Boughton Manor 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. 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.

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.

We saw evidence the diverse range of people’s needs had been assessed, including their communication needs, and documented in a person-centred way. Where relevant, nationally recognised clinical assessment tools such as MUST (a tool used to establish someone’s risk of malnutrition) and Waterlow (a tool used to establish a person’s risk of developing pressure ulcers) were used.

Nursing staff told us, “As nurses we see the admission summary of each new resident, we also complete the care plans. This is done through talking to residents and their families. It is also done through talking to the carers, who are the ones completing personal care and are sat with them during mealtimes.”

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 were supported with their eating and drinking needs. Staff were knowledgeable about peoples different and modified diets. Relatives were happy with the support their loved ones received. For example, a relative told us, “[Person] has no interest in food, but the staff work hard to ensure they do eat and drink and their weight is maintained.”

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.

Healthcare professionals who worked with the home, such as tissue viability nurses, described the communication with the staff as always being good.

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.

Nursing staff we spoke with confidently described how and when they would make referrals to appropriate health professionals when needed.

A healthcare professional fed back to us that they had supported a person to avoid hospital admissions and said they had given them “a quality of life which they likely did not have before.”

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.

Staff described, and we saw evidence of, a holistic approach to supporting people. Staff said, “I think it's important to implement a holistic approach and view the resident as a whole in order to meet their needs effectively.”

Relatives confirmed how well people were supported to improve. They said, “The staff quickly pick up on any infections and act promptly and appropriately to treat these,” and

“Earlier this year, [Person] was hospitalised with a pubic bone fracture. On return to the home, the staff followed a safe exercise regime to get them back to mobility.”

The provider had a proactive and positive culture of safety, based on openness and honesty. Staff listened to concerns about safety and investigated and reported safety events. Lessons were learnt to continually identify and embed good practice.

Staff explained, “If mistakes occur, we're informed through individual or group discussions, and we learn from these incidents,” and “The point of this is not to enforce a blame culture but to learn from this ensuring this does not occur in the future.”

The provider understood their responsibilities under Duty of Candour and relatives confirmed they were kept informed of any incidents.