20 February 2023
During an inspection looking at part of the service
Manorcroft is a care home providing accommodation, personal and nursing care for up to 40 people, including people living with dementia. It is purpose built, providing accommodation across 2 floors. At the time of our inspection there were 35 people using the service.
People’s experience of using this service and what we found
Medicines records did not always contain enough detail. Quality assurance and supervision systems and processes were in place, however they needed further embedding into the service.
We have made a recommendation regarding medicines management, quality assurance systems and supervision processes.
Risks to people’s health and safety were managed effectively. People felt safe at the service and were safeguarded from the risk of abuse. Effective Infection Prevention and Control (IPC) practices were in place.
Staff were recruited safely and appropriately trained. There were enough staff to meet people’s needs.
Care was person centred and respected people’s choice. People were involved in their care and the service worked effectively with other healthcare agencies to meet people’s needs.
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.
There was a positive culture at the service that created an open and honest environment. People and relatives spoke positively about the service and the care received. The service had taken steps to engage people and drive improvement.
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 requires improvement (published 11 December 2019).
Why we inspected
We received concerns in relation to medicines management, care delivery and staffing. As a result, we undertook a focused inspection to review the key questions of safe, effective, and well-led only.
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.
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 changed from requires improvement to good based on the findings of this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Manorcroft on our website at www.cqc.org.uk.
Recommendations
We have made a recommendation regarding medicines management, quality assurance systems and supervision processes.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.