Inspection on 08/02/06 for Holmewood Manor Care Home

This inspection was carried out on 8th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Holmewood Manor Care Home 17/09/09

Holmewood Manor Care Home 05/08/08

Holmewood Manor Care Home 02/08/07

Holmewood Manor Care Home 13/03/07

Holmewood Manor Care Home 25/07/06

Holmewood Manor Care Home 19/10/05

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Manor Residential Home, The Barnfield Close / Off Heath Road Holmewood Chesterfield Derbyshire S42 5RH Lead Inspector Sue Richards Unannounced Inspection 8th February 2006 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 Manor Residential Home, The DS0000064198.V275278.R01.S.doc Version 5.1 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. Manor Residential Home, The DS0000064198.V275278.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Manor Residential Home, The Address Barnfield Close / Off Heath Road Holmewood Chesterfield Derbyshire S42 5RH 01246 855678 01246 852953 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) Hallmark Healthcare (Holmewood) Ltd Mrs Vivian Gwendoline Ritchie Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Manor Residential Home, The DS0000064198.V275278.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Equipment must be provided for service users as detailed within the site visit letter/report dated 24.03.05. Timescale: 3 months. Upgrading, repairs and renewal must be completed to the building as detailed in the site visit letter/report dated 24.03.05 (three items). Timescale: Three months. 19th October 2005 Date of last inspection Brief Description of the Service: The Manor Residential Home provides personal care and support for up to 40 older persons. It is located off the main road in the village of Holmewood, which lies to the north east of Chesterfield, close to Junction 29 of the M1 motorway. The home comprises of 34 single bedrooms, 10 of which have an en suite facility and three double bedrooms, all having an en suite. Single bedrooms without en suites have wash hand basins fitted. There is a choice of lounge and dining rooms to each floor, accessible by both stairs and a shaft lift. There are also a number of environmental adaptations and equipment provided to assist those with physical disabilities, although there is no communal loop system for those with hearing difficulties, who may benefit. There is level access to a well-kept garden with seating provided and also car parking spaces. Activities are organised on a regular basis, and details of these can be found in the entrance hallway. Twenty-four hour staffing is provided from a team of care support and hotel services staff. The registered manager is supported with the deputy manager and external management arrangements of Hallmark Healthcare Ltd. Catering and laundry services are centralised, although there is a small laundry facility for service users who may wish to launder personal items. Manor Residential Home, The DS0000064198.V275278.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of this inspection was on the arrangements for residents’ admissions to the home and the care they receive. These included personal and social care delivery and support, meals and nutrition, access to outside healthcare professionals and the arrangements for their health care needs, including medicines management and administration. Case tracking was undertaken, which involved the examination of three service users care needs assessment and care planning records. Discussions were held with some service users and staff relating to the above. What the service does well: What has improved since the last inspection? An extensive programme of the total refurbishment and renewal of the fabric of the home has commenced. The recommendations of the environmental health officer have been addressed. Basic first aid training had been organised for staff. Manor Residential Home, The DS0000064198.V275278.R01.S.doc Version 5.1 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. Manor Residential Home, The DS0000064198.V275278.R01.S.doc Version 5.1 Page 7 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 Manor Residential Home, The DS0000064198.V275278.R01.S.doc Version 5.1 Page 8 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): 3, 4 & 5 There were satisfactory arrangements in place for the admission of service users to the home and their needs were well accounted for in consultation with them and/or their representatives. EVIDENCE: The recorded needs assessment information for those residents case tracked was examined. These were comprehensive and collated in accordance with a recognised assessment model, which was person centred and accounted well for individual’s lifestyle preferences, abilities and needs. They were up to date and evidenced regular reviews. Discussions were held with staff, residents and their relatives about their needs and how these were met. Discussions were also held with the manager and staff regarding staff training arrangements, including that undertaken since the previous inspection and training plans. Manor Residential Home, The DS0000064198.V275278.R01.S.doc Version 5.1 Page 9 The arrangements for the admission of residents to the home were also discussed. These were in accordance with the home’s policy and procedural guidance and its statement of purpose. Manor Residential Home, The DS0000064198.V275278.R01.S.doc Version 5.1 Page 10 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, 9 & 10 Service users personal, social and emotional care needs were being met. The health care needs of service users were also being met, although some areas of medicines practise were not in accordance with recognised guidance. EVIDENCE: The written care plans for residents case tracked were examined and their care and care delivery discussed with them and with staff. Care plans were in accordance with individual’s recorded needs assessment information, were formulated within a framework of risk management and accounted for each service users life style preferences and wishes. They were regularly reviewed. The arrangements for residents’ access to outside health care professionals were examined, including that for the purposes of routine health care screening. These were satisfactory. Recognised risk assessment screening tools were used to assess the health care needs of residents. These were recorded for each individual and were regularly reviewed. They included risk assessment in relation to pressure ulcer Manor Residential Home, The DS0000064198.V275278.R01.S.doc Version 5.1 Page 11 risk, moving and handling and mobility needs, including risk of falls, mental status and physical dependency, nutritional and continence needs. The arrangements for the management and administration of medicines were examined with focus on those residents case tracked and the home’s written policy guidance. A number of areas were identified where practise