• Care Home
  • Care home

Manorfield Residential Home

Overall: Good read more about inspection ratings

Clappers Lane, Earnley, Chichester, West Sussex, PO20 7JJ (01243) 673023

Provided and run by:
CC Care Home Limited

Important: The provider of this service changed. See old profile

All Inspections

During an assessment under our new approach

We carried out this assessment on 30 June 2026. This service was previously rated as good. We undertook this assessment to confirm whether the rating of good remains accurate. This report does not provide detailed information on areas where we found practice continues to meet a good standard. Instead, our findings focus on any areas where the service needs to improve or where we found exceptional practice.

Improvements were required to ensure medicines were managed safely specifically the processes for ordering, storage and disposing of medicines. However, there was no evidence of impact on people. People received their medicines safely, on time and in line with their preferences and prescribers’ instructions. People received safe care from staff who understood safeguarding responsibilities and knew how to protect people from harm and abuse. People, relatives and professionals consistently told us people felt safe living at the service. One person said, “There’s nothing to worry about. The staff are very kind.” There were enough safely recruited staff with the skills, knowledge and training to meet people’s needs safely and effectively. One person told us, “They seem to be able to answer all the questions I may have. Their training is good.” Risks were assessed with people and managed in a way that promoted people’s safety and independence. The provider learned from accidents, incidents and safety events to improve practice and drive service improvements. Relevant safety alerts were communicated promptly and appropriate action was taken. For example, government guidance issued during the recent extreme heat red alert was implemented to help keep people hydrated, safe and well. The environment was clean, accessible, well maintained and free from hazards. People consistently praised the cleanliness of the service, commenting, “It’s spotless,” and “It’s always clean.”

People can only be deprived of their liberty to receive care and treatment with appropriate legal authority. In care homes, this can be done through a procedure called the Deprivation of Liberty Safeguards (DoLS), which is part of the Mental Capacity Act 2005 (MCA). We checked whether the service was working within the principles of the MCA and how they managed DoLS within the service. We found that staff and management worked within the MCA. DoLS authorisations were appropriately applied for and overseen. People were not subject to unlawful or excessive restrictions they had choice, control and freedom over their lives. For example, keypads on the front door and gate prevented those who were not safe to leave independently from doing so. This enabled people to enjoy the care home and gardens safely. Processes were in place to ensure people who were not subject to legal restrictions could access exits independently.

People's needs were comprehensively assessed before and during their stay at the service, with assessments informing person-centred care plans that reflected people’s needs and personal preferences. One person told us, “They asked a lot of questions about what you need and like,” while another said, “It was a smooth transition, there were no issues.” Care was delivered in line with people's assessed needs and current good practice guidance, supporting people to maintain their health, independence and wellbeing. For example, a person described how staff encouraged them to maintain their mobility, saying, “I’m a bit lazy with it, but they make me walk with the walker. They come behind me with the wheelchair in case I need to sit down.” Staff worked effectively with health and social care professionals to monitor people's health and improve outcomes, including ensuring people had regular access to the local GP surgery, which provided daily telephone support to the service and weekly onsite visits. People were supported to make their own decisions and their rights around consent were respected. Where people lacked capacity to make specific decisions, staff followed the principles of the MCA, completed well-documented best interest decisions and involved families and relevant professionals to ensure people's wishes and preferences remained central to the care they received. Staff demonstrated a good understanding of supporting people with fluctuating capacity and more complex decision-making needs.

People were treated with kindness, dignity and respect by staff who had developed caring and compassionate relationships with them. We observed staff interacting with people in a warm, respectful and considerate manner, maintaining people's privacy and dignity while providing support. Staff encouraged people to remain as independent as possible and supported them to make choices about their care and daily lives. The environment had signage supporting people, including those living with dementia, to navigate the home independently. One person told us, “They encourage you to wash your own face and whatever. You don’t have to, but they encourage you to,” Another person said, “They ask if I want any help and if I do, they help me,” reflecting how people remained in control of the support they received. Relatives and professionals consistently described the service as warm and welcoming and spoke positively about the caring relationships staff had developed with people, recognising the personalised and respectful approach taken to support people's wellbeing.

People received person-centred care that reflected their individual needs, preferences and wishes, and they were actively involved in decisions about how their care was planned and delivered. A person said they were consulted when, “Things crop up when you need things changed.” Staff worked in partnership with people and, where appropriate, their families to review care and respond to changing needs, ensuring people remained at the centre of decision-making. The provider encouraged people and their relatives to share feedback, raise concerns and contribute ideas about the service, and people were kept informed about changes made because of their views. Staff worked proactively with healthcare professionals to promote people's physical health and wellbeing, helping to identify concerns early, reduce risks and improve outcomes. Care records demonstrated that people's progress and outcomes were regularly monitored, reviewed and communicated effectively across the staff team, ensuring people experienced consistent, equitable care that met their individual needs.

