Manor House Care Home LTD

Manor House Care Home Ltd provides accommodation with personal care for up to 16 mainly older people some living with dementia. There were 11 people using the service at the time of our inspection. The service is in one adapted building over two floors.

People’s experience of using this service and what we found

People were supported by a staff team who understood people’s needs. However, the changing needs of a person had not been effectively communicated to the family. A relative told us they were disappointed. We judged no harm had come to the person and other professionals were involved to help support staff. The registered manager acknowledged the delay and assured us they would address the issue with immediate effect.

We recommend the service continues to ensure the environment is suitably maintained and decorated.

Risks were identified, assessed and monitored. Staff knew how to protect people from known risks while supporting their independence. Where a person’s needs had changed the service had involved other professionals to help support the staff team and had made changes in the environment to support the person.

There were generally enough staff to meet people's needs and ensure their safety. Due to the layout and design of the service, this meant there were times when no staff were in certain areas. However, the call system was effective and there had been no increase in accidents or injuries. Staff told us they were alerted to any call bells and responded quickly. The registered manager also supported when staff were busy.

Appropriate recruitment procedures ensured prospective staff were suitable to work in the home.

There was equipment available to support staff in providing safe care and support. Health and safety checks of the environment and equipment were in place.

There were processes in place to prevent and control infection at the service.

Systems to assess and monitor the quality and safety of the care provided were in place. They were effective in assessing quality and identifying and driving improvement.

Peoples medicines were managed safely. Staff had the necessary training and skills to administer medicines. Oversight was in place to ensure medicines were managed safely.

Staff told us, and records demonstrated that they had received the training they needed to meet people’s needs safely and effectively. The registered manager maintained oversight of training to ensure staff had the necessary training, knowledge and skills to provide consistent care.

Staff were supported in their roles through a plan of supervision. Staff told us they felt supported by senior staff and the registered manager. A staff member told us, “We are really well supported, and the office door is always open for us.”

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 living at Manor House Care Home Ltd had care plans which detailed their needs and preferences. There was no formal approach for the staff team to engage people in activities. We observed staff support people on a one to one basis. Staff told us there were also small group activities.

People were supported to eat balanced diet and drink enough to keep hydrated.

The management team maintained oversight of complaints, accidents and incidents and safeguarding concerns. The management team engaged well with health and social care professionals. The service had clear and effective governance systems in place.

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

This service was registered with us on 15 November 2021 and this is the first inspection.

The last rating for the service under the previous provider was Good, published on 1 December 2020.

Why we inspected

This was the first inspection since the provider registered with the commission.

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 that the service can respond to COVID-19 and other infection outbreaks effectively.