an incident at another service operated by the same provider. The information shared with Care Quality Commission about this incident indicated potential concerns about the management of risks in relation to people’s health, failure to seek follow up care in relation to diagnostic tests and failure to make best interest decisions for someone who lacked mental capacity. This inspection examined those risks.

We found no evidence during this inspection that people were at risk of harm from these concerns. Please see the safe and effective sections of this full report.

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.

The overall rating for the service is good based on the findings from this inspection.

Follow up

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

Iden Manor Nursing Home

All Inspections

During an assessment under our new approach

13 September 2022

During a routine inspection