CQC report explained · a nursing home
What the CQC found at Manordene
Rated Inadequate: inspectors found the home performing badly and the CQC has taken enforcement action.
What inspectors found, December 2020
Inspected but not rated; inspectors were assured that infection prevention and control arrangements were safe.
This was an unannounced, targeted inspection on 23 November 2020. It checked infection prevention and control arrangements during the COVID-19 outbreak, rather than the full range of care provided.
Inspectors found procedures for safe visiting, although visits were stopped in line with government guidance. They found suitable space for social distancing, clean premises, enhanced cleaning, good ventilation and separate laundry arrangements.
Staff had received infection control training and were using protective equipment safely. The home also had access to testing and professional advice through a local forum.
The service was marked "Inspected but not rated". This means the report gives assurance about infection control, but it is not a full overall quality rating of the home.
Visiting arrangements
The home had procedures intended to reduce the risk of infection during visits, including appointments, checks on arrival and protective equipment.
“There were procedures in place to support safe visiting, including appointments, temperature checks on arrival, provision of masks and aprons and use of a designated room.” from the report
Clean environment
The premises were clean and hygienic, with enhanced cleaning, ventilation and arrangements to keep laundry separate.
“The premises looked clean and hygienic and there were enhanced cleaning schedules in place and adequate ventilation.” from the report
Staff infection control
Staff had received infection control training and inspectors saw them using and disposing of protective equipment safely.
“Staff had been trained in infection control practices and posters were displayed throughout the home to reinforce procedures.” from the report
Access to advice
The manager took part in a local professional forum that offered advice and opportunities to share information with other managers and health professionals.
“The manager had joined a forum set up by the local Clinical Commissioning Group (CCG) which provided support and advice through regular virtual meetings.” from the report
Inspectors raised no specific concerns in this report.
- 01How are the infection prevention and control arrangements described in the report being maintained now?
- 02How are visits currently managed, including any checks, protective equipment and designated visiting areas?
- 03How often are enhanced cleaning schedules reviewed and checked?
- 04How does the home manage testing and infection outbreaks for residents and staff?
- 05What current professional advice or support does the home use for infection prevention and control?
This was an unannounced targeted inspection of infection prevention and control practices only; it was not a full inspection of the home's care or overall quality. This explanation was written from the published report of 24 December 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, November 2020
Inspected but not rated; inspectors were assured about infection control, with some resources suggested to develop the home's approach.
This was an announced inspection on 3 November 2020. It was part of a CQC thematic review of infection prevention and control in care homes during the coronavirus pandemic.
Inspectors checked how people were protected from infection. They were assured about visiting, social distancing, admissions, protective equipment, testing, cleaning, the layout of the building and the infection control policy.
The home used tablets to help people communicate with health professionals, family and friends. It also arranged specialist laundry services and introduced booked visiting times.
The home was inspected but not rated. This means the inspection did not give an overall quality rating or standard ratings for the five questions.
Communication with health professionals
Staff used a tablet to support safe communication between people, the home and NHS professionals.
“Staff used an NHS tablet to enable safe communication between NHS professionals and people using the service.” from the report
Contact with family
A tablet was used to help people keep in touch with family and friends through video calls.
“Staff used a tablet to support people to communicate with family and friends through video calls.” from the report
Visiting arrangements
Families and regular visitors were told about updated procedures and could book visits.
“Family members and regular visitors had been informed of updated visiting procedures and could book times to see their relatives.” from the report
Laundry and cleaning
The provider used a specialist laundry company for bedding. The manager said this reduced the risk of cross-contamination and gave staff more time for enhanced cleaning.
“The provider had arranged for a specialist laundry company to clean people's bedding.” from the report
Infection control approach to develop
minorInspectors signposted the provider to resources to develop its infection prevention and control approach. The report does not say that this was a breach.
“We have also signposted the provider to resources to develop their approach.” from the report
- 01What changes did you make after CQC signposted you to resources to develop your infection control approach?
- 02How are visitors currently booked and what infection control steps are used during visits?
- 03How do residents currently keep in touch with family and friends by video call?
- 04How is bedding cleaned now, and how does this support the staff cleaning arrangements?
- 05How do you currently manage testing, protective equipment and safe admissions?
This was an announced thematic review focused on infection prevention and control; it was inspected but not rated and did not assess the other four questions. This explanation was written from the published report of 18 November 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.
Every inspection of Manordene
4 rated inspections over 5 years: the service has held its Good rating throughout.
- December 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- November 2020Inspected but not ratedSafe: Inspected but not rated
- February 2020Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2018Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- October 2017Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- September 2015Inspected but not ratedSafe: Inspected but not ratedEffective: GoodCaring: Inspected but not ratedResponsive: GoodWell-led: Inspected but not rated
- April 2015GoodSafe: GoodEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Good
- September 2014
Report published without a new overall rating.
- April 2014
Report published without a new overall rating.
- December 2013
Report published without a new overall rating.
- March 2013
Registered with the Care Quality Commission on 20 March 2013.
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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39 live-in carers within about an hour of Kent
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 £980 to £1,260 a week. 33 can care for a couple. 12 years' experience on average.
“Always on time and with a lovely smile for my mum. Theresa is kind and sensitive to my mum's needs.”
“Irene was a very kind and empathetic carer who knew just the right words to say to put a smile on my face.”
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.