31 August 2022
During an inspection looking at part of the service
Manorfields residential care home is a care home providing personal care for up to 40 people. The service provides support to older people some of whom are living with dementia. At the time of our inspection there were 35 people using the service.
People’s experience of using this service and what we found
Window restrictors had not been fitted to two smaller windows in people's bedrooms. However, the registered manager resolved this during our inspection. Further work was needed to ensure the application of topical creams was managed safely. Other aspects of medicines administration were managed safely, and people received their medicines when needed. Risk assessments and care plans were kept up to date to reduce risks to people's health and wellbeing. There were processes supporting the safe recruitment of staff. Lessons were learnt following incidents and accidents. There were systems to ensure the environment was safe and infection prevention control arrangements were effective. Systems were in place to minimise the risk of abuse. Staff received safeguarding training and knew how to whistle blow.
Improvements had been made since our last inspection. There were systems in place to maintain and improve the quality of service delivery. People, their relatives and staff had opportunities to give feedback on the service and this was used to improve care. Staff received supervision and training. There was a positive culture in the service.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 11 November 2021) and there were breaches of regulation. At this inspection we found improvements had been made and the provider was no longer in breach of the regulations.
Why we inspected
This inspection was carried out to follow up action we told the provider to take at the last inspection.
We undertook this unannounced focused inspection to check whether the Warning Notice we previously served in relation to Regulation 12, Safe care and treatment, and Regulation 17, Good governance, of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 had been met. We found there had been enough improvement and the warning notice had been met. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.