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Inspection Summary


Overall summary & rating

Good

Updated 14 November 2017

This inspection took place on 29 and 30 August and 13 September 2017 and was unannounced. Manor Farm is a care home which provides nursing and residential care for up to 81 older people. At the time of this inspection there were 74 people using the service. The home is divided into three units spread across three floors, all accessible by lift. The top floor of the home is for people requiring residential care, the middle floor is for people with dementia and the ground floor is for people with nursing needs.

At the last inspection in May and June 2015, the service was rated Good overall but had one breach of the regulations because the provider had not had a registered manager for more than twelve months. 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 this inspection we found this issue had been rectified. There was a registered manager in post.

People and relatives thought the service was safe. Staff were knowledgeable about how to report concerns or abuse. The provider had a recruitment system in place to ensure the suitability of staff working at the service and there were enough staff on duty to meet people’s needs. Risk assessments were carried out with management plans in place to enable people to receive safe care. The provider was in the process of carrying out refurbishment of the premises. There were systems in place to maintain the cleanliness and safety of the premises. The provider had systems in place to ensure the safe administration of medicines.

Staff received appropriate support through supervisions and training opportunities. Appropriate applications for Deprivation of Liberty Safeguards (DoLS) had been applied for and authorised. Staff were aware of the need to obtain consent before delivering care.

People were offered varied and nutritious menus of food, snacks and drinks. People also had access to healthcare professionals as required to meet their day to day health needs.

People and relatives thought staff were caring. Staff were knowledgeable about how to develop caring relationships with people who used the service. People’s privacy and dignity was respected. Staff had awareness of The Equality Act 2010 and delivering care in a non-discriminatory way. People were given choices and their independence was encouraged.

Staff were knowledgeable about providing a personalised care service. Care plans were detailed and showed people’s preferences. A variety of activities were offered which included trips outside the home and visiting entertainers. People and relatives knew how to complain and the provider dealt with complaints in accordance with their policy. The provider kept a record of compliments about the service.

People, relatives and staff spoke positively about the management of the home. Regular meetings were held for people who used the service and relatives to check they were happy with the service provided. The provider had held a themed day to obtain feedback about the service. The service was asked to provide dementia training to the local community. Staff had regular meetings to keep them updated on policy changes, service development and to encourage good working practices. The provider had quality assurance systems in place to identify areas for improvement.

We have made two recommendations around the storage of medicines and supporting people with specific health conditions. Further information around this can be found in the detailed findings.

Inspection areas

Safe

Good

Updated 14 November 2017

The service was safe. People and relatives thought the service was safe. There were enough staff to support people�s needs. Relevant recruitment checks were carried out for new staff and criminal record checks were up to date.

Staff were knowledgeable about safeguarding and whistleblowing procedures. People had risk assessments in place to ensure risks were minimised and managed. The provider carried out regular building safety checks. The service was undergoing renovation to communal areas of the premises to keep people safe from harm. People were protected from the risk of infection.

There were appropriate arrangements in place for the administration and management of medicines to ensure people received their medicines as prescribed.

Effective

Good

Updated 14 November 2017

The service was effective. People and relatives told us staff had the skills needed to provide care. Staff were supported with regular opportunities for training, supervision and appraisals.

The provider was aware of what was required of them to work within the legal framework of the Mental Capacity Act (2005). Deprivation of Liberty Safeguards applications were made appropriately. Staff were knowledgeable about people�s mental capacity and need to obtain consent before giving care.

People were given choices of meals, snacks and drink from varied and nutritional menus. The service assisted people to liaise with healthcare professionals as needed.

Caring

Good

Updated 14 November 2017

The service was caring. People and relatives told us staff were caring. Staff were knowledgeable about people�s needs.

The service had a system where staff usually worked on the same floor and people had a named care worker and named nurse to oversee the care they received. We observed positive interactions between staff and people who used the service.

People confirmed their privacy and dignity was respected and staff demonstrated they were knowledgeable about providing dignified care. The service had an equal opportunities policy and provided training to staff in equality and diversity. Staff were knowledgeable about equality and diversity. Staff demonstrated awareness about encouraging people to maintain their independence.

Responsive

Good

Updated 14 November 2017

The service was responsive. Staff were knowledgeable about providing a personalised care service. Care records were personalised and contained people�s preferences.

There was a wide range of activities offered to people including activities outside the home and visiting entertainers.

People and relatives knew how to make a complaint if they were not happy with the service. Complaints were resolved within the provider�s policy timescales and to the satisfaction of complainants. The service kept a record of compliments.

Well-led

Good

Updated 14 November 2017

The service was well led. There was a registered manager at the service. People who used the service, relatives and staff gave positive feedback about the leadership of the service.

The provider had a system of obtaining feedback about the quality of the service through regular meetings with people who used the service and relatives. The service held themed days and obtained feedback about people�s experiences through questionnaires. The management team arranged regular dementia training sessions for the community.

The provider held regular meetings with staff to keep them updated on service developments. There were various audit systems in place to regularly check the quality of the service provided and issues identified were dealt with appropriately.