Royal Manor 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

This key question has been rated Good. This meant people's outcomes were consistently good, and people's feedback confirmed this. People's needs were assessed, and care and support were delivered in line with current standards to achieve effective outcomes. People’s healthcare needs were documented, and they were supported to access healthcare services. The provider worked effectively with external professionals to deliver effective care, support and treatment. Mental capacity assessments had been completed in line with best practice. People were supported to make choices and staff were skilled in identifying the needs and preferences of people who had difficulty communicating.

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 and their relatives confirmed they were involved in planning their care. They said they felt staff listened to them and discussed their care with them.

The registered manager told us how they ensured people’s needs were regularly assessed and how they involved people, their relatives and external professionals in reviews of people’s needs. Staff were aware of people’s individual needs and how to support them.

People's needs were assessed prior to admission to ensure their needs could be met at the home. Ongoing reviews of assessed needs ensured any changes were identified and care plans were updated to reflect this.

We saw staff provide care and support in line with people’s care plans.

The registered manager told us how people were supported with their independence and how they supported people to access advocacy services.

The registered manager ensured up to date evidence practices were in place at the service. This was done through ongoing staff training and working with external professionals.

People were supported by staff that worked well together to meet their individual needs. One person said, “The manager and staff have been really good at helping me to settle in and sort everything out. They have worked with other professionals to get everything organised for me.”

The staff told us of the professional positive working relationships they had built with external professionals and services to ensure people received support to meet their needs.

Visiting professionals confirmed the staff worked well with them to ensure people received the support they needed. One visiting professional told us that the registered manager had made some positive changes to the service.

Staff had access to people’s care records to support their delivery of care.

People confirmed they were supported to access health care professionals. One person told us, “If I feel unwell they call the doctor, they don’t leave anything to chance.” A relative told us, the staff are very good at letting me know if my relative is unwell, they keep me in the loop and they are good at identifying any changes in health.”

The registered manager told us of the professional positive working relationships they had built with external professionals and services to ensure people received support to meet their needs.

We observed staff to be kind, caring and reassuring which promoted people’s well-being. Records ensured a clear audit of people’s health care needs and treatments were in place.

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 were supported to make choices and staff were skilled in identifying the needs and preferences of people who were unable to verbally communicate. People confirmed they were able to make their own decisions about when to rise and retire and how they spent their day. People confirmed staff sought their consent before providing personal care. One person said, “The staff are very polite, they always ask me first.”

Staff confirmed the training they had received on the mental capacity act and how they followed the mental capacity act in their day-to-day practice. One staff member told us, “It is about supporting people to make decisions. Some people need some visual cues or to be shown something, but most people here can make some decisions.”

The provider was working in line with the Mental Capacity Act. Mental capacity assessments and best interest decisions were detailed and had been completed in line with best practice. Where people were deprived of their liberty, Deprivation of Liberty Safeguards were in place or applied for and people were supported in line with their agreed plans.