Oxton Manor

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 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. Systems were in place to ensure people’s needs were fully assessed before moving into Oxton Manor. Staff told us they felt well informed about peoples care needs and if this changed. One staff member commented, “Care plans are available on [electronic care planning system]. We can update them and we’re told in daily handovers if there are any changes or things to be aware of.”

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. 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. Referrals were made for people to other health and social care professionals when needed. Referrals were appropriate and made in a timely manner based on people’s needs. A healthcare professional told us, “Staff have a good knowledge and relationship with their residents. They advocate for them appropriately to ensure they have received good medical care.” Another visiting professional said, “I regularly visit Oxton Manor and feel the standard of care is excellent. The residents are treated with dignity and compassion. The staff are exceptional, always professional, attentive and always go that extra mile. When I visit the staff not only show their clinical expertise but also show warmth and patience, creating a safe and welcoming environment for the residents and visitors.”

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. For example, people were encouraged to eat a healthy balanced diet and take physical exercise within their local community.

The provider did not always routinely monitor people’s care and treatment to continuously improve it. They did not always ensure outcomes were positive and consistent, or they met both clinical expectations and the expectations of people themselves. Some care monitoring records lacked the necessary detail needed to demonstrate when specific care had been provided. For example, records did not show that appropriate repositioning had been carried out to reduce one person’s risk of pressure damage. We did not find any evidence of negative impact to people; however, we discussed this with the registered manager as an area that needs further improvement and focus.

The provider did not always tell people about their rights around consent. Decisions had not always been made in line with the Mental Capacity Act 2005 (MCA). For example, a staff member had signed a consent form for one person to have photographs taken. The person was unable to consent themselves. In response to our findings, the registered manager undertook a review of all peoples care records to ensure any decisions made were fully in line with the MCA. When a person could consent to care, this was appropriately recorded.