The Manse Residential Care Home

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

Safe – this means we looked for evidence that people were protected from abuse and avoidable harm. At our last inspection we rated this key question requires improvement. At this assessment, the provider had made improvements and no longer in breach of regulations relating to relating to safe care and treatment, premises and equipment, good governance and staffing. The rating has changed to good. This meant people were safe and protected from avoidable harm.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider had a proactive and positive culture of safety, based on openness and honesty.Staff listened to concerns about safety and reported safety events promptly.

The provider had made improvements in this area. Outcomes and learning from investigations into safety events were now shared with the staff team, to help them continually improve their practice and keep people safe.

People told us they were comfortable raising safety concerns with the staff team. The provider’s systems supported staff to record and report safety concerns promptly. Managers investigated these and took the necessary actions to reduce the risk of safety concerns reoccurring.

The provider worked with people and healthcare partners to establish and maintain safe systems of care, in which safety was managed or monitored. They made sure there was continuity of care, including when people moved between different services.

The provider’s systems and processes ensured people received safe and appropriate care and support as soon as they started using the service. Information was obtained from people, and others involved in their care, and used to develop and implement individualised care and risk management plans for them. The staff team worked well with healthcare professionals to make sure these plans remained effective and supporting people to stay safe.

The provider worked with people and healthcare partners to understand what being safe meant to them and the best way to achieve that. Staff concentrated on improving people’s lives while protecting their right to live in safety, free from bullying, harassment, abuse, discrimination, avoidable harm and neglect. The provider shared concerns quickly and appropriately.

People told us they were safe at the service. People were comfortable and at ease with each other and with the staff team. Staff understood their duty to safeguard people and how and when to report safeguarding concerns to the relevant person or agency. A staff member told us, “We get trained in safeguarding and making sure people are free from harm and treated with respect and dignity and well cared for.”

The registered manager understood their responsibility to make timely referrals to the relevant agencies. Healthcare professionals told us the service worked proactively with them, when safeguarding concerns were raised, to ensure people were safeguarded from further risk.

The provider worked with people to understand and manage risks by thinking holistically. Staff provided care to meet people’s needs that was safe, supportive and enabled people to do the things that mattered to them.

The provider had made improvements in this area. People’s records now contained current and detailed information about risks to their safety and how these should be managed to keep people safe from harm. Systems were in place to ensure risks to people were continually assessed, monitored and reviewed. Staff understood risks to people and followed their care and risk management plans to manage these.

People told us they were supported to stay safe at the service whilst continuing to do the things that mattered to them. A person said, “Walking is a bit tricky, but I can manage and the staff are always there in case.” People were able to move freely around the home and spent their time as they wished, with no unnecessary restrictions. A person told us, “I like gardening and providing they know where I am, there is no restriction.”

The provider detected and controlled potential risks in the care environment. They made sure equipment, facilities and technology supported the delivery of safe care.

The provider had made improvements in this area. Appropriate action had been taken by the provider to make sure radiators did not pose safety risks to people. Managers now made sure safety systems and equipment were maintained and serviced at regular intervals, so that they remained in good order and safe for use. Measures in place to manage risks posed by the environment and equipment, were monitored and reviewed at regular intervals to make sure these remained appropriate. Staff understood the importance of maintaining a safe environment for people. A staff member told us, “I make sure the place is tidy and not cluttered.”

The provider made sure there were enough qualified, skilled and experienced staff, who received effective support, supervision and development. They worked together well to provide safe care that met people’s individual needs.

The provider had made improvements in this area. The provider had increased staffing levels at the service. People told us there were enough staff to meet their needs. Staff confirmed this and said they worked well together to meet people’s needs. The registered manager regularly reviewed staffing levels to make sure these remained safe.

Staff now received regular and relevant training and were supported to continuously learn and improve in their roles through supervision and appraisal of their work performance.

There were safe recruitment practices at the service. The provider carried out the necessary checks required on staff that applied to work at the service, to make sure they were suitable to support people.

The provider assessed and managed the risk of infection. They detected and controlled the risk of it spreading and shared concerns with appropriate agencies promptly.

People were supported to live in a clean and hygienic environment. One person told us, “There are two cleaners who work very hard.”

Staff were provided with relevant training to help them minimise the risk and spread of infection. They had access to resources and equipment to help them reduce infection risks and they used these appropriately. Staff maintained cleaning and food safety records to provide a clear audit trail of measures taken to reduce infection risks.

The provider made sure that medicines were safe and met people’s needs, capacities and preferences.

The provider had made improvements in this area. Protocols were now in place for ‘when required’ medicines (PRN) so staff now had the information they needed about when these should be administered to people. Records maintained about people’s medicines had improved. Medicines stocks, balances and records showed people consistently received the medicines prescribed to them.

Staff received relevant training and were clear about their responsibilities for safe management and administration of medicines. Audits of medicines were now more effective and included checks on staff’s practice to ensure they remained competent and safe to administer and manage medicines.