Archived: Manorfield House

Updated 9 September 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 13 and 14 July 2016. The first day of the inspection was unannounced which meant the staff and registered provider did not know we would be visiting. We informed the registered manager of our visit on the 14 July 2016. The inspection team consisted of an adult social care inspector.

Before the inspection, providers are asked to complete a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

We reviewed all the information we held about the home, including previous inspection reports and statutory notifications. We contacted the local authority and Healthwatch. We were not made aware of any concerns by the local authority. Healthwatch told us they had no information on Manorfield House. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.

At the time of this inspection there were 10 people living at the service. We spoke with the registered manager and three members of staff. We were informed by the registered manager that Manorfield House is scheduled for closure though no date has been set. We spent time with four people who used the service. We spoke on the telephone, with four relatives of people who used the service. We also spent some time looking at documents and records that related to people’s care and support and the management of the service. We looked at four people’s care plans and medication records.

Updated 9 September 2016

This inspection took place on 13 and 14 July 2016 and was unannounced. At the last inspection in May 2014 we rated the service as good.

Manorfield House is purpose built and accommodation is on two floors to provide care for up to 27 older people. All of the bedrooms are single occupancy and have en-suite toilet facilities. Communal lounges, conservatory, a dining room and bathing facilities are provided. There is easy access to all the local facilities including shops.

The service has a registered manager. 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.

The registered manager informed us the service is earmarked for de-commissioning in the future by the Local Authority. The registered manager reported although no date had been confirmed for this. People told us they were happy with the care provided and in discussion their relatives confirmed this. People who used the service told us the staff were caring and they liked the registered manager. During the inspection we observed staff spending time with people and it was clear they knew the people they were supporting. Staff were able to tell us about people’s history, likes and preferences.

People who used the service and their family were involved in the care planning process and helped identify how their care should be delivered. Care plans described what staff needed to do to make sure people’s needs were met and covered areas that were important to the person. A range of other professionals were involved to help ensure people stayed healthy.

Care plans and risk assessments were reviewed on a monthly basis and were user friendly so that staff were able to understand the required needs of the people who used the service. This ensured that accurate and up to date information was provided.

People told us there were enough staff to give them the support they needed and this was confirmed in our observations. Staff told us they had received training, the records we looked at reflected this. This meant people could be confident staff had the skills to meet their needs.

Staff received training in the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS) and they were able to demonstrate a good understanding of how it was used in practice.

The provider’s staff recruitment and selection procedures were robust which helped to ensure people were cared for by staff suitable to work in the caring profession. All the staff we spoke with were aware of signs and symptoms which may indicate people were possibly being abused and the action they needed to take.

People told us the care they received was effective and they received appropriate healthcare support. We saw people were referred to relevant healthcare professionals in a timely manner.

People told us they had a good choice of food and they were encouraged to participate in a range of appropriate social and leisure activities.

There was an effective quality assurance monitoring system in place which quickly identified any shortfalls in the service and there were systems in place for staff to learn from any accident, incidents or complaints received.