8 October 2015
During a routine inspection
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.