The Manor

At the time of the inspection there were 49 people living at the service; this included six people who were staying for short term respite stays.

People told us they felt safe. Comments included, "I feel safe most of the time. They have got some excellent carers" and "I wouldn't change it for anything. The staff are excellent" Risks to people had been assessed and mitigated to help keep people safe. People received their medicines safely. Infection control processes protected people from the risk of infection.

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.

People were supported by staff who were suitably trained and had their competencies assessed. People were supported in a respectful and dignified way and their privacy was respected, and their independence was promoted. The service employed a physiotherapist assistant. Several people spoke highly of the physiotherapist assistant's help and support.

People's care plans were individualised and reflected their needs and personal preferences. The service worked together with healthcare professionals to ensure people's health, care and wellbeing needs were met.

People were supported and encouraged to pursue activities and interests. An activities programmes was in place and people said they enjoyed a range of activities. The building design met people's needs and the building was fully accessible. The premises were bright and spacious with wide corridors and opportunities to connect with the outdoors.

Quality assurance processes were in place to monitor and improve the quality and safety of the care provided. The provider sought feedback to help drive service improvement. We received positive feedback about the registered manager and how the service was managed since their appointment. Comments included, "The manager will listen" and "You can talk to (the registered manager). I find her very nice". Professionals told us, "Until (the registered manager's) appointment the ship was somewhat rudderless… With the registered manager's appointment, we have found a responsive and effective manager who is clearly getting to grips with any issues and concerns and we have already made great progress".