The Manor - Care Home Physical Disabilities

Updated 18 June 2022

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.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was undertaken by one inspector.

Service and service type

The Manor - Care Home Physical Disabilities is a ‘care home’ without nursing care. People in care homes receive accommodation and personal care as a single package under one contractual agreement dependent on their registration with us. is a care home. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. 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 reviewed information we had received about the service since the last inspection. We sought feedback from two social workers, the local authority contracts’ team and professionals who work with the service. 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 three people and five relatives of people using the service. We also spoke with nine staff including the operations' manager, deputy manager, team leaders, care support workers, administration, kitchen and housekeeping staff.

We reviewed a range of records. This included three people’s care records and medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service were also reviewed, including training records, incident records, compliments, quality assurance processes and various policies and procedures.

What we did after the inspection

We sought assurance about actions relating to infection prevention and control.

Updated 18 June 2022

About the service

The Manor - Care Home Physical Disabilities is a purpose built two storey residential care home with three adjacent bungalows. It is able to provide support for up to 22 people. At the time of the inspection there were 20 people using the service. Each person’s accommodation included ensuite facilities. There is a communal lounge/dining area and an area where people can undertake hobbies, interests and pastimes in an accessible way.

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

Although staff received up to date training on infection prevention and control practices, there were poor practices in place which put people at risk of infections and cross contamination. The provider told us they would urgently address these matters. However, until we identified these issues people were at risk of harm

Staff understood how to protect people from poor care and abuse. The service worked with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it.

People’s care plans were an accurate reflection of the support they needed to mitigate risks and stay safe. The service had enough appropriately skilled staff to meet people's needs and keep them safe.

Staff supported people with their medicines in a way that respected their independence and achieved positive health outcomes.

Lessons were learned when things went wrong and actions were taken to prevent recurrence.

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.

People and those important to them, including advocates, were involved in planning their care. This enabled people to be able work with staff to develop the service. Staff evaluated the quality of support provided to people, involving the person, their families and other professionals as appropriate. Audits, monitoring systems and oversight of the service were mostly effective.

For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 20 February 2018).

Why we inspected

We undertook this inspection as part of a random selection of services which have had a recent Direct Monitoring Approach (DMA) assessment where no further action was needed to seek assurance about this decision and to identify learning about the DMA process.

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 inspect.