We carried out a review of the data available to us about Conewood Manor Nursing Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Conewood Manor Nursing Home, you can give feedback on this service.
Conewood Manor Nursing Home accommodates up to 44 older people, some of whom live with dementia. At the time of our inspection 39 people lived at the home.
The home was originally an Edwardian house. Various extensions have been made at different times over the years to create the care home as it is today, further plans were in place to extend the home further by creating a ground floor lounge. The home offers accommodation on three levels.
People’s experience of using this service and what we found
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People appeared safe and contented living in Conewood Manor Nursing Home. There were enough staff, safely recruited, to ensure people had their needs met in a timely way. People and relatives praised staff for being kind and caring. Pleasant and appropriate interactions were observed between staff and people.
Staff clearly described how they could report any concerns internally to the management team and externally to local safeguarding authorities. Staff were supported through regular training, supervision and appraisals to provide safe care. Their skills and knowledge were regularly reviewed through competency assessments carried out by the nursing staff and the registered manager.
The registered manager carried out regular audits to evaluate the service provided and continuous monitoring helped to improve the quality of care delivered and people’s experiences. The registered manager was responsive to advice and guidance from external professionals and was keen to embrace new learning. Lessons learned were shared with staff at regular meetings.
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 (published 22 November 2019).
Why we inspected
We had received concerns in relation to staff communication skills and staff approach to people living with dementia. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
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 COVID-19 and other infection outbreaks effectively.
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 found no evidence during this inspection that people were at risk of harm from this concern. Please see the Safe and Well-led sections of this full report. You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Conewood Manor Nursing Home on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
Conewood Manor Nursing Home accommodates up to 44 older people, some of whom live with dementia. At the time of our inspection 44 people lived at the home.
The home was originally an Edwardian house. Various extensions have been made at different times over the years to create the care home as it is today, further plans were in progress to extend the home further by creating a ground floor lounge. The home offers accommodation on three levels.
People’s experience of using this service and what we found
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People felt safe and were happy living in Conewood Manor Nursing Home. They told us staff were knowledgeable about their needs and knew how to support them safely. There were enough staff employed to ensure people had their needs met in a timely way. Staff received safeguarding training and knew how to report their concerns internally and externally to local safeguarding authorities.
People and relatives praised staff for being kind, caring and respectful towards them. Relatives appreciated that staff made them feel welcome any time they visited people in the home. People were involved in their care and where appropriate their relatives as well.
Staff were supported through regular training, supervision and appraisals to develop further. Their skills and knowledge were regularly reviewed through competency assessments carried out by the nursing staff and the registered manager.
Activities to avoid social isolation were actively delivered and encouraged by staff. The variety of activities offered meant that every person found something of interest and could participate in group or individual engagement opportunities.
There were areas we identified during this inspection where improvements were needed. The provider told us they were always looking at ways to improve the home.
The registered manager carried out regular audits to monitor the service provided and action plans were in place to drive improvement.
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 (published 15 April 2018).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
Conewood Manor Nursing Home accommodates up to 42 older people, some of whom live with dementia. At the time of our inspection 38 people lived at the home.
The home had a registered manager. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.
When we last inspected the service on 12 July 2016 we found a breach of regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This was because the provider had failed to identify, effectively manage and monitor shortfalls by means of the audit process. For example, shortfalls were identified at the inspection in areas including health and safety matters within the environment, record keeping with regards to medicines, staff recruitment and care plans, communication skills of the staff team and people told us that they did not always receive their care in a timely manner. Following the comprehensive inspection, the provider wrote to us to tell us how they would make the required improvements to meet the legal requirements.
At this inspection we found that the provider had made the necessary improvements to help ensure that people received a safe and well managed service.
People felt safe living at Conewood Manor Nursing Home. Staff understood how to keep people safe and risks to people's safety and well-being were identified and managed. The home was calm and people's needs were met in a timely manner by sufficient numbers of skilled and experienced staff. The provider operated robust recruitment processes which helped to ensure that staff employed to provide care and support for people were fit to do so. People's medicines were managed safely.
Staff received regular one to one supervision from a member of the management team which made them feel supported and valued. People received the support they needed to eat and drink sufficient quantities and their health needs were well catered for with appropriate referrals made to external health professionals when needed.
People and their relatives complimented the staff team for being kind and caring. Staff were knowledgeable about individuals' care and support needs and preferences and people had been involved in the planning of their care where they were able. Visitors to the home were encouraged at any time of the day.
The provider had arrangements in place to receive feedback from people who used the service, their relatives, external stakeholders and staff members about the services provided. People were confident to raise anything that concerned them with staff or management team and were satisfied that they would be listened to.
There was an open and respectful culture in the home and relatives and staff were comfortable to speak with the registered manager if they had a concern. The provider had arrangements in place to regularly monitor health and safety and the quality of the care and support provided for people who used the service.
