CQC report explained · a residential care home
What the CQC found at The Manor House Gosforth
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- Inspectors were assured that infection prevention and control arrangements were in place, including PPE, testing, social distancing, hygiene and outbreak management.
- Effective?
- Outstanding
- This area was not inspected in this report.
- Caring?
- Good
- This area was not inspected in this report.
- Responsive?
- Outstanding
- This area was not inspected in this report.
- Well-led?
- Outstanding
- This area was not inspected in this report.
What inspectors found, December 2020
Inspected but not rated; inspectors found good infection control, PPE and support for people's wellbeing.
Inspectors visited the home on 28 October 2020 as part of a coronavirus infection control review. The visit was announced and focused on preventing and controlling infection.
They found enough PPE, which staff used correctly. Staff had been trained to put it on and take it off. The home was clean, and its layout supported social distancing.
Inspectors were assured that the home had systems for testing, safe admissions, shielding, hygiene and managing outbreaks. They also saw gardens and other areas where people could spend time, and found an emphasis on people's wellbeing.
This was not a full inspection of the home. It was inspected but not rated, so it does not give an overall quality rating or ratings for most areas of care.
Infection control
Inspectors were assured that the home had arrangements to prevent and manage infections, including safe admissions, testing and outbreak planning.
“We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
PPE
There was enough protective equipment, and staff were using it properly. Staff had also received training in using it.
“There was sufficient personal protective equipment (PPE) such as aprons, gloves and masks.” from the report
Clean environment
The home was clean and had a layout that supported social distancing. People could use different areas, including well-maintained gardens.
“The home was clean. One person told us, "They wipe everything down to make sure we don't catch anything.” from the report
People's wellbeing
Inspectors found an emphasis on people's wellbeing. People told them they were happy at the home.
“There was an emphasis on promoting people's wellbeing.” from the report
Approach still being developed
minorInspectors signposted the provider to resources to develop its approach. The report does not explain what specifically needed further development.
“We have also signposted the provider to resources to develop their approach.” from the report
- 01What infection prevention and control arrangements are in place now, and how are they checked?
- 02How do you make sure staff continue to use PPE correctly?
- 03How are visitors and new admissions managed to reduce infection risks?
- 04What resources did inspectors ask you to use to develop your approach, and what has changed as a result?
- 05How do you support residents' wellbeing and access to gardens and other areas during infection-control restrictions?
This was an announced thematic inspection focused on infection prevention and control; only Safe was inspected and it was not rated, while the other areas and the overall service were not rated. This explanation was written from the published report of 3 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, January 2020
Rated Outstanding; inspectors found exceptionally effective, responsive and well-led care, with safe and caring support rated Good.
This was an unannounced, planned inspection on 16 December 2019. One inspector and an Expert by Experience spoke with people, relatives, staff and health professionals. They also observed care and checked care, medicine, recruitment, training and management records.
The inspectors found very positive experiences. Staff were kind, respectful and knew people well. Care was highly personal and included support with rehabilitation, mental wellbeing, activities, food, communication and people's wishes. The home also worked closely with families, community groups and health professionals.
The overall rating was Outstanding. Effective, responsive and well-led were rated Outstanding. Safe and caring were rated Good. Compared with the previous inspection, effective, responsive and well-led improved from Good to Outstanding, while safe and caring stayed Good.
Personalised care
Staff went to great lengths to understand each person and support their goals, interests and wellbeing. Personal scrapbooks recorded people's journeys and achievements.
“Highly person-centred care truly enriched people's lives, helped them to achieve their dreams and led to extremely positive outcomes.” from the report
Health and rehabilitation
Creative approaches helped people improve their mobility, oral health, nutrition and emotional wellbeing. Staff worked effectively with physiotherapists and other health professionals.
“Excellent collaborative working with external health professionals, such as physiotherapists, had led to significant improvements in people's mobility.” from the report
Activities and community links
People could take part in varied activities and pursue personal wishes. The home also built links with a local school and welcomed the wider community.
“A large variety of stimulating and engaging activities included different therapeutic sessions, virtual reminiscence, regular visits by a local historian, as well as opportunities to connect with the community.” from the report
Kind and respectful staff
People and relatives consistently praised staff for being warm, attentive and caring. Staff supported privacy, dignity, independence and involvement in decisions.
“Interactions between people and staff were warm, kind and showed they knew each other well.” from the report
Strong leadership
The inspection found distinctive leadership, effective quality checks and a culture focused on learning and improving people's lives. Surveys showed high satisfaction from people, relatives, professionals and staff.
“An effective system of quality assurance checks at service and provider level helped ensured continuous development and improvement of people's care.” from the report
Some medicines instructions needed clarification
minorInspectors discussed making some protocols for medicines given only when needed clearer and more consistent with the home's proactive approach.
“We discussed with managers how some protocols for people's 'as required' medicines could be made clearer and aligned with the service's focus on proactive approaches.” from the report
- 01How have you clarified the instructions for medicines given only when needed since this inspection?
- 02How would you support my relative's personal wishes, interests and goals through activities and daily care?
- 03What rehabilitation, health or wellbeing support would be available for my relative, and which outside professionals would be involved?
- 04How would you involve our family in care planning and reviews if my relative's needs changed?
- 05How are people's end-of-life wishes recorded and kept up to date?
This was an unannounced, planned inspection that looked at the overall service and all five CQC questions; the previous overall rating was Good in 2017. This explanation was written from the published report of 23 January 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 The Manor House Gosforth
3 rated inspections over 5 years: the service has improved, from Good to Outstanding.
- December 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- January 2020Outstandingup from GoodSafe: GoodEffective: OutstandingCaring: GoodResponsive: OutstandingWell-led: Outstanding
- April 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2013
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- September 2012
Report published without a new overall rating.
- August 2011
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 9 December 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
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36 live-in carers within about an hour of Newcastle upon Tyne
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 £950 to £1,160 a week. 30 can care for a couple. 10 years' experience on average.
“Petty introduced herself to Mum every time she was caring for her and responded very quickly to Mum if she was distressed in 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.