The Care Quality Commission
  • Mental Health
  • Independent mental health service

Archived: The Manor

The Manor, Jeesal Cawston Park, Aylsham Road, Norwich, Norfolk, NR10 4JD

Provided and run by:
Jeesal Akman Care Corporation Limited

All Inspections

26 February 2014

During an inspection in response to concerns

During this inspection we assessed the hospital's management of medicines. Whilst there was pharmacist involvement in monitoring and auditing medicine safety at the hospital we noted some delays in administering medicines prescribed by GPs, some gaps in records that are needed to provide assurance that medicines are being administered safely and as intended by prescribers. For one person, we noted a lack of information about their prescribed medicines. Medicine administration procedures observed during the inspection did not always follow safest practice.

1, 2 May 2013

During an inspection looking at part of the service

At our December 2012 inspection we found that the provider was non-compliant because the care and treatment provided to patients was not always sufficiently individualised and did not take account of changes in their circumstances or condition. We also had concerns about patients' access to one to one support from staff, activities and community visits and the way that medicines were being managed. The provider sent us an action plan that set out how they intended to make improvements to ensure that they achieved and maintained compliance with this standard. At this inspection we found that significant improvements had been made.

During our inspection we spoke briefly with two patients receiving care and treatment at The Manor. They told us that staff supported them well and understood their needs. We also observed effective interactions between staff and patients that were mutually respectful.

24 January 2013

During an inspection in response to concerns

We carried out this inspection in response to concerns about medicines management that we identified during a previous visit in December 2012. To assess the management of medicines we spoke with nursing and medical staff and patients who had been admitted to the hospital and observed medicines being given and taken.

Patients told us that they received their medicines when they needed them. Most people told us that they visited the treatment room to collect their medicines and that staff watched them take them. However, we found the administration of medicines that were given as and when required was not supported by clear guidance for staff.

There were appropriate arrangements in place for the storage of medicines. Consultant Psychiatrists regularly reviewed medicines prescribed to treat mental health conditions. GPs reviewed other medicines that were prescribed for patients.

We saw evidence that there were sometimes delays in obtaining medicines, which may have placed the health of patients at risk.

We found that the way medicines were recorded made it difficult to be sure that some medicines had been administered as intended by the prescriber.

19 December 2012

During a routine inspection

During our visit we were told that there were only ten patients accommodated at The Manor. Several people were out doing activities in the morning and in the afternoon The Manor was being used for a carol service. There were lots of other people, who had come for lunch and for the carol service, from residential homes that were part of the Jeesal Group. This meant that it was difficult to identify people living in the home to observe and talk with.

However, during our visit made observations of people using the service and we spoke with one patient and a visiting relative.

People were treated with dignity and respect, they were supported to influence how they lived and to maintain their independence. We found that individuals were enabled to express any views and concerns they may have, or to make a complaint. People were involved in meaningful activities, although staff told us that this was sometimes difficult to achieve.

Most people received care and treatment that met their needs, however we identified some concerns about the lack of up to date and accurate care plans and the frequency of care plan reviews.

All the areas we visited were clean and saw that the provider had arrangements in place to prevent and control infection.

We found that there were appropriate numbers of staff, of the correct seniority and skills to meet the needs of people during our visit. Staffing levels were monitored and arrangements were in place to cover staff absence.