Manor Barn Nursing Home

At the last inspection, the service was in breach of social care regulations in relation to person centred care, safe care and treatment and governance. Improvements have been made in these areas and are no longer in breach.

People were protected from avoidable harm. The provider had a positive learning culture and systems toidentify,assessand manage risks associated with people's health,wellbeingand care needs. Staff understood their safeguarding responsibilities and worked collaboratively with healthcare professionals to support safe care. Incidents,accidentsand concerns were reviewed, and learning was used to improve practice. The home environment was clean, wellmaintainedand supported people to live safely. Relatives consistently told us they felt their family members were safe and well cared for.

Assessments were completed before people moved into the home and reviewed when needs changed. Care plans considered people's physical health, emotional wellbeing, communicationneedsand future aspirations. Staff worked alongside healthcare professionals to support positive outcomes and continuity of care. People were supported to access healthcare services,maintaintheir health and receive care in line with current good practice.

People were treated with kindness,compassionand respect. Staff knew people well and understood their preferences,routinesand life histories. Relatives spoke positively about the caring nature of staff and observationsdemonstratedwarm,respectfuland dignified interactions throughout the home. People were encouraged tomaintainimportant relationships and personalise their living environment.

Care plans were reviewed when circumstances changed and staff adapted care to reflect people's preferences and wishes. People were offered opportunities for social interaction, meaningfulactivitiesand community involvement. Feedback was activelysoughtfrom people, relatives and staff and was used to support service improvements.

Leaders promoted a culture focused on person-centred care,opennessand continuous improvement. Governance systems included audits, lessons learned reviews, staff meetings, resident meetings, dailyhuddlesand training oversight. Leaders werevisible and approachableand worked collaboratively with people, relatives,staffand external professionals tomaintainand improve the quality of care provided.