Karuna Manor

Updated 24 November 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.

Inspection team.

This inspection was carried out by 3 inspectors, 1 of which was a medicines inspector and there were also 2 Experts 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

Karuna 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. Karuna 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

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. We used all this information to plan our inspection.

During the inspection

We spoke with 16 people using the service and 11 relatives. In addition, we spoke with 2 nursing staff, 1 senior care worker, 2 team leaders, 1 activity coordinator, 1 care worker and the registered manager. We also reviewed a range of records including 12 people's medicine records, 6 care plans, risk plans and health and safety files. After the inspection we reviewed a range of management documents for example audits, policies, case studies and training information.

Updated 24 November 2023

About the service

Karuna Manor is a nursing home providing personal care to up to 60 people.

The service provides support to older people and people living with dementia. At the time of our inspection there were 59 people using the service. The home is an adapted building across 3 floors. One floor specialises in providing care to people living with dementia. A second floor supports people with nursing needs and the third floor supports people with care needs.

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

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 leadership team and staff strived for excellence and had high standards of care. Staff provided excellent care. The service promoted an open culture which was inclusive and empowering. Everyone we spoke with praised the management team. The home had won and been nominated for many prestigious awards including a double platinum in investors in people and a world class hospitality award. This meant that people were supported by a team with high aspirations and would go the extra mile to provide excellent quality care. Robust governance systems and processes were in place to ensure all aspects of care delivery was monitored and checked for quality, driving forward improvements. The service had multiple examples of people's outcomes exceeding expectations. The provider had several examples of working in partnership with other key organisations, setting up key projects, creating champion role for dementia, inclusion, and end of life care in line with their strategies.

The service was exceptionally responsive to people’s needs. People were at the heart of everything they did. The staff team were very passionate about providing quality care. There was always a dedicated wellbeing team present this meant people could be confident that their wellbeing was always a priority. There was a wellbeing framework in place which focused on staff and people. They excelled in providing support to people at the end of their life. Families told us how well their loved ones were supported at the end of their life, people’s end of life wishes were respected by a very well-trained compassionate team. The provider had a clear complaints process in place. Everyone we spoke with knew how to make a complaint. The senior management team had excellent oversight of all processes and examined incidents in detail to ensure they learned valuable lessons.

People and relatives told us they felt safe living at the home. Medicines was managed safely overall. We have made a recommendation about medicines. People were protected from abuse because staff understood the signs of abuse and how to report it. Staff were recruited safely. People were protected from the spread of infection because staff used personal protective equipment and had training in infection, prevention, and control. Risks of harm to people were monitored and managed well.

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 (published 14 November 2017).

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.

Follow up

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