The Manor Nursing and Residential Care

Updated 9 August 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection, we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was carried out by 1 inspector and 1 assistant inspector.

Service and service type

The Manor is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. The Manor is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

Before the inspection we reviewed the information, we held about the service. This included statutory notifications we had received. Statutory notifications are events, changes or incidents the provider is legally required to tell us about within required timescales. We used all this information to plan our inspection.

During the inspection

We looked at 4 people’s care records to see how their care was planned and delivered. Other records we reviewed included 3 staff recruitment files, staff competency checks, staff training records, accident and incident records, safeguarding, management of medicines and the provider audits, quality assurance and overview of information about the service.

We spoke with 3 people living at the service and 4 relatives. We spoke with 8 members of staff which included nursing and care staff, and the registered and deputy managers.

After the inspection

We looked at records the manager sent us to validate evidence we found and contacted health and social care professionals for their feedback about the service.

Updated 9 August 2023

About the service

The Manor Nursing and Residential Home (hereafter called The Manor) is a nursing and residential service providing personal care in one adapted building. The service provides support to older people some of whom are living with dementia. The service is registered to support a maximum of 22 people. There were 19 people living at the service at the time of the inspection.

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

Staff knew the actions to take to protect people from the risk of harm or abuse. Recruitment processes were in place and checks were carried out before staff started work.

Although, people received their medicines as prescribed we have made a recommendation around governance processes.

Staff followed infection control guidance and had access to Personal Protective Equipment (PPE).

People’s needs and choices were assessed, and their care was reviewed regularly. Care records identified people’s individual risks and how these should be managed to reduce the risk of harm.

People confirmed they were well cared for by staff that had the skills and knowledge to meet their needs. Staff understood their roles and responsibilities and felt well trained. Staff communicated with other health and social care providers to ensure people’s health and care needs were met.

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 were supported to maintain relationships with their families.

Audits were completed by the management team to check the safety and quality of the service delivered. This included competency checks of staff practice.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (19 December 2017).

Why we inspected

We undertook this inspection as part of a selection of services rated Good and Outstanding. We undertook a focused inspection to review the key questions of safe and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained the same. This is based on the findings at this inspection.

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.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for The Manor Nursing and Residential Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.