Inspection on 27/07/05 for Finch Manor

This inspection was carried out on 27th July 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Finch Manor 21/01/09

Finch Manor 03/04/08

Finch Manor 25/10/07

Finch Manor 02/11/06

Finch Manor 08/05/06

Finch Manor 02/02/06

Finch Manor 21/01/05

Finch Manor 19/08/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Finch Manor Finch Lea Drive Dovecot Huyton, Liverpool L14 9QN Lead Inspector Mr Les Hill Unannounced 27 July 2005 9:15 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 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 and Care Homes for Adults 18 – 65*. 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. Finch Manor F52_F02_s48861_FinchMnr_v241074_270705_Stage_4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Finch Manor Address Finch Lea Drive Dovecot Huyton Liverpool L14 9QN 0151 259 0617 0151 228 2565 finchmanor@bmlhealthcare.co.uk Moorshield Ltd Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) CRH Nursing 89 Category(ies) of DE(E) - 54 registration, with number OP - 35 of places Finch Manor F52_F02_s48861_FinchMnr_v241074_270705_Stage_4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1) The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 2) A maximum of 89 older people may be accommodated of whom no more than 75 shall be in the category DE (E) and 14 in the category of OP. 3) To accommodate four service users aged 55 to 65 years old on DE (E) unit Date of last inspection 21 January 2005 Brief Description of the Service: Finch Manor is a purpose built, single storey home situated in the Dovecot area of Liverpool. It is set in its own grounds with gardens to the front and rear and with two internal courtyard sitting areas. The home provides care and support in four units. One is for the general care and support of older people. Another is an older persons, residential EMI unit and the two remaining units provide nursing care and support to older people with dementia. All of the residents accommodation is provided in single bedrooms with en-suite WC and wash hand-basin. Lounge and dining areas are located in each of the units and a central kitchen prepares food that is delivered in hot cupboards for care staff to serve to residents. An internal security system of key pads on connecting doors, prevents residents from wandering out of the home. The home is within walking distance of local shops and there are public transport routes nearby. Finch Manor F52_F02_s48861_FinchMnr_v241074_270705_Stage_4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection of Finch Manor took place on Wednesday 27 July 2005 over a period of 5.5 hours. It involved the examination of some records, a tour of the building, discussion with four of the residents and two visitors to the home. The inspection was part of the Commission’s requirement to visit and report on each registered care home on two occasions each year. What the service does well: What has improved since the last inspection? Improvements have been made to the pre-admission assessment documentation and care plans were being updated. New carpets and floor coverings had been laid to replace others that were worn. Malodours had been almost completely eradicated. Improvements are being made to the decoration, furniture and soft furnishings in the home. Finch Manor F52_F02_s48861_FinchMnr_v241074_270705_Stage_4.doc Version 1.40 Page 6 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. Finch Manor F52_F02_s48861_FinchMnr_v241074_270705_Stage_4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Standards Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Finch Manor F52_F02_s48861_FinchMnr_v241074_270705_Stage_4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3, 4, 5 and 6. Prospective residents have the information they need to make a choice about entering the home. EVIDENCE: The home’s statement of purpose and service user guide are printed in an easy to read style and presented together for all new admissions to Finch Manor. The manager told the inspector that she is hoping to develop a welcome pack for the home that would include these documents and other relevant information. All of the residents are provided with a contract/terms and conditions of residency a copy of which is kept separate to the main care file in the home. Finch Manor F52_F02_s48861_FinchMnr_v241074_270705_Stage_4.doc Version 1.40 Page 9 Eight residents care files were examined during the inspection. Each of them contained a pre-admission assessment completed by the home’s manager or one of the senior staff. The document’s for more recent admissions to the home had been amended to include information about mental health needs as per the requirement made in the CSCI inspection undertaken in January 2005. The home’s manager told the inspector that she is taking senior staff with her when she carries out the assessments in order to assist their professional development. Senior care staff told the inspector that they have appreciated the opportunity to become involved with potential residents at an early stage and that this has assisted the development of care plans. Specialist nursing equipment is provided at the home and staff use the expertise of visiting health care professionals to support the specific care needs of residents who may require tissues viability support, dietary advice, continence support or help with speech or swallowing. The home’s manager is a trained Registered Mental Nurse (RMN) and one of the other Nurses holds the same qualification. Other nurses