Escan Manor

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.

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

This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

The provider was previously in breach of the legal regulation in relation to people’s safe care and treatment. Improvements were found at this assessment, and the provider was no longer in breach of this regulation.

This service scored 67 (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 did not always make sure people’s care and treatment were effective because they did not always check and discuss people’s health, care, wellbeing and communication needs with them.

People had their needs assessed before moving to the service. Care records showed people’s needs were continually assessed and changes to their care and treatment plans were made where required to help ensure good outcomes for people. We identified 1 care plan that contained duplicated information from another person’s records and did not accurately reflect the person’s needs. We highlighted this to the service manager.

Whilst needs were assessed, people or their relatives did not feel actively involved in care planning or ongoing care. One person said, “I discussed my care plan when I first came in but nothing since.” A relative we spoke with told us, “I’ve asked to discuss his care plan. I was told I had to get together with carers and the nurse, but it never happened.”

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.

We saw evidence the diverse range of people’s needs had been assessed, including their communication needs, and documented in a person-centred way. Nationally recognised tools were used to continually assess people’s needs, including in relation to skin health and malnutrition. Staff using these tools were appropriately trained and competent to do so. Records showed concerns about weight loss were escalated to relevant professionals. Nutritional care plans were in place and detailed any dietary requirements alongside people’s preferences for what they liked to eat and drink. Where additional support was required, staff made referrals to relevant health care professionals.

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 had access to people’s care and support plans to understand people’s needs and deliver their care. Staff did not raise any concerns around the content or access to care records. There were weekly ‘ward rounds’ from the local GP and the service was also supported by members of the multi-disciplinary team.

Staff confirmed there were handover meetings in which people’s care, treatment and support needs were discussed. Daily ‘flash’ meetings were also held for senior staff. We saw that staff were allocated to specific areas of the service with oversight from the nurses and senior carers.

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 and their relatives told us, and we observed, people had a nutritionally balanced diet and were supported to see medical professionals when required. We received positive feedback about the food provided at the service. One person told us, “The food is very good. You get a good choice for breakfast. Yesterday’s lunch of chicken pie was lovely. The kitchen will do a jacket potato or salad if you don’t fancy what's on offer.”

Care records detailed what action staff should take if there was a deterioration in people’s health. We saw records highlighted where concerns around people’s health and welfare had been escalated.

The provider did not always routinely monitor people’s care and treatment to continuously improve it. They did not always ensure that outcomes were positive and consistent, or that they met both clinical expectations and the expectations of people themselves.

Staff worked collaboratively to plan and deliver people’s care, reduce risks, and achieve the best outcomes for them.There was oversight of people’s needs during daily handover meetings, and records supported this. However, records did not always evidence care was consistently monitored to support identifying where people may be exposed to risk. Whilst there was no impact to people, we saw examples of where repositing records had not been accurately completed evidencing care had been delivered in line with people’s assessed needs. This had been identified by the service manager as part of the governance framework and feedback had been provided to staff.

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

Where necessary, mental capacity assessments were completed in line with the Mental Capacity Act 2005 (MCA). Where a person was deemed to lack capacity, a best interest meeting was held with the person, their relative and relevant others. This supported positive, least restrictive decision making.

People told us that care and treatment was delivered with their consent. Throughout our onsite assessment people were offered choices and staff were consistent in communicating choice and consent when offering care and support.