Manor House

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 good. At this assessment the rating has remained 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 and reviewed appropriately. An assessment tool was in place for new people moving into the service, to ensure an in-depth assessment took place. This captured personal information and background, daily living skills and independence, health and well-being, social skills and interaction. This assessment helped staff and leaders to prepare for people to move in.

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. People were supported to maintain a healthy and balanced diet and were supported to make choices around food and nutrition. Staff supported people to shop for meals and encouraged their participation in preparing for meals.

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 and leaders worked well together to ensure they understood people's needs and wishes. Handover meetings took place between shifts to give staff the opportunity to share information and updates

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. Staff knew people well and ensured appropriate referrals were made to healthcare professionals. Their advice was followed to ensure people received support which met their needs.

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. People and their relatives were involved in routine reviews of their care and support. Care plans were amended when people’s needs changed. One staff member said, “We would communicate with the service user and relatives to use shared decision making and make sure individuals’ choices and needs are met. Service users have a good choice over their care and decisions they make and are well supported.”

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Where people lacked capacity, systems were in place to ensure decisions were made in people’s best interests. People and relatives told us staff were always considerate and involved them in decisions about their care. Staff and leaders were knowledgeable about the Mental Capacity Act 2005 and worked in line with guidelines. Systems were in place to ensure decisions were made in people’s best interests if they lacked capacity.