Escan Manor

Date of assessment: 17 February to 26 February 2026.

Escan Manor is a care home that provides nursing care. The service is registered to provide personal care for a maximum of 72 people. Some people living at the service were living with dementia. There were 34 people living at the service at the time of our assessment visit.

At our previous assessment, the service was rated as Requires Improvement. At this assessment, we found the overall rating of the service has changed to Good.

At our last assessment, we found three breaches of the regulations in relation to safe care and treatment, safeguarding and governance. The service had made improvements and was no longer in breach of these regulations. There were appropriate systems and processes in place to manage risks to people and to manage safeguarding concerns. Improvements in governance systems were identified. However, we have identified a new breach in relation to failing to send statutory notifications.

The service had a new manager in post since December 2025. Staff told us the current management team had impacted positively on the service, and all felt confident about the future direction of Escan Manor.

Staff understood safeguarding processes and the service management had escalated concerns where required. We received mixed feedback about the number of staff on duty. Staff told us that they felt staffing levels were appropriate but unplanned sickness could be problematic. Staff were recruited safely when they started their employment. Infection control processes were monitored, and the home was clean and well presented. There were systems to record accidents and incidents; however, improvements were needed to ensure learning from events was undertaken in relation to safeguarding and complaint management. Systems to manage medicines had improved.

Staff received an induction, training, supervision and appraisal to enable them to meet people’s needs. We received mixed feedback from staff about the quality of the induction. People’s needs relating to eating and drinking were monitored and risk relating to malnutrition or dehydration was escalated where needed.

People were cared for respectfully and treated as individuals. Staff communication with people was positive and relatives generally spoke highly of the service provided. Staff sought consent from people before providing care and support. Where required, appropriate records and processes to ensure decisions were taken in people’s best interest were completed.

There were improvements identified in governance arrangements. The service manager and senior staff demonstrated an understanding of where improvements were required, particularly in relation to seeking feedback from people and their relatives. There was a service improvement plan in place to continually develop and improve. The provider had strengthened auditing and oversight arrangements to achieve and sustain long‑term improvement.

We have asked the provider for an action plan in response to the concerns found at this assessment.

Date of assessment: 5 February to 11 February 2025. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises, and the care provided, and both were looked at during this assessment. The service was providing regulated activity to 33 people at the time of the assessment. We did not carry out a formal Short Observational Framework for Inspection (SOFI) as people were using various areas of the large premises but we did spend time observing and talking to people and relatives. The registered manager had left in November 2024 with a Regional Manager covering until December 2024. The service was now being managed by an interim manager supported by a Quality Assurance Manager and a Senior Manager. Prior to the inspection we received concerns from health professionals and relatives about increased safeguarding alerts, staffing, training and responding to peoples’ health and wellbeing needs.

During the inspection we found 3 breaches of regulation in relation to , governance, safe care and treatment and safeguarding. We found gaps in the governance and overview of the service. The interim manager had been appointed to address this and although there were improvements to be made to ensure good oversight and staff training and induction, the management team were aware and working hard to progress an improvement agenda. There was improved support from Head Office with regular meetings. However, oversight and subsequently safe monitoring and support for people with diabetes, dementia and general bowel management did not always ensure people were safe. Staff could access care plans and updated people's care notes on electronic devices. However, care plans were not always detailed about care needs or followed by staff relating to safeguarding, dementia, bowel and diabetic care. Not all staff had the information they needed to meet peoples’ needs. Staff monitored people's outcomes such as falls and knew what to do. People were supported to eat and drink, and all food was prepared on the premises. There had been some confusion about which health partners had responsibility for some health care needs, but this was now being addressed. Staff worked well with other health services such as hospice community nurses to make sure care was delivered effectively and had a better relationship with a new GP surgery. We saw that staff were kind and caring towards people, and we received positive feedback from relatives. Relatives told us there had been a lot of changes in staff and management but felt that in general staff knew people and their needs well. The staffing team was becoming more stable, and relatives noted an improvement. A new activities co-ordinator had been recently appointed after the previous one had left and although their staff induction had not yet happened there was evidence of activities and engagement for people. Relatives and people spoke in a positive way about activities and there were plans to further improve this aspect. The home was kept clean and comfortable apart from issues relating to continence care for one person which was being addressed and was decorated and furnished to a high standard. Staff were starting to seek feedback from people and their relatives to help them make improvements.