Hallaton Manor Limited

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider assessed and reviewed people’s health, care, wellbeing and communication needs with them. When new people moved into the home, their needs were assessed prior to this transition. Prior to our inspection visit, the registered manager had identified the need for more robust assessments to ensure they were able to meet people’s needs and compatibility between people prior to them moving in. They had not implemented these new processes at the time of our inspection visit. Staff told us they reviewed people’s care plans regularly. The registered manager monitored staff’s completion of the care plan reviews.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. The service used recognised assessment tools to assess risks relating to nutrition, pressure damage, and skin integrity. Speech and Language Therapists (SALT) were involved in assessing people with swallowing difficulties. Staff were up to date with key training across a range of areas. Staff felt the training provided them with the right skills to support people. They said they could seek additional advice, if they were unsure.

The provider was making improvements to ensure more effective working across teams and services to support people. They shared assessments of people’s needs when they moved between different services, so people only needed to tell their story once. People’s care plans were comprehensive and detailed. Care plans encompassed information from all relevant sources to ensure people received appropriate support. A staff member told us, “The staff all work as a team. There can be friction at times, but we work this out. We all understand we cannot support people effectively if we don’t work and communicate well together.”

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support. People told us staff supported them to maintain their emotional and physical wellbeing. Their comments included, “The staff really look after me. They help me [in a health crisis]” and “I can go out on my own when I want.” We saw people were supported to walk around the service and the external grounds when they felt restless or needed fresh air. People were encouraged to express their feelings and given time to talk through issues. There were notices around the service ‘It’s ok to show you’re not ok’ urging people to speak to the registered manager or staff if they weren’t ok. People were able to join in activities both within the service and in the local community. People confirmed staff supported them to access healthcare when they needed or requested this. The registered manager had access to an electronic system which resulted in effective communication and interaction with the local GP. People were provided with appetising food in line with their wishes and preferences. Catering staff were knowledgeable about people’s likes and dislikes and were provided with information to enable them to cater for specialist diets. They took time to consult with people to make sure the menu had sufficient choices to meet people’s needs and preferences. They went out of their way to cater for special occasions, such as baking birthday cakes and key celebrations. We saw people were provided with timely support, where required, to ensure they had sufficient to eat and drink.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. Care plans demonstrated that people’s care was regularly reviewed and updated to ensure that it met their needs. Care staff had a good understanding of people’s care needs and were able to identify issues and provide feedback to health professionals regarding changing support. People’s care plans included information about the impact of their health condition or diagnosis on their monitoring needs and outcomes. For example, the impact of peoples’ mental health condition or lifestyle. This helped staff to adapt their approaches to enable people to achieve good outcomes. People had identified goals they were working towards achieving, including animal care, developing independence to move onto independent living, losing weight, improving mobility, etc.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People told us staff sought consent before providing care, were supported to make choices and staff respected their decisions. A person told us, “Staff ask you for consent; they do this diplomatically, for example when I need help with personal care.” We observed staff respected people’s choices and were receptive when people shared their views and wishes. People’s capacity to make decisions and choices, and the support they needed, had been assessed and recorded in line with the mental capacity act. Care records evidenced where people had declined care and treatment. Although care plans provided guidance around how staff should encourage consent, staff were clearly respecting people’s right to make different choices. Where staff had concerns around people regularly declining an aspect of care, they had escalated this through appropriate procedures including safeguarding. Care plans contained evidence of consent from people or their representatives where appropriate and best interest processes were followed.