Manor Field

Updated 26 February 2024

Manor Field is a residential care home providing support to 5 people with learning disabilities and autistic people. We completed this assessment due to concerns raised about staff practice and the oversight of the service. We completed the assessment 10th April 2024 to 15th May 2024. We visited the service on 2 occasions during the assessment. We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to this. We found the provider was not following the guidance and people were not receiving the required standard of care. We identified shortfalls at the service and identified 2 breaches of regulation including dignity and the management of the service. We have asked the provider for an action plan in response to the concerns found at this assessment.

Updated 26 February 2024

The service was not always able to demonstrate how they were meeting the underpinning principles of Right support, Right care, Right culture Right Support: Care was not fully person-centred. For example, while staff knew people well. Inconsistent leadership resulted in ineffective governance and quality assurance systems. Audits had not identified the issues inspectors found during the inspection and staff issues had not been addressed in a timely manner. This impacted on the care and support people received. Despite this, relatives told us they were happy and felt safe with the care and support their loved ones received at Manor Field. Right Support: Robust safeguarding systems were not always in place and care plans were not always person-centred, which meant staff were not consistent with the support they gave to people. Staff were observed communicating with people and people were relaxed with staff. Staff enabled people to access health services when they needed them. Right Care: Staff overall, were committed to providing an individualised response to people's needs, but this was at times difficult as there was not always accurate and/or up to date information in peoples care plans for staff to follow. More needed to be done to ensure that all of the staff supporting people understood and respected their individual needs and choices. There was a recruitment and selection process for new staff. Medicines were being managed safely. There were enough staff working at the service to support people safely. Infection control and prevention systems were in place. Right culture: People's support plans did not always demonstrate that the person had been involved as a partner. Staff told us it was not an open culture at the service. Whilst the provider demonstrated a commitment to create a culture of good quality care to people, the success of this approach had been affected by staff changes and oversight of the management at the service.