Archived: The Old Manor House

Updated 27 September 2017

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.

We undertook an announced focused inspection of the Old Manor House on 5 September 2017. This inspection was completed to check that improvement had been made to meet legal requirements after our comprehensive inspection on 16 March and 6 April 2017. We inspected the service against one of the five questions we ask about services; is the service Effective? This is because the previous concerns in the warning notice were in relation to this question.

The inspection was carried out by one inspector. Before our inspection we reviewed the information we held about the home. This included the information from the service regarding what steps they would take to meet the legal requirements.

We spoke to the registered manager, the operations manager and two people who lived at the service. We reviewed three care plans, nine staff files and other records relating to the running of the service.

Updated 27 September 2017

The last comprehensive inspection of The Old Manor House was carried out on the 16 March and 6 April 2017. Breaches of the legal requirements were found. One breach related to staff not always receiving appropriate training to help ensure they were provided with the necessary skills and knowledge for their role. We were concerned that the company induction covered a great deal of information on many important subject areas in a four hour training session. More in depth training which was planned, following the company induction, was not always documented for each staff member. This meant that staff did not receive mandatory training and updates in a timely manner. This regulation had been in breached at an earlier comprehensive inspection carried out in November 2015. Due to the repeated nature of this concern we issued a warning notice to the provider. We carried out this focused inspection on 5 September 2017 to check on the action taken by the provider to address the requirements of the warning notice.

There were two other breaches of the regulations found at the March and April 2016 inspection. One of these related to risk assessments not always being regularly reviewed. For example, medicine self administration and nutritional risk assessments following recorded weight loss. The provider had not followed their own action plan issued to CQC following the previous inspection. For example, the monitoring and regular provision of training for staff. Other concerns related to the lack of regular and effective review of care plans and errors in the recording of people’s money managed by the service. The action taken by the provider to address these concerns will be checked at our next comprehensive inspection.

After the last comprehensive inspection the registered provider wrote to us to say what they would do to meet the legal requirements in relation to the breaches.

This report only covers our findings in relation to the question “Is the service Effective.” You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for The Old Manor on our website at www.cqc.org.uk

The Old Manor House is a care home for up to 14 older people, some of whom were living with dementia. At the time of this focused inspection there were nine people living at the service.

At this focused inspection we found the registered provider had taken effective action to address the requirements of the warning notice and this had been met. However, the overall rating for this service has not been changed following this focused inspection. CQC require a period of time to elapse before we can judge that the service has sustained any improvements made in the way the service is run. We will review the outstanding breaches and the overall rating of the service at our next comprehensive inspection.