Archived: The Manor House Nursing Home

Updated 14 December 2015

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 8 October 2015 and was unannounced.

The inspection team consisted of two inspectors and an expert by experience with expertise in dementia care. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Before the inspection we reviewed the information we held about the home. This included looking at information we had received about the service and statutory notifications we had received from the home.

We usually send the provider a Provider Information Return (PIR) before the inspection. This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We did not send a PIR to the provider before this inspection.

We used a number of different methods to help us understand the experiences of people who lived in the home. We spoke with eight people who were living in the home, three relatives, three members of care staff and two nurses, the chef and the provider.

We looked at three people’s care records in detail, two staff files, medicine records and the training matrix as well as records relating to the management of the service. We looked round the home and saw people’s bedrooms, bathrooms and communal areas.

We observed interactions between staff and people who lived at the home and we spent time in communal areas to see how people spent their time.

Updated 14 December 2015

This inspection took place on 8 October 2015 and was unannounced. This service was last inspected in September 2013 and was found to be compliant with the five standards inspected.

The Manor House Nursing Home provides accommodation and nursing care for up to 30 older people, some of whom may be living with dementia. At the time of our visit there were eighteen people living at the home.

The home has a registered manager. 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 and we saw that staff had received training in keeping people safe. Risk assessments were completed but these were not always followed up where a risk had been identified. Systems for managing medicines were safe and the home was clean and tidy.

There were not always enough staff available to meet the needs of the people living at the home.

Staff received appropriate levels of training and felt supported by the management of the home.

Staff did not demonstrate a good understanding of the Mental Capacity Act (MCA) or Deprivation of Liberty Safeguards (DoLS). The provider was working with the local council to try to further their understanding however staff were not working in line with the requirements of the MCA.

People told us they enjoyed the food at the home but we found some restrictions in choice.

People’s healthcare needs were met appropriately.

We found staff to be kind and caring in their approach and respected peoples needs for privacy and dignity.

We did not find a person centred approach to care planning and review. Some care plans were detailed whilst others had not considered all of the person’s needs. We saw little evidence of people being involved in the care planning process.

Activities were available although they were not always accessible and appropriate to all of the people living at the home.

People felt able to raise any concerns or complaints they had and we saw these were acted on appropriately.

The home is family run and we saw the providers were well known to people who lived at the home. Systems were in place to make sure the home was safe but there was a lack of effective auditing in relation to care records, medication and staffing.

We identified five breaches in regulations – regulation 18 (staffing), regulation 12 (safe care and treatment), regulation 11 (consent), regulation 9 (person-centred care) and regulation 17 (good governance).

You can see what action we told the provider to take at the back of the full version of the report.