Nodens 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 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 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.

People and relatives told us they visited the service before coming to stay. Staff completed an assessment of people’s needs, risk assessed and collected information about people’s preferences. Where appropriate, families, carers, advocates, professionals and other stakeholders were meaningfully involved in the assessment of people’s needs and reviews.

One person told us staff knew how they liked to be supported, “They know how I like things” and another person told us, “I wake up early, they get me a cup of tea at 6.30am and then shower at 7am and breakfast at 7.30am, porridge which they make, proper porridge”.

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’s nutritional needs were assessed and met. Staff ensured people had enough to eat and drink. People told us their dietary preferences in relation to food were catered for. Staff used nationally recognised tools appropriately to assess and monitor people’s needs. For example, the Malnutrition Universal Screening Tool (MUST) was used to identify people from risk of malnutrition.

However, some risk assessments for people who were at risk of malnutrition lacked detail for staff to follow. The registered manager took steps to address this during assessment.

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.

Staff were proactive in working with other services when multidisciplinary involvement was required. Actions were followed up as needed. One professional working with the service said, “Care staff are always on hand to support community nurses during their visits and receive a verbal handover, which the care staff record on a tablet within the care home.”

People and their relatives were involved in monitoring and reviewing their own health and wellbeing needs as much as possible. This included being involved with regular monitoring and reviewing with the service or being supported to be as involved as possible in regular health checks with other healthcare professionals.

Care plans had information available for staff to recognise signs of health deterioration in people that may be susceptible to certain conditions such as urinary tract infections or constipation.

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 access a range of health care professionals and services that supported their wellbeing including chiropodists and hairdressers.

One person told us, “I like it here, beautiful – I can see everything”. A relative told us, “They have an optician who comes in now and again and they have their feet done.”

The service routinely monitored people’s care and treatment to continuously improve it. People and their relatives were involved in monitoring and reviewing their own health and wellbeing needs. This included being involved with regular monitoring and reviewing with the service or being supported to be as involved as possible in regular health checks with other healthcare professionals.

Relatives told us they were kept up to date about their family member’s wellbeing. The provider told us the service was purchasing a portal where relatives could log in in real time to see how their relatives were and what they had been doing. This was to be discussed at the next people and relatives meeting. One relative told us, “We get a newsletter about activities by email each month and the comings and goings of staff, staff training, menu planner. They get a hard copy in her room too.”

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

People were supported to understand information, communicate and make decisions about their life, care and treatment in line with the Mental Capacity Act. We saw good examples of mental capacity assessments that demonstrated where people had been encouraged to be part of the process and how the assessor had used the information to make a decision. Where applicable, people’s feelings, beliefs and values were considered as part of best interest decision-making.

People and their relatives felt they were treated with respect and their consent was asked for. One relative said, “They use very gentle words, “Is it alright”’, ‘I’m just going to ‘would you like me to’.” Another relative told us, “She does make choices. She will decide when it’s time to go to bed and she will need help. If she wants a lie in, they will come back.”