Manor View Care Home

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

Well-led – this means we looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture. At our last assessment we rated this key question requires improvement. At this assessment the rating has remained requires improvement. This meant the management and leadership was inconsistent. Leaders and the culture they created did not always support the delivery of high-quality care.

This service scored 61 (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 had a shared vision, strategy and culture. This was based on transparency, equity, equality and human rights, diversity and inclusion and engagement, however they did not always understand the challenges and the needs of people and their communities. Improvement had been made since the previous assessment but changes and developments needed to be embedded and sustained to ensure continued improvement.

The provider did not have inclusive leaders at all levels who understood the context in which they delivered care, treatment and support and embodied the culture and values of their workforce and organisation. Leaders did not always have the skills, knowledge, experience and credibility to lead effectively. Mixed feedback was received about the capability of the management team. Family members told us they wanted more flexibility so they could have a conversation, “There is no flexibility from [the registered manager]; we have asked to speak to them but we have only been able to get there at 5:15pm and they say they are only there until 5:00pm.” There had been improvement in the leadership of the service since the previous inspection but improvements needed to be embedded and sustained to ensure continuous improvement.

The provider supported a culture where people felt they could speak up and their voice would be heard. There was policies and procedures in place to support staff to speak up if they had concerns about care and support.

The provider valued diversity in their workforce. They worked towards an inclusive and fair culture by improving equality and equity for people who worked for them. Staff were supported fairly and there were policies in place to ensure equality, diversity and included was promoted in the workplace.

The provider did not always have clear responsibilities, roles, systems of accountability or good governance. They did not always act on the best information about risk, performance and outcomes, or share this securely with others when appropriate. Improvements had been made following the last inspection and assessment of the service, however, continued improvement was required. For example, some audits had been completed inconsistently and some people’s care plans had not been updated to reflect changes in their care needs as determined by audits and reviews of their care and support.

The provider understood their duty to collaborate and work in partnership, so services worked seamlessly for people. They continued to share information with partners and collaborated for improvement. The provider worked closely with health and care partners who were actively supporting the care home to continue to make and sustain improvements.

The provider did not always focus on continuous learning, innovation and improvement across the organisation and local system. They did not always encourage creative ways of delivering equality of experience, outcome and quality of life for people. There was evidence of improvement in the service seen at this assessment, however, the changes and improvements needed to be sustained and embedded throughout all aspects of the care home.