Manor Court Care Home

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• 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

The staff carried out assessments of people's needs and choices. Staff worked in partnership with other professionals to help keep people healthy and provide good quality care. People had consented to their care and treatment. We did not assess all the quality statements within this key question. We did not identify concerns relating to these areas which we judged as being met at our last inspection.

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.

People using the service and their relatives told us they were consulted during assessments and when care plans were reviewed. They said their needs and choices were respected and planned for.

Unit managers and nurses told us they worked together to assess and review people's needs. They had a good understanding of these needs and when changes should be made to people's care plans.

The management team carried out assessments of people's needs before they moved to the home. These were comprehensive and included the views of the person and their representatives. Assessments were regularly reviewed and updated.

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.

People told us they were given support to access healthcare appointments. They explained the GP, and other healthcare professionals, visited the home and they were able to discuss their health needs.

The staff told us they worked closely with other professionals to monitor people's healthcare needs. Nurses were appropriately trained and could give clear examples about how they met people's healthcare needs.

People's health needs had been assessed, monitored, and planned for. Care plans were detailed and included clear information about how people's health conditions affected them. The provider employed nursing staff who had a good understanding of people's individual needs. They made timely referrals when needed and liaised with other healthcare professionals to make sure people received good quality care and support.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

People using the service told us they were given choices and able to consent to their care and treatment.

Staff demonstrated they understood about offering choice and how to assess people's mental capacity. They gave examples about how people had been supported to make decisions about their lives.

The Mental Capacity Act 2005 (MCA) provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves. The MCA requires that, as far as possible, people make their own decisions and are helped to do so when needed. When they lack mental capacity to make decisions, any made on their behalf must be in their best interests and as least restrictive as possible. People can only be deprived of their liberty to receive care and treatment when this is in their best interests and legally authorised under the Mental Capacity Act (MCA). In care homes, and some hospitals, this is usually through MCA application procedures called the Deprivation of Liberty Safeguards (DoLS). The provider was meeting the principles of the MCA. They had assessed people's mental capacity to make different decisions. They had made referrals for DoLS when needed and they monitored these to ensure any conditions were being met.