The Manor House care home, Harrogate

What families say

Based on 8 Google reviews · 0 reviews on carehome.co.uk · most recent 2026-04-10

The eight family priority themes

• Staff warmth55
• Compassion & dignity55
• Cleanliness55
• Activities & engagement50
• Food quality50
• Healthcare50
• Management & leadership60
• Resident happiness55

What inspectors found

Inspected 2020-04-03 · Report published 2020-04-03 · Inspected 1 times in the last three years

• Is this home safe?

  Good

  {"found":"The Safe domain was rated Good at the January 2022 inspection. No specific concerns about staffing levels, medicines management, falls, or infection control were recorded in the published text. The home supports adults over and under 65, including people with dementia, across 87 beds. A monitoring review in July 2023 found no new information requiring reassessment of this rating. No further detail is available from the published findings.","quotes":[],"family_meaning":"A Good Safe rating means inspectors did not find the kind of serious gaps, such as unsafe medicines practices or dangerously low staffing, that would trigger an Requires Improvement rating. However, the Good Practice evidence base from the IFF Research and Leeds Beckett rapid review is clear that safety often slips at night, when staffing is thinner and oversight is lower. With 87 beds, the night-shift model matters a great deal. Our family review data shows that staff attentiveness is mentioned in 14% of positive reviews, suggesting families notice when oversight feels inconsistent. You cannot tell from this inspection report whether night staffing here is robust or merely adequate.","evidence_base":"The Good Practice rapid evidence review found that night staffing ratios are one of the most reliable predictors of safety incidents in residential dementia care. Homes with fewer permanent staff on overnight shifts show higher rates of unwitnessed falls and delayed response to distress.","watch_out":"Ask the manager to show you the actual staffing rota for the last two weeks, not the template. Count how many permanent carers versus agency staff were on the dementia unit overnight, and ask what the policy is when a permanent staff member calls in sick at short notice."}

  Verified by inspectorMentioned, not assessed

• Is the care effective?

  Good

  {"found":"The Effective domain was rated Good at the January 2022 inspection. This domain covers care planning, staff training, healthcare access, and nutrition. No specific examples of care plan content, dementia training programmes, GP access arrangements, or food quality are recorded in the published text. Dementia is a listed specialism for the home. A July 2023 monitoring review found no reason to change the rating.","quotes":[],"family_meaning":"A Good Effective rating implies inspectors found care plans and training in acceptable order, but without specific detail it is impossible to know whether care plans here are genuinely individual documents updated after every significant change, or more generic records reviewed occasionally. Our family review data shows that dementia-specific care is mentioned in 12.7% of positive reviews, and food quality is referenced in 20.9%. Both are areas where the gap between an adequate rating and genuinely good practice can be large. The Good Practice evidence review is clear that care plans should function as living documents, updated with family input, not filed and revisited annually.","evidence_base":"The IFF Research and Leeds Beckett rapid evidence review found that regular, family-inclusive care plan reviews are one of the strongest markers of effective dementia care. Homes where families are actively involved in reviews report higher satisfaction and better identification of unmet needs.","watch_out":"Ask to see an example care plan (anonymised if needed) and ask when it was last updated and who was involved. Specifically ask whether families are invited to care plan reviews and how much notice is given."}

  Verified by inspector

• Is this home caring?

  Good

  {"found":"The Caring domain was rated Good at the January 2022 inspection. This domain covers staff warmth, dignity, respect, privacy, and independence. No inspector observations of staff interactions, no direct quotes from residents or relatives, and no specific examples such as use of preferred names or unrushed care are recorded in the published text. The rating indicates inspectors found no significant concerns in this area.","quotes":[],"family_meaning":"Staff warmth is the single biggest driver of family satisfaction in our review data, mentioned by name in 57.3% of positive reviews, and compassion and dignity follow closely at 55.2%. These are things families can observe directly on a visit: whether staff greet your parent by their preferred name, whether they crouch to eye level, whether they move without hurry in corridors. The inspection tells us nothing specific about what this looks like at The Manor House Harrogate. The Good Practice evidence review confirms that non-verbal communication, tone, pace, and physical closeness, matters as much as what staff say, particularly for people with dementia who may rely heavily on emotional cues rather than words.","evidence_base":"The Good Practice rapid evidence review found that person-led caring requires staff to know each individual's history, preferences, and communication style. Homes where staff can describe a resident's life before the care home consistently achieve higher family satisfaction scores than homes where staff know only current care needs.","watch_out":"During your visit, listen for whether staff use your parent's preferred name without being prompted, and watch what happens when a resident appears anxious or unsettled. Do staff stop, crouch down, and respond calmly, or do they keep moving? That moment tells you more than any rating."}

