Mansion House Residential Home

Updated 19 March 2021

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.

As part of CQC’s response to the coronavirus pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.

This inspection took place on 4 March 2021 and was announced.

Updated 19 March 2021

On 3 February 2017 we inspected Mansion House Residential Home and found them to be in breach of three Regulations under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The breach of Regulation 12 was in relation to improvements needed to the safe administration of medicines; Regulation 17 not having sufficiently robust quality assurance audits and Regulation 19 staff were being recruited without the necessary employment checks in place.

We rated the service as ‘Requires improvement’ for the key questions of Safe and Well led and ‘Good’ in Effective, Caring and Responsive. We asked the provider to complete an action plan as to how they would improve the service. The provider wrote to us showing the actions they had taken since our last inspection.

We carried out this unannounced inspection on 10 April 2018 to see if the provider had made the necessary improvements to the service. We saw that improvements had been made to ensure people had their medicines in a safe and timely way and robust monitoring audits about the quality of the service and the recruitment of staff had been improved. All of the key questions were rated as ‘Good’ and the service received a rating of 'Good' overall.

Mansion House Residential Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The service accommodates up to 37 older people. Care is provided over two floors. At the time of our inspection there were 27 people living at the service. Mansion House Residential Home also provides a personal care service within the community called Mansion Care which provided care to five people with three staff supporting them.

A registered manager was in post at the service. 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.

There were systems in place to safeguard people from avoidable harm and staff knew how to report any concerns. The risk assessments undertaken provided staff with the necessary information and guidance on how risks to people could be minimised. The service regularly reviewed their staffing arrangements to ensure there were sufficient staff available to support people safely.

Recruitment procedures had been improved for the safe employment of staff. Improvements had also been made to the way in which medicines were managed and administered. Infection control procedures were followed in order to keep people safe and well. Systems were in place to learn from incidents and accidents and to improve the service as a result.

An organised programme of induction, training, supervision and appraisals for staff were in place. Staff had the knowledge and skills to care for people effectively. They understood their roles and responsibilities to seek people’s consent prior to care being provided.

People were supported to have a choice of food and drink and to have a balanced and varied diet. The registered manager and staff ensured access to healthcare services were readily available to people and worked with a range of health professionals to implement care and support plans.

The service had been adapted from a manor house into a care home. The design and decoration of the premises met people’s needs.

Systems were in place to ensure that people’s rights were respected and protected under the Mental Capacity Act (MCA) 2005 and Deprivation of Liberty Safeguards (DoLS). Where people did not have capacity to consent to their care or make decisions about their lives, this was managed in line with the requirements of the MCA.

Staff were respectful and compassionate towards people ensuring their privacy and dignity was valued. People were supported in a person centred way by staff who understood their roles and responsibilities. People's independence and choice were encouraged and promoted by staff.

People received personalised care that was responsive to their needs. Care plans were individual and detailed people’s history, preferences and wishes. An effective complaints procedure was in place and had been implemented appropriately by the registered manager. People and their families were well supported by caring staff at the end of their life.

There was a positive, open and inclusive culture at the service. The service was well led and managed. Resources were available to support and develop the service and people, their families and staff were actively involved. Systems were in place to monitor all aspects of the quality of the service. There were opportunities to learn and develop new and innovative ideas in partnership with other agencies.