The Care Quality Commission
  • Care Home
  • Care home

Archived: The Old Manse

Overall: Requires improvement read more about inspection ratings

2 Compton Road, Erdington, Birmingham, West Midlands, B24 8QA (0121) 386 5494

Provided and run by:
Sovereign Solutions Care Services Ltd

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

All Inspections

7 June 2016

During a routine inspection

This inspection took place on the 7 and 13 June 2016 and was unannounced.

We inspected The Old Manse on 1 and 8 April 2015 and we found multiple breaches of the regulations. Staff had not received the training and support they needed to carry out their role effectively. We found poor leadership and systems in place to monitor the service had not identified the failings in the service. After the comprehensive inspection, the provider sent us an action plan to us to say what they would do to meet legal requirement in relation to the breaches. We undertook a focused inspection on 23 July 2015 to check that the provider had followed their action plan and to confirm that they now met legal requirements in relation to a warning notice that we previously issued. We found that the provider had responded to our warning notice. At this inspection we found that some further improvements were needed to ensure that the monitoring systems in place were effective.

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. A registered manager was in post.

There were systems and processes in place to assess and monitor the quality and safety of the service. However, further improvements were needed to ensure that these were effective in identifying shortfalls within the service.

Staff were caring and kind however people’s confidentiality was not always protected.

People received care and support with their consent and from staff that knew them well.

People were given some opportunities to promote their independence.

Staff understood the different types of abuse and knew what action they would take if they thought a person was at risk of harm. The provider had processes and systems in place that kept people safe and protected them from the risk of harm.

People received their medicines as prescribed. People were supported to have their health care needs met and received the food and drink they needed to maintain their health and wellbeing.

Arrangements were in place to ask people their views about the service and to respond to any concerns about the service.

23 July 2015

During an inspection looking at part of the service

We carried out a comprehensive inspection of this service on 1 and 9 April 2015. Breaches of legal requirements were found. After the comprehensive inspection, the provider sent us an action plan to us to say what they would do to meet legal requirement in relation to the breaches.

We undertook this focused inspection on 23 July 2015 to check that they had followed their plan and to confirm that they now met legal requirements in relation to a warning notice that we had previously issued. We found that the provider had responded to our warning notice and taken appropriate action to meet the legal requirements we looked at.

This report only covers findings in relation to the warning notices we issued in regards to assessing and monitoring the quality of the service provision. You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for The Old Manse on our website at www.cqc.org.uk.

The Old Manse is registered to provide accommodation and support for up to three people with a learning disability. There were three people living at the home when we inspected.

The Old Manse is required to have 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 the legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. A registered manager was in post.

The provider had made changes to their quality assurance and audit programme. This had included reviewing a range of audits such as health and safety, environment, medication and infection control and ensuring procedures were in place for the analysis of incidents and accidents. The records showed that when issues were identified, actions were planned. However, some improvements were still needed to ensure that records showed that the actions had been achieved.

Some improvements had been made and further work was needed to ensure that issues with the health and safety and maintenance of the building were acted on. The provider shared with us their refurbishment plans which showed the timescales for resolving the issues.

1 and 9 April 2015

During a routine inspection

The inspection took place on 1 and 8 April 2015 and was unannounced.

We last inspected The Old Manse on 20 January 2014. At that inspection we found the provider was meeting all the regulations.

The Old Manse provides accommodation and support for up to 3 people with a learning disability. needs. There were three people living at the home when we inspected.

The Old Manse is required to have 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 the legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. A registered manager was in post.

Staff and relatives told us that people were safe. However, systems in place did not ensure that people would be protected from the risk of harm.

People were supported by enough staff to meet their needs and were supported to do activities that they enjoyed doing.

People received their medication as prescribed. People were supported to have their health care needs met and received the food and drink they needed to maintain their health and wellbeing.

Staff were friendly and kind to people. However, staff had not received the training and support they needed to carry out their role effectively.

People told us they could speak to staff and the manager if they needed to. We found that the provider did not have robust systems in place to ensure that concerns and complaints would be listened to and addressed quickly.

Staff had a limited understanding of the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards, training on these had not been provided and although applications had been made to the local authority there had been a delay with acting on this legislation which serves to protect people’s human rights.

We found poor leadership. Systems in place to monitor the service had not been effective and failed to identify the failings that our inspection identified. We identified multiple breaches in the regulations. The action we told the provider to take can be seen at the back of the full version of this report.