We carried out a review of the data available to us about The Manor House on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about The Manor House, you can give feedback on this service.
People’s experience of using this service: The outcomes for people reflected the principles and values of Registering the Right Support in the following ways; people’s support focused on them having as many opportunities as possible for them to gain new skills and become more independent. People received planned and co-ordinated person-centred care which was appropriate and inclusive for them.
Staff were knowledgeable about safeguarding and were confident to report any concerns. Systems were in place to recruit staff safely. People received their medicines as prescribed.
People were supported with good nutrition and could access appropriate healthcare services. People’s wellbeing was monitored and promoted.
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 were involved in planning and reviewing their care and support.
Staff were equipped with relevant skills. They worked with people to overcome challenges and promote their independence. The emphasis of support was towards enabling people. Staff encouraged positive risk taking so people could experience new opportunities. This led to people feeling fulfilled and living an active life.
The registered manager and staff team promoted the values of promoting choice and control and independence and inclusion. People were supported to achieve their own goals and be safe. Systems were in place to monitor the quality and safety of the service. The registered manager and staff were keen to drive improvement that would impact positively on people’s lives.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection: Good (report published 11 October 2016).
Why we inspected: This was a planned inspection based on the previous rating.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.
This inspection took place on 02 and 05 September 2016 and was unannounced. The service was last inspected in April 2013 and was found to be compliant with the regulations inspected at that time.
At the time of this inspection 14 people were living at the service.
There was a registered manager in post. A registered manager is a person who has registered with the CQC to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have a legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
Staff were aware of their responsibilities to keep people safe and could describe to us the signs of abuse the may witness or become aware of. The records we looked at showed staff had received regular training in this area which included how to report abuse to the investigating authorities. Staff, who had been recruited safely, were provided in enough numbers to meet the needs of the people who used the service. All areas of the service were clean and tidy and people’s rooms reflected their personalities and interests. They had pictures of their favourite things on the walls and personal possessions on display. Some people had lap top computers and every one had a television. People received their medicines on time and as prescribed by their GP. Staff had received training in the safe handling of medicines and this was updated regularly. The supplying pharmacist audited the service’s medicines processes annually.
People were provided with a wholesome and nutritional diet which was of their choosing. This was monitored closely by staff and health care professionals involved when needed. People who used the service were actively involved with formulating menus and preparing the food. Staff had received training which equipped them to meet the needs of the people who used the service, this was updated regularly and they were supported to achieve further qualifications in care. Staff were provided with specialist training on specific subjects relevant to the need of the people who used the service, for example, autism and behaviours which could challenge the service and put people at risk of harm. People were supported to access health care professionals when required, for example, GPs and nurses. Systems were in place for people who needed support with making informed choices and decisions; and their human rights were upheld.
People were supported by staff who were kind and caring and understood their needs. Staff understood the importance of upholding people’s human rights, dignity and right for privacy. A large emphasis was placed on maintaining and upholding people’s independence as staff felt this gave people a purpose in life.
Staff had access to information which described the person and their preferences for how care was delivered. People or their representatives had been involved with the formulation of care plans; this made sure people received support which was of their choosing and they had agreed. Emphasis was placed on ensuring people had access to the local community and undertook meaningful activities and occupations. People were assigned roles and responsibility with regard to the running of the service which matched their skills, strengths and interests, for example, cooking, maintenance and administrative duties. The registered provider had systems in place which enabled people who used the service or others to raise concerns or complaints. Investigations were time limited and responses were made to all complainants. All complaints were recorded and documented and the complainant was signposted to other agencies if they were not happy with the way their complaint had been investigated.
The registered manager and staff were approachable and had a good, friendly rapport with the people who used the service. People who used the service were consulted about the running of the service and their opinions and suggestions were used to change the service; for example meals, activities and outings. Audits were undertaken and action taken to rectify any shortfalls. Equipment was maintained and serviced and the premises were maintained by specified staff.
We saw that where someone had difficulty making informed decisions, meetings had been held which involved health care professionals and others who had an interest in the care the person received.
A person who used the service told us. 'I like to watch television and play the guitar'. Another person told us they liked bowling and in particular looked forward to having one to one time with their key worker.
People who used the service told us that; 'Staff are very good and I feel very safe here.' and 'Staff treat me with respect.'
We looked at a number of people's rooms which were individualised and were personalised to suit their personal needs.
We saw there was a training plan in place which ensured all staff had training updated regularly. The training needs analysis plan identified certain training as essential for all staff.
People who used the service told us that they knew how to make a complaint and who to make the complaint to is they needed to. A person went on to say, 'I have made complaints in the past to the manger and staff have always dealt with them.'
We saw that care records were held securely and were made available to us at the time of the inspection.
People's views and experiences were taken into account in the way the service was provided and delivered in relation to their care. One person told us "We have meetings where we discuss activities and decide on days out. We discuss menus and things are changed on the menus after the meetings."
People were aware of their care plans and had been involved in the development of these. They told us they were well cared for. One person told us that they had been supported to manage their specific health need and they told us "I have got healthier."
People were protected from the risk of abuse because the provider had taken reasonable steps to identify the possibility of abuse and prevent abuse from happening. People who used the service told us that they had regular meetings where any concerns could be addressed. They told us they had a key worker and felt comfortable talking about concerns with the staff.
Staff had not always had all the training they needed to support people safely.
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