CQC report explained · a residential care home
What the CQC found at Mancroft
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Inspectors found suitable risk assessments, enough staff, safe recruitment and trained staff administering medicines, although some medicine times were not always recorded.
- Effective?
- Good
- This report did not give a separate rating or detailed findings for Effective.
- Caring?
- Good
- This report did not give a separate rating or detailed findings for Caring.
- Responsive?
- Good
- This report did not give a separate rating or detailed findings for Responsive.
- Well-led?
- Good
- Audits and quality checks were completed and used to identify concerns. Staff understood their roles, felt supported and could raise concerns.
What inspectors found, February 2024
Rated Good; inspectors found people were safe and the home was well-led, but medicine records were not always complete.
This was an unannounced inspection prompted partly by a safeguarding concern. Inspectors found no evidence that people were at risk of harm from that concern. They visited on 17 January 2024, spoke with relatives and staff, observed people, and reviewed care and management records.
The home was rated Good for Safe and Well-led. Inspectors found suitable risk plans, enough staff, safe recruitment, trained staff for medicines, and infection control procedures. The management team used checks and audits to identify concerns and make improvements.
The time that some as-required medicines were given was not always recorded. The provider took immediate action by introducing a new chart. The overall rating remained Good, the same as at the previous inspection.
Enough staff
Inspectors found there were enough staff to provide the care people needed at the right time. Relatives did not raise concerns about staffing levels.
“There were enough staff available to support people.” from the report
Individual risk planning
Risk assessments and care plans were based on people's individual needs. Staff followed them, including when supporting people in the community.
“Individual risks to people were assessed, monitored and reviewed.” from the report
Safeguarding awareness
Staff had safeguarding training and understood what to do if they suspected abuse. Inspectors found the relevant procedures were followed when needed.
“Staff had received training and understood when people may be at risk of abuse.” from the report
Learning from incidents
The registered manager showed that changes had been made after a previous safeguarding alert, and these changes were shared with staff.
“The registered manager was able to demonstrate lessons had been learnt when things went wrong.” from the report
Management checks
The home carried out checks on medicines, care and infection control. Inspectors found these audits were effective in identifying concerns.
“Quality checks and audits were completed in the service and these were effective in identifying concerns.” from the report
Medicine recording
needs fixingThe exact time that some as-required medicines were given was not always recorded. The provider took immediate action by introducing a new chart.
“The time people received these was not always documented.” from the report
- 01Has the new chart for recording as-required medicines been introduced, and is it now being completed every time?
- 02How do you check that medicine records show the exact time each as-required medicine was given?
- 03What changes were made after the safeguarding alert, and how do you check that staff continue to follow them?
- 04How do you make sure staffing levels remain sufficient for the four people using the care home service and the three people using supported living?
- 05How are people and their families involved when care plans or risk assessments are reviewed?
This was an unannounced focused inspection of Safe and Well-led; the report did not give separate ratings or detailed findings for Effective, Caring or Responsive, and the supported living premises themselves were not inspected. This explanation was written from the published report of 3 February 2024 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, December 2021
Mancroft rated Good; inspectors found safe, well-managed care, but this was a focused inspection of only two areas.
The inspection took place on 29 October and 10 November 2021. One inspector reviewed records, spoke with people, relatives and staff, and checked recruitment, medicines, safety and management systems.
The home was rated Good for Safe and Well-led. Inspectors found safe recruitment, enough staff, safe medicines systems, suitable infection control and checks to reduce risks. They also found positive leadership and good systems for checking the quality of care.
This was a focused inspection because of concerns about staff recruitment. Inspectors found no evidence that people had been harmed because of this concern. Effective, Caring and Responsive were not inspected during this visit, so their previous ratings were carried forward.
Safe care
Staff understood people's risks and how to keep them safe. Risk assessments covered areas including eating and drinking, mobility and distress.
“Staff we spoke with were knowledgeable about the risks to the people they supported and how they could keep them safe from harm.” from the report
Medicines
People received medicines as prescribed. Records had no gaps, medicines were stored securely and checks were carried out.
“Medicines administration records (MARS) were correctly completed with no gaps.” from the report
Person-centred culture
Inspectors found that people were treated as individuals and involved in decisions about their care and support.
“There was a strong, positive person-centred culture in the home.” from the report
Management checks
The management team carried out regular quality checks and acted on issues they found.
“Regular quality assurance checks were carried out by the management team of the home and supported living service.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you check that all new staff have completed the required recruitment checks before working with people?
- 02How do you make sure medicines records remain complete and that medicines are stored at the correct temperature?
- 03How often are people's risk assessments reviewed, especially for distress, mobility and eating and drinking?
- 04What progress has been made with the recently appointed joint manager's CQC registration?
- 05How are people and families involved in meetings about the running of the home and their care?
This was a focused inspection of Safe and Well-led following concerns about staff recruitment; Effective, Caring and Responsive were not inspected and their previous ratings carried over. This explanation was written from the published report of 10 December 2021 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Mancroft
4 rated inspections over 8 years: the service has held its Good rating throughout.
- February 2024Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2021Goodstayed GoodSafe: GoodWell-led: Good
- December 2018Goodstayed GoodSafe: GoodWell-led: Good
- June 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2014
Report published without a new overall rating.
- January 2014
Report published without a new overall rating.
- July 2012
Report published without a new overall rating.
- October 2011
Registered with the Care Quality Commission on 14 October 2011.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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At least 100 live-in carers within about an hour of Wolverhampton
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £950 to £1,230 a week. 89 can care for a couple. 9 years' experience on average.
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