The Manse Residential Care 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.

At our last inspection we rated this key question requires improvement. At this assessment, the provider had made improvements and no longer in breach of regulation relating to person centred care. 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.

The provider had made improvements in this area. There was better information about people’s needs on their records. Managers undertook a comprehensive assessment of people’s needs and used this information to plan and deliver care and support to meet these. People and others involved in their care, had been involved in assessments of their needs. A person told us, “I remember contributing to it.” Managers regularly monitored and reviewed people’s care and support needs with them, so that their records remained up to date with information about their current needs.

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.

The provider had made improvements in this area. People’s planned care and support now reflected their choices and preferences for how this should be provided to meet their needs.

Staff were supported through training, supervision and appraisal to deliver care and support to people in line with legislation, good practice and standards. A person told us, “They (staff) are off for a lot of training and they all seem to know what they are doing.” Managers regularly monitored and reviewed people’s needs which helped them make sure care and support continued to be delivered in line with people’s choices and preferences.

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.

The staff team worked well together and shared information and updates about people to ensure a consistent approach to the care and support provided to them. The service worked proactively with healthcare professionals to make sure people received appropriate support for all their care and support needs. A healthcare professional told us, “I have found [registered manager] and the team to be open, transparent and responsive. I have recently supported [person using the service] who required a multi-agency response…and [registered manager] was available via email or via joint meetings and was able to implement recommendations from the team to assist [person using the service].”

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 need for care and support.

People were supported by staff to stay healthy and well in line with their needs and wishes. Staff monitored people’s general health and wellbeing. They reported any concerns they had to the relevant healthcare professionals so that people received appropriate support. A person told us, “They notice very quickly if one is not well.” Another person said, “They are very quick and get the doctor whenever.” People ate and drank enough to meet their needs. A person said, “The food is very good and there is plenty and we are all offered drinks through the day.”

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.

The staff team understood the goals and outcomes people wished to achieve from the care and support they received. They monitored the care and support provided to people to make sure this was achieving people’s expectations. The staff team worked well with healthcare professionals to monitor and review people’s clinical needs, to make sure the support they received for these remained effective. A healthcare professional told us staff went the ‘extra mile’ to support people with their changing clinical needs to ensure people received the appropriate care and support they needed in these instances.

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

Staff sought people’s permission and consent before they provided any care and support. A staff member told us, “Communication is important and we listen to people and if they don’t want to receive care, they don’t have to have this. It is about keeping people safe, giving them dignity and respect.”

The service was working within the principles of the Mental Capacity Act (MCA) 2005. Mental capacity assessments were completed with people and others involved in their care. Where people could not make decisions and consent to their care, processes were in place to make sure any decisions were made in their best interests. Appropriate legal authorisations were in place to deprive people of their liberty where this was deemed necessary to ensure their safety.