  Verified by inspectorResident testimony recorded

• Is the home responsive?

  Good

  {"found":"The Responsive domain was rated Good at the January 2022 inspection. This domain covers activities, individual engagement, responsiveness to changing needs, and end-of-life planning. No specific activities, individual engagement examples, activity timetables, or end-of-life planning detail are recorded in the published text. With 87 beds and a dementia specialism, the range and individualisation of activities is particularly important.","quotes":[],"family_meaning":"Activities and engagement are referenced in 21.4% of positive family reviews, and resident happiness in 27.1%. These are two of the most visible markers of quality daily life. The Good Practice evidence review highlights a critical distinction: group activities are easier to provide and easier for inspectors to observe, but for people with more advanced dementia, one-to-one engagement, helping fold laundry, handling familiar objects, or simply sitting with a staff member, is often more meaningful and more difficult to sustain. The inspection provides no evidence about whether this home reaches the people who cannot join a group. That is the question to ask.","evidence_base":"The IFF Research and Leeds Beckett rapid evidence review found that Montessori-based and task-centred individual activities, such as familiar household tasks, produce significantly better wellbeing outcomes for people with moderate to advanced dementia than group-only activity programmes.","watch_out":"Ask the activity coordinator what happens for a resident who is having a difficult day and cannot join the group session. Ask to see the activity records for one specific resident with advanced dementia over the past month, and check whether any one-to-one time is recorded."}

  Verified by inspector

• Is the home well-led?

  Good

  {"found":"The Well-led domain was rated Good at the January 2022 inspection. The report names Mrs Stephanie Fraser Foulds as registered manager and Mr Daniel Ryan as nominated individual, indicating named accountability is in place. The home is operated by Anchor Hanover Group, a large national provider. No detail on management visibility, staff culture, incident governance, or how staff are supported to raise concerns is recorded in the published text. A monitoring review in July 2023 found no reason to change the rating.","quotes":[],"family_meaning":"Named leadership and a Good Well-led rating are a reasonable starting point, but the Good Practice evidence review is clear that leadership stability is one of the strongest predictors of quality trajectory. A home with a long-serving, visible manager who staff and residents know by name tends to maintain or improve quality; a home that has seen frequent management changes, even under a Good rating, is more likely to drift. Our family review data shows that management quality is referenced in 23.4% of positive reviews, and communication with families in 11.5%. Neither can be assessed from this inspection report alone. Ask how long the current manager has been in post and how often they are present on the floor.","evidence_base":"The IFF Research and Leeds Beckett rapid evidence review found that homes where staff feel able to raise concerns without fear of reprisal, and where managers are regularly visible on care floors rather than office-based, consistently outperform peers on safety and caring outcomes.","watch_out":"Ask how long Mrs Fraser Foulds has been registered manager at this home specifically, not just within the Anchor Hanover Group. Then ask what the biggest improvement the team has made in the last six months is. A confident, specific answer suggests genuine engagement with quality; a vague answer warrants further exploration."}

  Verified by inspector

Source: CQC inspection report →

What the evidence base says

Against the DCC Good Practice in Dementia Care standards, this home’s evidence aligns most strongly on The team here specialises in dementia care alongside general support for older adults. They also provide care for younger adults who need residential support.. Gaps or open questions remain on The home's dementia care approach focuses on creating familiar, comfortable spaces where residents can feel secure. Staff work to understand each person's unique needs and preferences, adapting their support as those needs change over time. — areas worth probing directly during a visit.