Manson 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.This is the first assessment for this re-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, wellbeing and communication needs with them.

The registered manager described the process used to carry out assessments before people moved into the service and explained how decisions were made about whether the service could safely and effectively meet their needs. Assessments were designed to gather detailed information about people’s care and support requirements, preferences, routines and expectations. They also considered any specialist equipment required and identified whether staff would need additional training or support to meet a person’s individual needs.

People considering moving to the service were offered the opportunity to visit the service and, where appropriate, a pre-admission assessment was completed. The registered manager and relevant staff were involved in this process to help determine whether the person's needs could be met within the service. Information gathered during assessments was used to inform care planning and was shared with senior staff to support a smooth transition into the home.

The registered manager demonstrated a reflective approach to developing the admissions process. They told us they had identified learning from a recent admission and planned to introduce a guide for new residents. This would provide practical information about living in the home, including details about day-to-day arrangements and facilities, such as access to Wi-Fi.

Care plans we reviewed showed comprehensive assessments had been completed before people moved into the service. The assessments considered people's physical, emotional and social needs and provided staff with detailed information about how those needs should be met. Care plans were informative, person-centred and clearly written, providing staff with sufficient guidance to deliver care and support in line with people's individual preferences and requirements.

The provider planned and delivered people’s care and treatment in partnership with them, ensuring support reflected what was important to each individual and what mattered most in their day-to-day lives. Care and support were delivered in line with current legislation, recognised guidance and evidence-based best practice. Staff demonstrated a good understanding of people’s needs and preferences and adapted their approach to provide personalised care that promoted people’s wellbeing, independence and quality of life.

People were supported to maintain good nutrition and hydration, and feedback about the quality of food and drink provided by the service was consistently positive. One person told us, “The food is good, there is plenty of choice and alternatives are available like baked salmon. There are sandwiches available at lunchtime as you get a hot meal at night too. I get plenty of drinks and I had a cooked breakfast today; it was not fatty and was absolutely delicious.” Another person said, “The food is excellent, no faults there – it is imaginative food.”

People told us they were offered a range of meal options and alternatives were readily available if they did not wish to have the meal on the menu. Staff encouraged people to eat and drink regularly and monitored food and fluid intake when required. Throughout our visit, we observed people being offered drinks and snacks, and staff took time to ensure people were comfortable and had access to refreshments.

Where people had specific nutritional or dietary requirements, these were clearly documented within their care records and staff were aware of the support people required. This included information relating to dietary preferences, allergies, medical conditions and any risks associated with eating and drinking. Staff worked to ensure people's nutritional needs were met safely and consistently and sought additional professional advice when necessary.

Nationally recognised assessment tools were used to identify and monitor risks associated with nutrition and hydration. These assessments enabled staff to identify changes in people's needs at an early stage and take appropriate action to reduce the risk of malnutrition, dehydration or weight loss. Records showed people's nutritional needs were regularly reviewed and care plans were updated when changes occurred, helping to ensure people continued to receive effective and responsive support.

The provider demonstrated effective partnership working with a range of teams and external healthcare services to help ensure people received coordinated and responsive care. Systems were in place to support the sharing of relevant information between services, helping to ensure continuity of care and reducing the need for people and their relatives to repeatedly explain their circumstances when moving between different providers or healthcare settings. Assessments of people’s needs were shared appropriately to support a smooth transition and to help other professionals understand people’s care requirements, preferences and medical histories.

People and their relatives told us healthcare professionals were involved whenever required and were positive about the way staff monitored people’s wellbeing and sought timely medical intervention. Care records showed staff arranged GP appointments and visits as needed, maintained clear records of professional advice and guidance, and updated care plans when changes to people’s health or support needs were identified. This helped to ensure staff had access to current information and could respond appropriately to people’s changing needs.

