Random inspection report
Care homes for older people
Name: Address: Hallaton Manor Cranoe Road Hallaton Market Harborough Leicestershire LE16 8TZ one star adequate service 07/07/2009 The quality rating for this care home is: The rating was made on: 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. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Carole Burgess Date: 0 2 1 2 2 0 0 9 Information about the care home
Name of care home: Address: Hallaton Manor Cranoe Road Hallaton Market Harborough Leicestershire LE16 8TZ 01858555271 01858555332 elainefarrall@aol.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : St Bernard`s Hallaton Manor Limited care home 41 Number of places (if applicable): Under 65 Over 65 0 41 0 0 41 0 past or present alcohol dependence dementia learning disability mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Conditions of registration: 41 0 6 41 0 33 Nobody falling within the category LD may be admitted to the home when there are 6 persons already accommodated in that category. Nobody falling within the category PD may be admitted to the home when there are 33 persons already accommodated in that category. Care Homes for Older People Page 2 of 9 The maximum number of people who can be accommodated is: 41. The registered persons may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission are within the following category: Old age, not falling within any other category - Code OP Physical Disability - Code PD : over the age of 40 years Alcohol dependency - Code A:over the age of 40 years Mental disability - Code MD:over the age of 40 years Learning disability - Code LD:over the age of 40 years Dementia - Code DE(E):over the age of 65 years. Date of last inspection Brief description of the care home St Bernards (now known as Hallaton Manor) is a care home providing personal care and accommodation for up to forty-one older persons, who may have additional care needs including mental disorder, dementia, past or present alcohol dependency and learning disability. The home is a large converted country house, which is situated in beautiful countryside approximately one mile from the village of Hallaton. Accommodation is on two floors that can be accessed via stairs or a passenger lift. The rooms are single occupancy with en suite facilities. There are a variety of sitting rooms and a dining room, with a separate facility for those residents wishing to smoke. The home has ample gardens and outside areas that includes a small but wellappointed gymnasium. There is minibus transport is available for people who live in the home. The Statement of Purpose, Service Users Guide & last Inspection Report are available (these provide information on how the home is organised and what services they provide). The Statement of Purpose and Service Users Guide are provided for any prospective residents and their families. At the time of the last Key Inspection the Registered Manager said that fees were from £655 per week, depending if the resident was social service or privately funded, and was dependant on the level of care required. There are extra charges for hairdressing, chiropody, newspapers and any additional care time if residents are accompanied to hospital. 0 7 0 7 2 0 0 9 Care Homes for Older People Page 3 of 9 What we found:
This is an overview of what the Inspector found during the inspection. We as it appears throughout the Inspection Report refers to the Care Quality Commission . The focus of the inspections undertaken by the Care Quality Commission (CQC) is upon outcomes for people who use the service and their views of the service provided. The site visit was a Random Unannounced inspection and took place over three hours to access compliance with the requirements and recommendations made following the last Key Inspection on 7th July 2009, when the service was rated 1 Star adequate. During the last Key Inspection it was identified that the Statement of Purpose & Service Users Guide required improvement to comply with Schedule 1, Care Homes Regulations 2001. The Statement of Purpose now provides the required information to ensure that people who live in the home, and people who may be considering moving to the home, have sufficient information about the services that are provided. Details of the new management structure will be included in due course once they have been confirmed. During the last Key Inspection it was noted that people who move into the home had had a pre-admission assessment but that this lacked a person centered approach. The file of one person who had recently moved to the home demonstrated that assessments now contain a detailed social history profile to ensure that care staff, and other professionals, see people as individuals who require individual care and attention to meet their specific health and social care needs. During the last Key Inspection it was noted that care plans were basic, lacked detail and in some cases had no rational behind the care plan, and with no actions or interventions recorded e.g following GP visits/treatments etc. Information was disseminated and difficult to find to enable carers to follow through any care required. All care plans have now been reviewed, updated and re-organised to contain all of the required and relevant information within each persons individual file. Four care plans were reviewed in detail. They were well organised, detailed and contained the necessary information and risk assessments to enable carers to provide a good standard of care for the people who live in the home. Following the last Key Inspection the home was judged poor for outcome 3 which relates to Daily Life and Social Activities as there was no activities organiser or organised activities. There appeared to be no recognition of differing needs, especially for the younger people - those under 65 years. The concept of choice at meal times was not fully recognised or supported by the care staff. Although the home does not have a dedicated activities organiser they do now have a daily activities plan with activities both in the morning and afternoon with designated carers for each activity. Additional social activities have also been planned such as a Christmas Party. The local vicar visited during the morning and also provides individual spiritual support for one particular person. A small group of people are enabled to go to the local church on a regular basis. People were also taken out shopping and to the cinema. The deputy manager said that she plans to provide more Cds and DVDs to enable a greater choice during the winter months.