in the home are Registered General Nurses (RGN) or State Enrolled Nurses (SEN). The homeowner is required to ensure that all nursing staff undertake the appropriate conversion training to equip them with the additional knowledge and skills to support older people with dementia. Prospective residents and their families are invited to visit the home and to talk with staff before making a decision to move in. Prospective residents are also offered the opportunity to live in the home for a trial period of time before taking the decision to stay. The home does not usually take emergency admissions but where these are unavoidable the manager will request as much information as possible before agreeing to a placement. The home is not contracted to provide intermediate care. Finch Manor F52_F02_s48861_FinchMnr_v241074_270705_Stage_4.doc Version 1.40 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards to be inspected at least once during a 12 month period JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9, 10 and 11. The health care needs of residents were given appropriate priority. Procedures for dealing with medicines require amendment in conjunction with the dispensing pharmacist. EVIDENCE: Care plans were evidenced on the eight sample care files seen during the inspection. The home has a set of pre-produced care plan documents to deal with the most commonly identified needs. The CSCI inspection report of January 2005 suggested that this might not provide a holistic approach to planned care. However, during this inspection the inspector noted that Finch Manor F52_F02_s48861_FinchMnr_v241074_270705_Stage_4.doc Version 1.40 Page 11 although the same pre-printed plans were being used, some had been amended to include the specific needs of the resident concerned. In this way the plans had been personalised. Staff should be encouraged to develop care plans to meet the specific care needs of individual residents. The care plans were being reviewed on a monthly basis. Notes to confirm any amendments to the plan or to confirm it is to remain appropriate were made on the back of the care plan document. The home liaises with a number of GP practices and in the main is receiving positive support. District nurses visit residents who are not in receipt of nursing care provided at the home and staff confirmed that they are extremely supportive. A chiropodist visits the home every six to eight weeks to provide foot care, for which there is a small charge. The home has links with a dental practice and with an optician to support the dental and optical needs of residents. The home has recently changed its pharmacy arrangements and is working through a settling in period. Medication practices on each of the four units were examined and some minor practice omissions were identified. In one of the units some additional medicines had not been included on the MAR sheet and in others tablets were being taken from the wrong “blister” thereby making and audit of the medicines difficult to achieve. This practice had been made more difficult by the fact that “blister packs” did not always start on the same day of the week and medicines received between deliveries were not linked to the home’s four week ordering and dispensing arrangements. The home’s manager told the inspector that she would discuss the difficulties with the supplying pharmacy and attempt to set up a more ordered approach to the management of medicines. Throughout the period of the inspection the inspector observed that resident’s were supported in a calm and friendly manner. Personal care was being provided in private and residents were clean and well dressed. The home has set out its expectations that residents will be treated with dignity and respect and afforded the opportunities for making choices in their lives. Some of the sample care files seen during the inspection contained notes to confirm that staff could open post for residents. The home has policies and procedures in place to support residents through the latter stages of their life. Each of the residents care files had a form that identified their wishes after death. However none of the forms had been completed. Finch Manor F52_F02_s48861_FinchMnr_v241074_270705_Stage_4.doc Version 1.40 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with asssistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 and 15. Activities in the home were being given increasing priority. A well balanced diet was being offered and the food served was well cooked and presented. EVIDENCE: The manager and staff spoke positively about the impact of the activities organiser and the home is seeking to appoint a second member of staff to support the development of individual and group activity in Finch Manor. Activities on offer include one-to-one therapy’s, massage using aromatherapy oils, twice each week Bingo sessions, singing and music therapy. Outside entertainers are brought in from time to time. Individuals and small groups of Finch Manor F52_F02_s48861_FinchMnr_v241074_270705_Stage_4.doc Version 1.40 Page 13 residents are taken to the local shops and in the week prior to this inspection a small group had been taken by taxi to a local pub for lunch. On the day of this inspection a “sports day” had been organised in the grounds of the home. Staff and visitors were expected to participate. A hairdresser visits the home twice each week and a supply of library books are changed monthly. Information about the engagement of residents in any of the activities is recorded in their