CQC report explained · a nursing home
What the CQC found at The Manse Care
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Medicines, infection control, equipment, emergencies and staffing were managed safely, although inspectors noted that some care plans did not contain everything staff knew about people's risks.
- Effective?
- Good
- People's health, nutrition and care needs were assessed and reviewed. Staff had suitable training and support, but the quality of mental capacity assessments varied.
- Caring?
- Good
- People were treated with kindness, dignity and respect. Staff involved people in decisions, respected privacy and encouraged independence.
- Responsive?
- Good
- Care was personalised and people's communication needs, interests and relationships were supported. Complaints were handled properly and end of life care was planned.
- Well-led?
- Good
- The provider and manager created an open and inclusive culture focused on people. Audits, feedback and other checks were used to monitor and improve the service.
What inspectors found, September 2023
Rated Good in all five areas; inspectors found kind, personalised care, with some records needing improvement.
Inspectors visited on three days. The first day was unannounced. They spoke with people living at the home, relatives, staff and outside professionals. They observed care, checked the building, reviewed care and medicines records, and looked at staff training and quality checks.
The home was found to be safe, effective, caring, responsive and well-led. Staff managed medicines and risks well. There were enough staff overall, recruitment checks were completed, and people received support with food, healthcare, communication, activities and relationships. People and relatives described staff as kind and respectful.
Inspectors found that some mental capacity assessments did not contain enough information and recommended better recording. They also noted that staff sometimes knew more about people's needs than was written in care plans. The home was newly registered under a new provider, so this was treated as its first inspection. The previous provider had also been rated Good in February 2021.
Kind and respectful care
People and relatives said staff were caring and helpful. Inspectors saw staff protecting privacy, offering choices and supporting people to remain independent.
“People were treated with respect, compassion and kindness by staff.” from the report
Safe medicines and risk management
Medicines records were up to date and staff had their competence checked. Risks, equipment, fire safety and emergencies were assessed and managed.
“Medicines were managed safely and properly.” from the report
Personalised support
Staff assessed people's needs and preferences and reviewed care with them. Activities were offered both in groups and individually.
“People received care and support which was personalised to them.” from the report
Good food and healthcare support
The home assessed nutritional needs, adapted meals and worked with healthcare professionals. Inspectors found mealtimes relaxed and supportive.
“The mealtime experience was pleasant, and people's individual needs were met.” from the report
Open management and improvement
The provider used audits, surveys, meetings and feedback to monitor the home. Inspectors found good teamwork and clear responsibilities.
“The provider and manager had created a culture that was open, inclusive and put people at the centre of the care and support they received.” from the report
Mental capacity records
needs fixingSome mental capacity assessments contained only limited information. Inspectors recommended that the provider review how these assessments are recorded.
“However, assessments of capacity varied in quality. Some were very detailed, whereas others recorded minimal information.” from the report
Care plan detail
needs fixingIn some cases, staff knew more about people's needs and risks than was written in their care plans. The manager said this was an area being improved.
“In some cases, staff knew more about people than was included in care plans.” from the report
Use and consistency of agency staff
minorPeople generally felt there were enough staff, but one person said the home was occasionally short staffed and used agency staff. Feedback also said the quality of agency staff could vary.
“The quality of the agency staff can vary.” from the report
- 01How are mental capacity assessments checked to make sure they contain enough detail?
- 02How do you make sure care plans include all the risks and needs that staff know about?
- 03How often do you use agency staff, and how do you check their skills and consistency?
- 04What refurbishment work has been completed, and what work is still planned?
- 05How are people and relatives involved in reviewing care plans and making decisions about daily care?
This was the first inspection of the newly registered service under the new provider and covered all five key questions, including infection prevention and control under Safe. This explanation was written from the published report of 15 September 2023 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 Manse Care
4 rated inspections over 7 years: the service has improved, from Requires improvement to Good.
- September 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2021Inspected but not ratedSafe: Inspected but not rated
- January 2019Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2017Requires improvementstayed Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- November 2016Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- March 2022
Registered with the Care Quality Commission on 4 March 2022.
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
85 live-in carers within about an hour of Lancashire
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 £1,260 a week. 78 can care for a couple. 11 years' experience on average.
“She understands the needs of an elderly person in the early stages of dementia and has treated my mother with great kindness and skill.”
“Thanks to Tracy, Dad was always immaculately dressed and clean, his meals were all home cooked and nutritionally well balanced and his home was always kept really clean and tidy.”
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.