Inspection on 01/11/05 for Antron Manor Care Home

This inspection was carried out on 1st November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Antron Manor Care Home 27/09/07

Antron Manor Care Home 07/11/06

Antron Manor Care Home 17/05/05

Antron Manor Care Home 07/12/04

Antron Manor Care Home 22/07/04

Antron Manor Care Home 11/06/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Antron Manor Care Home Antron Hill Mabe Burnthouse Penryn Cornwall TR10 9HH Lead Inspector Ian Wright Announced Inspection 1st November 2005 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Antron Manor Care Home DS0000032603.V258874.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Antron Manor Care Home DS0000032603.V258874.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Antron Manor Care Home Address Antron Hill Mabe Burnthouse Penryn Cornwall TR10 9HH 01326 376570 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) ROGERSWSL@AOL.COM Mr Kenneth Barrie Rogers Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places Antron Manor Care Home DS0000032603.V258874.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th May 2005 Brief Description of the Service: Antron Manor is situated on the edge of the village of Mabe. The home consists of a substantial older building with a modern extension in extensive mature landscaped grounds. The grounds can be used by service users, and are partly accessible for wheelchair users. The home is registered to provide residential accommodation and personal care to a maximum of 16 older people. All bedrooms, with one exception, are single with en suite (or individual) lavatories and hand basins. The one room that could be used as a double is currently occupied as a single. There are five communal rooms that are used for different purposes and activities. Antron Manor Care Home DS0000032603.V258874.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place in just under seven hours. The inspection was announced. The inspector was able to speak to the majority of service users. The inspector also met with Mr Rogers-the registered provider. The inspector examined the care and business records, and inspected the building. The inspector was also able to speak to a relative and a community psychiatric nurse regarding care. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Antron Manor Care Home DS0000032603.V258874.R01.S.doc Version 5.0 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Antron Manor Care Home DS0000032603.V258874.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 Suitable measures e.g. a pre admission assessment, and links with external professionals are in place so the registered provider can meet the needs of service users. All service users are issued with suitable information e.g. a service user guide and statement of terms and conditions of residency / contact when they become resident. EVIDENCE: Pre admission assessments are completed before the service user comes to live in the home. Copies of recent assessments were observed. The Inspector spoke to a Community Psychiatric Nurse, and Community Care Assistant who both spoke positively regarding care and staff attitudes at Antron Manor. Copies of suitable statement of terms and conditions of residency or contact were observed on service user files. Antron Manor Care Home DS0000032603.V258874.R01.S.doc Version 5.0 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 10 Service users personal and health care needs are met appropriately. Service users are treated with respect and dignity. EVIDENCE: Care plans inspected were comprehensive to enable staff to provide service users with appropriate care. Mr Rogers said care plans are regularly reviewed. Mr Rogers said suitable links have been developed with GP’s, district nurses etc. Mr Rogers said support from external professionals is to a good standard. A Community Psychiatric Nurse visiting said staff always liaised appropriately with the health care trust, and she was positive regarding care delivered by staff. All service users the Inspector spoke to, said their rights were respected and they were treated with dignity by staff. Staff were observed working with service users in an appropriate manner. All service users personal care appeared to be maintained to a high standard. Service users confirmed they felt their personal care was carried out according to their wishes. There was a very pleasant calm atmosphere in the home on the day of the inspection. Antron Manor Care Home DS0000032603.V258874.R01.S.doc Version 5.0 Page 9 Locks are not fitted to bedroom doors. Mr Rogers said he had asked existing service users if they would like a lock on their doors, and all have said no. This has been recorded. All new service users must be offered a lock on their door when they are admitted to the home. Staff were observed knocking on service users bedroom doors before they entered. There seemed a genuine choice regarding whether service users wished to spend time on their own in their bedrooms or in the communal lounges. Antron Manor Care Home DS0000032603.V258874.R01.S.doc Version 5.0 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13,14, 15 Routines are suitable to meet individual service users needs. Service users can receive visitors when they choose. Meals provided for service users are to a good standard. EVIDENCE: Service users said they could get up and go to bed when they wished, and have autonomy how they organised their time. Mr Rogers said some activities are arranged. These include music and aerobics groups and occasional trips out. Monthly visits occur from the Church of England Vicar. Activities have been arranged for Christmas. There seemed excellent interaction between service users and staff. For inspection purposes it would be useful if activities were recorded in an ‘activities book’ e.g. date / activity etc. Service users said suitable arrangements are in place for service users to receive visitors. Service users can meet with their visitors either in their bedrooms, the dining room or the lounge. Mr Rogers said staff look after some service users moneys. Appropriate records were observed regarding these. Mr Rogers said records are kept of fees paid. Information is provided regarding advocacy services. Mr Rogers said service users are able to bring their own personal possessions with them when they come to live in the home. Mr Rogers said service users are able to access their personal records if they wish. Antron Manor Care Home DS0000032603.V258874.R01.S.doc Version 5.0 Page 11 The Inspector shared a meal with service users, which was to a very good standard. Mr Rogers said a choice of meal is offered on request. The daily main meal is displayed in the lounge. Staff were observed providing appropriate support to service users over meal times. Mr Rogers said appropriate arrangements are made for people with special diets and drinks are available to service