Care Homes for Older People Page 4 of 9 Three people spoken with said that they had a choice at meal times and had no complaints about the food. One person said he really enjoyed his meals and patted his stomach to prove the point. During the last Key Inspection it was noted that staff files were poorly organised making it difficult to find information to verify that recruitment procedures had been followed. Records and evidence of staff training were poorly maintained making it difficult for the service to demonstrate that adequate training had been provided. Staff files have improved but remain a work in progress. Three staff files were viewed. The required recruitment information was now available for staff with separate files for Criminal Record Bureau (CRB) checks, passports and work-permit information. One file contained only one reference with the second reference archived. All recruitment information should be retained together in the same file. All three files viewed contained staff training certificates and a there was a copy of induction training for newer members of staff. A training matrix was available in the office to demonstrate that staff were receiving the required mandatory training. The Registered Provider was advised to ensure that all staff received appropriate training in the use of physical intervention and restraint to ensure that they have the appropriate skills to safely manager people with challenging behaviors. During the last Key Inspection it was noted that general management was rather ad hoc in nature and did not provide adequate support and leadership within the home. There was little or no quality assurance to ensure people were satisfied with the service provided. There was also poor communication between the Registered Manager, Care Manager and administrative staff. The Registered Manager has since left. The Registered Provider is currently managing the home and is in the process of recruiting a Group Care Manger (an experienced nurse) who will over see this an another home whilst providing support to the deputy managers as they prepare to apply for registration with CQC. Management of the home now appears to be more organised, structured and stable. Staff were receiving regular supervision and support. Training was organised and kept under review to ensure that staff received support and direction to carry out their work and continue to provide good care for the people who live in the home. Quality Assurance is work in progress. The deputy manager audits such things as medication each week to ensure that it is delivered safely as prescribed and audits accidents reports monthly to identify and eliminate trends. The Registered Provider said that she will be organising quality surveys for people who use the service and/or their representative to elicit feedback to improve the service in the future. Surveys were sent to people who use the service, staff and health professionals to provide feedback to CQC. We received one response from a Northampton Social Worker who said, We have a number of people at Hallaton Manor, all with cognitive and physical health problems. The care they offer our clients is extremely good. The staff appear to really care about the individuals and try their best to make their lives as full and positive as they can, despite their disabilities. They manage behavioral problems effectively and try to meet individual needs wherever possible. Feed back form people who have
Care Homes for Older People Page 5 of 9 relatives at Hallaton Manor have nothing but praise for the high quality of care there. The Registered Provider, deputy managers, and other staff spoken with were positive and helpful during the inspection. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 6 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 7 of 9 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 28 It is recommended that all staff receive appropriate training in the use of physical intervention and restraint to ensure that they have the appropriate skills to safely manage people with challenging behaviors. It is recommended that staff files are reviewed to ensure that they contain all of the required information, as detailed in Schedule 2, Care Homes Regulations 2001, and ensure that this information is readily available for inspection. 2 30 Care Homes for Older People Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 9 of 9 - 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!
