The inspection took place on 23 November 2016 and was unannounced.

The Manor Care Home is a residential care home providing accommodation for up to 21 people. The home provides support to older people who have learning disabilities, some of whom also have physical disabilities and may also be living with dementia and therefore may require support with their personal care needs. On the day of our inspection there were 21 people living at the home. The home is a large property situated in Selsey, West Sussex. It has two communal lounges, two dining rooms, a separate activities building and a garden.

The home was a family run home and was the only home owned by the two providers. The management team consisted of one provider, a registered manager and a team leader. A registered manager is a ‘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 home is run.

People were protected from harm and abuse. There were sufficient quantities of appropriately skilled and experienced staff who had undertaken the necessary training to enable them to recognise concerns and respond appropriately. When asked what they would do if they suspected abuse, one member of staff told us, “I’d speak to my manager or CQC”. People’s freedom was not unnecessarily restricted and they were able to take risks in accordance with risk assessments that had been devised and implemented.

People received their medicines on time and according to their preferences, from staff with the necessary training and who had their competence assessed. There were safe systems in place for the storage, administration and disposal of medicines.

People were asked their consent before being supported and the registered manager had a good awareness of legislative requirements with regard to making decisions on behalf of people who lacked capacity. Records showed that best interest decision meetings had taken place with external professionals and that the registered manager had sought advice from the local authority to ensure that any decisions that were made were in people’s best interests.

People and their relatives, if appropriate, were fully involved in the planning, review and delivery of care and people were able to make their wishes and preferences known through regular meetings with their key-workers or residents’ meetings. Care plans documented people’s individual needs and wishes in relation to their social, emotional and health needs and these were reviewed and updated regularly to ensure that they were current.

Staff worked in accordance with people’s wishes and people were treated with respect and dignity. It was apparent that staff knew people’s specific needs and preferences well. Positive relationships had developed amongst people and staff. A comment within one person’s key-worker meeting, stated, ‘I am pleased with the staff that are working here, especially my key-worker’.

People’s health needs were assessed and met and they had access to medicines and healthcare professionals when required. One visiting healthcare professional explained that if people were unwell then healthcare professionals were contacted promptly, they told us “Some people here struggle to communicate their needs but I don’t have any concerns, I feel comfortable that they are okay. We’ve made a plan today for a couple of people and I’m confident they’ll carry it out”. Another visiting healthcare professional told us, “I enjoy coming here, people are really well looked after. When I ask them to do something for someone, for example, obtain a urine sample, it is done”.

People’s privacy and dignity was respected and maintained, when offering assistance staff did so in a respectful way by knocking on people’s doors before entering and using privacy screens when assisting people with moving and positioning. People had a positive dining experience and told us that th

The Manor Care Home is a privately owned care home for people needing personal care and accommodation. It provides care for up to 21 people with learning difficulties. We were informed that, at the time of our visit, 20 people were being accommodated.

This inspection was carried out by one inspector. We gathered evidence that helped answer our five questions; Is the service caring? Is the service responsive? Is the service safe? Is the service effective? Is the service well led? Below is a summary of what we found. The summary is based on our observations during the inspection, speaking with people using the service, the staff supporting them and from looking at records.

Is the service safe?

People were treated with respect and dignity by the staff.

CQC monitors the operation of the Deprivation of Liberty Safeguards (DoLS) which applies to care homes. On the day of our inspection we were told there were no applications made under DoLS that were currently in force. The manager confirmed they understood when an application should be made to deprive someone of their liberty and how to submit one.

The home had proper policies and procedures in relation to the Mental Capacity Act. Relevant staff had been trained to understand how it should be implemented to ensure people’s rights had been maintained. This meant that people would be safeguarded as required.

Is the service effective?

Where possible, people’s health and care needs were assessed with them, and they were involved in writing their plans of care.

When necessary best interest decisions had been made to ensure the health and well-being of individuals who lacked capacity to make decisions for themselves

Specialist dietary, mobility and equipment needs had been identified in care plans where required.

Is the service caring?

People were supported by kind and attentive staff. We saw that care workers showed patience and gave encouragement when supporting people.

People’s relatives, friends and other professionals involved with the service completed an annual satisfaction survey. Where shortfalls or concerns were raised these were addressed.

People’s preferences, interests, aspirations and diverse needs had been recorded and care and support had been provided in accordance with people’s wishes.

Is the service responsive?

People completed a range of activities in and outside the service regularly. The activities provided have been in response to requests made by people who lived at the care home.

A visiting health care professional informed us that the service has responded well to advice and guidance, and implemented any changes that have been required in a timely manner.

Is the service well-led?

The service worked well with other agencies and services to make sure people received their care in a joined up way.

All staff received one to one supervision from the manager or from a member of staff in a more senior role. Staff we spoke with confirmed they felt well supported and well led by the manager. One member of staff told us, "In supervision, we can discuss any problems there may be in the house. We can get advice about any changes that are needed or what needs to be improved."