Egerton 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 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 were involved in assessments and their needs were being met. People had personalised care and support plans which reflected both their physical and mental health needs. Care plans were reviewed as necessary and reflected a good understanding of people’s needs, including relevant assessments of people’s communication support and sensory needs.

Initial assessments were completed prior to a person being supported. A relative told us, “I am totally involved in [persons’] care plan. If I want something new put in place it happens. I think probably every day I chat to the staff about [person]. I would know who to go to with an issue, but I never have any.”

People had health actions plans and health passports which were used by health and social care professionals to support them in the way they needed. Staff understood the importance of promoting people’s independence.

Staff knew about people’s capacity to make decisions through verbal or non-verbal means, and this was documented. People were empowered to make their own decisions about their care and support.

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 monitored all clinical areas of care to ensure people’s needs were being met; this included people’s skin integrity, whether they had any infections or experienced any weight loss.

People’s nutritional and hydration needs were being met, which included people who required a modified diet, such as soft or pureed food and thickened fluids. Records of people’s food and fluid intake were being completed. Observations of the mealtime experience were positive. People who needed equipment whilst eating were provided with this and those who needed staff assistance to eat were supported in a patient, encouraging and kindly manner. People were offered a range of juices and to end the meal, a hot drink. The food looked appetising and everyone we spoke with spoke highly of the quality of food provided.

People told us they were happy with the food and choices provided. One person told us, “‘The food is excellent. My diet is anything I want. When I came to the home I was asked all about me, my personal needs and dietary likes and dislikes. The cook has never let me down. My life is as good as it can be given my limitations. This is down to the home and its constant good care. I came back from hospital once at 11pm and was greeted by the staff, who are my friends. I am very proud of my home.”

Care plans include person-centred information about people’s nutrition and hydration needs, including details of any enhanced monitoring, risks or related health conditions. Guidance for staff reflected best practice guidance and there was effective recording system in place where risks had been identified.

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 and leaders worked with external professionals and support services to meet people’s assessed needs; this included doctors, district nurses, dieticians, speech and language therapists, palliative care specialists, continence services, the memory assessment team, advocacy services, the local authority, occupational therapists, chiropodists, the falls team, the community mental health team and the supplying pharmacy. Part of this process was to actively encourage involvement from people so they had choices and options and the ability to access services they would utilise when living in the community.

The provider and leaders promoted a multi-disciplinary team (MDT) approach when supporting people, and care and support was developed and provided in partnership with people, relevant external professionals and clinicians. Regular MDT meetings were held to ensure care was tailored to meet people’s immediate or changing needs, and records were detailed; this also ensured all avenues for people’s wellbeing were reviewed and accessed a timely manner.

Staff had access to the information they needed to appropriately assess, plan and deliver people’s care, treatment and support. Care plans considered people’s individual needs, circumstances, ongoing care arrangements and expected outcomes.

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.

The provider ensured people’s physical health was monitored regularly. People felt they were supported to manage their own health needs as much as possible. A person told us, “Because of my dependence on the staff I have to trust them completely and I do; they know their jobs and carry them out with care and dignity. The staff here are brilliant. I press my buzzer, and they come. I have a [condition name] which needs taking care of; the staff know how to replace my equipment and clean my skin. Staff are well trained, and I am very impressed with how medications are distributed; I have [condition name] so timing and correct dosage is very important.”

Relatives were complimentary about how people were supported. One relative told us, “[Person] has been in the home for 14 months and has not been easy to settle, but with the constant help of the staff, with patience and reassurance, we have now got a very happy [person] who is safe and extremely well cared for. Staff are always available and plenty of them. [Person] moved to the first floor, and it was the making of [them]. [They] were very ill and needed nursing care. It is truly amazing how well [person] has progressed. I can now be the daughter again and enjoy my time with [person]. This has happened because of the love and good nursing care [person] has received.”

People were supported to be as physically active as possible, and we observed people taking part in activities or following their own personal interests during the inspection. Staff had a good knowledge of relevant health care concerns, how to identify them in the people they supported, and how to respond; our review of care records confirmed this.

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.

People were supported in a person-centred way and their care needs were routinely monitored and reviewed. One person told us, “My health has definitely improved whilst at the home The food is really good, and I enjoy everything I have. It is down to the good care and attention I get from the staff that I am still here. I don't think I would be here now if I wasn't in the care of this home.”

The provider worked with several different professionals and stakeholders to support positive outcomes for people. A relative said, ‘I am very involved on a daily basis with [persons’] care and the staff encourage it. We have lots of chats about the outcomes for [person’s] care and I do feel that my opinion is valued.”

Staff understood how to monitor people’s clinical outcomes and act on any concerns; our review of care records confirmed this.

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

The provider and registered manager ensured people’s views and wishes were considered when their care was planned and people confirmed this. People understood their rights around consent and staff supported them to understand these. People received information about their care and treatment in a way they could understand and had appropriate support and time to make decisions. People's capacity and ability to consent was considered.

Staff understood the importance of ensuring people fully understood what they were consenting to and the importance of obtaining consent before they delivered care or treatment. We observed staff seeking consent from people throughout this inspection.

The provider had robust systems in place relating to the Mental Capacity Act (MCA). Capacity assessments had been completed. People were supported to make decisions, and there was information to show people's preferences had been considered. The provider was working in accordance with the MCA principles effectively.