Archived: Madeley Manor Care Home

Updated 8 December 2015

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, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

The unannounced inspection was carried out by two inspectors on 17 September 2015.

We reviewed the information we held about the home. This included looking at notifications the provider had sent to us. Notifications are reports of accidents, incidents and deaths of service users. We also reviewed the information we received from other agencies that had an interest in the service, such as the local authority commissioners.

We met and spoke with the managers from the management company and the deputy manager (who was acting as manager and whom we have referred to as manager for the purpose of the report). We also met with a nurse, five care staff, the activities person, a laundry assistant, cook and a kitchen assistant and the maintenance person.

We spoke with ten people who used the service and four relatives. We observed how people’s needs were met by the staff who worked at the home including how staff interacted with people. We looked at four people’s care plans, their daily care records and records relating to their medication. We observed how staff interacted with people who used the service and how people’s care and support needs were met.

We looked at records relating to quality monitoring including internal and external audits. We looked at the log of complaints and compliments and we looked at records relating to the maintenance of the building and equipment. We looked at the provider’s staff training plan and record of staff training and we spoke to staff about their training.

Updated 8 December 2015

The inspection took place on 17 September 2015 and was unannounced.

Madeley Manor provides accommodation and personal care for a maximum of 42 people who may have dementia and/ or a physical disability. At the time of this inspection there were 20 people living in the home.There had been a change in ownership of the home since the last inspection and the home was currently owned by a receiver company.

At our previous inspection on 10 November 2014 we identified that the provider needed to make improvements in all areas. We found that the provider did not respond appropriately to allegations of abuse. People were not protected against the risks of unsafe care because the provider did not keep accurate records in relation to people’s care and treatment. We found that effective systems were not in place to identify, assess and manage risks to protect people against the risks of receiving inappropriate or unsafe care. The provider did not regularly assess and monitor the quality of care provided. We also identified that the provider did not take appropriate steps to ensure that, at all times, there were sufficient numbers of suitably qualified, skilled and experienced persons to provide care.

We found, from the inspection on 17 September 2015, that the provider had made improvements in all of the above areas.

There was a registered manager in post in post. 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. The registered manager of the home was on leave. The home was being managed in the interim by a management company (operations manager) who offered guidance and support to the deputy manager (who was acting as manager of the home).

People’s risks were assessed in a way that kept them safe from the risk of harm. Where possible people’s rights to be as independent as possible were respected.

People who used the service received their medicines safely. Systems were in place that ensured people were protected from risks associated with medicines management.

We found that there were enough suitably qualified staff available to meet people’s care needs. Call bells were responded to in a timely manner. Staff were trained to carry out their role and the provider had plans in place for updates and refresher training. The provider had safe recruitment procedures that ensured people were supported by suitable staff.

Staff knew how to support people in a way that was in their best interests and advice had been sought from other agencies to ensure formal authorisations were in place where people may be restricted.

People told us that staff were kind and caring. Staff treated people with respect and ensured their privacy. Attention to detail would help improve the promotion of dignity for people.

People had opportunities to be involved in hobbies and interests that were important to them and there was activities and entertainment on going at the home.

People and/or their representatives were given opportunities to be involved in their care.

The provider had a complaints procedure available for people who used the service and complaints were appropriately managed.

There was a positive atmosphere within the home and staff told us that the registered manager was approachable and led the team well. Staff received supervision of their practice and had opportunities to meet regularly as a team.

The provider had systems in place to monitor the service. We saw that the provider had made significant improvements to all areas and services provided since our last inspection.