CQC report explained · a nursing home
What the CQC found at Royal Manor Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, July 2023
Rated Good overall, but inspectors found leadership needed improvement because there had been no registered manager since July 2022.
Inspectors visited the home without notice on 21 June 2023. The inspection activity continued until 22 June. They observed care, spoke with four people, 10 relatives and five staff, and reviewed care, medicines, recruitment and management records.
The home was rated Good for Safe, Effective, Caring and Responsive. People were described as safe and well cared for. Staff were available, medicines were managed safely, people's health and dietary needs were supported, and care was kind and personalised.
Well-led was rated Requires Improvement. There had been no registered manager since July 2022, despite this being a legal requirement. Inspectors also found environmental risks that had not been identified by the home's own systems, although these were dealt with during or after the inspection.
The overall rating was Good. The previous rating, published in June 2022, was Requires Improvement. The report says the provider had made improvements, including to the environment, activities, meals, infection control and nurses' training.
Enough staff
Inspectors found enough staff available throughout the day, and people said staff responded when needed.
“There were enough staff deployed to support people.” from the report
Kind and respectful care
People and relatives described staff as caring. Inspectors saw staff offer choices, respect privacy and support people at their own pace.
“We observed caring interactions between staff and the people they supported.” from the report
Personalised support
Care plans included people's needs, interests, beliefs and life histories. People and relatives were involved in reviews.
“Care plans included not only people's health care needs but also details regarding their interests and protected characteristics” from the report
Improvements made
The provider had acted on the previous inspection and on concerns raised by partner agencies. The report notes improvements to the environment, activities, meals, infection control and nurses' support.
“The provider and manager had taken into account the previous inspection report and made the necessary improvements” from the report
No registered manager
needs fixingThe home had no registered manager from July 2022 up to the inspection. The provider had recruited twice, but neither manager stayed, and no registration application had been submitted when the report was written.
“It is a legal requirement to have a registered manager in post and at the time of the inspection there had been no registered manager since July 2022.” from the report
Risks were not found early
needs fixingInspectors found cleaning products that were not securely locked and risks linked to keypad locks on communal room doors. The home dealt with these issues, but its own checks had not identified them beforehand.
“Actions were taken to address both of these, but had not been identified as a potential risk prior to us identifying and raising our concerns” from the report
- 01Who is currently responsible for the home while there is no registered manager?
- 02What is the current position on recruiting and registering a permanent manager?
- 03How are cleaning products and keypad-locked communal rooms now checked for safety?
- 04How are the improvement actions and audits being reviewed to make sure changes are maintained?
- 05What recent changes have been made to activities, meals, the environment and infection control?
This was an unannounced inspection of the premises and care, covering all five CQC questions, with particular attention to concerns about management oversight and infection prevention and control. This explanation was written from the published report of 22 July 2023 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 Royal Manor Nursing Home
6 rated inspections over 8 years: the service has improved, from Requires improvement to Good.
- July 2023Goodcurrent ratingup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- June 2022Requires improvementSafe: Requires improvementWell-led: Requires improvement
- April 2022Inspected but not ratedSafe: Inspected but not rated
- August 2021GoodSafe: GoodWell-led: Requires improvement
- February 2021Inspected but not ratedSafe: Inspected but not rated
- February 2018Goodup from Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2017Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- September 2015Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good
- April 2022
Registered with the Care Quality Commission on 12 April 2022.
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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78 live-in carers within about an hour of Derby
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 £1,020 to £1,260 a week. 62 can care for a couple. 12 years' experience on average.
“We particularly appreciate the companionship Dawn gives in the evenings when she plays cards and Scrabble with my mother.”
“Rachel is a quietly spoken, extremely caring person and looked after Val very well.”
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.