The Manor House Harrogate

Updated 9 February 2022

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.

As part of CQC’s response to the COVID-19 pandemic we are looking at how services manage infection control and visiting arrangements. This was a targeted inspection looking at the infection prevention and control measures the provider had in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.

This inspection took place on Friday 21st January 2022 and was announced. We gave the service one day’s notice of the inspection.

Updated 9 February 2022

About the service

The Manor House Harrogate is a residential care home providing personal care for up to 87 older people and people who may be living with dementia. Forty-five people were using the service when we inspected.

The service is split into four ‘suites’ across four floors. Lancaster and Dutchy provided residential care, whilst Chester specialised in supporting people living with dementia. The Ridings was not in use at the time of our inspection.

People’s experience of using this service and what we found

People felt safe with the care and support staff provided. Risk assessments were in place to guide staff on how to safely meet people’s needs. Some risk assessments could be developed to include more detailed information about how risks were managed. The registered manager agreed to address this.

Staff were safely recruited and sufficient staff were deployed to safely meet people's needs. The registered manager had systems in place to monitor and make sure enough staff were on duty. Agency staff were used when needed to cover gaps in the rota.

People were supported to stay safe by staff who understood how to identify and address any safeguarding concerns. Staff responded to accidents and incidents to help keep people safe. Management analysed all accidents and incidents to identify any actions that could be taken to stop a similar thing happening again.

People benefited from living in a warm and welcoming environment. Systems were in place to make sure the building was safe, maintained to a high standard and kept clean.

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. Staff sought people’s consent; systems were in place to make sure decisions made on people’s behalf were in their best interest. Applications were made when needed to deprive people of their liberty.

People received attentive support to help make sure they ate and drank enough. We made a recommendation about reviewing how food and fluid charts were used to monitor people at risk. Staff worked closely with healthcare professionals and supported people to receive medical attention when needed.

Staff completed an induction, a range of training and received supervisions to support them in their role.

People received kind and caring support from the polite, courteous and respectful staff. Staff spent time speaking with people, getting to know them and there were friendly and warm interactions throughout our visit.

People were offered choices and routinely supported and encouraged to make decisions. Staff treated people with dignity; they maintained people’s privacy and respected their personal space.

Staff provided person-centred support to meet people’s needs. They took time to get to know people and understood what was important to them.

People were supported and encouraged to take part in a wide range of activities, which provided meaningful stimulation and helped to reduce the risk of social isolation.

Management were approachable and responsive to feedback. Regular audits, surveys and feedback from people and their relatives was used to monitor the service and identify where improvements could be made. Management had taken proactive steps to build strong community links and were committed to continually improving and developing the service for the benefit of the people who lived there.

For more details, please see the full report which is on the Care Quality Commission’s (CQC) website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 22 July 2019 and this is the first inspection.

Why we inspected

This was a planned inspection based on when the service was registered.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.