16 December 2014
During a routine inspection
Manor House Residential and Nursing Home provides accommodation, personal care and nursing care for up to 40 older people including those living with dementia. Accommodation is located over two floors. There were 34 people living in the home when we visited.
This inspection was undertaken on 16 December 2014 and was unannounced, Our previous inspection was undertaken on 30 April 2014, and during this inspection we found that all of the regulations were being met.
The home did not have a registered manager in post. The registered manager left their post in October 2014. 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 and associated Regulations about how the service is run.
The CQC monitors the operation of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS) which applies to care services. We saw that there were policies and procedures in relation to the MCA and DoLS to ensure that people who could not make decisions for themselves were protected. We saw that staff had followed guidance and were knowledgeable about submitting applications to the appropriate agencies. Records viewed showed us that where people lacked the capacity to make decisions they were supported to make decisions that were in their best interests. People were only deprived of their liberty where this was lawful.
There was a process in place to ensure that people’s health care needs were assessed. This helped ensure that care was planned and delivered to meet people’s needs safely and effectively. Staff knew people’s needs well and how to meet these. People were provided with sufficient quantities to eat and drink.
People’s privacy and dignity was respected at all times. Staff were seen to knock on the person’s bedroom door and wait for a response before entering. They also ensured that people’s dignity was protected when they were providing person care. Care records we reviewed showed us that, wherever possible, people were offered a variety of chosen social activities and interests. People told us that the staff were very kind and knock on their door before entering.
The provider had an effective complaints process in place which was accessible to people, relatives and others who used or visited the service.
The provider had a robust recruitment process in place. Staff were only employed within the home after all essential safety checks had been satisfactorily completed.
The provider had effective quality assurance systems in place to identify areas for improvement and appropriate action to address any identified concerns. Audits, completed by the provider and registered manager and subsequent actions taken, helped drive improvements in the home.