Manton Hall care home failings put patients at risk

Manton Hall care home, Manton.'Photo: MSMP050413-007ow ENGEMN00120130504144134
Manton Hall care home, Manton.'Photo: MSMP050413-007ow ENGEMN00120130504144134
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A rural care home has been told it must improve after health inspectors found a number of failings during a routine visit.

The Care Quality Commission produced a damning report into Manton Hall after an inspection on April 24. To see the CQC report in full, visit

They found the home in Lyndon Road, Manton, was failing to meet five out of six care standards and was putting its residents at risk.

Inspectors noted problems with care plans and risk assessments, staff training, and cleanliness and hygiene.

The home, which has a capacity for up to 31 people but had 27 residents at the time of the inspection, was given until June 7 to put together a report explaining how the failings would be addressed, which has been submitted.

Manton Hall director Shraga Zaltzman said the home was taking the report “very seriously” and had put in a “rigorous action plan to rectify the issues identified.”

One of the issues identified in the report was a lack of information in care plans and risk assessments.

Inspectors said: “People were not fully protected from the risks of receiving care that was inappropriate or unsafe.”

The report went on: “People’s health and care needs were assessed before they moved in, but care plans for three people who had recently moved in had not been completed.”

Inspectors found one resident with dementia had been refusing meals, but no record of their weight had been taken. They said it was “not possible” to know if the person was becoming malnourished.

Residents said staff were kind and caring. But staff told inspectors that there were not enough of them on shift to “properly meet people’s needs or keep them safe.”

Only two care staff were on duty at night.

Inspectors found there had been eight unwitnessed falls in March this year. They said: “We were concerned that the high number of unwitnessed falls was a result of insufficient staffing levels.”

The report said staff were shown DVDs on safeguarding, infection prevention and control, and other areas. But some staff found this confusing.

The report said: “Not all staff were bare below the elbows and some wore jewellery and nail varnish. This is an unacceptable infection prevention and control risk.”

Inspectors said it was “imperative” that all staff, including cleaners, were given proper hygiene training. They praised the cleanliness of the kitchen and cooking staff.

The report also found issues with assessment of problems. Inspectors were told of a power failure that left the home without electricity for three hours. Emergency lighting failed after half an


Inspectors said: “We could not see any evidence of lessons learned, action taken or changes made to the plan to prevent this happening again.”

The home’s management of medicines was the area that met the inspectors’ standards.

Director Mr Zaltzman said: “The safety and quality of care of all of our residents is of paramount importance and we have already made considerable headway in addressing the inspectors’ concerns.

“Significant resources have been allocated to ensure that enhanced expertise is in place to enable us to restore the care provision to its former superb standards.

“We are working closely with Rutland County Council who have been very supportive and are confident that very soon Manton Hall will be fully compliant and a centre of excellence in dementia care.”

A council spokesman said: “Since the publication of the most recent CQC inspection report, the council has increased its level of monitoring of the care provided and is working closely with the owners to support them in their efforts to address the CQC 
concerns. A great deal of work is already underway and we will continue to be involved for as long as necessary.”