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Norwich

Overall: Good read more about inspection ratings

Unit 17 Bowthorpe Shopping Centre, Wendene, Norwich, NR5 9HA

Provided and run by:
Manorcourt Care (Norfolk) Limited

All Inspections

During an assessment under our new approach

Manorcourt Care (Norwich) is a domiciliary care service providing support and personal care to people living in their own homes. At the time of our assessment, there were 138 people receiving the regulated activity of personal care. The Care Quality Commission (CQC) only regulate the service received by people provided with ‘personal care’.

We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed autistic people and people with a learning disability respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.

People received care which was safe and met their needs. There was a strong and proactive culture of openness and safety. At the time of our assessment, the service had experienced a reduction in their staffing levels due to staff leaving. The manager had taken responsible steps to mitigate the risk of impact on people’s care. Staff were well trained and recruited safely. Medicines were administered appropriately and in line with the prescribers’ instructions.

People’s needs were assessed and personalised care plans were in place. Where gaps relating to people care records were identified through the course of our assessment, the service rectified this quickly. Staff worked together with people and their relatives to deliver care which was person-centred. People were encouraged to live healthier lives, and staff reviewed people’s needs holistically.

The service was caring. Without exception, people told us staff were kind, caring and respectful. People were treated with empathy and compassion, with their privacy and dignity respected. There was a caring ethos at the service, and staff and leaders spoke about people with warmth and care.

People were able to easily share their feedback with the service, and action was taken in response. Where things went wrong, leaders took responsive action to rectify and learn from mistakes. Despite staffing challenges, the provider made sure that people could access the care, support and treatment they needed when they needed it.

The registered manager promoted a supportive culture at the service through consistent leadership and dedication. They held staff wellbeing in high regard and had worked to build a competent and skilled team. Systems and processes enabled the registered manager to have sufficient oversight of the service despite its large size.

10 January 2018

During a routine inspection

The inspection was announced and took place on 10 January 2018.

Attleborough is a domiciliary care agency. It provides personal care to people living in their own houses in the community. It provides personal care to people with a variety of needs including older people, younger adults, people with a learning disability, physical disability and people who need support with their mental health. At the time of the inspection, 120 people were using the service.

Not everyone using Attleborough receives a regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided. Eighty-three people were being provided with ‘personal care’.

Attleborough was registered by the Care Quality Commission (CQC) on 27 June 2016. New services are assessed to check they are likely to be safe, effective, caring, responsive and well-led. This was the first comprehensive inspection since the provider registered with CQC to provide personal care to people. As such, they had not yet received a CQC rating.

There was a registered manager in post. 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 were protected from abuse. Staff followed the provider’s safeguarding procedures to identify and report concerns to people’s well-being and safety.

Appropriate risk management systems were in place. Staff followed the guidance in place to support people's safely in line with the risks identified to each person’s health and well-being.

People were supported by a sufficient number of staff who underwent appropriate recruitment checks.

People received the support they required to take their medicines. Staff knew how to minimise the risk of infection.

Appropriate systems were in place to enable staff to report and learn from incidents that may happen at the service. Staff had access to out of hours’ guidance for additional support when responding to an emergency or difficult situation.

Staff received support, regular supervision and attended training to enable them to undertake their roles effectively. People were involved in the planning and review of their care. Staff delivered people’s care in line with their changing needs, preferences and best practice guidance.

People were encouraged to maintain a healthy diet and to have sufficient food to eat and drink. Staff supported people to access healthcare services when required.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice. Staff sought people’s consent before providing care and treatment.

People received care in a manner that treated them with respect and promoted their privacy and dignity. Staff developed positive relationships with the people they supported and offered emotional support when needed.

People and staff commended the registered manager and their care provision. People received person-centred care and benefitted from an open and transparent culture.

People were confident about making a complaint and had received information about how to make their concerns known. The registered manager sought people’s views about the service and acted on their feedback.

The quality of care was checked and monitored regularly. The registered manager made improvements when necessary to develop the service. There was collaboration between the registered manager and other agencies to enhance the quality of care provided to people.