Inspection on 09/12/09 for Honiton Manor

This inspection was carried out on 9th December 2009.

CQC found this care home to be providing an Poor service.

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

Honiton Manor 19/10/09

Honiton Manor 03/11/08

Honiton Manor 07/11/07

Honiton Manor 06/03/07

Honiton Manor 07/06/06

Honiton Manor 16/12/05

Similar services:

Manor Lodge

Fairfields Country Rest Home

Poldhu

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Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Extracts from inspection reports are licensed from CQC, this page was updated on 16/02/2010.

Random inspection report Care homes for older people Name: Address: Honiton Manor Exeter Rd Honiton Devon EX14 1AL zero star poor service 04/11/2008 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: Teresa Anderson Date: 0 9 1 2 2 0 0 9 Information about the care home Name of care home: Address: Honiton Manor Exeter Rd Honiton Devon EX14 1AL 0140445204 0140445324 honitonmanor@aol.com oakdash@aol.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mr Howard Norman Dennis,Mrs Sarah Jane Mary Dennis,Mr David Malcolm Baker,Mrs Angela Martha Christin care home 22 Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 22 old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 0 0 4 1 1 2 0 0 8 Honiton Manor is registered to provide 24 hour nursing care for up to 22 service users who have needs relating to older people. The two-storey home is an older style building situated on the main road into, and quite close to, Honiton and the local amenities. It is on public transport routes. There are eleven single bedrooms and five double bedrooms situated on the ground and first floors. One of the double bedrooms has an ensuite bathroom. A passenger lift and a staircase link the floors. Care Homes for Older People Page 2 of 15 Brief description of the care home Communal space is made up of a large lounge and a dining room, both on the ground floor. Outside there is access to a seating area and parking. Current charges are £515.00 - £675.00 per week. Charges do not include items such as newspapers, toiletries, taxis etc. Care Homes for Older People Page 3 of 15 What we found: We (the Commission) carried out this random unannounced inspection to check that the Statutory Requirement Notices issued on 10th November 2009 had been complied with. The Notices stated that the service was failing to comply with some of the Care Home Regulations (2001). It gave notice to the Registered Persons (the owners) that if the service failed to comply with the notice, that the Commission could prosecute the owners. The Notices were issued when it was found at an unannounced key inspection that some requirements made at the previous inspection had not been complied with. At that time we found that care plans did not clearly identify what peoples needs were and and that some peoples health and welfare needs were not being met. We visited this home specifically to check that this service had achieved compliance with the Notices. We did not inspect any of the outstanding requirements made at the key inspection. The timescale for compliance was set at 30th November and 7th December 2009. We visited the service on December 9th. The Notices stated that the service must: Ensure that care plans provide clear and up to date instructions on how each persons care needs are to be met, recorded and monitored. Ensure that the information recorded in care plans is appropriate and relevant. Ensure that all parts of the care plan are reviewed and that any changes are recorded and are up to date. Ensure that there is a system in place to ensure staff are aware of and are up to date with service users health and welfare needs. Ensure that there is a system in place to ensure information relating to someones health and welfare needs is accurate and up to date. Ensure that there is a system in place that monitors the health and welfare needs of people and ensures that actions are taken and recorded where appropriate. We looked at four care plans. We found that each one contains relevant and important information about the person it relates to. Care plans are up to date. Reviews of peoples care needs had been undertaken and recorded. Appropriate actions are taken to address peoples changing needs. Actions include taking specialist advice, and putting that advice into action. We talked to staff about peoples care plans. They have a good knowledge of what peoples needs are and how those needs are to be met. They are clear about their role. For example, carers are clear that they report any changes to a nurse so that the nurse can make the appropriate decisions about peoples care. Staff also have a good knowledge about peoples personal preferences. This shows that they are helping people to receive care that is tailored to both their needs and their wishes. Staff are aware that some people are at risk. For example, at risk of developing skin damage . Staff know what equipment to use for each person to help prevent this, they know how to use the equipment and when they look at someones skin for signs of damage, they know what they are looking for and what they should report to the nurse. Some people are at risk of choking. Staff know who these people are and they know how to support them to have a diet that both meets their nutritional requirements and which Care Homes for Older People Page 4 of 15 minimises their risk of choking. In addition, the cook knows which people have a pureed diet and knows what this can and must not include. Since the last inspection all care plans have been reviewed and the information within them has been reduced to manageable proportions. Training in care planning has been provided. The owners are introducing a new care planning system which they anticipate will further develop person centred care planning and will ensure that peoples health and welfare needs are met. 