CQC report explained · a residential care home
What the CQC found at Manor Gate Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that risks, medicines, staffing, equipment and safeguarding arrangements were managed safely. Staff responded promptly when people called for help.
- Effective?
- Requires improvement
- Some areas needed updating, one upstairs bedroom had a strong odour, and formal staff supervision was inconsistent. The home had an ongoing refurbishment programme and plans to improve the building.
- Caring?
- Good
- People described staff as kind and caring. Staff knew people well, respected their privacy and dignity, and involved people and families in care decisions.
- Responsive?
- Good
- Care plans contained detailed information about people's needs and preferences. Activities reflected people's interests, and staff supported relationships, communication needs and end of life care.
- Well-led?
- Good
- Inspectors found effective management systems, a warm atmosphere and an open culture. The registered manager had a business plan to address shortfalls and measure progress.
What inspectors found, November 2019
Rated Good overall; inspectors found safe, kind and responsive care, but the service was not always effective.
This was an unannounced inspection on 26 September 2019. Two inspectors spoke with people, a relative and staff. They observed care and reviewed care plans, medicine records, staff files and management records.
The home was rated Good for being safe, caring, responsive and well-led. Inspectors found that risks and medicines were managed safely, people were treated with kindness, and staff understood people's needs and preferences.
The effective rating was Requires Improvement, as some parts of the building needed updating and formal staff supervision was inconsistent. The home had plans for refurbishment and improvement. The overall rating stayed Good, and the previous inspection had also rated the home Good.
Safe staffing
Inspectors found there were enough staff to meet people's needs promptly. Recruitment checks were also in place.
“There were enough staff to meet people's needs in a timely way.” from the report
Kind and respectful care
People gave positive feedback about staff. Staff treated people with respect, compassion and kindness, and supported their independence.
“Staff treated people with respect, compassion and kindness.” from the report
Personalised activities
Activities were based on people's interests and hobbies. Staff supported both group and individual activities in the home and community.
“There was a programme of activities designed to stimulate and engage people.” from the report
Positive leadership
People and staff said the home was well managed. Inspectors found systems to monitor quality and plans to improve the service.
“The atmosphere was warm and welcoming; people told us they thought the service was well managed.” from the report
Building still needed improvement
needs fixingSome parts of the accommodation needed updating. Inspectors found a strong odour in one upstairs bedroom and recommended following best practice when refurbishing for dementia care and safety.
“One upstairs bedroom had a strong malodour. When we visited we saw some single paned window glazing.” from the report
Inconsistent staff supervision
needs fixingFormal supervision was not happening consistently. The manager said plans were in place to increase it and give staff more opportunities to discuss performance, concerns and learning.
“Formal staff supervision was inconsistent. The registered manager told us plans were in place to increase the frequency of formal supervision” from the report
- 01What refurbishment work has been completed since the inspection, and what work is still outstanding?
- 02How have you addressed the strong odour found in the upstairs bedroom?
- 03How often do staff now receive formal supervision, and how is attendance recorded?
- 04How are refurbishment decisions being checked against best practice for dementia care and safety?
- 05What improvements have been made since the new call system and window glazing were installed?
This was an unannounced planned inspection covering all five CQC questions, with the home and the care provided both looked at. This explanation was written from the published report of 7 November 2019 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, February 2017
Manor Gate Care Home was rated Good overall; inspectors found safe, kind and responsive care, but the building needed further improvement.
This was an unannounced inspection on 19 January 2017. Inspectors spoke with people living in the home, relatives and staff. They observed care, reviewed care records and checked staffing, training, medicines and quality checks.
The home was rated Good overall. Safe, caring, responsive and well-led were rated Good. Inspectors found enough staff, safe medicines arrangements, kind care, support for people's choices and systems for handling complaints.
Effective was rated Requires Improvement. Some parts of the building were worn and did not fully meet people's needs and expectations. The home had nearly completed refurbishment work intended to address these defects.
The report says a previous legal breach from December 2015 had been addressed by the follow-up inspection in May 2016. The current report does not record any new breach.
Enough staff
Inspectors found staffing levels were sufficient and that staff responded promptly when people needed help.
“We concluded that there were enough staff on duty because people were promptly being provided with care that met their needs and expectations.” from the report
Kind and respectful care
Staff were described as friendly, patient and discreet. They respected people's privacy, choices and dignity.
“We saw that people were being treated with respect and in a caring and kind way.” from the report
Support for choices and interests
People were consulted about their care and offered activities, hobbies and social events. Staff also supported people living with dementia when they became distressed.
“People had been consulted about the care they wanted to receive and this had been provided in the right way.” from the report
Safe medicines
Medicines were ordered, stored, given and disposed of safely. Staff followed written guidance and records showed people received their prescribed medicines during the week checked.
“We found that there were reliable arrangements for ordering, storing, administering and disposing of medicines.” from the report
Open management
The home had quality checks, shift handovers and senior staff available for advice. Staff felt able to speak up about poor practice.
“There was an open and inclusive approach to running the service.” from the report
Worn parts of the building
needs fixingInspectors found chipped and discoloured paint, a damaged bathroom panel, a scored door and peeling or missing wallpaper. Refurbishment was almost complete, but the work was not finished.
“Parts of the building are just plain tatty and look run down.” from the report
- 01Which of the building defects identified in the report have now been repaired?
- 02What work remains in the development and refurbishment plan, and when is it expected to be completed?
- 03How will you make sure the accommodation meets my relative's particular needs, including mobility or dementia-related needs?
- 04How are staffing levels checked when people's care needs change?
- 05How are care plans and people's choices reviewed with them and their relatives?
This was an unannounced inspection covering all five CQC questions, including observations, discussions with people and relatives, care records and management records. This explanation was written from the published report of 22 February 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 Gate Care Home
4 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- November 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- February 2017Goodup from Requires improvementSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- June 2016Requires improvementstayed Requires improvementWell-led: Requires improvement
- January 2016Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- July 2014
Report published without a new overall rating.
- March 2014
Report published without a new overall rating.
- June 2013
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- June 2012
Report published without a new overall rating.
- August 2011
Registered with the Care Quality Commission on 1 August 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.