• Care Home
  • Care home

Manor Croft

Old Bank Road, Earlsheaton, Dewsbury, West Yorkshire, WF12 7AH (01924) 600659

Provided and run by:
Constantia Healthcare Limited

Important: The provider of this service changed. See old profile

Inspection summaries and ratings from previous provider

On this page

Background to this inspection

Updated 6 April 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by an inspector, 1 medicines inspector and an Expert by Experience (ExE). An ExE is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Manorcroft is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Manorcroft is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was not a registered manager in post. A new manager was in post and was in the process of registering.

Notice of inspection

This inspection was unannounced.

Inspection activity started on 20 February 2023 and ended on 1 March 2023. We visited the location’s service on 20 February 2023.

What we did before the inspection

We reviewed the information we had received about the service since the last inspection. We sought feedback from the local authority, commissioners and Healthwatch Kirklees. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all of this information to plan our inspection.

During the inspection

We spoke with 8 people who use the service and 4 relatives about their experience of the care provided. We spoke with 5 staff members including the manager, carers, and kitchen staff. We spoke with 1 healthcare professional who worked with the service.

We reviewed a range of records including 7 people’s care records and multiple medication records. We looked at 3 staff files in relation to recruitment and supervision. We reviewed records relating to health and safety and the management of the service, including policies and procedures and quality assurance records.

Overall inspection

Good

Updated 6 April 2023

About the service

Manorcroft is a care home providing accommodation, personal and nursing care for up to 40 people, including people living with dementia. It is purpose built, providing accommodation across 2 floors. At the time of our inspection there were 35 people using the service.

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

Medicines records did not always contain enough detail. Quality assurance and supervision systems and processes were in place, however they needed further embedding into the service.

We have made a recommendation regarding medicines management, quality assurance systems and supervision processes.

Risks to people’s health and safety were managed effectively. People felt safe at the service and were safeguarded from the risk of abuse. Effective Infection Prevention and Control (IPC) practices were in place.

Staff were recruited safely and appropriately trained. There were enough staff to meet people’s needs.

Care was person centred and respected people’s choice. People were involved in their care and the service worked effectively with other healthcare agencies to meet people’s needs.

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.

There was a positive culture at the service that created an open and honest environment. People and relatives spoke positively about the service and the care received. The service had taken steps to engage people and 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 requires improvement (published 11 December 2019).

Why we inspected

We received concerns in relation to medicines management, care delivery and staffing. As a result, we undertook a focused inspection to review the key questions of safe, effective, 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.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

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

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Manorcroft on our website at www.cqc.org.uk.

Recommendations

We have made a recommendation regarding medicines management, quality assurance systems and supervision processes.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.