During an assessment under our new approach
Guiseley Manor is registered to provide personal care and nursing care to up to 72 people. At the time of our inspection, the service was supporting 32 people using the service, including people living with dementia.
The inspection took place between 20 March 2025 and 1 April 2025. We visited the service on 20 March 2025 and 26 March 2025 and the medicines inspector visited on 1 April 2025. During this inspection we inspected all quality statements under the key questions of safe, effective, caring, responsive and well-led.
Care was delivered in ways that were person-centred and promoted people’s dignity, privacy and human rights. Care staff treated people with kindness and respect.
The service was working within the principles of the Mental Capacity Act (MCA), and legal authorisations had been obtained to deprive people of their liberty, where this was deemed necessary to ensure their safety.
Information about people’s needs and risks to their safety was in place. The provider made sure information about people’s needs and risks to their safety was obtained and made available to staff. Risks to people were managed well.
The provider maintained the safety of the environment through regular servicing and maintenance of safety systems and equipment. The environment was clean and hygienic, and staff followed best practice to minimise infection risks at the home.
Medicines were managed well. There was information about how people should receive their medicines which was reviewed at appropriate intervals. The provider worked proactively with others to make sure people received medicines that met their needs, with positive outcomes being achieved for people in relation to their health and wellbeing.
Recruitment arrangements had also been improved and were now more robust. Only suitable staff were employed to work at the service.
People were protected from the risk of abuse. Staff understood their responsibilities to safeguard people and systems were in place to support timely reporting and recording of safeguarding concerns and other safety events and incidents.
The service’s governance and auditing systems enabled the registered manager to have clear oversight of risk and learn from adverse events.
We received mixed feedback regarding the management of the service, with staff members telling us “I do feel supported in my role, I can go to management anytime”, “I think staff culture at work needs to improve, I think staff need to feel more supported and celebrated and thanked for their continued hard work here at Guiseley”, “we all need encouragement as we strive to work hard.” The impact of some staff feeling undervalued could have a negative impact on the atmosphere within the home. This was discussed with the management team at feedback and acknowledged that further work is required.