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Inspection on 01/03/10 for Manor House Nursing Home

Also see our care home review for Manor House Nursing Home for more information

This is the latest available inspection report for this service, carried out on 1st March 2010.

it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

Annual service review Name of Service: Manor House Nursing Home The quality rating for this care home is: The rating was made on: two star good service 0 2 0 3 2 0 0 9 A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Stephen Webb Date of this annual service review: 1 3 0 1 2 0 1 0 Annual Service Review Page 1 of 6 Information about the service Address of service: Main Street Merton Nr Bicester Oxfordshire OX25 2NF 01865331555 Telephone number: Fax number: Email address: Provider web address:   info@mhnh.com www.europeancare.net European Care (UK) Limited Name of registered provider(s): Conditions of registration: Category(ies) : dementia mental disorder, excluding learning disability or dementia Conditions of registration: Number of places (if applicable): Under 65 Over 65 102 102 0 0 The maximum number of service users to be accommodated is 102. The registered person may provide the following category/ies of service only: Care home with nursing - (N) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia (DE) Mental disorder, excluding learning disability or dementia (MD). Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service The Manor House Nursing Home is situated in a quiet rural location, within visiting distance of Oxford, Aylesbury and Banbury, and close to the market town of Bicester. It is easily accessible from the M40. It is set in over four acres of gardens and lawns, overlooking open countryside, with a small lake, pond and fountains. A landscaped enclosed courtyard has been created with a water feature. Annual Service Review Page 2 of 6 0 2 0 3 2 0 0 9 The original house is a 16th century manor house that has been considerably extended. The accommodation is provided on two floors and most rooms are single, en-suite. There are a few shared rooms. The home is divided up into four lodges, North, West, East, and Garden, each with its own complement of communal areas and staff. The Manor House Nursing Home is home to 102 frail older people, who require nursing care, and some require specialist care for various forms of dementia There are additional charges for hairdressing, chiropody (non diabetic service users), newspapers, toiletries and some outings. Annual Service Review Page 3 of 6 Service update since the last key inspection or annual service review: What did we do for this annual service review? We looked at the information that we have received, or asked for, since the last key inspection in March 2009. This included: The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gives us numerical information about the service. Any surveys returned to us by service users and others with an interest in the service. Any information we have received about how the service has managed any complaints. What the service has told us about things that have happened in the service. These are called notifications and are a legal requirement. The previous key inspection and any action taken in response to requirements or recommendations made within the previous inspection report. What has this told us about the service? The annual quality assurance assessment (AQAA), returned by the manager, provided current details about the home including areas where action has been taken to make improvements. The manager reported that since the last inspection a range of improvements had been made in direct response to resident feedback. For example changes to the sensory garden areas and the purchase of new garden equipment and a smokers facility. A decision was also taken to combine resident and family events and meetings together; and local charities and church groups have been supported as part of the homes ethos to be part of the local community. Other changes reported since the last inspection include improvements to staff training; an increase in the proportion of nurses on the care staff; improved staffing levels and the introduction of new dementia care standards and self-assessment tools. The manager also reported improvements to a number of internal systems including the provision of a staff photo board, new rosters, improved events information display, greater involvement of families in life history work and care planning, and the achievement of a five star rating for the homes kitchen from the local environmental health inspector. New nutritional assessments have also been introduced. There have also been environmental improvements in various areas. The AQAA also indicates a range of planned improvements for the future. There were no requirements arising from the last inspection. Since the last inspection, appropriate notifications of relevant issues have been made Annual Service Review Page 4 of 6 to the Commission. The completed AQAA indicated that thirteen new complaints had been received about the service in the last twelve months, all of which were reportedly addressed within 28 days. No complaints have been received by the Commission, for forwarding to the service, since the last inspection. The AQAA indicated that there had been no safeguarding referrals relating to this service since the last inspection. However, this was clarified in conversation with the manager with regard to issues relating to one resident which were appropriately reported and investigated by the safeguarding team. Appropriate steps were taken to safeguard residents in this matter. The manager should ensure that any future safeguarding matters are reported with future AQAA returns. The AQAA indicates a responsive service, which consults residents through six-monthly satisfaction surveys as well as resident/family meetings and through day-to-day contact. The home is also exploring new ways to enable better communication with residents with dementia. Our judgement is that the home continues to provide a good service to meet the needs of residents, and provides good outcomes for residents. What are we going to do as a result of this annual service review? We will not change our inspection plan, and will undertake the next key inspection by the 2nd of March 2011. However, we can inspect the service at any time if we have concerns about the quality of the service or the safety of residents Annual Service Review Page 5 of 6 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a copy of the findings in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). 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