The Manor House Nursing Home

People told us they felt safe living in the home. Staff told us they felt confident to raise safeguarding concerns with the manager or local authority if they felt people were at risk of harm.

People received their medicines in a dignified manner and staff wore personal protective equipment when needed. However, further improvements were needed when administering medicines using skin patches.

Staff told us they regularly worked with other health professionals to keep people safe. Visiting professionals told us they had raised concerns over the care and support provided to people. However, visiting professionals were working closely with the provider and improvements had been made.

People told us there were enough staff on duty and we found staff were recruited safely.

People told us they lived in a clean and safe home. However, some health and safety monitoring checks had gaps in the records.

The manager responded to our feedback by introducing new systems to monitor people’s skin patches and audit health and safely records.

We assessed a limited number of quality statements in the effective key question and whilst we found areas of good practice, we raised concerns over gaps in people’s care monitoring and some outdated information in care plans. The scores for these areas have been combined with scores based on the rating from the last inspection, which was good.

The manager responded to our feedback. They introduced new systems to review people’s care plans. We will review the success of these new systems in the next assessment.

People and relatives told us they felt involved in the care and support provided to people. However, we observed how 2 people were not always supported in accordance with their care plan. The manager responded to our feedback and spoke to the staff team, reminding them to familiarise themselves with the relevant care plan.

Staff told us risks to people were regularly discussed in meetings and they felt confident to raise any concerns with the management team.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

We assessed a limited number of quality statements in the well led key question and found areas of good practice. However, improvements were identified to auditing systems, such as health and safety checks and care plan audits. The scores for these areas have been combined with scores based on the rating from the last inspection, which was good.

The manager responded to our feedback and introduced new quality audits to monitor health and safety checks and review care plans. We will review the success of these new systems in the next assessment.

Staff told us they felt supported by the management team, and they felt they worked as a team in order to promote people’s health and wellbeing.

Staff told us the new manager was approachable and led by example. The manager told us they were working closely with health and social care partners to continually improve the care and support provided to people.