The service was well led by a visible and supportive leadership team who promoted a positive, open and inclusive culture where people, staff and visitors felt valued, listened to and welcomed. We received consistently positive feedback about the registered manager, with 1 person saying, “She’s a very pleasant person. Very caring and sincere,” and another commenting, “She’s very good. She’s nice. She comes here and has a chat with you. “Governance systems supported oversight of the service, while feedback, shared learning and reflective practice were used to drive continuous improvement and maintain high standards of care. Learning and good practice guidance were shared through meetings, and day-to-day discussions, and staff described an open culture where they felt supported, valued. Staff said they were proud to work at the service and were committed to providing people with good care and positive experiences.

28 January 2019

During a routine inspection

We carried out an unannounced comprehensive inspection on 29 January 2019.

Manorfield Residential Home is a care home without nursing for up to 28 people. On the day of our inspection there were 27 people living at the service. It specialises in care for older people some who are living a physical disability, sensory impairment and living with dementia.

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.

There was a registered manager in post. 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.

At the last inspection on 2 August 2016, the service was rated Good. At this inspection we found the evidence continued to support the rating of Good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

Why the service remains Good:

We met and spoke with most of the people living in Manorfield Residential Home during our visit, however, not all people were able to fully verbalise their views. We therefore spent time observing people with the staff supporting them. Others could tell us about the care and support they received. Staff told how they used other methods of communication with people who could not verbally express their views, for example the use of pictures.

People remained safe at Manorfield. People who were able to told us they felt safe living there. Comments received about the service included; “You don't ever feel left on your own, so I feel safe.” Relatives said; “We know our relative is safe and happy and we can visit or call any time and staff are always friendly and helpful” and “My relative is safe.”

People continued to receive their medicines safely from staff who had received regular training. People were protected by safe recruitment procedures. This helped to ensure staff employed were suitable to work with vulnerable people. People, relatives and the staff team confirmed there were sufficient numbers of staff to keep people safe. Staff confirmed they could meet people’s needs and support them when needed.

People’s risks were assessed, monitored and managed by staff to ensure they remained safe. Risk assessments were completed to enable people to retain as much independence as possible.

People continued to receive care from a staff team that had the skills and knowledge required to effectively support them. Staff had completed safeguarding training. Staff without formal care qualifications completed the Care Certificate (a nationally recognised training course for staff new to care). The Care Certificate training looked at and discussed the Equality and Diversity and Human Rights policy of the company.

People continued to receive a caring service. People were observed to be treated with kindness and compassion by the staff who valued them. The staff, many of whom had worked at the service for several years, had built strong relationships with people. All staff demonstrated kindness for people through their conversations and interactions. Staff respected people’s privacy. People or their representatives, were involved in decisions about the care and support people received.

People were supported to have maximum choice and control of their lives and, staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice. People’s wishes for their end of life were clearly documented. People's healthcare needs were monitored by the staff and people had access to healthcare professionals as required.

People’s care and support was based on legislation and best practice guidelines, ensuring the best outcomes for people. People’s legal rights were upheld and consent to care was sought. People who required assistance with their communication needs had these individually assessed and met. This meant people were able to communicate their choices about their day to day lives. The provider had a complaints policy in place and records showed all complaints had been fully investigated and responded to.

The service responded to people's individual needs and provided personalised care and support. People’s equality and diversity was respected and people were supported in the way they wanted to be. Care plans were person centred and held full details on how people’s needs were to be met, taking into account people’s preferences and wishes. Information held included people’s previous history including medical and family history. People’s cultural, religious and spiritual needs were also documented.

The service continued to be well led. Clear leadership and governance was provided with the provider’s governance framework, monitoring the management and leadership of the service. The provider’s values and vision were embedded into the service, staff and culture. The provider had monitoring systems which enabled them to identify good practices and areas of improvement. People, relatives and staff said the registered manager was approachable and made themselves available to speak to people. The provider and the management team listened to feedback and reflected on how the service could be further improved.

People lived in a service which had been designed and adapted to meet their needs. The provider monitored the service to help ensure its ongoing quality and safety.

2 August 2016

During a routine inspection

Manorfield Residential Home is registered to provide support and accommodation for up to 28 people. It provides a service to people which includes older people, people living with a physical disability, sensory impairment and some people living with dementia. It also provides respite care. On the day of our visit there were 27 people who used the service.

There was a registered manager in post. 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 and relatives said they felt safe and secure and had no concerns about safety at the home. Staff understood local safeguarding procedures. They knew what action to take if they were concerned that someone was at risk of abuse. Risks to people’s safety were assessed and reviewed. People received their medicines safely.

Thorough recruitment processes were in place for newly appointed staff to check they were suitable to work with people. Staffing numbers were maintained at a level to meet people’s needs safely.

Staff received regular training and there were opportunities for them to study for additional qualifications. Staff were supported by the management through supervision and appraisal. Team meetings were held and staff had regular communication with each other at handover meetings which took place between each shift.

Staff understood how people’s capacity should be considered and had taken steps to ensure that people’s rights were protected in line with the Mental Capacity Act (MCA) and Deprivation of Liberty Safeguards (DoLS). We found the registered manager understood when an application should be made and how to submit one.

People were supported to have sufficient to eat and drink and to maintain a healthy diet. They had access to healthcare professionals.

