Archived: Manor Park Care Home

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.