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Manor House Residential Home Requires improvement

The provider of this service changed - see old profile

Reports


Inspection carried out on 12 November 2019

During a routine inspection

About the service

Manor House Residential is a care home that provides personal care for up to 30 people aged 65 and over. At the time of the inspection 29 people lived at the home.

The home is an adapted building and care is provided across two floors.

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

The quality systems in place were not always effective and had not always identified where improvements were needed. Staff were not always following manufacture guidance for some medicines or keeping accurate records of these.

Risks to people had been assessed and staff had a good understanding of these risks and how to minimise them. Staff demonstrated a good knowledge of types and signs of abuse and how to report concerns of abuse. People were supported to access healthcare professionals when required.

Staff received the training they needed so they had the skills and knowledge to meet people’s needs. Staff had been recruited safely and there were sufficient numbers of staff to support people.

People's care records were person centred and guided staff on the way they preferred their care and support to be provided. The provider had a system in place to ensure any complaints received would be recorded, investigated and responded to with any learning used to improve the service provided.

People's dietary needs were met, and people had access to healthcare services where required. People were supported by staff who were caring. People were involved in decisions around their care and were treated with dignity.

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.

The provider had systems in place to identify and support people's protected characteristics from potential discrimination. Protected characteristics are the nine groups protected under the Equality Act 2010. They include, age, disability, race, religion or belief etc.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update.

The last rating for this service was good (published May 2017)

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.

Inspection carried out on 8 March 2017

During a routine inspection

This unannounced inspection took place on 8 March 2017. This was the first inspection of Manor House Residential Home. Manor House is a care home which provides accommodation for up to 29 older people who were living with dementia, or had a physical disability or a sensory impairment and who required personal care. At the time of our inspection there were 27 people living at the home.

At the time of our inspection there was a registered manager in place. 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 2008 and associated Regulations about how the service is run.

People told us they felt safe at Manor House. Staff understood their responsibilities in keeping people safe and knew how to report any suspected abuse and felt confident they would be listened to. Staff knew the risks to people’s health and safety and understood the measures in place to keep people safe. People and their relatives told us and we saw there were enough staff to keep people safe. There was a safe recruitment system in place. People told us they got their medicines when they needed them and some medication storage issues noted during the inspection were acted on promptly.

People and their relatives told us staff were well trained to meet their needs. Staff confirmed, and we saw, they had received training which enabled them to support people effectively. Staff sought consent from people before providing care. The registered manager had applied the principles of the Mental Capacity Act which meant people’s rights were protected. People had a choice of food which supported their nutritional needs. When people’s health needs changed they had access to other health professionals to ensure their health needs were met.

People told us, and we saw, they were supported by kind and considerate staff. People had choices about their care and staff respected them. People were encouraged to maintain their independence and were supported by staff in a dignified way. People were encouraged to maintain relationships that were important to them.

People and their relatives told us, and we saw, they were supported by staff who understood their individual needs and preferences. People had access to activities which they enjoyed. People told us they were confident to raise any complaints but had not had reason to. When people did complain there was a system in place which meant they would be listened to and complaints would be investigated.

People were happy living at Manor House and told us it was well led. Staff were supported by the registered manager. People, relatives and staff were involved in the running of the service. The registered manager was aware of their legal responsibilities. The registered manager operated a quality assurance system which ensured people got safe and effective care which was responsive to their individual needs. The registered manager sought to make improvements in the care people received.