Background to this inspection
Updated
11 May 2021
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 Care Act 2014.
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
The inspection team consisted of two inspectors, an assistant inspector, a pharmacist inspector, a specialist advisor (occupational therapist) and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Manton Heights Care Centre 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 who was in the process of registering 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 the inspection
We reviewed information we had received about the service since the last inspection. We reviewed information we requested from the provider to show the improvements they had made in areas where breaches were identified at the last inspection. We sought feedback from the local authority and professionals who work with the service. The assistant inspector spoke to relatives and staff over the phone to collect some feedback about their experiences at the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with eight people who used the service and seven relatives about their experience of the care provided. We also observed how staff interacted with people who were unable to talk to us about their experiences of living at the service. We spoke with 22 members of staff including the provider, manager, quality manager, deputy manager, senior care workers, care workers, domestic care staff, the cook, a consultant working with the service and a dementia ambassador.
We reviewed a range of records. This included eight people’s care records and multiple 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 we found. We spoke with several professionals who regularly visit the service.
Updated
11 May 2021
About the service
Manton Heights Care Centre is a residential care home split in to two buildings providing accommodation and personal care for up to 91 people aged 65 and over some of whom were living with dementia. The main building consists of three units, two units are on the ground floor and a third unit is on the first floor. There is a shared dining room and lounge in each unit and one shared garden. At the time of our inspection one of the ground floor units was closed for refurbishment. The service was supporting 43 people in the main building and 12 people in the building which supports people living with an acquired brain injury.
People’s experience of using this service and what we found
There had been a lot of improvements put in place since our last inspection. People, relatives and the staff team were positive about their experiences at the service. One relative told us, ‘‘I would recommend Manton Heights to anyone. The staff are very caring.’’
At our last inspection we found the provider to be in breach of several regulations of the Health and Social Care Act (2008). Due to the improvements made since the last inspection the provider was no longer in breach of regulations.
People were safe living at the service. Staff knowledge about keeping people safe and safeguarding, was mostly good. Staffing levels were sufficient to keep people safe, although some further areas for improvement were identified at certain times of the day. Staff recruitment checks were thoroughly completed. Recruitment was also ongoing to ensure that a consistent staff team would be in place. People received safe support with their medicines, however some areas for further improvement were identified at this inspection.
Assessments were completed to ensure risk to people was minimised and staff had a good understanding of these.The service was kept clean and infection control measures were thorough, including with regards to COVID-19. When things went wrong an analysis took place to see where improvements could be made and acted upon.
Staff had the experience, skills and knowledge to do their job and the management team were supporting new staff to become core members of the staff team. People were well supported with food and drink according to their needs and preferences. Health professionals were consulted to support people to maintain their health and wellbeing. The service engaged and worked well with external partners.
The premises were suitable for people using the service and the management and staff team were focusing on people’s lived experiences of using the service. 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, relatives and staff were asked for feedback about the service.
The new manager and the provider were passionate about continuing to improve the service. They were aware of areas that still required attention, including those found during this inspection. Audits identified areas for improvement and the provider had an action plan which they were monitoring. There were still areas for improvement to be made and the manager and senior management team understood the feedback we and other professionals gave about these.
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 inadequate (published 13 October 2020).
This service has been in Special Measures since 08 September 2020. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.
Why we inspected
This inspection was carried out to follow up on action we told the provider to take at the last inspection.
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 the service could respond to COVID-19 and other infection outbreaks effectively.
We carried out an unannounced inspection of this service on 01 to 08 September 2020. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve in the areas of Safe care and treatment, Safeguarding service users from abuse, Staffing, Good governance, Duty of Candour and failing to notify CQC of incidents the service is required to do by law.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Effective and Well-led which contain those requirements.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from inadequate to requires improvement. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Manton Heights Care Centre on our website at www.cqc.org.uk.
Follow up
We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.