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Manor Park Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 12 September 2019

About the service: 24 Manor Park Grove is a residential care home that was providing personal and nursing care to five people with a learning disability. The care home accommodates people in a domestic style house with some adaptations.

People’s experience of using this service:

Although staff knew people’s needs and the risks people may present, people were not always supported effectively and consistently by staff.

Systems to monitor the quality and safety of the service had not been effective at monitoring and improving the quality of the service.

The home was clean, and people’s rooms were personalised. However, some environmental risk were not well managed.

People were supported to receive their medication as prescribed and systems were in place to ensure only suitable staff were recruited.

The service applied some of the principles and values of Registering the Right Support and other best practice guidance. The care setting was domestic in style and layout providing a comfortable and homely environment for people to live in. However, we saw limited opportunities for people in terms of choice, control, and independence.

We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of this full report.

The Secretary of State has asked the Care Quality Commission (CQC) to conduct a thematic review and to make recommendations about the use of restrictive interventions in settings that provide care for people with or who might have mental health problems, learning disabilities and/or autism. Thematic reviews look in-depth at specific issues concerning quality of care across the health and social care sectors. They expand our understanding of both good and poor practice and of the potential drivers of improvement.

As part of thematic review, we carried out a survey with the registered manager at this inspection. This considered whether the service used any restrictive intervention practices (restraint, seclusion and segregation) when supporting people. The service used some restrictive intervention practices as a last resort, in a person-centred way, in line with positive behaviour support principles.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection:

The last rating for this service was Good (report published February 2019)

Why we inspected

We received concerns that indicated people were not receiving safe care and treatment. As a result, we undertook a focused inspection to review the Key Questions of Safe and Well-led only.

The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection.

Enforcement

We have identified breaches in relation to safe care and treatment and good governance at this inspection.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded

Follow up:

We will continue to monitor the service through the information we receive until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 12 September 2019

The service was not always safe

Details are in our Safe findings below.

Effective

Good

Updated 12 September 2019

Caring

Good

Updated 12 September 2019

Responsive

Good

Updated 12 September 2019

Well-led

Requires improvement

Updated 12 September 2019

The service was not always well-led

Details are in our Well-Led findings below.