People were supported by kind and caring staff who understood their job role. Staff took time to engage with people, providing reassurance and support. People had developed relationships with staff and told us the staff were kind, caring and that they treated them respectfully. Staff understood how to care for people in a sensitive way.

People were involved as much as possible in planning their care. Care plans provided information about people’s support needs. The registered manager and staff were flexible and responsive to people's individual preferences and ensured people were supported to live the life they wanted, in accordance with their needs and abilities. People were encouraged to maintain their independence and to participate in activities that interested them. People were supported to express their religious beliefs and to maintain their cultural or religious needs

The service was well led. The registered manager operated an open door policy and welcomed feedback on any aspect of the service. The registered manager senior staff monitored the delivery of care.

A system of audits were in place to measure and monitor the quality of the service provided and this helped to ensure care was delivered consistently. Suggestions on improvements to the service were welcomed and people’s feedback encouraged.

There was a clear complaints policy and people knew how to make a complaint if necessary.

10 April 2014

During a routine inspection

We considered all of the evidence we had gathered under the outcomes we inspected. We used the information to answer the five questions we always ask:

Is the service safe?

Is the service effective?

Is the service caring?

Is the service responsive?

Is the service well-led?

Below is a summary of what we found. The summary is based on our observations during the inspection, speaking with people who use the service, their relatives, the staff supporting them and from looking at records.

If you want to see the evidence supporting our summary please read the full report.

Is the service safe?

We saw people were treated with dignity and respect by the staff. People told us they trusted the staff and felt safe when staff supported them. The service had a robust safeguarding policy and staff received safeguarding vulnerable adults training as part of their induction. Staff told us how they would identify and respond to any safeguarding concerns. Management and staff were aware of their responsibilities to report safeguarding concerns and demonstrated who they would report these to.

Systems were in place to ensure managers and staff responded to incidents and accidents, concerns and complaints. These meant risks to people were identified and actions were put in place to reduce those risks. The home had identified procedures to manage Deprivation of Liberty Safeguards. Where they had identified people lacked capacity to make decisions they had not recorded their assessment of this. Staff had received relevant training in the Mental Capacity Act and Deprivation of Liberty Safeguards.

The service was purpose built to accommodate people with physical support needs and was all on one level. People could access all parts of the building through corridors. There were alcoves in the corridors where people could sit if they need a rest or wanted to be away from the main communal areas. The service was in good decorative order and showed it was well maintained.

The provider and manager undertook regular checks on the service to include the safety of the environment, risk assessments, confidentiality and content of records. The service was safe, clean and hygienic and staff regularly carried out regular infection control audits.

Is the service effective?

People's care needs were assessed and care plans were written based on the person's identified needs. One person told us: "I was involved in writing my care plan and I could tell them what was important to me and they listened to me." Where people required specialist equipment this had been provided. People were referred to see health care specialists when necessary.

A relative told us: "I do not worry about my relative being here as I know they are receiving the best care available. The staff always pick up if they are not well and they are seen immediately by a GP."

Is the service caring?

We saw staff engaging in conversation with people as they supported them. People were addressed by their preferred name and were asked before staff supported them. A person told us: "The staff are all very helpful and ask me what I want before they help me." A relative told us: "The staff at Manorfield are wonderful. I visit regularly and have never seen or heard anything but kindness and compassion." We observed people were encouraged to maintain their privacy and staff knocked on their room doors before entering.

We saw satisfaction surveys from people and their relatives which were all positive. Where concerns had been raised we saw how these had been addressed.

People were involved in their care plans and where necessary best interest meetings were held to ensure decisions made on behalf of the person were supported by professionals and relatives.

Is the service responsive?

There were a number of arranged activities available to people during the week. People were able to choose if they wished to join in group activities. The service had their own minibus and people told us they went out to attractions and activities of their choice.

People told us they knew how to make a complaint although they had not made any complaints. The service had a complaints policy and the manager told us how they would respond to a complaint. The service had a suggestion box for people and their relatives. We saw the service had received a comment about the chairs in the corridors being too low and saw how the service had responded to this by ordering new chairs.

Each person had an essential information record which could go with them should they be admitted to hospital. This contained essential information about the person's communication, likes and dislikes.

Is the service well-led?

We saw records of how the service worked well with visiting health professionals and other agencies. A relative told us: "On the rare occasion I have had to make a comment about my relative's health, management have arranged for the GP to visit and made changes to the care plan immediately."

The provider had a quality assurance system in place where they carried out an audit every month. This produced an action plan which we saw had been responded to by the manager. This meant the quality of the service was monitored and action taken to improve the quality of the service provided on a regular basis. We saw examples of an increase in support for one person having a spate of falls. This showed the service was learning from accidents and incidents and responded appropriately to these.

Staff told us they received regular supervisions and appraisals and were encouraged to attend training events and undertake professional qualification courses. One member of staff told us: "Communication is great here and we have a good staff team. I know I can speak to the manager at any time and they will listen to what I have said." This helped to ensure people received a consistent standard of care and a good quality of service.