Manu Integrity Services Limited

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 and their relatives told us they were involved in the assessment and care planning process. Assessments of people’s care were undertaken when they first began using the service and people were involved with these if they were able to. Care plans were formulated using a variety of methods, such as meeting with people's social workers, obtaining health history, and care records. People's likes, dislikes and choices were clearly documented throughout their support plan in line with their assessed needs. This detail enabled staff to know all about the person, their background, current needs and interests. One relative said, ““I am fully involved in the care plan and how things are done.”

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.

Staff undertook a range of training to help deliver evidence-based care. Staff told us training was helpful. Staff regularly met with the registered manager to discuss their work and best practice. People received appropriate support with their nutritional needs, where this was part of their care plan. People confirmed they were satisfied with the meals that staff prepared for them. Detail about what food and drinks had been provided was recorded by staff, and care records showed that people’s choices were respected.

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 registered manager told us that staff accessed the electronic care system and were able to review previous notes to support continuity of care. The manager and staff worked well with health and social care professionals. There were various professional involved with the service such as speech and language therapists, occupational therapists and district nurses. The service welcomed the involvement of advocates. Advocacy is a process of supporting and enabling people to express their views and concerns, access information and services, defend and promote their rights and responsibilities and explore choices and options.

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 staff supported them when needed to seek support from other professionals. Staff made referrals to health partners and sought advice from other professionals involved in people’s care, such as community nurses and occupational therapists, where this was required. Staff followed guidance given, to help people manage any conditions and improve their health. People’s care plans contained relevant information for staff to follow in relation to any specific conditions or needs people may have, such as peg care and catheter care.

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 worked with people to identify any outcomes they wished to achieve and the support they required to do this. This included support to maintain their independence and support to continue accessing activities in the local community for instance. People’s care plans were routinely reviewed to monitor that the support was meeting their needs and achieving positive outcomes.

The outcomes for people using the service truly reflected the principles and values of 'Right support, right care, right culture' in the promotion of choice, control, independence and inclusion. People and their families were seen as the experts in their life with a focus on what they can do first, and any help they needed second. Staff had taken great care to ensure peoples voices and choices were heard and to enable people to build and stay in control of their own lives.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. The registered provider, the registered manager and staff were passionate about supporting people in the least restrictive way and always considered and acted in people's best interests. The service was skilled in how it obtained people's consent for care and treatment, adapting their approach to suit individuals needs and involving them in related decisions and assessing capacity when needed.