The Manor House

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.

Staff made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

Care plans provided personalised information about people’s health and communication needs. People and their families told us they had been involved in the creation of their care plans.

People’s care plans were reviewed regularly to reflect any changes in people’s needs and any required areas were updated. Relatives told us any changes to people’s care were discussed with them. Staff told us the service had systems to update them if people’s assessed needs changed, this included handovers at the start of each shift.

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.

Staff completed monitoring tools for people at risk in areas such as malnutrition or pressure damage regularly. Where people had been assessed as being at risk of choking or had specific dietary requirements, clear information was recorded in their care plans. Any specific dietary advice was shared with the catering team to ensure people’s nutritional needs were met. However, where meals were prepared, we found incomplete or missing information about people’s specific dietary requirements. We fed this back to the provider who immediately updated the information.

Staff knew the importance of following dietary guidance for people. Staff told us, “The care plan informs us of what foods we can give to the resident” and “We have a meeting where we discuss people’s food likes and dislikes and any specific diet.”

During mealtimes, we observed people were supported to eat and drink safely by staff and hot and cold drinks were available to people throughout the day. Overall, people told us they were happy with the meals provided and received a choice of options. Comments included “the food is very nice” and “the food is very good.”

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

Members of the staff team told us they worked together well as a team. Regular handover discussions ensured information was passed between them. Handover notes were detailed and recorded information such as people’s medical history and notes about how people were.

Huddle meetings were used as an opportunity for information to be shared about people’s health and wellbeing and any specific priorities. One staff member told us, “We can always ask the nurse to have a huddle if we want to discuss a concern about a resident.”

Staff engaged well with other agencies to ensure people's treatment needs were met. Health and social care professionals told us communication from the team around people’s needs was effective. One professional commented, “Staff are usually very willing to give background and describe how people are.”

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.

A health professional from the local surgery completed regular ward rounds. The service ensured any advice given or amendments to people’s prescribed medicines were implemented. A health professional told us, “Any clinical concerns that I have, are listened to and actioned in a timely manner.”

People and relatives told us they were supported to access health care. One person told us, “You see a doctor or nurse a lot quicker than you would have at home, a doctor comes in on a Thursday, but if it’s urgent they come in straight away.”

The electronic care plan system provided an overview of results from monitoring tools. This helped identify changes in people’s health needs which may require further investigation, such as weight loss. Any referrals required for people, such as to a dietitian, had been made in a timely manner and contained sufficient information.

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 were regularly reviewed and updated when things changed. Care plans included people’s desired outcomes in various areas and included detailed information on how the home could help the person to achieve this. For example, when people preferred to spend time in their bedrooms care plans contained information about their preferences and how to engage the person in activities which were meaningful to them.

The registered manager, worked in partnership with community service health professionals. They had recently reviewed specific guidance being followed when supporting people after they had experienced a fall, to see if any improvements could be made.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

Staff conducted assessments around people’s mental capacity and care records contained relevant information. People had a specific care plan around their rights and decision making, this recorded who the person would like to be included or consulted in making decisions about their care.

Staff had completed training in the Mental Capacity Act (MCA) and DoLS. Staff were able to explain how they sought consent from people to make day to day decisions in their lives. One staff member told us, “We always ask residents is it OK if for us to help them have a wash, we ask permission.”

We observed staff seeking people’s consent before providing support. People told us their consent was always sought, and they were involved in decisions about their care and support. One person told us, “They ask me before they shower me, it is my choice.”