Conewood Manor Nursing Home accommodates up to 42 older people, some of whom live with dementia. At the time of our inspection 40 people lived at the home.
The home had a registered manager. 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 and associated Regulations about how the service is run.
We found a shortfall in the medicine management systems however, while this had potential for risk there had not been a negative impact on the care and welfare of people who used the service. Staff were trained in how to safeguard people from avoidable harm and were knowledgeable about the potential risks and signs of abuse. However, some staff were not all able to communicate their understanding effectively.
Many areas of the home had been refurbished since our previous inspection visit and refurbishment work was still on-going in some areas. It was acknowledged that the building is listed and consequently the possible alterations are limited. However, there were potential risks to the safety of people who used the service, visitors and staff due to steep and in some cases, uneven ramps. Newly recruited staff described a clear recruitment process however, we found that the provider’s recruitment policy did not ensure that satisfactory evidence of conduct in previous employment concerned with the provision of services relating to health and social care was obtained.
The registered manager was responsive to the issues we raised at the inspection and undertook immediate action to help mitigate risks. However, these areas of shortfall and potential risk to people’s health, safety and wellbeing had not been identified by the managements internal audit systems.
People’s relatives told us they felt that there were enough staff available to meet people’s needs however, people who used the service and staff did not always agree. The deployment of staff was not always effective in meeting people’s needs due to the complex layout of the home.
Potential risks to people’s health, well-being or safety had been identified, and were reviewed regularly to take account of people’s changing needs and circumstances.
People’s health needs were well catered for. People received care and support from a staff team who were supervised and had the knowledge and skills necessary to provide safe and effective care. People were supported to make choices about food and were assisted to eat in a calm and unhurried manner. However, we noted that staff missed opportunities for interacting with people and that clothing protectors were placed on people without any consultation. We have made a recommendation about staff training on the subject of promoting people’s dignity.
People’s relatives were complimentary about the care and kindness demonstrated by the staff team. Staff were knowledgeable about individual’s needs and preferences and people were involved in the planning of their care where they were able. Visitors were encouraged at any time of the day and people’s privacy was promoted.
There was a programme of activity and stimulation in place that was being developed in line with people’s changing needs and dependency. People’s relatives were invited to meetings to share their views about how the home was managed.
The registered manager had a visible presence in the home and there was a clear structure of leadership in place. The system of quality audits had not identified areas of potential risks to people’s safety and well-being.
We carried out an unannounced comprehensive inspection of Conewood Manor Nursing Home on 05 May 2015 at which a breach of regulation 18 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 was found. This was because there were insufficient numbers of suitably qualified, competent, skilled and experienced staff available to meet the needs of the people who used the service.
Following the comprehensive inspection, the provider wrote to us on 30 June 2015 to tell us how they would make the required improvements to meet the legal requirements. We undertook a focused inspection on the 15 October 2015 to check that they had followed their plan and to confirm that they now met the legal requirements.
This report only covers our findings in relation to this regulation. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Conewood Manor Nursing Home on our website at www.cqc.org.uk
Conewood Manor Nursing Home accommodates up to 42 older people, some of whom live with dementia. At the time of our inspection 39 people lived at the home.
The home had a registered manager. 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 and associated Regulations about how the service is run.
At our focused inspection on 15 October 2015, we found that the provider had followed their action plan which they had told us would be completed by 30 September 2015 and the legal requirement had been met. There were sufficient suitably qualified, competent, skilled and experienced staff members available to meet the needs of the people who used the service.
The inspection took place on 05 May 2015 and was unannounced. This was the first inspection since new providers had taken over the service in September 2014.
Conewood Manor Nursing Home accommodates up to 42 older people, some of whom live with dementia. There were 37 people using the service when we inspected.
The home had a registered manager. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.
CQC is required to monitor the operation of the Mental Capacity Act (MCA) 2005 and Deprivation of Liberty Safeguards (DoLS) and to report on what we find. DoLS are in place to protect people where they do not have capacity to make decisions and where it is considered necessary to restrict their freedom in some way, usually to protect themselves or others. At the time of the inspection we found that applications had been made to the local authority in relation to people who lived at Conewood Manor Nursing Home and were pending an outcome.
People who used the service, their relatives and staff members expressed concerns about the numbers of staff available to meet people’s needs according to their personal preferences. Staff recruitment processes were safe and a range of training was provided to staff to give them the skills and knowledge required to undertake their roles.
People told us that the staff team were kind and caring. Care and support was delivered in a way that protected people’s privacy and promoted their dignity. Activities were provided for people but had not been tailored to meet people’s specific interests. The provider had arrangements in place to support people and their relatives to raise complaints or issues of concern and provide feedback about their experiences.
We received positive comments about the management team from people who used the service, their relatives and the staff team. People were encouraged and supported to raise concerns and the manager closely monitored and sought feedback about the services provided to identify areas for improvement and drive forward improvements in the home.
We found that the provider was in breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of the report.