Archived: Manor Park Care Home

Updated 29 December 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 30 November 2018 and 5 December 2018 and was unannounced. An adult social care inspector and an expert-by-experience conducted the inspection. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Prior to the inspection we reviewed all of the information we held about Manor Park, including any statutory notifications that the provider had sent us and any safeguarding information we had received. Notifications are made to us by providers in line with their obligations under the Care Quality Commission (Registration) Regulations 2009. They are records of incidents that have occurred within the service or other matters that the provider is legally required to inform us of.

We contacted North Tyneside’s local authority contracts monitoring team, adult safeguarding team, care management teams and the local fire service to obtain their feedback about the service. We also asked the provider to complete a Provider Information Return (PIR) prior to the inspection. The PIR is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. All this information informed our planning of the inspection.

During the inspection we spoke with four people who lived at Manor Park and one relative. In addition, we spoke with two members of care staff, one registered manager and the operations director. We reviewed two people’s care records in depth and reviewed others. We also looked at the information kept regarding the management of the service. This included looking at three staff files and records related to the quality and safety of the service.

Updated 29 December 2018

This inspection took place on 30 November 2018 and 5 December 2018 and was unannounced. This meant the staff did not know we would be visiting.

Manor Park is a ‘care home’. People in care homes receive accommodation and personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection. The service is registered to support 14 adults who have mental health related needs and/or a learning disability. At the time of our inspection there were eight people living at Manor Park.

This care service was making good progress towards developing the service to be in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary life as any citizen.

In January 2018, the provider re-registered under a new name, Renal Health Limited. However, the owners have remained the same. Under their previous name, Turnberry Services Limited, the service was rated good and at this inspection the service maintained their good rating.

The service had two registered managers. 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. One registered manager was present during our inspection.

The management team had a long employment history of working with people with mental health related conditions and/or a learning disability. They were well established in their roles having known some of the people who used the service for some time. There had recently been some changes to the staff team and structure which people, a relative and staff told us had been positive. Staff told us they enjoyed working at Manor Park and felt valued by their managers.

People felt safe living at Manor Park with the support from the staff. Accidents and incidents, including safeguarding matters were recorded, investigated and reported in a timely manner to the local authority or CQC as necessary. A registered manager analysed and monitored these to review people’s care needs, risk assessments and to update risk management plans.

Risks associated with the health, safety and well-being of people were well managed. Individual care needs had been assessed for risks related to daily living. We saw these were regularly reviewed. The provider ensured regular checks of the property, equipment and utilities were carried out in line with their legal responsibilities as the landlord.

Medicines were managed safely and in line with best practice guidance. Medicine administration records were orderly, detailed and up to date. Medicines were stored in a safe and secure place. Staff followed a medicine policy and procedures regarding the safe receipt, storage, administration, recording and disposal of medicines.

There were enough staff employed to meet people’s needs; people and a relative confirmed this. Staff were recruited safely and recruitment processes were strong. Staff training was up to date, and the team had a mix of skills, knowledge and experience. Staff had opportunities to enhance their skills and knowledge and all were qualified in health and social care.

The registered managers supported staff through supervision and appraisals which were held regularly and recorded. Competency checks were carried out to ensure staff remained competent in their role.

Staff and ‘resident’ meetings took place and we reviewed the minutes of previous meetings. We saw people and staff had an opportunity to raise any issues with the management team.

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 nutritional needs were met. People enjoyed plentiful meals which were prepared by the staff. We observed everyone enjoyed their meals. Most people chose a meal from the planned menu and we also saw people chose different food or snacks when they preferred. External healthcare professionals were involved with people’s care to meet their changing needs and to promote good health and well-being.

Staff knew people well and we observed they treated people with respect and ensured their privacy and dignity were maintained. People and a relative told us staff were kind and caring.

People’s needs were assessed and reviewed with the involvement of the person, any relatives and external professionals. Care plans were person-centred and they detailed the care and support people currently needed. People or those acting legally on their behalf had consented to the care and support received.

Staff supported people to engage and maintain a social life with their family and friends. Relatives and friends were made to feel welcome at Manor Park. Most people were independent and accessed the community themselves or with support from staff. Those people who liked to join in with communal activities participated in events held at a sister home located nearby.

The registered managers had responded to the low number of complaints received. Complaints were investigated and managed in a timely manner with a positive outcome. People said they had nothing major to complain about but felt comfortable to tell the staff or a manager if something was wrong.

The quality and safety of the service was regularly checked and monitored. Staff conducted daily and weekly checks which were overseen by the registered managers. The registered managers carried out further audits which they analysed to look for trends or patterns which may suggest there are areas of the service which need to be improved.

People, relatives and staff were asked for feedback. Surveys had been issued to gather their feedback and opinions about the service. The registered managers collated the responses and evaluated them to gather an overall opinion. An action plan was drafted to address the issues raised.