Manor Barn Nursing Home

Updated 7 January 2025

Date of Assessment: 16 January 2025. The service is a residential service providing nursing care and support to older people and people living with dementia. This was the first assessment undertaken since the new provider was registered in December 2023. We found breaches of regulations relating to the management of risk, person centred care and governance of the service.

Risks to people were not always identified, assessed and managed to prevent people from receiving unsafe care and treatment. People’s care was not always planned and provided in a personalised way to meet their needs. Governance systems had failed to identify and rectify concerns found at this assessment.

The provider had a service improvement plan in place and was working to introduce changes and improvements. An assessment has been undertaken of this service that is used by autistic people or people with a learning disability but is not registered as a specialist service. We have assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. The service had failed to comply with their registration condition and had admitted people with a learning disability. This was not a specialist service and therefore not designed to meet the needs of people with a learning disability or Autistic people. There was a failure to fully consider the needs and aspirations of people with learning disabilities, and this had a negative impact on their quality of life. We have asked the provider for an action plan in response to the concerns found at this assessment.

Updated 7 January 2025

While the people we spoke with expressed that they were generally happy with their care, our assessment found elements of care did not meet the expected standards. People and their relatives, spoke positively about the staff at Manor Barn Nursing Home. One person said, “The staff are kind, I know them all now and I feel safe with them.” They described a generally improving situation and recognised improvements in leadership at the home. One person told us, “They are a good team, responsive and helpful.” Opportunities were limited for social engagement and activities to provide stimulation and enrichment in people’s lives. The outcomes for a person with learning disabilities did not fully reflect the principles and values of right support, right care, right culture. The model of care and setting did not maximise people’s choice, control and independence. Following the assessment, the provider told us they would work with the local authority to ensure the person’s needs were reviewed.