Manford Deluxe Care 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 Requires Improvement. At this assessment the rating has changed to 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.

At our last inspection, we found that pre-assessment form was not in place to capture essential information about people’s care to determine if they can receive personalised support. At this assessment, we found improvements had been made.

A pre-assessment form was in place to determine if the service could support people’s needs safely and effectively through capturing key information on support needs and risks. This assessment helped to ascertain the suitability of the service, prioritising the safety and well-being of those seeking support.

People had care plans, which were detailed and informative about people’s care and support. People’s routine had been captured to ensure staff supported people with their daily routines. A staff member commented, “Everybody has care plan, it is easy to read and manage. It helps me to do my job.” A relative told us, “Yes, [person] has a care plan and receives good care. They involve us on [person] care.”

People’s wishes and preferences were documented throughout their care plans. The records captured medical and support needs and detailed how individuals preferred to be cared for. For example, information about preferred care needs, favourite meals and hobbies was included, allowing staff to tailor support in a way that was meaningful to each person. A person told us, “Care plan is personalised as I am involved on it.”

The registered manager and staff told us that people’s needs were assessed regularly to ensure they always received personalised care. Records showed the service assessed people’s needs regularly to ensure the care they received reflected their needs and were personalised.

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 good practice and standards.

People received evidence-based care and treatment. The management team told us people's care was based around what was important to them and according to their preferences to ensure evidence-based care and treatment could be delivered.

Care plans included the support people required with care and treatment. Feedback was sought from people, relatives and staff through reviews and surveys to ensure evidence-based care and treatment was delivered.

The provider worked well across teams and services to support people.

The service worked in partnership with other agencies such as health and social care professionals if people were not well, to ensure people were in the best of health.

Daily notes were completed after care was delivered to people, which included tasks completed and wellbeing of people to ensure continuity of care. Care plans included contingency plans in the case of emergencies such as shortage of staff, how staff could work together to ensure people received the support they required.

Staff told us they worked well with each other and external services and were supported by management. A staff member told us, “My company trained me to make daily notes on the support I gave to people so there is continuity of care.”

Staff monitored people's health and welfare and reported any concerns to the management team who made referrals to health care professionals where required. A hospital passport was in place that included people’s background, care needs, health condition and communication ability to ensure people received continuity of care.

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 were supported to live healthier lives. The service carried out assessments on people’s care and health to ensure they could be supported to live healthier lives. Record also showed the service worked with professionals to ensure people lived healthier lives.

The management team and staff told us that people were always supported to live healthier lives. This included supporting people to go out in the community, encouraging people to eat well and promoting independence. Nutritional care plans were in place that included the level of support people required with nutrition and their preferences. A staff member told us, “If someone is not well, I will make sure if they are ok and ask them. Then I will call the doctors to make urgent appointment to make sure they are ok.”

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent.

People's care and treatment was being monitored to improve outcomes. Care plans were personalised to ensure outcomes could be met in ensuring people received safe and effective support. Reviews were carried out regularly to ensure people’s support and outcomes were monitored. Audits were being carried out and action plans were in place to ensure people received personalised care according to their needs to ensure there was a cycle of improvement and improving outcomes for people.

Staff monitored people's health and welfare and reported any concerns to the management team. Where needed, referrals to health care professionals were completed and this was recorded on people’s health action plan.

The registered manager and staff told us people’s outcomes were always monitored through reviews and feedback. During reviews, care needs were discussed to improve outcomes for people.

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

The Mental Capacity Act 2005 (MCA) provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves. The Act requires that, as far as possible, people make their own decisions and are helped to do so when needed. When they lack mental capacity to take particular decisions, any made on their behalf must be in their best interests and as least restrictive as possible. We checked whether the service was working within the principles of the MCA, and whether any conditions on authorisations to deprive a person of their liberty had the appropriate legal authority and were being met.

At our last inspection, we found MCA principles were not being followed to ensure people’s consent were sought. At this inspection, we found improvements had been made.

Systems were in place to obtain consent from people to provide care and support. An MCA policy was in place and staff had been trained on the MCA. People were able to make day to day decisions about their lives. For example, they were able to have choices on the care and support they received. Consent had been sought from people to receive care and support. Where people did not have capacity to make decisions, best interest decisions had been made with family members and professionals involved.

Management and staff were aware of the principles of the MCA and the need to ask for consent. Staff told us that they would always request people’s consent before doing any tasks. A staff member told us, “I always ask consent before supporting them.” A person told us, “Yes, they let me know and ask for my consent.”