CQC report explained · a nursing home
What the CQC found at The Manor House Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- This targeted inspection looked at infection prevention and control. Inspectors were assured about visitor safety, social distancing, admissions, PPE, testing, hygiene and outbreak arrangements.
- Effective?
- Good
- This question was not covered by this targeted inspection.
- Caring?
- Good
- This question was not covered by this targeted inspection.
- Responsive?
- Good
- This question was not covered by this targeted inspection.
- Well-led?
- Good
- This question was not covered by this targeted inspection.
What inspectors found, September 2020
Inspected but not rated; inspectors were assured that infection prevention and control measures were in place.
This was an announced, targeted inspection on 5 August 2020. It looked only at infection prevention and control during the coronavirus pandemic.
Inspectors found visitor screening, PPE stations, cleaning arrangements and social distancing measures. The home had a separate area for people with COVID-19 symptoms and followed procedures for new admissions.
Inspectors were assured about infection control, PPE, testing, hygiene, social distancing and the arrangements for preventing or managing outbreaks. The service was inspected but not rated, so this report does not give an overall quality rating.
Visitor safety
Visitors had risk assessments, health screening and a dedicated room for putting on and removing PPE. The room also displayed infection control information.
“Visitors were required to complete a pre-visiting risk assessment and on arrival to the service they were required to complete a health screening risk assessment.” from the report
Isolation arrangements
The home had a separate area for people with COVID-19 symptoms so they could be isolated safely when needed.
“There was a dedicated part of the service to accommodate people with COVID-19 symptoms to enable safe isolation when this was required.” from the report
Cleaning and PPE
There was a named lead for cleaning and decontamination. PPE was available across the home, and staff disposed of it safely.
“Staff used the appropriate PPE and disposed of it safely in clearly labelled bins which were located across the service.” from the report
Safe admissions
Admissions included virtual assessments and a virtual tour. New residents were required to self-isolate for 14 days after admission.
“Following admission people were required to self-isolate for 14 days.” from the report
Family contact
Staff supported people who were anxious about COVID-19 and helped them keep in touch with family and friends using technology.
“Staff reassured people who were anxious about CV-19 and they supported people to maintain contact with their family and friends through the use technology.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you now screen visitors and manage PPE when they enter and leave the home?
- 02What arrangements are currently used to isolate someone who has COVID-19 symptoms?
- 03How do you provide testing for residents and staff?
- 04How often are the infection prevention and control policy and cleaning arrangements reviewed?
- 05How do residents keep in contact with family and friends if visiting is restricted?
This was a targeted inspection of infection prevention and control measures during the coronavirus pandemic; it did not rate the other areas of care. This explanation was written from the published report of 9 September 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, September 2019
Rated Good; inspectors found safe, kind and personalised care, with major improvements since the previous inspection.
Inspectors visited on 14 and 19 August 2019 without giving advance notice. They spoke with people living in the home, family members, staff and managers. They also reviewed care plans, medicines records, staff files and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough suitably skilled staff, safe medicines practice, improved staff training, personalised care plans and respectful care.
The service had previously been rated Requires Improvement and had breached regulations in 2018. Inspectors found that enough improvement had been made and that the home was no longer in breach. The overall rating improved to Good.
Safe staffing and medicines
Inspectors found that staffing arrangements had improved and that medicines were administered, stored and recorded safely.
“Medicines were administered, stored and disposed of safely.” from the report
Personalised care
Care plans described people's abilities, choices, likes and dislikes. People and families were involved in developing and reviewing them.
“Care plans clearly set out people's needs, intended outcomes and how they were to be met.” from the report
Kind and respectful staff
People and families said staff treated them well. Inspectors saw staff speaking with people kindly and supporting their dignity and independence.
“People and family members told us staff treated them well and with respect.” from the report
Improved management
Management systems had improved and were identifying and acting on areas for improvement. Staff said they felt valued, supported and listened to.
“The processes in place for monitoring the quality of the service were now effective in identifying and actioning areas for improvement.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you make sure staffing levels and staff deployment still meet people's needs at busy times?
- 02How do you keep staff training, supervision and competency checks up to date?
- 03How often will my relative's care plan be reviewed, and how will changes in their needs or preferences be recorded?
- 04How will you involve our family in decisions about care, including eating and drinking, healthcare and end-of-life wishes?
- 05How can we raise a concern or complaint, and how will we be told what action has been taken?
This was an unannounced planned inspection covering all five CQC questions, including the premises and care provided; it followed the previous Requires Improvement rating. This explanation was written from the published report of 19 September 2019 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 House Care Home
5 rated inspections over 4 years: the service has held its Good rating throughout.
- September 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- September 2019Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2018Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- August 2017Requires improvementstayed Requires improvementSafe: Requires improvementWell-led: Requires improvement
- June 2017Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- October 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2014
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- June 2013
Report published without a new overall rating.
- July 2012
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 15 November 2010.
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
40 live-in carers within about an hour of Wirral
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 £1,230 a week. 37 can care for a couple. 8 years' experience on average.
“It was clear that she genuinely cared and her warm approach really helped put our minds at ease.”
“He developed a close affinity with Terence, spending time talking with him before he retired to bed and looking after his needs during the night.”
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.