care files. Visitors are welcomed at any time but anyone wishing to visit in the late evening is requested to make pre visit arrangements for security reasons. Local clergy visit the home and children from a local school will visit at Christmas or Easter time to entertain the residents. Residents are encouraged to bring personal possessions into the home to decorate their own rooms (fire regulations permitting). Many of the residents receiving support in the EMI units would be unable to make informed choices about their own personal safety and security. However staff were observed to talk with them and to encourage them to carry out simple tasks to maintain their levels of independence. Residents living in the homes residential care unit are encouraged to make decisions about their own lives and are consulted about the running of the home through formal meetings and informal discussions. The manager has made contact with Age Concern who are assisting with Benefit Advice and advocacy. Meals served to residents on the day of this inspection were well cooked and were served nicely. The cook has a four-week menu that is reviewed regularly. The likes and dislikes of residents are known and acknowledged in menu planning. There is a choice of foods at breakfast time and alternatives to the main meal are offered at lunchtime. A choice of homemade soups, sandwiches, salads or a hot meal is offered at teatime. Hot and cold drinks are provided throughout the day. The kitchens were clean and well organised. The temperatures of fridges freezers and food served in the home were being recorded. There is a kitchen, cleaning rota and the cupboards were well stocked. Finch Manor F52_F02_s48861_FinchMnr_v241074_270705_Stage_4.doc Version 1.40 Page 14 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16, 17 and 18. Complaints are taken seriously by the home and procedures are in place to protect residents from abuse. EVIDENCE: The home has a complaints policy and procedures in place that identifies CSCI as the registering authority. No formal complaints have been made to the home but three complaints have been received by CSCI in the four weeks prior to this inspection. The first two complaints were unproven and the third complaint is still being investigated. All of the residents are listed on the Electoral register and have the opportunity to vote in local or national elections. The home has policies and procedures in place to safeguard residents from abuse and staff have received training in recognising the various forms of abuse. Discussions with some staff revealed that they were not completely sure of the procedure to follow if they suspected that a resident may be experiencing abuse. The manager should ensure that all staff are made aware of the correct procedure to follow when raising concerns about a resident who may be being experiencing any form of abuse. Finch Manor F52_F02_s48861_FinchMnr_v241074_270705_Stage_4.doc Version 1.40 Page 15 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 21, 22, 23, 24, 25 and 26. Residents live in a safe, well-maintained environment. EVIDENCE: The programme of redecoration and refurbishment is progressing. Many of the bedrooms have been redecorated and fitted with new furniture. Bedding and towels have been replaced to a good standard. Some communal areas have benefited from new carpeting. Staff working at the home told the inspector that the improvements to the decoration and furnishing of the home have Finch Manor F52_F02_s48861_FinchMnr_v241074_270705_Stage_4.doc Version 1.40 Page 16 made a significant difference to the atmosphere in Finch Manor. They feel that the owners have shown real commitment to the residents and staff have been encouraged to take greater pride in their work. On the day of this inspection the home was clean and well cared for and apart from isolated incidences that were being managed by staff, there were no offensive odours present in the home. Bathrooms and WC’s are located around the home. Some of the baths have a hoist to assist residents getting in and out. A walk-in shower was available in two of the units. The temperature of hot water delivered to the bathrooms was sampled by hand and was satisfactory. Thermometers were kept in each of the bathrooms. All of the accommodation is provided at ground floor level. Internal and external doors are protected with security keypads to prevent residents from wandering into the community. External garden gates are kept locked. The home benefits from central heating. Windows could be opened sufficiently to let in fresh air and doors leading to the courtyards could be opened to increase the flow of cool air. Finch Manor F52_F02_s48861_FinchMnr_v241074_270705_Stage_4.doc Version 1.40 Page 17 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 29 and 30 (Older People) and Standards 34 and 35 (Adults 18-65) the key standards to be inspected at leat once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28 and 30. Staff are provided with training to carry out their jobs. The allocation of staff to individual units should be kept under review. EVIDENCE: Finch Manor employs a home’s manager; 12 trained nurses; 38 care staff; 1 activities organiser; 10 domestics; 2 chefs; 4 kitchen assistants; a maintenance man; a decorator and a security officer. An additional activities organiser and an additional security officer are being recruited. A qualified nurse is always available on each of the nursing care units and care staff are allocated to work around the home. The home does not