The Manor House 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

We assessed a limited number of quality statements in the effective key question and whilst we found areas of good practice, we raised concerns over gaps in people’s care monitoring and some outdated information in care plans. The scores for these areas have been combined with scores based on the rating from the last inspection, which was good. The manager responded to our feedback. They introduced new systems to review people’s care plans. We will review the success of these new systems in the next assessment. People and relatives told us they felt involved in the care and support provided to people. However, we observed how 2 people were not always supported in accordance with their care plan. The manager responded to our feedback and spoke to the staff team, reminding them to familiarise themselves with the relevant care plan. Staff told us risks to people were regularly discussed in meetings and they felt confident to raise any concerns with the management team. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

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.

People told us they were involved in the care planning and review process. Relatives told us the provider communicated effectively with them and kept them informed of any changes to people’s needs. One relative told us, “The staff are kind to [my family member]. They involve me in their care; we’ve had a few meetings about their care recently. It was a very inclusive experience. [My family member’s] risks are all managed well.” Another relative said, “They involve me in [my family member’s] care. I asked for a copy of their care plan and they [the provider] printed one off for me. I queried a couple of things, so they [the provider] are changing it and printing another copy off for me.”

Staff told us risks to people were regularly reviewed and discussed. One staff member said, “We always have a flash meeting every day where we discuss risks. We discuss whether any people have infections or if anyone has new pressure sores and so on.” Another staff member said, “We have flash meetings at the 11am. I can attend if I want, we discuss concerns and risk. We also have regular supervisions where we can discuss the care people receive.” However, we observed 2 people not being supported in accordance with their care plan. Whilst no one was harmed we raised this with the staff and the manager. The manager responded straight away and spoke with the staff team to reiterate the importance of following the care plan.

People's care plans contained a range of assessments related to their physical, mental and emotional wellbeing. However, some care plans contained outdated information and monitoring records were unclear regarding how people’s oral health was assessed and monitored. The manager responded to our feedback. They introduced new systems to review people’s care plans and they introduced a new initiative for monitoring people’s oral care. We will review the success of these new systems in the next assessment.

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

People told us they were aware of how their care and support needs were monitored. One person said, “My care plan was done fresh with me. They ask me everything. I tell them how to do it.”

Staff told us they stayed up to date with people’s changing needs. One staff member said, “We all have to read the care plans. We access these through either the paper copy in the office or on the tablets. It’s important to read these in order to stay up to date. People’s needs change all the time.” However, there were gaps in 1 people’s repositioning records. The manager responded to our feedback and investigated these concerns. The person's skin was not damaged and they had received other support from staff during the periods when repositioning had not taken place. This support may have resulted in the person being repositioned. However, the provider recognised this was unclear and reminded staff about the importance of clear repositioning records.

Care plans, daily notes and handovers were in place to manage risks and monitor people’s wellbeing. However, some people’s health conditions were not always managed in accordance with their care plans. For example, 1 person required eye protection when being supported outside on sunny days. We observed this person outside with staff, on a sunny day without their eye protection. The manager responded to our feedback by discussing this with staff during a meeting.

We did not look at Consent to care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.