The Manor House Residential Home

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. This is the first assessment for this newly registered service. This key question has been rated 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, well being and communication needs with them. People’s care needs were assessed prior to moving into the home. All documentation was competed and up to date. Assessed needs such as social needs were recorded and a care plan was developed for each person. As needs changed for people, care plans were updated accordingly.

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 had access to a range of health care professionals. One person said, “I’ve got an appointment at the chiropodists and the dentist shortly, [staff] take an interest.”

Care records reviewed showed the involvement of health professionals. For example, following a couple of falls the falls team were asked to review a person and identify any reasons why they had fallen. Recommendations made by the falls team were followed by the provider.

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. Care records were detailed. People’s needs and preferences were well documented and shared with people on a need-to-know basis. During our visit we spoke with the local GP and district nurses who had come to the home to offer support to people. Feedback about the home was very positive, the team were praised for how they managed good relationships with other external teams. The team understood the importance of working with other professionals. This meant people could be confident their needs and well being were a priority.

The provider supported people to manage their health and well being 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. Staff told us they supported people to live a healthy life for example, assisting people to be active in the home. Some people living in the home were keen on gardening, staff encouraged them to get involved and be active. The activities staff encouraged people to go out for community activities and provided in house exercises. During our visit people had gone on a bike ride in the local area. Meals provided were nutritious and freshly cooked each day. People who wanted to maintain a healthy weight asked the staff to monitor their weight and assist them to eat a healthy balanced diet. People were encouraged to maintain contact with family and friends. Digital equipment was made available for people if they wanted to contact family who lived overseas. People who were at risk of isolation were encouraged to be active and join in activities.

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. One person expressed a wish to have a medical device removed, which had been provided to be in place for a long time. Over time and with careful management of their care needs, they were able to have the device removed much earlier than expected. This made a significant difference to the person’s quality of life. They expressed sincere gratitude to the team for helping them to achieve this goal. This example showed the team delivered person-centred care for the person which exceeded clinical expectations.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. During our visit we observed staff asking people for their consent before providing care. If a person did not communicate verbally, we saw that staff used gestures or facial cues to seek their consent. One person said, “You just know you are going to have a shower, they come up and say, ‘would you like a shower today’, twice a week is enough for me. I have clean clothes every day.” Care records reviewed showed consent had been obtained following best practice.