CQC report explained · a residential care home
What the CQC found at Manor Care Centre
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that risks were assessed and managed, staffing levels were sufficient, medicines were generally managed safely and infection control standards had been improved.
- Effective?
- Good
- People's nutrition, health, skin and choking risks were assessed and managed. Staff had suitable training and supported people to make decisions in the least restrictive way.
- Caring?
- Good
- People and relatives described staff as caring and respectful. Inspectors saw staff protecting people's privacy, dignity and independence.
- Responsive?
- Good
- Care plans reflected people's needs and staff knew how to provide personalised care. People could choose their daily routines and take part in activities if they wished.
- Well-led?
- Good
- The management team was described as open and approachable. Audits covered areas such as falls, medicines, weights, care plans and equipment, with action taken when issues were found.
What inspectors found, January 2020
Rated Good; inspectors found safe, kind and person-centred care, with a minor medicines record issue corrected after the visit.
This was an unannounced, planned inspection on 10 December 2019. One inspector and an Expert by Experience spoke with nine residents, one relative and three staff, and reviewed care, medicines, recruitment and quality records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines management, good support with food and health needs, respectful care and activities based on people's choices.
Inspectors noted that some instructions for medicines given when needed did not explain why the medicine might be required. The manager fixed this after the inspection and sent evidence of the changes. Earlier infection control issues found by the local authority had also been addressed.
Consistent staffing
Inspectors found enough staff to support people with their daily activities. People and relatives said assistance was provided in a timely way.
“People were supported by a consistent group of staff. There were sufficient numbers of staff to allow people to undertake their daily activities..” from the report
Kind and respectful care
People and relatives spoke positively about staff. Inspectors saw warm interactions and staff protecting people's dignity and privacy.
“People and their relatives told us the staff team treated them with care and respect, and their views on their care were listened to.” from the report
Personalised support
Care plans reflected individual needs and choices. Staff supported people to make decisions about routines, personal care and activities.
“People receive personalised care from staff who were knowledgeable about their needs.” from the report
Good management oversight
The home used regular audits and reviewed patterns such as falls. Inspectors saw that identified actions were completed in a timely way.
“There was a comprehensive quality monitoring system in place at the service. This resulted in a good oversight of the quality of the service.” from the report
Some medicines instructions were incomplete
minorOne or two instructions for medicines given when needed did not explain why the medicine might be required. The manager addressed this after the inspection and sent evidence of the changes.
“however, one or two of these lacked information as to why the medicine might be required.” from the report
- 01Can you show how the instructions for medicines given when needed were corrected and how they are checked now?
- 02What action was taken after the local authority found infection prevention and control issues?
- 03How would you update my relative's risk assessment and care plan if their mobility or falls risk changed?
- 04What activities would be available that match my relative's interests, communication needs and choices?
- 05How would you record and follow my relative's wishes about end of life care?
This was an unannounced inspection covering all five CQC questions, including both the care provided and the care home premises; all five ratings remained Good from the previous inspection. This explanation was written from the published report of 16 January 2020 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, June 2017
Manor Care Centre was rated Good; inspectors found kind, safe care, but noted delays at mealtimes, poor signage and some cleaning and maintenance shortfalls.
This was an unannounced inspection on 17 May 2017. Inspectors spoke with people living in the home, relatives and staff. They observed care, checked four care records and reviewed staffing, training and quality checks.
The home remained Good in all five areas: safe, effective, caring, responsive and well-led. Inspectors found enough staff for personal care, safe medicines practice, kind and respectful support, regular care plan reviews and suitable healthcare arrangements.
There were some shortcomings. Lunch was not well organised, some dining furniture and carpet were not clean, and there was limited signage to help people living with dementia find their way around. Quality checks had not always led to problems being fixed quickly.
Safe medicines and staffing
Inspectors found reliable arrangements for medicines and enough staff to provide the personal care people needed.
“There were reliable arrangements for ordering, administering and disposing of medicines. There was a sufficient supply of medicines and senior care staff who administered medicines had received training.” from the report
Kind and respectful care
Staff were observed to be friendly, patient and discreet. They supported people's dignity, privacy and personal choices.
“We saw that care staff were friendly, patient and discreet when caring for people.” from the report
Support with healthcare
People received help to see doctors and other healthcare professionals, including dentists, opticians and dietitians.
“Records confirmed that people had received all of the help they needed to see their doctor and other healthcare professionals such as dentists, opticians and dietitians.” from the report
Lunch was not well organised
needs fixingSome people waited a long time for their meals. There were not enough staff to give everyone the individual help they needed to eat, and one person became distressed.
“Some people had to wait a long time before their meal was served resulting in some people only starting their meals when other people had already finished.” from the report
Dining area needed cleaning
minorThe dining room carpet and some chairs were not clean. Inspectors said this meant the area did not have a wholly fresh atmosphere.
“However, the carpet in the dining room and some of the chairs were not clean. As a result of this shortfall the area did not have a wholly fresh atmosphere.” from the report
Limited dementia-friendly signs
needs fixingThere were not enough signs or colour differences to help people distinguish areas and find rooms such as bathrooms.
“In particular, we noted that little had been done to appropriate signs and colours to distinguish different areas of the service and to highlight individual rooms such as bathrooms.” from the report
Repairs were delayed
minorSome parts of the building had chipped paintwork and scuffed walls. The home's checks had not ensured that these problems were repaired quickly.
“Although records showed that the registered persons had plans to address these environmental defects action had not quickly been taken to maintain all areas of the accommodation to a homely standard.” from the report
- 01What changes have been made to staffing at lunch and tea times, and how do you check that people do not have to wait for help with eating?
- 02Has the dining room carpet been deep cleaned or replaced, and have the chairs been cleaned or replaced?
- 03What signs and colour changes have been installed to help people living with dementia find bathrooms and other areas?
- 04How are your quality checks now identifying and quickly resolving cleaning, dining and maintenance problems?
- 05Which chipped paintwork and scuffed wall finishes have been repaired, and what remains outstanding?
This was an unannounced inspection covering all five CQC questions, and the report says the Good ratings in each area remained unchanged from 2015. This explanation was written from the published report of 27 June 2017 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 Manor Care Centre
3 rated inspections over 5 years: the service has held its Good rating throughout.
- January 2020Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2014
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- February 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 7 January 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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9 live-in carers within about an hour of Lincolnshire
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.
8 can care for a couple. 10 years' experience on average.
“Martin was more than a carer, he managed the home and became my uncle's best friend, enriching his life during his last few years.”
“Magda was always positive and proactive about trying new things to keep dad busy. She also introduced new ideas for keeping dad healthy.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.