CQC report explained · a residential care home
What the CQC found at The Manor - Care Home Physical Disabilities
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Requires improvement
- Inspectors found good safeguarding, staffing, risk management and medicines practice. However, infection control was not always safe and created a risk of infection and cross contamination.
- Effective?
- Good
- This question was not separately rated in this inspection report.
- Caring?
- Good
- This question was not separately rated in this inspection report.
- Responsive?
- Outstanding
- This question was not separately rated in this inspection report.
- Well-led?
- Good
- Inspectors found approachable management, staff teamwork and systems for reviewing incidents, care plans and audits. They noted that infection prevention audits needed to be improved.
What inspectors found, June 2022
The Manor rated Good overall, but inspectors found infection control problems that meant the Safe rating Requires Improvement.
The inspection was unannounced and took place on 30 May 2022. One inspector spoke with people living in the home, relatives, staff and professionals. They reviewed care plans, medicine records, staff files, incident records and quality checks.
The home was generally safe in areas such as safeguarding, staffing, risk assessments and medicines. However, inspectors found poor infection control practices, including unsuitable bins, equipment with porous surfaces and jewellery that could spread germs. This put people, visitors and staff at risk of infection and cross contamination.
The home was rated Good overall. Safe was rated Requires Improvement, while Well-led was rated Good. The overall rating was unchanged from the previous inspection, but the Safe rating fell from Good to Requires Improvement.
Care plans and risk management
Care plans reflected people's needs and risks such as choking, poor nutrition, pressure care and equipment use were generally managed well.
“People's care plans were an accurate reflection of the support they needed to mitigate risks and stay safe.” from the report
Medicines support
Staff supported people to take medicines safely while encouraging independence. Medicine records were up to date and audits helped identify errors.
“Staff managed and administered people's medicines safely whilst promoting people's independence to take their own medicines.” from the report
Safeguarding
Staff knew how to recognise and report abuse. The manager reported incidents to the appropriate organisations and took action to protect people.
“Staff received safeguarding training and they understood how to keep people safe, and identify, report and act on any potential concerns.” from the report
Open management
The management team was described as approachable and open to feedback. Staff said they felt supported and worked as a team.
“People and relatives found the management team approachable and open to suggestions to improve the quality of service provision.” from the report
Working with professionals
The home worked with health and social care professionals, including speech and language therapists, to improve people's health and wellbeing.
“People received care and support from staff who worked in partnership with health and social care professionals to promote people's well-being.” from the report
Infection control
seriousThe home did not always use suitable bins or equipment, and some staff practices could spread germs. Inspectors said this put people, visitors and staff at risk.
“Not all staff adhered to good infection and control practices and some items of equipment had porous surface which could harbour germs.” from the report
Infection control audits
needs fixingSome audits were too narrowly focused, so they could miss opportunities to improve infection prevention. The provider said it would change its approach.
“However, where audits focused on a specific area, there was a risk that improvement opportunities would be missed.” from the report
- 01What changes have been made to the bins and equipment identified as risks for cross contamination?
- 02How are you checking that all staff follow infection prevention and control practices, including rules about jewellery?
- 03What changes have been made to the infection prevention and control audits since the inspection?
- 04How do you make sure people remain safe while being supported to take positive risks and maintain their independence?
This was a focused inspection covering Safe, including infection prevention and control, and Well-led; the other key question ratings were not separately given in this report. This explanation was written from the published report of 18 June 2022 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 2018
Rated Good overall; inspectors found safe, kind and well-managed care, with Outstanding support for people's individual needs and independence.
This was an unannounced inspection. The inspection team spoke with eight people, a relative and staff, observed care, and checked care plans, medicines, training, recruitment and quality records.
The home was rated Good overall. Safe, Effective, Caring and Well-led were all rated Good. Responsive was rated Outstanding, improving from the previous inspection. The home remained Good overall, as it had been in 2015.
Inspectors found accurate risk assessments, safely managed medicines, suitable staff training and good support with food, healthcare and personal choices. They also found detailed care plans, respectful care and activities that helped people take part in their local community.
Personal communication
Staff learned how to understand a person's individually developed sign language. This helped the person communicate their wishes, join conversations and avoid isolation.
“This showed us that staff had outstanding skills and an excellent understanding of each person's needs and how they wanted their person centred care to be provided.” from the report
Independence and progress
The home supported people with physiotherapy, equipment and everyday living skills. Inspectors saw significant improvements in people's physical and mental wellbeing.
“For two people who had arrived at the service and were not expected to be able to ever walk again, were now independently mobile with the use of walking aids.” from the report
Safe medicines
Medicines were administered by staff who had been trained and assessed as competent. Guidance was in place for medicines given when needed.
“Only trained staff whose competency was assessed administered medicines.” from the report
Dignity and respect
Staff explained care, sought permission and used communication methods suited to each person. Inspectors saw staff protecting people's privacy and dignity.
“We observed staff being polite and sensitive about each person's needs as well as making sure people's dignity was protected.” from the report
Activities and community life
People were supported to enjoy activities that matched their interests, including sports, music, visits, gardening and creative activities. The home also had links with local organisations and community events.
“Arrangements for social activities and stimulation were innovative.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you currently assess and review each person's communication needs, especially if they communicate without speech?
- 02What physiotherapy, exercise and independent living goals does my relative have, and how do you measure progress?
- 03How are medicines given when needed, and how often is each staff member's competence checked?
- 04What activities and community visits are available that match my relative's interests and cultural or religious needs?
- 05How would my relative and our family be involved in decisions about end of life care and future emergencies?
This was an unannounced inspection that assessed all five CQC questions and looked at both the premises and the care provided; Responsive improved to Outstanding while the other ratings remained Good. This explanation was written from the published report of 21 February 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.
Every inspection of The Manor - Care Home Physical Disabilities
3 rated inspections over 6 years: the service has held its Good rating throughout.
- June 2022Goodcurrent ratingstayed GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good
Read what inspectors found at The Manor - Care Home Physical Disabilities →
- February 2018Goodstayed GoodSafe: GoodWell-led: Good
Read what inspectors found at The Manor - Care Home Physical Disabilities →
- January 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2013
Report published without a new overall rating.
- August 2012
Report published without a new overall rating.
- April 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 12 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.
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