We carried out a review of the data available to us about Manorcourt Homecare on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Manorcourt Homecare, you can give feedback on this service.
Manorcourt Homecare is a domiciliary care agency providing personal care and support to people living in their own homes. At the time of this inspection 110 people were using the service.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
People’s experience of using this service and what we found
People received safe care. Risks were assessed, and staff knew people they supported very well. The previous registered manager had recently left the service and a new manager had been appointed. The new manager assured us that they were looking at care plans to make sure they were reviewed and current, so staff could refer to these for information if needed. The manager told us they had started to visit people in their own homes to check that the level of service provided was to standard and that care plans reflected this care.
Staff understood their responsibility to protect people in their care from abuse and report any concerns they had. People were supported to take their medicines safely and there were enough staff available to support people's needs. Following the inspection we were informed that some staff had unexpectedly left the service and as a result the manager had handed some care packages back to the local authority. A representative from the local authority told us they had never had any previous concerns with this provider and they were only handing back packages to remain sustainable and to keep people safe.
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.
People and relatives described staff as kind and caring. People had consistency in the staff who undertook their care calls, and this helped promote an understanding of how people liked their support delivered.
There were quality assurance and auditing processes in place and they contributed to service
improvements. Action plans were carried out and those responsible kept things up to date.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
The last rating for this service was good (published 24 January 2018).
Why we inspected
This was a planned inspection based on the previous rating.
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.
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community and specialist housing. It currently provides a service to 149 older adults.
There was a registered manager in post. 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.
At the time of inspection we found that people’s written information did not always adequately record and reflect risks to people or provide sufficient detail for staff on how to manage those risks with regard to Dysphasia. However, guidance was available within the providers Management of Dysphagia Policy. We made a recommendation that appropriate training should be provided if anyone using the service is assessed with dysphasia.
Whilst risks to people were alleviated by staff knowledge and experience, the potential for risk existed. Therefore we made a recommendation that the service review the system and process for recording, managing and sharing information on risk to ensure the safe and effective management of Dysphagia as described by the providers own policy.
Manorcourt Homecare provides a domiciliary support service to enable predominantly older people to continue living at home. When we inspected the service provided support with personal care to 135 people living at home in and around the Harlow area.
A registered manager was in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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 were supported in their own home by staff that were able to meet their needs safely. Staff were able to demonstrate that they understood what was required of them to provide people with the safe support they needed to remain living independently in their local community.
People were protected from the risks associated with the recruitment of staff unsuited to the role by the provider’s recruitment procedures. Comprehensive risk assessments were also in place to reduce and manage the risks to people’s health and welfare. There were sufficient numbers of staff employed to meet people’s assessed needs.
People benefited from a service that was appropriately managed so that people received their service in a timely and reliable way. The service was well-led, with quality assurance systems in place so that people were assured of receiving a service that was appropriately and conscientiously monitored by senior staff. People also benefitted from receiving personal care and support from trained staff that were caring, friendly, and responsive to people’s changing needs. People’s right to make day-to-day choices about how they preferred their care and support to be provided was respected and this was reflected in their agreed care plans.
People had the guidance they needed to raise concerns or make a complaint. There were procedures in place to ensure complaints were appropriately investigated and action was taken to make improvements to the service when necessary.