Nelson Manor Care Home

Updated 28 August 2020

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

This was a targeted inspection looking at the infection control and prevention measures the provider has in place. As part of CQC’s response to the coronavirus pandemic we are conducting a thematic review of infection control and prevention measures in care homes.

This inspection took place on 18 August 2020 and was announced. The service was selected to take part in this thematic review which is seeking to identify examples of good practice in infection prevention and control.

Updated 28 August 2020

We carried out an unannounced inspection at Nelson Manor on 4 and 5 September 2018.

Nelson Manor is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Accommodation is provided on three floors. The ground floor known as Haven suite, provides personal care for older people, the middle floor known as the Jubilee suite provides personal and nursing care for people with mental health needs and the top floor known as the Great Marsden suite provides people with nursing care. All the bedrooms have an ensuite with a shower facility. At the time of the inspection, there were 64 people accommodated in the home.

The service was managed by a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

We carried out the last comprehensive inspection on 11 and 12 May 2017 and assessed the service as overall ‘requires improvement’. This was because we found shortfalls in the management of medicines. We carried out a focussed inspection on 18 September 2017, to check the provider had made improvements to way they managed medicines. Whilst we found the necessary improvements had been made, we retained the rating of ‘requires improvement’ in the safe section, because we needed to ensure the improvements were sustained over time. During this inspection, we found the service was compliant with the current regulations and the improvements had been sustained. The overall rating has been assessed as ‘Good’.

People living in the home told us they felt safe and staff treated them well. People were supported by enough skilled staff so their care and support could be provided at a time and pace convenient for them. Appropriate recruitment procedures were followed to ensure prospective staff were suitable to work in the home. Records confirmed that staff had received safeguarding training and they knew how to recognise abuse and report any concerns. Staff conducted risk assessments and devised care plans which guided staff on how to manage the risks identified. People's medicines were managed appropriately and records seen were complete and up to date.

The home remained clean and free of unpleasant odours. People were protected from the risk and spread of infection. Equipment used to support people was clean, in a good state of repair and was regularly serviced.

Staff had the knowledge and skills required to meet people's individual needs effectively. They completed an induction programme when they started work and they were up to date with the provider's mandatory training. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. There were appropriate arrangements in place to support people to have a varied and healthy diet. People had access to a GP and other health care professionals when they needed them.

Staff were kind and caring and treated people with dignity and respect. We observed people were happy, comfortable and relaxed with staff. Care plans and risk assessments were person centred and provided guidance for staff on how to meet people’s needs and preferences. There were established arrangements in place to ensure the care plans were reviewed and updated regularly.

People had access to a complaints procedure and records were made of complaints received in the home. Any issue raised had been investigated and steps taken to resolve the situation to people's satisfaction. People were provided with a range of activities seven days a week.

Robust systems were in place to monitor the quality of the service, which included seeking and responding to feedback from people and their relatives in relation to the standard of care and support. The registered manager provided clear and supportive leadership to her team. All people, relatives and staff praised the management of the service and said the team were approachable and a visible presence in the home.