Manorfield Residential Home

“People can only be deprived of their liberty to receive care and treatment with appropriate legal authority. In care homes, this can be done through a procedure called the Deprivation of Liberty Safeguards (DoLS), which is part of the Mental Capacity Act 2005 (MCA). We checked whether the service was working within the principles of the MCA and how they managed DoLS within the service. We found that staff and management worked within the MCA. DoLS authorisations were appropriately applied for and overseen. People were not subject to unlawful or excessive restrictions they had choice, control and freedom over their lives. For example, keypads on the front door and gate prevented those who were not safe to leave independently from doing so. This enabled people to enjoy the care home and gardens safely. Processes were in place to ensure people who were not subject to legal restrictions could access exits independently.”

“People's needs were comprehensively assessed before and during their stay at the service, with assessments informing person-centred care plans that reflected people’s needs and personal preferences. One person told us, “They asked a lot of questions about what you need and like,” while another said, “It was a smooth transition, there were no issues.” Care was delivered in line with people's assessed needs and current good practice guidance, supporting people to maintain their health, independence and wellbeing. For example, a person described how staff encouraged them to maintain their mobility, saying, “I’m a bit lazy with it, but they make me walk with the walker. They come behind me with the wheelchair in case I need to sit down.” Staff worked effectively with health and social care professionals to monitor people's health and improve outcomes, including ensuring people had regular access to the local GP surgery, which provided daily telephone support to the service and weekly onsite visits. People were supported to make their own decisions and their rights around consent were respected. Where people lacked capacity to make…”