Mockley Manor Care Home

Updated 18 April 2023

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

The inspection team consisted of 2 inspectors, 2 Expert by Experiences and a Specialist Nurse Advisor (SPA). An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Mockley Manor is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Mockley Manor is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

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 and sought feedback from the local authority. 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 12 staff including the registered manager, deputy manager and clinical lead, the provider’s representative, senior care staff, care staff, a nurse, activities coordinators, chef and a housekeeper. We carried out general observations and spoke with 10 people and 5 relatives for feedback on their experiences of care. We also sought the views of other organisations who work with the home, and health and social care professionals, to find out their views on the care provided. We reviewed 6 care plans, 2 end of life care plans and a range of electronic medicine administration records (EMARs). We also reviewed a range of records relating to the management of the home including audits and quality assurance checks, recruitment records, policies, meeting minutes and maintenance records.

Updated 18 April 2023

About the service

Mockley Manor is a residential care home providing personal and nursing care to 50 people at the time of the inspection. The service can support up to 63 people including younger and older adults, people with physical disabilities and dementia.

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

Staff received safeguarding training to help them identify and recognise potential safeguarding concerns. Overall, risk assessments provided staff with the information they needed to provide care in the safest possible way. Staff told us staffing levels enabled them to keep people safe and deliver the care outlined in people’s care plans. Medicines were ordered, stored and administered safely. We were assured by the infection, prevention and control procedures and there were no restrictions on visiting. Accidents and incidents were recorded, reported and analysed for trends or patterns to minimise the risk of them happening again.

People’s needs were assessed prior to moving to the home, to ensure these could be met safely. Staff shared key information about changes to people's health to ensure their care remained up to date and relevant to their needs. People received access to external healthcare when they needed it. Staff received training relevant to their roles and continuous training and development was promoted. People were given a choice of meals and supported to eat and drink enough to stay healthy. Nutrition champions received enhanced training to improve knowledge and care in this area.

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.

Staff understood the importance of person-centred care and recognised it was important to some people to maintain their preferred routines. People's communication needs were recorded and library books were available in large print and audio. The home had two dedicated staff members who were responsible for planning and supporting people with activities. Staff understood the importance of caring for people at the end of their life. Learning was taken from all complaints received across the provider group and this was shared with people and their relatives.

We received positive feedback from people and their relatives about Mockley Manor Care Home. The registered manager and provider had an open and honest approach if things went wrong with people’s care. Governance systems and checks provided effective monitoring and oversight of the quality and safety of care people received. Relative and resident meetings provided an opportunity for people to give their suggestions and views on how the service could improve. The provider and registered manager were committed to continuous learning and development, to improve care and people’s outcomes.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 13 November 2020).

Why we inspected

We received concerns in relation to pressure care and end of life care. As a result, we undertook a focused inspection to review the key questions of safe, effective, responsive and well led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has remained the same.

We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and responsive sections of this full report.

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.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Mockley Manor Care Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.