Manorhey Care Centre

Updated 22 September 2022

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

The inspection was carried out by two inspectors and two Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Manorhey Care Centre 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. Manorhey Care Centre 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 service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

At the time of our inspection there was not a registered manager in post. A new manager was due to start at the service.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

Before the inspection we asked the local authority for their views about the service. We also looked at the information we had about the registered provider, including people's feedback and notifications of significant events affecting the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.

During the inspection

We spoke with 10 people who used the service and six relatives about their experience of the care provided. We spoke the regional director, service manager and eight staff. We considered all this information to help us to make a judgement about the home. We looked at a range of records relating to the management of the home. This included four care plans, quality assurance records, two staff recruitment files, medicines records and health and safety checks.

Updated 22 September 2022

Manorhey Care Centre is a nursing care home providing personal and nursing care to up to 83 people including those living with dementia. At the time of our inspection there were 79 people using the service.

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

People told us they felt safe and were well cared for by staff who treated them kindly and with respect.

Staffing levels were sufficient to meet people's needs. However, some staff felt they could sometimes be short staffed. The service manager confirmed they would review the staffing levels further.

Risks to people's safety had been identified and assessed. During the tour of the home we identified a potential safety concern. On the corridors we found vinyl gloves were easily accessible to people particularly on the dementia ground floor. During the inspection the service manager resolved these potential hazards on all floors when we brought this to their attention.

People lived in an environment which was well maintained and clean, with safe infection control and prevention measures.

Staff had attended training relevant to their roles including safeguarding. Any concerns were recorded, investigated and reported to relevant authorities. All incidents were reflected upon for learning and improvement.

Medicines were managed safely. Staff received training and had their competencies checked to ensure safe practice. Regular audits and checks were completed on all aspects of medicine administration.

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.

The provider had systems in place to monitor the quality of the service. The provider sought feedback from people and used this to develop the service. The service manager worked well with other professionals and took appropriate actions when required.

Rating at last inspection

The last rating for this service was good (published 24 June 2021).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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.

We did not inspect the key questions of effective, caring and responsive.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the

overall rating.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for

Manorhey Care Centre on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our inspection programme. If we receive any concerning information we may inspect sooner.