The Old Manor House is a care home which offers care and support for up to 14 predominantly older people. At the time of the inspection there were 13 people living at the service. Some of these people were living with dementia. The service occupies a house over three levels with three lower ground floor rooms. A passenger lift and stair lift provided access for people throughout the building.

This unannounced comprehensive inspection took place on 18 June 2018. The provider for this service has recently become a limited company. This means the service has recently re-registered with CQC under a new legal entity. This was the first inspection of the service since being re-registered.

People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service is required to have a registered manager and at the time of the inspection there was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.

We spent time in the communal areas of the service. Staff were kind and respectful in their approach. They knew people well and had an understanding of their needs and preferences. People were treated with kindness, compassion and respect. The service was comfortable and appeared clean with no odours. People’s bedrooms were personalised to reflect their individual tastes.

People told us, “Yes, they’ll do anything for you here,” “They are all very nice here,” “Absolutely yes, they are all very good,” “Absolutely fantastic staff, would recommend this home, wonderful with no exception” and “Staff do everything possible and more than one could expect.”

Relatives told us, “I have always been very happy with the care provided, they [staff] are good to her. Recently they have moved her downstairs so that they can keep a closer eye on her, I have no concerns” and “I visit regularly and [Person’s name] is always clean and well cared for. The staff are very kind.”

The premises were well maintained. The service is registered for dementia care. There were people living at the service who were living with dementia and were independently mobile. However, there was no pictorial signage at the service to support some people, who may require additional support with recognising their surroundings.

The premises were regularly checked and maintained by the provider. Equipment and services used at The Old Manor House were regularly checked by competent people to ensure they were safe to use.

Care plans were held on an electronic system. They were well organised and contained accurate and up to date information. Care planning was reviewed regularly and people’s changing needs were recorded. Daily notes were completed by staff. Risks in relation to people’s daily lives were identified, assessed and planned to minimise the risk of harm whilst helping people to be as independent as possible.

The service had identified the minimum numbers of staff required to meet people’s needs and these were being met. The service had no staff vacancies at the time of this inspection.

There were systems in place for the management and administration of medicines. It was clear that people had received their medicine as prescribed. Regular medicines audits were being carried out on specific areas of medicines administration and these were effectively identifying if any error occurred such as gaps in medicine administration records (MAR). The system for monitoring people who self administered their own medicines was effective.

Meals were appetising and people were offered a choice in line with th