Manor View Care Home

Updated 1 July 2022

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

This inspection was carried out by one Inspector.

Service and service type

Manor View is a 'care home.' 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 inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service. We also sought feedback from the local authority. 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. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with five people who used the service and one relative about their experience of the care provided.

We spoke with eight members of staff including care staff, housekeeping, maintenance, and the registered manager. We spent time observing people.

We reviewed a range of records. This included five people's care records and six medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.

Updated 1 July 2022

Manor View is a residential care home providing personal and nursing care for to up to 49 people. This is inclusive of a separate build, Church View, which accommodates up to 14 people. At the time of our inspection there were 39 people using the service.

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

People were supported to have their medicines as prescribed by staff who had been trained and assessed as competent. However, medicine administration was not consistently recorded, the registered manager immediately put strategies in place to mitigate the risk of this occurring again.

People were protected from known risks. However, records were not always completed accurately to evidence this. Risk assessments were completed, and strategies identified to mitigate these risks. Staff understood safeguarding and how to recognise and report any concerns of potential abuse.

Quality assurance tools had not always identified the concerns we found at this inspection. The management team committed to develop an action plan to work towards making improvements to their quality assurance processes.

Staff were safely recruited, inducted and trained to meet people's needs. Adequate staffing levels were observed.

People were supported by staff who knew them well and had the information required to meet their needs. People and relatives were all consistently positive about the staff and the support they received.

Care plans contained person centred, detailed information to support staff in understanding the person's individual holistic needs. People's likes, dislikes, preferences, choices and life histories had been recorded.

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's communication needs were assessed and when required, information had been presented in a different format to meet people's needs. Such as, large print or easy read.

Staff supported people to access healthcare services as required. Any specialist support was recorded, and actions completed.

People were supported to access activities, outings and celebrations. Friends and relatives were welcomed into the service and people were supported to maintain relationships.

People were protected from infections. Staff wore appropriate personal protective equipment, the home was regularly cleaned and the registered manager followed government guidance on COVID-19.

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 27 June 2019).

Why we inspected

This inspection was prompted by a review of the information we held about this service and the previous rating.

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.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Manor View Care Home on our website at www.cqc.org.uk.

Follow up

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