was not in accordance with recognised guidance. These were discussed with the manager. The manager advised that medicines training had been organised for staff, which was planned and was to be delivered by the supplying pharmacy the following week. Staff was observed to be respectful in their approaches to residents and were mindful of their needs. Residents and relatives spoken were very positive about staff and the manner in which they were treated and supported. Manor Residential Home, The DS0000064198.V275278.R01.S.doc Version 5.1 Page 12 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 Residents are encouraged to involve themselves in social activities in accordance with their lifestyle preferences and abilities and are well supported to maintain contact with their family and friends. Plans to develop increased links with and access to the local community were positive. Residents are provided with nutritious meals in accordance with their choices and assessed needs. EVIDENCE: Discussions were held with service users, their relatives and staff about the arrangements for and the promotion of activities in the home and social contact for residents. The home employs an activities co-ordinator and discussions were also held with her. During the morning of the inspection, an outside group, who come into the home at monthly intervals, were holding a physical activity/gentle exercise group. Manor Residential Home, The DS0000064198.V275278.R01.S.doc Version 5.1 Page 13 Examples of activities organised in the home, included board games, flower arranging, crafts, manicures and hairdressing. There were also social/seasonal celebrations and visiting entertainers, including a local dance group. Links were being developed with the local community with plans to enable residents to visit a local village well dressing during the summer and church flower festival. There were also plans to enable some residents to become involved in the making of a well dressing. Visiting to the home is open and some residents regularly visited their relatives. The activities co-ordinator kept a diary of events for residents and information regarding activities was also displayed on the residents’ notice board. A format for the recording of activities within individual’s own care records had also been introduced. Some residents own rooms were visited by the inspector and were personalised, including service users own items of furniture as they choose. One resident is a keen painter and was painting with watercolours in her room. Some of her previous work done in oils was displayed also. Lunches were being served at the time of the inspection. Tables were attractively set and residents were consulted regarding their choice of meal. Staff assisted residents with eating where necessary in a calm and unhurried manner and food was presented in accordance with residents needs. Residents and relatives felt that the quality of food provided was good. The manager was in the process of preparing daily laminated menus to be provided for each dining table. Manor Residential Home, The DS0000064198.V275278.R01.S.doc Version 5.1 Page 14 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): The standards in this section were not assessed on this occasion. EVIDENCE: Manor Residential Home, The DS0000064198.V275278.R01.S.doc Version 5.1 Page 15 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): The standards in this section were not assessed on this occasion. EVIDENCE: A full inspection of the home was not undertaken on this occasion. The planned renewal and refurbishment of the home was underway, with decorators in the home at the time of the inspection. Progress will be assessed at the next inspection for this service. Manor Residential Home, The DS0000064198.V275278.R01.S.doc Version 5.1 Page 16 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 Service users needs were met by the staff complement in the home. EVIDENCE: Staff duty rotas were provided and examined and discussions were held with the manager about the needs and dependencies of the residents accommodated. Manor Residential Home, The DS0000064198.V275278.R01.S.doc Version 5.1 Page 17 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): The standards in this section were not assessed on this occasion. There were satisfactory arrangements in place for core health and safety training for staff, including basic first aid. EVIDENCE: Although the standards in this section were not fully assessed on this occasion, the arrangements for core health and safety training for staff were discussed and examined. A rolling programme of training was in place, which included basic first aid training. Staff felt that the organisation of training and the support they were given was good. Manor Residential Home, The DS0000064198.V275278.R01.S.doc Version 5.1 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 X X 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 2 10 X 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 X 18 X X X X X X X X X STAFFING Standard No Score 27 3 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X X Manor Residential Home, The DS0000064198.V275278.R01.S.doc Version 5.1 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. Standard OP18 Regulation 13(6) Requirement The home’s adult protection procedures must be amended to ensure that accurate information is provided in relation to the recognised lead role of social services in these procedures. (From previous inspection 10/05). Hand written instructions on the medicines administration (MAR) sheet must be signed and dated by the staff member responsible and countersigned by a witnessing staff member. Clear policy guidance must be provided for staff as to the procedure to follow in the event of a verbal instruction from a GP in respect of medicines to be administered to any resident. This guidance must be in accordance with recognised and safe practise and staff must adhere to it. Medicines prescribed for a named resident must not be administered to that person only DS0000064198.V275278.R01.S.doc Timescale for action 30/11/05 2 OP9 13 08/03/06 3 OP9 13 08/03/06 4 OP9 13 08/03/06 Manor Residential Home, The Version 5.1 Page 20 5 OP9 13 in accordance with that prescribed. They must not be administered to any other resident. Medicines must not be removed 08/03/06 from their outer-labelled packaging (which details the name of the service user they belong to and the instructions for administration). Medicines belonging to any service user must not be stored unlabelled. (In this instance, tablets in foil strips and inhalers). RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Manor Residential Home, The DS0000064198.V275278.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Manor Residential Home, The DS0000064198.V275278.R01.S.doc Version 5.1 Page 22 - 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. 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