This unannounced inspection took place on 8 March 2017. This was the first inspection of Manor House Residential Home. Manor House is a care home which provides accommodation for up to 29 older people who were living with dementia, or had a physical disability or a sensory impairment and who required personal care. At the time of our inspection there were 27 people living at the home.

At the time of our inspection there was a registered manager in place. 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 2008 and associated Regulations about how the service is run.

People told us they felt safe at Manor House. Staff understood their responsibilities in keeping people safe and knew how to report any suspected abuse and felt confident they would be listened to. Staff knew the risks to people’s health and safety and understood the measures in place to keep people safe. People and their relatives told us and we saw there were enough staff to keep people safe. There was a safe recruitment system in place. People told us they got their medicines when they needed them and some medication storage issues noted during the inspection were acted on promptly.

People and their relatives told us staff were well trained to meet their needs. Staff confirmed, and we saw, they had received training which enabled them to support people effectively. Staff sought consent from people before providing care. The registered manager had applied the principles of the Mental Capacity Act which meant people’s rights were protected. People had a choice of food which supported their nutritional needs. When people’s health needs changed they had access to other health professionals to ensure their health needs were met.

People told us, and we saw, they were supported by kind and considerate staff. People had choices about their care and staff respected them. People were encouraged to maintain their independence and were supported by staff in a dignified way. People were encouraged to maintain relationships that were important to them.

People and their relatives told us, and we saw, they were supported by staff who understood their individual needs and preferences. People had access to activities which they enjoyed. People told us they were confident to raise any complaints but had not had reason to. When people did complain there was a system in place which meant they would be listened to and complaints would be investigated.

People were happy living at Manor House and told us it was well led. Staff were supported by the registered manager. People, relatives and staff were involved in the running of the service. The registered manager was aware of their legal responsibilities. The registered manager operated a quality assurance system which ensured people got safe and effective care which was responsive to their individual needs. The registered manager sought to make improvements in the care people received.