Relatives provided examples of the service recognising concerns promptly and acting without delay. One person’s relative told us, “I was impressed when [family member] had been in the home less than a week they noticed a subtle change in her, put her straight onto regular observations, spoke to the GP and then at the GP's recommendation called an ambulance. They were very clear with the paramedics about [family members] medical history.” This feedback demonstrated staff’s awareness of people’s normal presentation, their ability to identify potential deterioration at an early stage and their effective communication with healthcare professionals to ensure people received appropriate treatment.Another relative highlighted the positive working relationship between the service and local healthcare providers. They said, “My [family member] has now chosen to have their medicines and prescriptions managed by the staff. The GP visits Manson House every Wednesday, so [family member] can have a consultation with the GP if need be.” This showed people had access to ongoing medical support and that arrangements were in place to enable timely reviews of people’s health and medicines when required. The feedback received and records reviewed demonstrated the provider worked collaboratively with healthcare professionals to help achieve positive outcomes for people and support their health and wellbeing.

The provider supported people to manage their health and wellbeing in ways that promoted independence, choice and control. Staff worked alongside people to understand their individual health needs and preferences, enabling them to make informed decisions about their care and maintain the best possible quality of life. Care and support was delivered in a way that encouraged people to remain as independent as possible while ensuring appropriate assistance was available when needed.

People told us they received support to access healthcare services when required. Staff recognised changes in people's health and wellbeing and acted promptly to ensure appropriate advice and treatment were sought from relevant healthcare professionals. Records demonstrated people had access to a range of external healthcare services, helping to ensure their physical and emotional wellbeing was maintained.

The provider had systems in place to monitor people's health effectively and identify potential concerns at an early stage. Healthcare monitoring tools were used to track key indicators such as weight, fluid intake and nutritional intake. These records enabled staff to identify trends and significant changes in a person's condition, allowing timely action to be taken where concerns were identified.

Staff used the information gathered through monitoring to support people to make informed choices about their health and wellbeing and to ensure appropriate interventions were implemented when required. This proactive approach helped reduce the risk of deterioration in people's health and ensured support could be adjusted in response to changing needs. Where monitoring identified concerns, staff sought advice from healthcare professionals and updated care plans to reflect any recommendations, helping to ensure people received safe, effective and responsive care.

The provider routinely monitored people’s care and treatment to ensure it remained effective, responsive and tailored to their individual needs. Systems were in place to review people’s health, wellbeing and care outcomes on an ongoing basis, enabling staff and management to identify opportunities for improvement and ensure support continued to meet both clinical expectations and the expectations of the people using the service. Information gathered through monitoring was used to inform care planning, review risks and ensure people received consistent and person-centred care.

Staff demonstrated a good understanding of people’s individual needs and were knowledgeable about the support required to promote and maintain their health and wellbeing. Care records provided staff with clear guidance on how people wished to be supported, and staff were able to describe how they recognised changes in people’s physical and emotional wellbeing. This helped to ensure people received care that was responsive to their changing needs and preferences.

The provider worked closely with healthcare professionals to support positive outcomes for people. Records showed staff sought advice from relevant professionals when concerns were identified and followed recommendations to ensure people's health needs were appropriately managed. Monitoring information was regularly reviewed, allowing staff to assess the effectiveness of any interventions and make changes to support where necessary.

Relatives spoke positively about the way the service responded to people’s healthcare needs and the support available when concerns arose. One relative told us, “The care home benefits from having a good GP practice next door.” This feedback reflected the service’s commitment to maintaining effective links with healthcare professionals and ensuring people could access medical support promptly when required.

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

Staff consistently promoted people’s right to make informed choices about the care and support they received. Individuals were offered meaningful options in relation to their daily routines, preferences and care interventions, enabling them to remain involved in decisions about their lives. Where people lacked the mental capacity to provide informed consent, staff still took the time to explain what they were about to do and reassure individuals before providing care. This demonstrated a person-centred approach and reflected staff’s commitment to upholding people’s rights, dignity and independence, while ensuring care was delivered in the least restrictive way possible.

Throughout our observations, staff communicated with people in a respectful and considerate manner, taking care to seek permission and gain consent before carrying out care and support tasks. Staff clearly explained interventions, checked that people were comfortable, and responded appropriately to verbal and non-verbal cues. These interactions showed staff understood the importance of involving people in decisions about their care and treating them with respect, regardless of their level of capacity. This approach helped to foster positive relationships, maintain trust, and ensure people remained at the centre of their care and support.