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CQC report explained · a nursing home

What the CQC found at Southampton Manor Care Home

Goodpublished 26 March 2024, 2 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The latest report, explained

What inspectors found, October 2018

Southampton Manor Care Home is rated Good; inspectors found kind, personalised care, but noted medicine errors and mixed call bell response times.

This was an unannounced comprehensive inspection on 15 and 30 August 2018. Inspectors spoke with 23 people or relatives and nine staff. They reviewed seven care plans, staff recruitment records, complaints, incidents and quality checks. They also observed care in communal areas.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People were generally supported safely, treated with dignity and involved in decisions about their care. Care plans included people's backgrounds, routines and communication needs.

Inspectors found strong systems for staff training, risk assessments, medicines checks, healthcare support and activities. The management team used audits and feedback to identify improvements. There was mixed feedback about how quickly call bells were answered, and the report recorded 13 medicine errors in August 2018, including four occasions when medicines were not given as prescribed.

The overall Good rating means the inspectors found the service met the relevant standards at the time of inspection. The previous inspection in December 2016 was also Good overall, but Safe required improvement. Safe was rated Good at this inspection.

What inspectors praised
  • Personalised care

    Care plans included people's backgrounds, routines and communication needs. Staff followed individual preferences, such as preferred morning drinks and shower times.

    “People's care plans contained detailed information about people's life history, preferred routines and communication needs.” from the report
  • Kind and respectful staff

    People said staff were caring and treated them with dignity. Staff noticed when people were anxious or in pain and offered comfort and support.

    “Staff could tell when people were anxious or in pain and were quick to provide comfort and appropriate support” from the report
  • Support for independence

    People were encouraged to do things for themselves and were supported without staff being intrusive. Some people could leave the home to visit friends or spend time in the community.

    “People were supported to be as independent as possible.” from the report
  • Activities and involvement

    The home offered varied activities, trips, social clubs and creative pursuits. People helped develop activities and had several ways to give feedback about the home.

    “There was a comprehensive programme of activities in place which people were involved in developing.” from the report
  • Management checks

    The manager and senior staff used audits, meetings and feedback to monitor care and identify areas for improvement.

    “There were effective governance systems in place to monitor the quality of care.” from the report
What inspectors were concerned about
  • Call bell delays

    needs fixing

    Although records showed call bells were usually answered within five minutes, four people said they experienced consistent delays. The manager had started monitoring response times and investigating the reasons for delays.

    “However, four people we spoke to told us they experienced consistent delays in their call bells being answered.” from the report
  • Medicine errors

    serious

    There were 13 medicine errors in August 2018. These included missing administration records and four occasions when people were not given medicines as prescribed. The manager took medical advice and put extra monitoring and support in place.

    “There had been 13 medicines errors during the month of August 2018.” from the report
  • Research outcomes not yet clear

    minor

    The home took part in research and technology trials, but some were still at an early stage or had stopped. Inspectors said it was too soon to know whether they had benefited people.

    “Some of these studies were either in their early stages or the technology was not continued after the initial trials” from the report
Questions to ask them, based on this report
  1. 01What were the reasons for the call bell delays, and what are the current average response times?
  2. 02What changes were made after the 13 medicine errors in August 2018, and how are medicine administration records checked now?
  3. 03How will you assess and meet my relative's needs if they need support with dementia, falls, choking, eating or drinking?
  4. 04How are people and relatives involved in writing and reviewing care plans?
  5. 05Which activities would be suitable for my relative, and how would staff support them to take part?

This was an unannounced comprehensive inspection covering all five areas; the previous inspection in December 2016 rated the service Good overall but required improvement in Safe. This explanation was written from the published report of 17 October 2018 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.

The story over the years

Every inspection of Southampton Manor Care Home

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. October 2018Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Southampton Manor Care Home →

  2. August 2017

    Registered with the Care Quality Commission on 1 August 2017.

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.

Next steps

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Most charge £980 to £1,350 a week. 39 can care for a couple. 11 years' experience on average.

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