The Care Quality Commission
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Archived: Manor House Care Home

Overall: Requires improvement read more about inspection ratings

Brook Street, Sutton In Ashfield, Nottinghamshire, NG17 1ES (01623) 554552

Provided and run by:
Dr T R Chandran and Dr N S Rai

Important: The provider of this service changed. See new profile

All Inspections

28 October 2015

During a routine inspection

This inspection took place on 28 October 2015 and was unannounced. Manor House is run by Dr. T.R. Candran and Dr. Q Chandran. The service provides care and support for 25 older adults, including people living with dementia. On the day of our inspection 12 people were using the service. The service is provided across two floors with a passenger lift connecting the two floors.

Although the service had a registered manager in place at the time of our inspection the current registered manager was planning to relinquish their role and deregister with us. The current deputy manager was undertaking the role of manager and had applied to us to become the 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 and associated Regulations about how the service is run.

The risks to people’s safety were not properly assessed. The process for assessing risks for individuals had not been followed. Without robust assessments of risk we could not be certain people were protected from unnecessary risk. Staffing levels were not always sufficient during the day and the manager spent a significant proportion of their time supporting staff providing direct care.

Staff did not always follow the requirements of the Mental Capacity Act 2005. Some people had their liberty restricted and staff had not undertaken assessments or made appropriate Deprivation of Liberty Safeguard (DoLS) applications to ensure the restrictions were lawful.

People were not always involved in the planning and reviewing of their care plans but were supported to make day to day decisions about their care. Their views on the quality of the service were not always sought. There was a lack of social activities available for the people who lived in the home.

The quality of the service was not always monitored adequately as quality assurance audits were not robust or thorough and the manager was not supported nor had sufficient time to fulfil their managerial role effectively.

People felt safe living at the home and staff were aware of how to protect people from the risk of abuse. Relevant information about incidents which occurred at the home was shared with the local authority. People received their medicines as prescribed, the management of medicines was safe and people were cared for by staff who had received appropriate training.

People were protected from the risks of inadequate nutrition. Specialist diets were provided if needed. Referrals were made to health care professionals when needed. People felt they could report any concerns to the management team and felt they would be taken seriously. They were treated in a caring and respectful manner and staff delivered support in a relaxed and considerate way.

30 September 2013

During a routine inspection

Prior to our visit we reviewed all the information we had received from the provider. During the visit we spoke with four people who used the service and a relative and asked them for their views. We also spoke with two care workers, the deputy manager and the registered manager. We also looked at some of the records held in the service including the care files for three people. We observed the support people who used the service received from staff and carried out a brief tour of the building.

We found people gave consent to their care and received care and support that met their needs. A person told us, 'I am asked if I want to have a bath. It is up to me. Sometimes I don't feel like it so we leave it until another time.' A relative told us they thought the care was effective as staff were, 'Keeping him (their relation) as I knew him.'

We found that suitable arrangements were in place to manage people's medication and ensure they received any medication they needed. A person who used the service told us, 'Staff manage my medication for me. They bring it to me early morning as it is better to take it then. They bring it with a cup of tea which I enjoy.'

We found the staff team were supported through training and the provider maintained records that were accurate and fit for purpose. A relative told us, 'All the staff seem to be competent. I haven't found a member of staff who is not helpful.' A person who used the service told us, 'I can have my care plan anytime I want, I only have to ask. I have gone through it.'

9 November 2012

During an inspection looking at part of the service

Prior to our visit we reviewed all the information we had received from the provider. During the visit we spoke with five people who used the service and asked them for their views. We also spoke with three care staff, the acting manager and a representative for the provider. We spoke with the provider on the telephone. We also looked at some of the records held in the service.

This inspection was carried out to ensure the provider had complied with actions we took following our last inspection where we found the provider was non complaint. People who used the service did not have any comments to make about these.

31 July 2012

During an inspection in response to concerns

On the day of our visit to the Manor House Care Home there were 19 people living there.

We spoke with three people who live at the care home, and observed the staff at various times throughout the day.

Among the comments we received were:

'Everything is alright.'

'Yes, the staff do understand my needs, they are very good.'

'The staff always knock on my door before coming in, I can't get up and down, so they come in when I say so.'

'I have no complaints.'

'I feel the home is very family orientated.'

'Why is there such an emphasis on care plans? I'm here to be cared for, but it feels like the care plans are more important than me! I think some of the questions we have to answer are irrelevant. The carers are wonderful. What is most important is that they care for us, not the care pans, but it feels like the care plans are to our detriment.'

'Yes, we have got to know each other, and I think I am well cared for.'

'The staff are very good, very nice, all of them.'

We also spoke with one relative who told us:

'The staff are very good, it's very homely, and I have no concerns.'

10 February 2012

During an inspection in response to concerns

On the day of the inspection site visit to The Manor House there were eighteen people living there.

Some of the people who live at The Manor House have dementia and therefore not everyone was able to tell us about their experiences. To help us to understand the experiences people have we used our SOFI (Short Observational Framework for Inspection) tool. The SOFI tool allows us to spend time watching what is going on in a service and helps us to record how people spend their time, the type of support they get and whether they have positive experiences.

We did speak with two people who live at the care home, they told us: 'I am quite happy here, the staff are friendly, and I have everything I need.' 'I am alright thank you, I have nothing to grumble about.'

Our observations of staff carrying out their duties showed that people were spoken with in a respectful and friendly manner, however the staff seemed very rushed, and there were no organised activities taking place in the care home on the day of our inspection visit.

We asked if people felt safe living at the care home, and they said that they did. We also asked if the staff were kind, and again we were told that the staff were: 'Very kind' and 'Very good.'