The Manor House - Frenchay

Updated 1 July 2025

Date of Assessment: 8 to 25 July 2025. At our last assessment we rated this service overall as outstanding. At this assessment, we rated this service overall as good. The service is a residential service providing support to adults of all ages living with learning disabilities, physical disabilities, sensory impairments and dementia. There were enough staff with the right skills and experience to support people to live full and active lives. Staff and leaders knew people well and were positively regarded by families and external professionals. The service was observant in people’s changing health needs and escalated concerns promptly. People were supported to access the care they needed. The service had positive relationships with health professionals. Managers were supportive and guided staff through induction and regularly supervised them. Medicines were managed and safeguarding concerns reported as appropriate.

The service had governance systems to monitor and assess the quality and safety of the service. However, some development was needed to ensure systems effectively identified areas for review such as, documentation being accurately completed and amended as appropriate. For example, incident and night checks forms. There were no provider level checks and improvement plans did not encompass areas of the service other than the environment. Some environmental risks had not been assessed.

The service had a positive and open culture. The management team were visible, actively involved and approachable. People and families could raise any concerns. Feedback was regularly gathered through surveys and feedback and was overall positive.

We assessed the service against ‘right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. People received person centred care which was tailored for their individual needs. Staff knew people’s interests, routines and preferences. People were supported with their goals and to achieve positive outcomes. People were supported to access and be part of their local and wider community. People were supported to go on holiday, maintain social relationships and contact with family. Risks for people were assessed and people were supported to engage in positive risks experiences to enhance their health and wellbeing.

Updated 1 July 2025

People and their family members were positive about the care and support received. Relatives said, “It is a lovely place for [Name of person] to live, “It is a nurturing environment” and “My family member is very happy and settled.”Care staff were praised and recognised for developing consistent, caring and trusted relationships with people. Staffing levels were consistent. Staff knew people well and the team comprised of many long serving staff. Relatives commented, “They are first class staff,” “Staff are extremely caring and efficient” and “Staff know [Name of person] well and staff stay long which is good for continuity.”We made observations of care and used a structured observation tool to assess whether people who could not directly tell us about their experience received good care. This showed staff were responsive to people’s needs and treated people with kindness, respect and dignity. Staff engaged with people to stimulate people and enable participation in activities for example, singing, reading stories, baking and accessing the community for day trips and events.