The Aylsham Manor is registered to provide accommodation and personal care for up to 29 people. There were 27 older people living in the service at the time of the inspection.

This unannounced inspection took place on 29 November 2016.

There was a registered manager in post at the time of this inspection. Although they were unavailable at the time of the inspection. 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.

Risk assessments provided information for staff about how to manage risks to people. Accidents and incidents were being reviewed to reduce the risk of any reoccurrence.

People received their prescribed medicines in a timely manner and medicines were stored and disposed of in a safe way.

The provider had a recruitment process in place and staff were only employed within the service after all essential safety checks had been satisfactorily completed. People were safe and staff were knowledgeable about reporting any incident of harm. People were looked after by enough staff to support them with their individual needs.

People were provided with a good choice of meals. When necessary, people were given any extra help they needed to make sure that they had enough to eat and drink to keep them healthy.

Staff referred people appropriately to healthcare professionals.

The Care Quality Commission (CQC) is required by law to monitor the Mental Capacity Act (MCA) 2005, Deprivation of Liberty Safeguards (DoLS) and to report on what we find. The provider was acting in accordance with the requirements of the MCA including the DoLS. The provider was able to demonstrate how they supported people to make decisions about their care. Where people were unable to do so, there were records showing that decisions were being taken in their best interests. DoLS applications had been submitted to the appropriate authority. This meant that people did not have restrictions placed on them without the correct procedures being followed.

Although care plans were brief, staff knew how to meet people’s current needs. Staff were trained, supported and supervised to do their job. Staff treated people with dignity and respect.

Audits were regularly carried out to assess what improvements were needed to improve the quality of the care people received. Action plans had been put in place as needed.