Background to this inspection
Updated
19 April 2016
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 7 March 2016 and was unannounced. It was carried out by one inspector.
Before we visited the service we reviewed the information we held about it. We reviewed the information we held about concerns or complaints and received feedback from the local authority’s quality monitoring team.
During the inspection we spoke to three people using the service, three members of staff as well as a team leader and the registered manager of the home. We also spoke with a family member of a person living at the home.
We reviewed records associated with the care of people, this included medicines records. We checked recruitment records for three staff and training records for the staff team. We also reviewed records associated with the safety, quality and management of the service.
Updated
19 April 2016
This inspection took place on 7 March 2016 and was unannounced. At our previous inspection in May 2014, we found the provider was meeting the regulations in relation to all the outcomes we inspected.
Manor Farm provides accommodation and residential care for 17 older people. At the time of our inspection the home was providing support to 11 people. The home had a registered manager in post. 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.
Systems were in place to protected people from the risk of abuse because staff had received appropriate support and training. This enabled them to identify the possibility of abuse and take appropriate actions to report and escalate concerns. Risks were assessed and managed appropriately. Risk assessments were person centred, detailed and responsive to people's needs. There were systems in place to monitor the safety of the environment and equipment used within the home. There were arrangements in place to deal with emergencies.
There were safe staff recruitment practices in place and appropriate recruitment checks were conducted before staff were employed ensuring people were supported by staff that were suitable for their role. There were processes in place to ensure new staff were inducted into the home appropriately and staff received regular training, supervision and annual appraisals. Staff were aware of the importance of gaining consent for the support they offered people. The registered manager and staff were able to demonstrate their understanding of the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards legislation.
People were supported to maintain good health and had access to a range of health and social care professionals when required. People's nutritional needs and preferences were met. Medicines were managed, stored and administered safely.
Staff demonstrated a good understanding of the needs of the people they supported and could describe peoples' preferences as to how they liked to be supported. Staff spoke with and treated people in a respectful and caring manner and interactions between people, their relatives and staff were relaxed and friendly. The atmosphere in the home was open, friendly and welcoming. People felt that the registered manager and staff were approachable.
People received care and treatment in accordance with their identified needs and wishes. Care plans documented information about people's personal history, choices and preferences, preferred activities and people's ability to communicate. Staff respected people's privacy and dignity. People and their relatives were made welcome in the home. People were supported to engage in a range of activities that met their needs and reflected their interests.
There were systems and processes in place to monitor and evaluate the quality of the service provided. The management of the home's records were maintained to a good standard. We found the records we inspected were clear and easily accessible. There was a complaints policy and procedure in place and information on how to make a complaint was on display in the reception area of the home so it was accessible to all.