We carried out a review of the data available to us about The Manor House Harrogate on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about The Manor House Harrogate, you can give feedback on this service.
We found the following examples of good practice.
• The service had introduced a nominated member of staff who focused on COVID-19 requirements. Their duties included managing staff and resident testing, monitoring any relevant self-isolation periods, cascading COVID-19 guidance to staff and communicating with residents’ friends and family around current COVID-19 precautions.
• The service had implemented a comprehensive checklist which all visitors were required to complete. This included a review of the visitor’s COVID-19 vaccination and test status, a check of any COVID-19 symptoms, and details of any recent international travel.
• Staff and managers were focused on supporting residents’ independence, mental health and wellbeing needs throughout the pandemic. Staff completed risk assessments for residents that focused on their mental health needs, and where possible, staff encouraged residents to leave the home for exercise, recreation, activities or to meet friends and family. Where visits could not be made, staff undertook weekly update calls with each residents’ family to allow them to remain involved and updated in their care.
• The service was committed to protecting residents from the risk of COVID-19 during the pandemic. Staff completed COVID-19 risk assessments for all residents, particularly residents who may be at a higher risk of becoming seriously ill. Staff supported all residents to receive their COVID-19 vaccinations and boosters, and worked with residents’ family on this.
• Staff and managers had made changes to the home environment to keep staff and residents safe from the potential risk of COVID-19, however had found ways of doing this that minimised any impacts to residents and kept the environment as familiar and homely as possible. For example, residents could access an on-site sweet shop, and rather than closing this to residents during the pandemic, staff had worked to replace all items with individually wrapped and packaged items. In addition, hospitality areas had remained open throughout the pandemic, with social distancing implemented at seating areas and enhanced cleans undertaken. Where residents had tested positive for COVID-19, staff attached a ribbon to their door to alert staff of this risk, but in a delicate and compassionate manner.
The Manor House Harrogate is a residential care home providing personal care for up to 87 older people and people who may be living with dementia. Forty-five people were using the service when we inspected.
The service is split into four ‘suites’ across four floors. Lancaster and Dutchy provided residential care, whilst Chester specialised in supporting people living with dementia. The Ridings was not in use at the time of our inspection.
People’s experience of using this service and what we found
People felt safe with the care and support staff provided. Risk assessments were in place to guide staff on how to safely meet people’s needs. Some risk assessments could be developed to include more detailed information about how risks were managed. The registered manager agreed to address this.
Staff were safely recruited and sufficient staff were deployed to safely meet people's needs. The registered manager had systems in place to monitor and make sure enough staff were on duty. Agency staff were used when needed to cover gaps in the rota.
People were supported to stay safe by staff who understood how to identify and address any safeguarding concerns. Staff responded to accidents and incidents to help keep people safe. Management analysed all accidents and incidents to identify any actions that could be taken to stop a similar thing happening again.
People benefited from living in a warm and welcoming environment. Systems were in place to make sure the building was safe, maintained to a high standard and kept clean.
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. Staff sought people’s consent; systems were in place to make sure decisions made on people’s behalf were in their best interest. Applications were made when needed to deprive people of their liberty.
People received attentive support to help make sure they ate and drank enough. We made a recommendation about reviewing how food and fluid charts were used to monitor people at risk. Staff worked closely with healthcare professionals and supported people to receive medical attention when needed.
Staff completed an induction, a range of training and received supervisions to support them in their role.
People received kind and caring support from the polite, courteous and respectful staff. Staff spent time speaking with people, getting to know them and there were friendly and warm interactions throughout our visit.
People were offered choices and routinely supported and encouraged to make decisions. Staff treated people with dignity; they maintained people’s privacy and respected their personal space.
Staff provided person-centred support to meet people’s needs. They took time to get to know people and understood what was important to them.
People were supported and encouraged to take part in a wide range of activities, which provided meaningful stimulation and helped to reduce the risk of social isolation.
Management were approachable and responsive to feedback. Regular audits, surveys and feedback from people and their relatives was used to monitor the service and identify where improvements could be made. Management had taken proactive steps to build strong community links and were committed to continually improving and developing the service for the benefit of the people who lived there.
For more details, please see the full report which is on the Care Quality Commission’s (CQC) website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 22 July 2019 and this is the first inspection.
Why we inspected
This was a planned inspection based on when the service was registered.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.