Nodens Manor Care Home

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

Well-led – this means we looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture.

This is the first assessment for this service. This key question has been rated good. This meant the service was consistently managed and well-led. Leaders and the culture they created promoted high-quality, person-centred care.

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 had a shared vision, strategy and culture. This was based on transparency, equity, equality and human rights, diversity and inclusion, engagement, and understanding challenges and the needs of people and their communities.

The service worked with people, their representatives and staff to build a culture that focused on enabling people to enjoy their lives. Leaders ensured there was a shared vision and strategy, and staff knew, understood, and supported this.

The provider had inclusive leaders at all levels who understood the context in which they delivered care, treatment and support and embodied the culture and values of their workforce and organisation. Leaders had the skills, knowledge, experience and credibility to lead effectively. They did so with integrity, openness and honesty.

The registered manager was supported by the provider’s management team who were available to them whenever it was needed. Staff had access to training to help them develop further in their roles and this had led to staff progressing with the organisation.Staff told us they felt supported by the management. A member of staff said, “Manager support is excellent.”

The provider and registered manager had a clear commitment to providing person-centred care and valued people who lived at the home and the staff team. People and their relatives told us, they felt staff were well trained to support them. One relative told us, “They [service]do talk about training for staff; they show on Facebook; congratulations to people going to the next level.”

The provider fostered a positive culture where people felt they could speak up and their voice would be heard.

Staff felt supported to give feedback and were treated equally, free from bullying or harassment. They were positive about the provider and manager and how the service was run.

The service provided information for staff on how to raise concerns if needed.

The provider valued diversity in their workforce. They worked towards an inclusive and fair culture by improving equality and equity for people who worked for them. Staff told us they felt valued and listened to by managers at the home.One staff member told us, “We all pull together as a team”.

The provider had clear responsibilities, roles, systems of accountability and good governance. They used these to manage and deliver good quality, sustainable care, treatment and support. They acted on the best information about risk, performance and outcomes, and shared this securely with others when appropriate.

Systems for governance and assurance were used to monitor care delivery and support. The governance and oversight of the service was used to develop an action plan for the service. This was regularly reviewed. Where we provided feedback during the assessment the leadership team were responsive and acted on our information immediately. Senior leadership was visible at the service on a regular basis.

Staff were confident their concerns and ideas had been used to make positive changes at the service.

People and their relatives told us they felt the home was well run and staff worked well together. One relative said “Very well. The atmosphere is lovely, everyone has a smile. It seems to be a very good team ethic there, a very nice feel.” Another relative told us “I’ve met the manager and the regional manager. We had a good chat with them and gave feedback.”

The provider understood their duty to collaborate and work in partnership, so services worked seamlessly for people. They shared information and learning with partners and collaborated for improvement. One professional working with the service told us, “The team are very proactive in communicating to ensure up to date information and setting up new patients with the practice, consent to share forms that needed to be completed before we could discuss their residents and medications etc”.

Staff worked with the local community to deliver the best possible care and were receptive to new ideas. For example, the home had strong community links with local community groups such as a nursery and pet therapy service. A local school came for harvest festival, people went to their pantomime. A relative told us, “There is always something going on. She loves it when the animals come, she loves animals. There is a lovely picture of her with an owl on her lap. She loves the music too.”

People and their relatives told us they felt included, and the home were regularly in contact with them “If I wasn’t happy, I would talk to care staff or managers. All very approachable. They do have relatives’ meetings if I wanted to come to them and coffee morning when we can talk to people.”

The provider focused on continuous learning, innovation and improvement across the organisation and local system.

Staff spoke of their confidence in managers and their ability to support improvement ideas.

During our assessment the registered manager acted on feedback and took steps to review and make changes involving people, relatives and professionals as needed. The registered manager sought to clarify information to ensure they fully understood what was required. Managers wanted to continually improve the service for people and ensure they had a good experience. When something went wrong, people received an apology and were told about any actions being taken to prevent the same happening again.