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Manor Lodge Care Home Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 15 April 2021

Manor Lodge Care Home is a residential care home providing accommodation and personal care to 21 adults in one adapted building. At the time of this inspection 16 people were resident. People who live at Manor Lodge have varied health and social care needs, such as mental health, physical, learning disabilities and dementia.

People’s experience of using this service and what we found

An effective and robust system to assess, monitor and improve the quality of the service was not in place. Staff morale was low, and they told us they did not feel supported. Residents meetings had taken place however; the tone of the minutes was not supportive, or person centred.

Safeguarding concerns had not been responded to in a timely manner. Risks had been identified but had not always been assessed or managed. Records had not been kept up to date in response to changing needs. A formal way of assessing the numbers of staff needed was not in place. There were gaps in the registered manager’s knowledge in relation to current COVID-19 guidance.

Medicines were administered safely however; we have made a recommendation about ‘as and when required’ medicines.

Safe recruitment practices were in place.

In relation to the COVID-19 pandemic people were not always supported to have maximum choice and control of their lives. It was not always documented that people were supported in the least restrictive way possible and in their best interests; the systems in the service did not always support staff to follow the principles of the Mental Capacity Act. We have made a recommendation about restrictions incurred during the pandemic.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. 'Right support, right care, right culture' is the guidance CQC follows to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

The service was not able to demonstrate how they were meeting some of the underpinning principles of Right support, Right Care, Right Culture. Access to the community had not been fully assessed in line with COVID-19 guidance. We did not fully explore 'Right support, right care, right culture' at this inspection, this will be reported upon at our next inspection.

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 2 July 2019).

Why we inspected

We received concerns in relation to safeguarding and the management of risk. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. During the inspection we found there was a concern with staff support so we widened the scope of the inspection to include the key questions of effective.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.

The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection. We have found evidence that the provider needs to make improvement. Please see the safe, effective and well-led sections of this full report.

You can see what action we have asked the provider to take at the end of this full report.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on

Inspection areas

Safe

Requires improvement

Updated 15 April 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 15 April 2021

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 15 April 2021

Responsive

Good

Updated 15 April 2021

Well-led

Requires improvement

Updated 15 April 2021

The service was not always well-led.

Details are in our well-led findings below.