CQC report explained · a nursing home
What the CQC found at Mansion House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home was preventing and managing infection risks. This included cleaning, social distancing, personal protective equipment, testing, visiting arrangements and an up-to-date infection control policy.
- Effective?
- Good
- Does the care work? Training, consent, food and drink, working with GPs and nurses.
- Caring?
- Good
- Are people treated with kindness and dignity?
- Responsive?
- Good
- Is care built around the person? Care plans, activities, complaints.
- Well-led?
- Good
- Is the home run well? The manager, the culture, how problems get found and fixed.
What inspectors found, December 2020
Mansion House was inspected but not rated; inspectors were assured that infection control measures helped protect people from COVID-19.
This was a targeted inspection on 9 November 2020. It looked only at infection prevention and control during the COVID-19 pandemic. The inspection was announced.
Inspectors found regular cleaning, suitable social distancing measures, good supplies and use of personal protective equipment, and safe areas for putting it on and taking it off. People using the service and staff were regularly tested, with procedures for self-isolation when needed.
The home had a visitors policy and alternative ways for people to keep in contact with others. Inspectors were assured that the home was following infection prevention and control guidance. The service was inspected but not rated, so this report does not give an overall quality rating.
Cleaning and hygiene
The home regularly cleaned its premises and equipment to reduce the risk of infection spreading.
“The service and any equipment used were regularly cleaned to minimise the risk of people catching or spreading COVID-19.” from the report
Personal protective equipment
Staff had infection control training, good supplies of protective equipment and suitable areas to use it safely.
“Staff received training on infection prevention control, hand hygiene and appropriate use of Personal Protective Equipment (PPE).” from the report
Testing and isolation
People using the service and staff were tested regularly. The home had procedures for self-isolation when necessary.
“People who used the service and staff were regularly tested and there were clear procedures in place to make sure people self-isolated when necessary.” from the report
Contact with visitors
The home had a visitors policy and provided alternative ways for people to stay in contact with others.
“Alternative arrangements had been made to support people to maintain social contact to reduce social isolation.” from the report
Inspectors raised no specific concerns in this report.
- 01What infection prevention and control arrangements are in place now, and how do they differ from those seen at the November 2020 inspection?
- 02How are people and staff tested, and what happens if someone tests positive or needs to self-isolate?
- 03What are the current visiting arrangements, and how can residents keep in contact with family if visits are restricted?
- 04Can you show me the home's wider CQC ratings or explain when the other areas of care were last assessed?
- 05How do you check that staff continue to use personal protective equipment and follow hand hygiene procedures correctly?
This was a targeted inspection of infection prevention and control only; the service was inspected but not rated and the other areas of care were not assessed. This explanation was written from the published report of 5 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, April 2020
Mansion House was rated Good in all five areas; inspectors found safe, kind and personalised care.
The inspection was unannounced and took place on 13 March 2020. One inspector spoke with six people using the service, two relatives and four staff. They observed care in both parts of the home and checked care, medicines, recruitment and management records.
Inspectors found enough staff, safe medicines practices and suitable recruitment checks. Staff were trained and supported. People’s care plans were up to date, reflected their preferences and supported their health, nutrition, activities and communication needs.
People and relatives described staff as kind, caring and respectful. The home was clean, well managed and offered activities and access to healthcare. All five areas were rated Good, the same as at the previous inspection published on 22 July 2017.
Enough staff
Inspectors found enough staff to provide care promptly and support activities and medical appointments.
“There were enough staff on duty to meet people's needs, to enable people to take part in social activities and to attend medical appointments.” from the report
Kind and respectful care
People were treated with compassion, dignity and respect. Staff supported people’s choices and privacy.
“Staff treated people who used the service with compassion, dignity and respect.” from the report
Personalised care plans
Care records reflected the care being delivered and were changed when people’s needs changed.
“Care records were up to date and reflected the care being delivered.” from the report
Good management
The manager monitored quality, listened to feedback and used it to improve the service.
“People, relatives, staff and health care professionals were asked for their opinions of the service.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you make sure there are enough staff to support care, activities and medical appointments?
- 02How would you assess and update my relative’s care plan if their needs or preferences changed?
- 03What dementia care training have staff completed, and how would you support someone living with dementia?
- 04What activities would be suitable for my relative, and how would you support them to take part?
- 05How would you involve my relative and our family in decisions about care and in reviewing the care plan?
This was a planned, unannounced inspection that looked at the premises and care and assessed all five CQC questions. This explanation was written from the published report of 7 April 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 Mansion House
3 rated inspections over 4 years: the service has held its Good rating throughout.
- December 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- April 2020Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- December 2013
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- September 2011
Report published without a new overall rating.
- July 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 20 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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
28 live-in carers within about an hour of North Yorkshire
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 £1,010 to £1,290 a week. 27 can care for a couple. 12 years' experience on average.
“Carla has been a god send with the implementation of bringing mum back home from respite care.”
“She was always 'just present enough': attentive, available, kind and engaging, but without ever over-stepping any boundary”
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.