The Manor House Roundhay

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 newly registered 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’s needs were assessed before they moved into the home to ensure the service could meet their individual requirements. These assessments informed the development of personalised care plans. The care plans reviewed were tailored to each person and contained detailed information about their health needs, personal history, preferences, and the people who were important to them. They also provided clear guidance for staff on how best to support each person.

Care plans and associated risk assessments took account of people’s protected characteristics, such as gender, age, culture, religion, sexuality, ethnicity, and disability. Plans were reviewed regularly, and updated promptly when changes occurred, ensuring they remained accurate and reliable for staff to follow. Staff reported that these documents were essential in enabling them to deliver safe, appropriate, and person-centred- care. People and their representatives were actively involved in the assessment and review process.

For people at risk of falls, we saw that thorough and comprehensive risk assessments had been completed. Records also clearly documented people’s preferences, including how and when they wished to receive support, as well as any cultural or personal wishes.

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.

Risk assessments were in place to identify risks specific to each person, including manual handling, falls and other clinical needs. These assessments provided staff with clear guidance on how to manage and reduce risks, supporting the safe delivery of people’s care. Where required, people’s weight and fluid intake were monitored and reviewed regularly, ensuring appropriate oversight at management level.

People spoke positively about the food, with one person telling us, “The food here is brilliant.” We observed that snacks and drinks were readily available and that several meal choices were offered. When people changed their minds about their meal, alternative options were provided without hesitation.

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.

The staff and management team worked well across teams and services to support people. Staff told us morale was high. One staff member said, “It’s a great team.”

The staff team worked in effective partnership with external professionals. When people required assessment or input from external health or social care teams, referrals were made promptly and follow up actions were completed. One external professional told us,“ Communications have been good. We’ve been teaching care staff about pressure ulcers, what to use and when to refer. We are working together, and staff follow instructions, for example with repositioning.”

Partnerships with external stakeholders were positive, which was reflected in the feedback we received. The management team worked extremely well with people, healthcare partners, and other agencies to determine the best ways of keeping people safe while ensuring they could live their lives without unnecessary restriction.

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 healthcare services and treatment when needed. Staff monitored people’s health effectively, carrying out routine observations and regularly recording people’s weights to identify any changes at an early stage. Care records showed that staff worked closely with external health professionals to coordinate care and ensure people received the right support at the right time. This included attending routine health appointments and appropriately following up on the outcomes.

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.

Staff carried out regular checks to monitor each person’s health and wellbeing. These were documented, reviewed by the team, and used to identify and address any emerging issues. People and their relatives were actively involved in reviewing care plans, which clearly outlined people’s needs, personal preferences, and how staff should support them.

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

Staff had undertaken relevant training and understood how and when to ask for consent. The provider had systems in place and understood their responsibilities in relation to the Mental Capacity Act. The provider assessed people’s capacity where they had reason to suspect that the person may be lacking capacity, this was clearly documented within care records. Where appropriate, staff submitted referrals to the relevant authorities.

Staff clearly understood the importance of seeking consent, and we noted that they regularly asked permission before offering any form of assistance.