Finch Manor Nursing Home

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.

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 made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. A family member shared with us their experience of their loved one recently moving into the service. They told us it has been positive and said, “Staff so far have done what they can to assure me.” The family member added the manager had directly come to see them to make introductions and to check they were happy with the person’s care which they told us they appreciated.

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. Care plans had been developed with guidance from other professionals. Kitchen staff were knowledgeable about people’s needs and information was available and accessible throughout the service about people who needed a modification to their diet. Staff received training and guidance around people’s specific care needs.

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. We received positive feedback from partners about how effective staff were working with them, people and their families to ensure care needs were met. One professional told us, “I am hopeful the changes over the last few months are for the better” adding “[The manager] is being open with families and is into the small details.” Family members were kept informed about any risks. One family member described how a nurse had recently made a referral to the speech and language team as their loved one was having difficulties eating their meals. Information about referrals or professionals’ input was recorded, as well as any advice or guidance provided.

The provider did not always support people to manage their health and wellbeing, so people could not always maximise their independence, choice and control. For example, one family member expressed frustration that a person’s hearing aids had gone missing which was impacting on their daily life. The manager told us they would investigate and respond directly to the family members concerns. People told us, and records confirmed people were supported to access healthcare services when needed. Staff recorded any medical appointments and their outcome.

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. Whilst records were maintained to demonstrate care provided to people, and provider systems were in place to monitor the quality care delivered to people, and their health outcome, we found gaps in the recording systems used. We discussed our findings with the management team. They told us they were aware of ongoing improvements needed and demonstrated how they were already addressing shortfalls with the nursing and senior care team.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Some people chose not to follow advice and guidance about their care. Where appropriate, risk assessments and care plans reflected this. For people who did not have the mental capacity to consent, or make specific complex decisions, the provider had assessed their capacity and made decisions in their best interests. Decisions had been made in line with the Mental Capacity Act 2005 (MCA).