use agency staff. Whilst minimum staffing levels are being deployed the needs of residents for supervision and care must be considered when allocating staff to each of the units. If only two care staff are allocated to work in one of the units but residents often need two carers to perform basic care tasks then there will be lots of occasions when there is no-one to supervise the rest of the residents and ensure they are safe. The manager must keep the staffing levels under Finch Manor F52_F02_s48861_FinchMnr_v241074_270705_Stage_4.doc Version 1.40 Page 18 review and ensure that residents are supported safely at all times. At night there are two trained nurses and eight care staff on duty at the home. Care staff told the inspector that since the new manager had been in post they had been offered a number of training opportunities and they were keen to learn. Senior carers were undertaking a course of study for an award at NVQ level 3 and five of them had asked to be supported to gain an award at NVQ level 4. The numbers of staff with NVQ awards will be noted at the next announced inspection. Training provided included health and safety, moving and handling, fire safety, the administration of medicines and adult protection. First aid training was due to be provided for care staff. Some of the nurses and senior carers had attended a course of training on palliative care. N11 Conversion training (EMI) was being pursued for RGN’s and SEN’s. The home’s recruitment and selection processes will be examined at the next announced inspection. Finch Manor F52_F02_s48861_FinchMnr_v241074_270705_Stage_4.doc Version 1.40 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s polies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 33, 35 and 38 (Older People) and Standards 23, 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 35 and 36. Residents benefit from the ethos, leadership and management approach of the home. Finch Manor F52_F02_s48861_FinchMnr_v241074_270705_Stage_4.doc Version 1.40 Page 20 EVIDENCE: The home’s manager has been in post since October 2004. She has applied to CSCI for Registration as the manager of Finch Manor. The manager is a qualified Registered Mental Nurse and has several years experience of managing homes for older people. Senior care staff told the inspector that the new manager has made significant progress in improving the quality of care provided at Finch Manor. They said that she is approachable, supportive and has encouraged them to take on increasing levels of responsibility. Staff meetings are held and minutes taken and staff said that they feel able to voice their opinions on any matters affecting the day-to-day life of the home. The organisation’s Operations Manager carries out monthly visits and audits all aspects of the running of the home. A copy of the report is forwarded to CSCI. The manager had circulated a questionnaire to residents and their relatives asking for their views on the home. The response had been poor but the comments made were seen as helpful. All of the resident’s financial transactions are undertaken at the organisations offices. The home’s manager was not aware of the system for managing residents savings and therefore the requirement from the CSCI inspection in January 2005 is repeated. The matter will be explored further at the next announced inspection. Staff told the inspector that the home’s manager supports them through regular one-to-one supervision sessions and annual appraisals. Finch Manor F52_F02_s48861_FinchMnr_v241074_270705_Stage_4.doc Version 1.40 Page 21 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 3 2 3 3 3 4 2 5 3 6 N/A HEALTH AND PERSONAL CARE ENVIRONMENT Standard No 19 20 21 22 23 24 25 26 STAFFING Score 3 3 3 3 3 3 3 3 Score Standard No 7 8 9 10 11 Score 3 3 2 3 3 Standard No 27 28 29 30 2 3 x 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No 16 17 18 Score 3 3 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 3 33 3 34 x 35 x 36 3 37 x 38 x Finch Manor F52_F02_s48861_FinchMnr_v241074_270705_Stage_4.doc Version 1.40 Page 22 Are there any outstanding requirements from the last inspection? 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. Standard OP4 Regulation 18(1)(a) Requirement The Homeowner must ensure that nursing staff have the appropriate qualifications to support residents with dementia. The homeowner must ensure that the management of medicines in the home is clearly documented and can be audited easily. The homeowner must ensure that any moneys held on behalf of residents is kept separately from the company accounts and accrues interest on an individual basis Timescale for action 31/12/05 2. OP9 13(2) 31/07/05 3. OP35 25 31/10/05 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. 2. Refer to Standard OP18 OP27 Good Practice Recommendations The homes manager should ensure that staff are aware of the correct procedure when raising concerns about the suspected abuse of residents. The homes manager should ensure that staffing levels in each of the units are kept under review to ensure residents are safe. F52_F02_s48861_FinchMnr_v241074_270705_Stage_4.doc Version 1.40 Page 23 Finch Manor Finch Manor F52_F02_s48861_FinchMnr_v241074_270705_Stage_4.doc Version 1.40 Page 24 Commission for Social Care Inspection Liverpool Area Office 3rd Floor 10 Duke Street Liverpool, L1 5AS 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. Finch Manor F52_F02_s48861_FinchMnr_v241074_270705_Stage_4.doc Version 1.40 Page 25 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!