Manor Barn Nursing Home

On this page

• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

Responsive – this means we looked for evidence that the provider met people’s needs.

At our last assessment we rated this key question requires improvement. At this assessment the rating has changed to Good.

This meant people’s needs were met through good organisation and delivery.

The service was in breach of legal regulation in relation toperson centred care.This breach has been met.

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 ensured people remained at the centre of decisions about their care and support. Care plans reflected people’s preferences, interests, communication needs and what mattered most to them. Staff demonstrated a good understanding of people’s individual routines, wishes and support needs and were able to explain how care was adapted to reflect these.

Relatives told us staff knew people well and provided care which reflected their individual circumstances. One relative said, “They treat [my loved one] as a person who can make decisions for themselves when needed. I like that”. Staff worked with people and those important to them to review and adapt support when needs changed. This helped ensure people received personalised care which reflected their preferences and promoted positive outcomes.

People benefited from coordinated care that promoted continuity and positive outcomes. Staff worked collaboratively with families, healthcare professionals and external services to ensure information was shared appropriately and support remained consistent when people's needs changed.

The provider described clear arrangements for sharing information between shifts, departments and external professionals. Daily huddles, clinical communication systems, care plan reviews and handovers ensured staff remained aware of any changes in people's wellbeing or care needs. This helped reduce the risk of gaps in communication and promoted a consistent approach to care delivery.

People were supported to access external healthcare services when required and systems were in place to support continuity during hospital admissions and transfers.

Staff worked proactively with specialist services where additional support was required. Examples included engagement with diabetic nurses, tissue viability nurses, GPs, mental health services and dementia-related support services. This helped ensure people continued to receive care which reflected current needs and professional guidance.

The provider supplied information in ways which supported people and relatives to understand and participate in care. Leaders recognised that people may require information in different formats and demonstrated willingness to adapt communication to meet individual needs. Examples included providing information in large print formats and sourcing communication aids for a person who experienced difficulties communicating following a stroke.

Communication with relatives was well established. Relatives consistently told us they were kept informed about changes in health, wellbeing and care arrangements and knew who to contact if they had questions or concerns. Staff recorded preferred communication methods and used these to maintain contact with family members, including relatives living abroad.

People and relatives had opportunities to receive information through resident and relatives' meetings and discussions with leaders. Feedback indicated relatives knew who the manager was, attended meetings and received information regarding actions, developments and matters affecting the service. This helped support transparency and involvement.

The provider actively listened to and involved people, relatives and staff in decisions about care and service development. People and relatives were encouraged to share feedback through meetings, surveys, reviews and informal discussions. Feedback indicated people felt comfortable raising concerns and were confident leaders would listen and respond appropriately.

Relatives consistently described positive relationships with managers and staff and told us they felt involved in care planning and review processes. Several relatives referred to approachable leadership and said they were aware of opportunities to participate in resident and relatives' meetings. This contributed to positive relationships between the home and those important to people living there.

The provider demonstrated responsiveness to feedback. Following previous concerns, leaders had introduced additional quality monitoring systems, including observational spot checks and strengthened governance arrangements to better oversee care delivery. This demonstrated feedback, concerns and learning were used to improve practice and service quality.

Observations and discussions during the assessment showed leaders were visible throughout the service and actively engaged with people, relatives and staff. People benefited from an environment where their views were encouraged and where leaders maintained regular contact with those using the service.

The provider worked to ensure people could access the care, support and services they required. Admission assessments considered whether people's needs could be met effectively within the service and care arrangements were tailored to support people with a range of physical health conditions, dementia-related needs and complex nursing requirements.

People were supported to access healthcare professionals when required. Staff described timely referrals to GPs, diabetic nurses, tissue viability teams, mental health professionals and other specialists when concerns were identified. This helped ensure people had equitable access to healthcare interventions and professional support.

Communication support was available for people who required it and information was adapted where necessary. The provider also demonstrated flexibility in supporting people to participate in activities and community opportunities regardless of their level of need or mobility.

The provider understood the importance of ensuring people experienced equitable outcomes regardless of their background, health condition, disability or communication needs. Care planning and review processes considered people's individual circumstances and staff adapted support to reflect diverse needs and preferences.

Staff received equality and diversity training and leaders promoted an inclusive culture within the service. Leaders described how adjustments would be made to support people's religious, cultural and dietary preferences where required and demonstrated understanding of the need to provide personalised support which reflected people's identities and protected characteristics.

People with higher levels of dependency, communication difficulties or cognitive impairment were supported to remain engaged and included. Activity staff described providing individual sessions and adapting approaches to ensure people who spent time in their rooms or required additional support still had opportunities to participate in meaningful activities and maintain social connections.

The provider worked with people, relatives and professionals to plan for future changes in health and care needs. Care records considered how people's needs may change over time, including changes in mobility, health, mental capacity and end of life care needs. Care plans were reviewed when people's circumstances changed to help ensure support remained appropriate and reflected current risks and preferences.

Staff understood the importance of future care planning and described how people and those important to them were involved in discussions about ongoing care and support. Arrangements such as RESPECT forms, resuscitation decisions and best interest processes were used where appropriate to support future decision-making. This helped ensure people's wishes were understood and that care remained responsive as their needs evolved.