Archived: The Old Manse

Updated 20 July 2016

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 7 an 13 June 2016. The inspection was carried out by one inspector and was unannounced on the first day of our inspection.

In planning our inspection, we looked at the information we held about the service. This included notifications received from the provider about deaths, accidents/incidents and safeguarding alerts which they are required to send us by law. We contacted the local authorities that purchase the care on behalf of people, to see what information they held about the service and we used this information to inform our inspection.

The registered manager completed a Provider Information Return (PIR). This is information we asked the provider to tell us about what they are doing well and areas they would like to improve.

During our inspection we spent time with the three people who lived at the home and we spoke with a relative, five members of staff, the deputy manager, the registered manager and the provider.

Some of the people living at the home had complex care needs and were unable to tell us about the service they received. Therefore we used a tool called the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.

We looked at records of three people who received support from the service, medication records, staff training records, three staff recruitment files, safeguarding records, We also looked at records which supported the provider to monitor the quality and management of the service, including health and safety audits, medication administration audits, accidents and incident records and compliments and complaints.

Updated 20 July 2016

This inspection took place on the 7 and 13 June 2016 and was unannounced.

We inspected The Old Manse on 1 and 8 April 2015 and we found multiple breaches of the regulations. Staff had not received the training and support they needed to carry out their role effectively. We found poor leadership and systems in place to monitor the service had not identified the failings in the service. After the comprehensive inspection, the provider sent us an action plan to us to say what they would do to meet legal requirement in relation to the breaches. We undertook a focused inspection on 23 July 2015 to check that the provider had followed their action plan and to confirm that they now met legal requirements in relation to a warning notice that we previously issued. We found that the provider had responded to our warning notice. At this inspection we found that some further improvements were needed to ensure that the monitoring systems in place were effective.

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. A registered manager was in post.

There were systems and processes in place to assess and monitor the quality and safety of the service. However, further improvements were needed to ensure that these were effective in identifying shortfalls within the service.

Staff were caring and kind however people’s confidentiality was not always protected.

People received care and support with their consent and from staff that knew them well.

People were given some opportunities to promote their independence.

Staff understood the different types of abuse and knew what action they would take if they thought a person was at risk of harm. The provider had processes and systems in place that kept people safe and protected them from the risk of harm.

People received their medicines as prescribed. People were supported to have their health care needs met and received the food and drink they needed to maintain their health and wellbeing.

Arrangements were in place to ask people their views about the service and to respond to any concerns about the service.