Compton Manor

Updated 12 May 2023

Inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection, we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by 2 inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Compton Manor is a ‘care home.’ People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and we looked at both during this inspection.

This service 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. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since their previous inspection. This included any significant incidents that occurred at the service. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all of this information to plan our inspection.

During the inspection

We visited the service on 02 March 2023. During our inspection visit we spoke with 5 people who used the service and 3 relatives. We spoke with the nominated individual and the registered manager. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We also spoke with the care coordinator, the chef, and three members of care staff. We spoke with three health and social care professional who was visiting the service at the time of the inspection.

We reviewed a range of records including care and support plans for 4 people. We looked at recruitment records for 3 members of staff. We reviewed records relating to staff training, medicine administration and management and the management of the service, including quality assurance audits, building audits. We also looked at records relating to accident and incidents and complaints.

Updated 12 May 2023

About the service

Compton Manor is a residential care home providing personal care to up to 38 people. The service provides support to older people and younger adults, some of whom have diagnoses of 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

There was a friendly atmosphere in the home and staff supported people in a kind and caring way that took account of their individual needs and preferences. People and their families were supported to express their views and be involved in making decisions about their care and support.

People and relatives spoke positively about the service and told us improvements had been made since our last inspection. People were protected from the risk of avoidable harm. Medicines were managed safely. The risks to people's safety and wellbeing had been identified, assessed, and managed. Accidents and incidents were investigated and information about these was shared with the local authority. There were procedures in place for preventing and controlling infection, and the staff followed these. Staff were recruited safely, and robust pre-employment checks were completed.

People were supported by staff who had regular training to gain the skills and knowledge necessary to provide effective care. Staff skills and knowledge were reviewed through regular supervision and competency checks. People ate a diet based on their individual preferences and requirements. People had good support to access the healthcare services they needed.

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.

People were supported to undertake activities of their choice and told us they enjoyed these. Staff engaged well with people to find out what they wanted to do. Staff understood and respected people’s individual cultural, religious, and spiritual needs.

Staff told us they that they enjoyed working there and felt supported by the registered manager and provider. The provider and registered manager were promoting an open, empowering, and inclusive culture within the service. There were a range of systems in place to assess and monitor the quality and safety of the service and to ensure people were receiving appropriate support, but these processes required more time to become fully embedded in the service. The registered manager took prompt action when any areas for improvement were identified.

For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 20 April 2022).

At our last inspection we found breaches of the regulations in relation to the assessment of risks to individuals, the safety of the environment of the home, the governance of the service and the providers statement of purpose was not up to date. The provider completed an action plan after the last inspection to tell us what they would do and by when to improve and provided us with monthly updates.

At this inspection we found improvements had been made and the provider was now meeting these regulations.

Why we inspected

We carried out this inspection to follow up on action we told the provider to take at the last inspection.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.