Manor View Care Home

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

Safe – this means we looked for evidence that people were protected from abuse and avoidable harm. At our last assessment we rated this key question requires improvement. At this assessment the rating has changed to good. This meant people were safe and protected from avoidable harm

This service scored 62 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider had a proactive and positive culture of safety, based on openness and honesty. Staff listened to concerns about safety and investigated and reported safety events. Lessons were not always learnt to continually identify and embed good practice. Audits were completed and reviewed but themes, trends or lessons learned were not always identified. It was unclear how the information gathered through audits supported improvements in care for people.

The provider worked with people and healthcare partners to establish and maintain safe systems of care, in which safety was managed or monitored. They made sure there was continuity of care, including when people moved between different services. When people needed to go to hospital, emergency information packs and medication administration records (MARs) were printed off and shared so continuity of safe care and treatment was maintained.

The provider worked with people and healthcare partners to understand what being safe meant to them and the best way to achieve that. Staff concentrated on improving people’s lives while protecting their right to live in safety, free from bullying, harassment, abuse, discrimination, avoidable harm and neglect. The provider shared concerns quickly and appropriately. However, there was limited analysis of safeguarding incidents to identify themes, trends and lessons learned and how these would be shared with staff to make and sustain improvements to care and support. The Mental Capacity Act 2005 (MCA) provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves. The MCA requires that, as far as possible, people make their own decisions and are helped to do so when needed. When they lack mental capacity to take particular decisions, any made on their behalf must be in their best interests and as least restrictive as possible. People's capacity was assessed in line with MCA and decisions were made, where people did not have capacity, in their best interest.

The provider worked with people to understand and manage risks by thinking holistically. Staff provided care to meet people’s needs that was safe, supportive and enabled people to do the things which mattered to them. Risks associated with people's care were identified and, predominantly, managed effectively. Appropriate mitigations were in place where people were at risk of falls and staff took appropriate action to support people. Where care plans had not been reviewed and updated in a timely way, the risk to people’s care was mitigated by staff who knew the person and their care needs.

The provider detected and controlled potential risks in the care environment. They made sure equipment, facilities and technology supported the delivery of safe care. Some areas of the care environment still required improvement and refurbishment. Appropriate checks of the environment and associated services, including fire, water and equipment, had been completed and were reviewed by the provider.

The provider made sure there were enough qualified, skilled and experienced staff, who received effective support, supervision and development. They worked together well to provide safe care which met people’s individual needs. Members of staff were recruited safely and there were sufficient staff who were deployed effectively in the care home to meet people’s care and support needs.

The provider assessed and managed the risk of infection. They detected and controlled the risk of it spreading and shared concerns with appropriate agencies promptly. The care environment was clean and staff has access to appropriate stores of personal protective equipment (PPE). Members of staff had access to infection prevention and control policies and a recent external audit of the care environment noted improvements had been made and sustained.

The provider made sure medicines and treatments were safe and met people’s needs, capacities and preferences. Staff involved people in planning, including when changes happened. Administration of medications was managed safely. Members of staff had access to policies and procedures which supported safe clinical practice. Audits of medication administration were completed and reviewed by the management team. Where audits had identified areas for improvement, these were put into an action plan and signed as ‘completed’ following review by the management team.