users throughout the day. A water cooler is available in the conservatory. A service user said no cups were available recently for this. Mr Rogers said he would address this issue. Antron Manor Care Home DS0000032603.V258874.R01.S.doc Version 5.0 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 17, 18 Antron Manor has a satisfactory adult protection procedure-however all staff must have a Criminal Records Bureau disclosure at enhanced level. Service users legal rights are protected. EVIDENCE: Mr Rogers said appropriate arrangements are in place to enable service users to vote. Suitable information is also provided regarding advocacy services e.g. in the hallway or from Mr Rogers. The registered provider has a suitable adult protection procedure. All staff but one have a Criminal Records Bureau check, and where appropriate, staff have received a Protection of Vulnerable Adults check. Records show that one member of staff only had a Standard CRB disclosure-although an enhanced disclosure is required. Mr Rogers said staff are required to read the home’s policy regarding adult protection when they commence employment as part of their induction. Antron Manor Care Home DS0000032603.V258874.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19-26 Antron Manor provides suitable facilities to meet the needs of service users. The home is well maintained, clean, comfortable and homely. EVIDENCE: The property was observed to be suitably maintained, safe, is comfortable and homely. Furnishings and decorations are to a high standard. The home has a lounge where service users can choose to relax. Other facilities include a dining room, and suitable bathrooms and toilets. The home was clean and hygienic on the day of inspection. The property has pleasant grounds which service users can use. Some of the grounds are accessible to wheelchair users. Bedrooms were observed to be appropriate to meet the needs of service users. All are decorated to suit individual tastes. Bedroom doors however are not lockable and current service users have said they do not want a lock. Size of bedrooms and communal areas are good. Appropriate precautions are taken against the risk of Legionella. Radiators are appropriately covered. Antron Manor Care Home DS0000032603.V258874.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27-30 Staffing levels are suitable to meet the needs of service users. Suitable information is obtained regarding the recruitment of staff. The registered provider has an appropriate approach to ensuring staff receive National Vocational Qualification. However, other staff training must be improved so staff receive appropriate training as required by regulation. EVIDENCE: The inspector observed there was an appropriate number of staff on duty on the day of the inspection. Rota’s also provided evidence of satisfactory staffing i.e. at least two staff on duty during the waking day, a waking night staff and one member of staff who sleeps in. Suitable information is kept on staff files and this is much improved since previous inspections. There is evidence that staff receive an appropriate induction. Mr Rogers said opportunities are provided for staff to be able to study towards a National Vocational Qualification in care. Copies of certificates should be kept regarding NVQ qualifications on staff files. Staff training is much improved. However from the documentation provided there are still gaps in training required by regulation. This includes first aid, manual handling, infection control, handling of medication and food handling. The registered provider’s training policy should state the deadlines for when new staff will receive training required by regulation. Antron Manor Care Home DS0000032603.V258874.R01.S.doc Version 5.0 Page 15 The inspector suggests staff complete short courses from for example the health promotion agency / primary care trust (infection control), St John’s Ambulance (first aid), the pharmacist (medication), local college (food hygiene), in house training (manual handling).This will meet regulatory requirements. Antron Manor Care Home DS0000032603.V258874.R01.S.doc Version 5.0 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35, 36, 37, 38 Service users benefit from a home, which is suitably managed, and run in their best interests. EVIDENCE: The registered provider has suitable skills, knowledge and experience to manage the home. For example Mr Rogers has an HNC in Health and Social Care, and the Registered Managers Award. Mr Rogers works alongside his staff on a day-to-day basis, and there appears to be good relationships between staff and management. Staff are suitably supervised on a day-to-day basis and appear well developed, caring and effective. Some gaps in training have been highlighted elsewhere in the report. Records examined regarding the management of the home, and regarding service users care and monies are appropriate. Policies and procedures appear satisfactory. Antron Manor Care Home DS0000032603.V258874.R01.S.doc Version 5.0 Page 17 The registered provider operates a suitable quality assurance policy. It is suggested an annual development plan is written as part of the home’s quality assurance process. The inspector spoke to the majority of service users who all expressed high levels of satisfaction with care given. The home has a suitable health and safety policy which includes monthly health and safety checks. Health and safety precautions are satisfactory for example in regard to servicing of fire, gas, electrical equipment etc. Suitable records regarding these precautions were inspected. Suitable health and safety risk assessments have been completed and were inspected. Antron Manor Care Home DS0000032603.V258874.R01.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 2 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 3 3 Antron Manor Care Home DS0000032603.V258874.R01.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 2 Standard OP18 OP30 Regulation 13(6), 19 30, 38 Requirement Timescale for action 01/12/05 All staff must have an enhanced Criminal Records Bureau disclosure. The registered provider must 31/03/06 provide training as required by regulation. A record of all training (with a copy of appropriate certificates) should be kept. It should state within the registered provider’s training policy the deadline when staff will receive training required by regulation. (Timescale of 31.8.05 not met-second notification) RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP33 Good Practice Recommendations The registered provider should develop an annual development plan as part of the home’s quality assurance process. Antron Manor Care Home DS0000032603.V258874.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Antron Manor Care Home DS0000032603.V258874.R01.S.doc Version 5.0 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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