The Old Manor House

Updated 4 March 2023

Inspection team

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.

Inspection team

The inspection was carried out by one inspector.

Service and service type

The Old Manor House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and we looked at both during this inspection.

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 announced. We notified the registered manager 24 hours before due to the inspection being undertaken outside normal working hours. We needed to be sure essential staff would be available and there was full access to records.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return. 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 of this information to plan our inspection.

During the inspection

We spoke with the registered manager and deputy manager, 2 staff and 3 residents. Following the site visit, we spoke with 2 relatives. We reviewed a range of records. This included 2 people’s care records. We checked 2 people’s medicines records and looked at arrangements for administering, storing and managing medicines. We looked at 2 staff recruitment files. We looked at records in relation to staff training and supervision. A variety of records relating to the management of the service, including audits, policies and procedures were also reviewed.

Updated 4 March 2023

About the service

The Old Manor House is a residential care home providing personal care to up to 14 people. Some people were living with dementia. At the time of our inspection there were 10 people using the service.

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

The provider had systems in place to protect people from the risk of abuse and people told us they felt safe.

Medicine management systems were generally safe. However, the storage area for medicines was small and cramped with other equipment being stored in the room. The temperature of the room was difficult to manage. We have made a recommendation about this. The recently introduced electronic medicines monitoring system was being reviewed and monitored to ensure records were accurate.

Risk assessments were completed to help identify and minimise risks people faced. Staff had been recruited safely and during the inspection we observed there were enough staff to respond to people's needs and ensure their safety.

Appropriate recruitment procedures ensured prospective staff were suitable to work in the service.

The environment had been refurbished since the previous inspection. It was spacious and there was equipment available to support staff in providing safe care and support. Health and safety checks of the environment and equipment were in place.

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.

Incidents and accidents were managed safely. The registered manager took necessary action to keep people safe and minimise the risk of reoccurrence. Steps were taken to learn lessons if things went wrong.

There were processes in place to prevent and control infection at the service. Additional training and systems had been adopted through the COVID-19 pandemic. There were additional cleaning and safe visiting precautions.

The systems in place to monitor the quality of care within the service were effective. The registered manager promoted a positive person-centred culture and fully understood their responsibilities as a registered manager.

The management team-maintained oversight of complaints and safeguarding concerns. They engaged well with health and social care professionals.

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 27 July 2018.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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.