Manor Lodge

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 75 (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 made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. The provider assessed people’s needs to understood the care they needed. This included a person’s ability to carry out aspects of care for themselves as well as what support they would need from staff which kept people safe and maintained people’s independence.

Staff assessed people’s needs on a day-to-day basis and responded to changing needs immediately, seeking the appropriate professional advice when required.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards. People were supported to use equipment for moving and positioning which helped prevent pressure sores and safely manage their care needs which staff were trained to use. The service used equipment to monitor such things as blood pressure and their oxygen levels which helped when needing to seek medical input if there were concerns. The provider sought the advice of specialists when people’s needs changed. They showed us an example of how they had sought recent professional help to address a person’s difficulty in swallowing. The care plan detailed how a person’s food and drink should be prepared which mitigated the risk of choking when eating and drinking.

The provider worked well across teams and services to support people. The staff team had worked in the service for a number of years and had built up solid working relationships with other professionals involved in people’s care. A health professional we spoke with told us, “The team show flexibility and creativity in meeting the person’s needs, even when faced with complex situations. They also ensure to work in partnership with health professionals involved in my client’s care.”

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control as much as possible. The food we saw being offered to people appeared appetising, nutritious and was based on people’s particular tastes. We spoke with a person living in the service who said, “Yes, I like the food, it is very nice.”

People were supported to access a range of health services and owing to their needs, many health professionals visited people in their home when it was needed.

The provider routinely monitored people’s care continuously to improve it. They ensured that outcomes were positive and consistent, ensuring people remained healthy and where changes occurred, they addressed immediately.

The registered manager told us how staff training and the constant input from medical specialists supported the health and general wellbeing of people. A health professional we spoke with told us, “Staff are knowledgeable about individual’s health conditions, preferences, and routines, ensuring that support is tailored and effective”.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People had mental capacity assessments detailing their ability to make decisions which were important to them. The provider had a deprivation of liberty order in place for 1 person which restricted them going out alone. The person told us they did not like it but appeared to understand it was for their own safety. They told us, “I want to out and be on my own but I have to have staff with me in case I get lost.”

Where necessary the service involved advocacy services when people struggled to make decisions for themselves and had no close family to help them do this. We spoke with a professional advocate and they told us, “The registered manager and team work collaboratively to ensure needs are met, and they respond constructively when I advise on rights under the Care Act or Mental Capacity Act”.