CQC report explained · a residential care home
What the CQC found at The Manor House Harrogate
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection prevention and control, including PPE, testing, visitors, admissions, hygiene and visits. The provider also said it had measures to reduce the risks from COVID-19-related staffing pressures.
- Effective?
- Good
- This question was not assessed in this targeted inspection.
- Caring?
- Good
- This question was not assessed in this targeted inspection.
- Responsive?
- Good
- This question was not assessed in this targeted inspection.
- Well-led?
- Good
- This question was not assessed in this targeted inspection.
What inspectors found, February 2022
Inspected but not rated; inspectors found strong COVID-19 infection control and visiting arrangements.
This was a targeted inspection on 21 January 2022. It looked at infection prevention and control, visiting arrangements and whether COVID-19 staffing pressures affected care. The visit was announced one day beforehand.
Inspectors were assured that the home used personal protective equipment safely, supported testing, managed visitors and admissions safely, and kept its infection control policy up to date. They were also assured that visits were being facilitated in line with current guidance.
The home had a staff member responsible for COVID-19 arrangements. Staff supported residents with vaccinations, wellbeing, family contact and safe activities during the pandemic.
The service was inspected but not rated. This means the report does not give a Good, Requires improvement or Inadequate rating for the service, and it only reports on the areas covered by this targeted inspection.
Dedicated COVID-19 oversight
A nominated staff member managed testing, self-isolation, guidance and communication with families about COVID-19 precautions.
“The service had introduced a nominated member of staff who focused on COVID-19 requirements.” from the report
Visitor checks
Visitors completed a detailed checklist covering vaccination, testing, symptoms and recent international travel.
“The service had implemented a comprehensive checklist which all visitors were required to complete.” from the report
Support for wellbeing
Staff supported residents' independence and wellbeing, including exercise, activities and regular family contact when visits were not possible.
“Staff and managers were focused on supporting residents' independence, mental health and wellbeing needs throughout the pandemic.” from the report
Infection control
Inspectors were assured that the home used PPE safely, supported testing and managed infection risks.
“We were assured that the provider was using PPE effectively and safely.” from the report
Visits continued
The home had arrangements to facilitate visits in line with the guidance in force at the time.
“We were assured the provider was facilitating visits for people living in the home in accordance with the current guidance.” from the report
Inspectors raised no specific concerns in this report.
- 01What are your current arrangements for visitors, testing and infection control?
- 02How do you manage staffing pressures now, and what effect do they have on residents?
- 03How are residents supported to keep in touch with family and take part in activities?
- 04What are the home's current ratings or recent inspection findings for Effective, Caring, Responsive and Well-led?
- 05How are residents supported if they need to isolate or have COVID-19?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; it did not rate the other four questions or give an overall quality rating. This explanation was written from the published report of 9 February 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, April 2020
The Manor House Harrogate was rated Good overall; inspectors found kind, person-centred care, with some records needing improvement.
This was the first inspection since the home registered. Inspectors visited on 26 February and 2 March 2020. The first visit was unannounced. They spoke with people living there, relatives, staff and health and social care professionals, and reviewed care, medicines, recruitment and management records.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. People told inspectors they felt safe and received kind, respectful care. Staff supported people with their choices, healthcare, food and drink, activities and contact with family and friends.
Inspectors identified some areas to improve. Some risk assessments needed more detail, food and fluid charts were not always completed thoroughly, and medicines records needed clearer information for medicines given only when needed. People also sometimes waited for support at busy times, and some agency staff did not provide support as consistently as permanent staff.
Kind and respectful care
People received warm, friendly and attentive support. Staff treated people with dignity and took time to get to know them.
“People received kind and caring support from the polite, courteous and respectful staff.” from the report
Personalised support
Care plans included information about people's needs, preferences and life histories. Staff understood what mattered to people and supported their choices.
“People received person-centred support from attentive and respectful staff.” from the report
Activities and relationships
People were supported to join in meaningful activities, spend time with staff and keep in contact with family and friends.
“People enjoyed taking part in a wide range of regular and meaningful activities within the service and staff also arranged trips out locally.” from the report
Good management systems
Management used audits, meetings and feedback to identify issues and make improvements. Accident and incident information was also reviewed for patterns.
“Regular audits helped to continually improve the quality and safety of the service.” from the report
Clean and welcoming environment
Inspectors found the home clean, warm and well maintained, with communal areas and outdoor spaces for people to use.
“The environment was very clean, tidy and well-maintained.” from the report
Risk assessments needed more detail
needs fixingSome assessments did not explain in enough detail how particular risks should be managed, including diabetes, anticoagulant medicines and dehydration.
“Some risk assessments could be developed to include more detailed information about how risks were managed.” from the report
Food and fluid records
needs fixingCharts used to monitor people's food and drink were not always completed fully, totalled each day or linked to care plans and risk assessments. The provider was recommended to review this.
“These were not always thoroughly completed, totalled each day or linked to people's care plans and risk assessments.” from the report
Medicines recording
needs fixingInspectors asked the manager to continue checking recording issues, including when medicines prescribed only when needed should be given.
“We spoke with the registered manager about continuing to audit and address recording issues, including clearly documenting information about when to administer medicines prescribed to be taken only when needed.” from the report
- 01What changes have you made to risk assessments for diabetes, anticoagulant medicines and dehydration since the inspection?
- 02How do you now check that food and fluid charts are completed, totalled and linked to each person's care plan?
- 03How are medicines prescribed only when needed recorded and checked?
- 04How do you make sure people do not wait too long for support during busy periods?
- 05How do you ensure agency staff provide care consistently with permanent staff?
This was the first inspection of the newly registered home and covered all five CQC questions; the Ridings suite was not in use. This explanation was written from the published report of 3 April 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 Harrogate
Each visit the CQC has published, newest first, back to the day the home was registered.
- February 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- April 2020GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2019
Registered with the Care Quality Commission on 22 July 2019.
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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28 live-in carers within about an hour of North Yorkshire
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 £1,010 to £1,290 a week. 27 can care for a couple. 12 years' experience on average.
“Carla has been a god send with the implementation of bringing mum back home from respite care.”
“She was always 'just present enough': attentive, available, kind and engaging, but without ever over-stepping any boundary”
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.