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 5 of 15 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 3 14 People must not be admitted 07/12/2009 to this home unless their needs have been assessed by a suitable person. This assessment must include health and social care assessments if the placement takes place through health or social care services. This will help to ensure that each persons needs are identified and can be met. 2 7 15 You must ensure that care 07/12/2009 plans provide clear and up to date instructions on how each persons care needs are to be met, recorded and monitored. Information recorded in care plans must be relevant and appropriate. All parts of the care plan must be reviewed and updated as appropriate. All irrelevant parts of the care plan must be removed. By doing this staff will have the information they need to ensure that people have their needs better understood and met. 3 7 15 (1) People who have dementia must have their 20/02/2009 Care Homes for Older People Page 6 of 15 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 planned in a way that is person centred; identifying all their needs and detailing how these needs should be met. By doing this people with dementia will have their needs better understood and met. 4 7 15 (1) People who have dementia 31/07/2008 must have their care planned in a way that is person centred; identifying all their needs and detailing how these needs should be met. Care given must be reviewed in a way that helps the care planner to make a judgement about whether the planned care is meeting that persons needs. Previous timescale of 31/03/08 not met. Not inspected on this occasion. Previous timescale 11/07/08 5 8 12 You must ensure that there 30/11/2009 is a system in place to ensure staff are aware of and are up to date with peoples health and welfare needs. You must ensure that this system is accurate and up to date. You must also ensure that there is a system in place that monitors the health and welfare needs of people and that actions are Page 7 of 15 Care Homes for Older People 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 taken and recorded when appropriate. This will help to ensure that peoples needs are met in the most effective way. 6 8 12 (1) (a) When there is concern that someones health may be affected, for example they are losing weight, appropriate actions must be taken to address this. In this way appropriate actions will be taken to prevent or limit as far as possible health deterioration. 7 8 12 (1) (a) People with dementia 20/02/2009 must have their mental health and welfare needs met. This includes working towards understanding what people with dementia are trying to communicate and taking action to address what is being communicated. In this way each individual with dementia will have their mental health and welfare needs understood and met. 8 10 16 You must ensure that the 31/12/2009 home is conducted in a way that ensures people are treated with respect and in a dignified way. This will help to ensure that people are treated appropriately. Care Homes for Older People Page 8 of 15 23/01/2009 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 9 12 16 People of all abilities must be 26/02/2010 supported to have their need to engage and have their social needs met. This will help to improve the quality of life experienced by people living here. 10 12 16 People must be supported to 31/12/2009 practice their faith and have the opportunity to attend religious services if they wish to. This will help to improve the quality of life experienced by people living here. 11 12 16 (2) (m) (n) People must 20/02/2009 have their social needs and interests identified and you must make arrangements to enable these to be met. This will help to improve the quality of life of the people living here. 12 14 12 People of all abilities must be 31/12/2009 supported to make their feelings and wishes known and to make decisions about their daily lives. This will help people to have autonomy and control over their lives, and will help to improve the quality of life they experience. 13 15 16 People must be offered meals regularly and you must ensure that people are 07/12/2009 Care Homes for Older People Page 9 of 15 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 encouraged to eat by offering them a variety of foods that suit their needs and preferences. This will help to ensure that people are supported to remain healthy. 14 16 22 The complaints procedure 31/12/2009 should be appropriate to the needs of the people who live here and concerns raised must be investigated thoroughly and actions taken to address the findings. This will help to ensure that concerns are taken seriously and acted upon. 15 18 13 Staff must be aware of the 31/12/2009 reporting procedures relating to safeguarding people. All injuries must be investigated and action taken to keep people safe. This will help to ensure that people are safeguarded from abuse and harm. 16 26 13 You must ensure that adequate infection control procedures are in place. This will help to ensure that the spread of any infections are limited as far as possible. 17 27 18 You must ensure that there are always enough suitably qualified and skilled staff on duty. 31/12/2009 07/12/2009 Care Homes for Older People Page 10 of 15 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 This will help to ensure that peoples needs can be met. 18 29 19 You must ensure that recruitment procedures are robust. This will help to ensure that people are cared for by appropriate staff. 19 30 18 (1) (a) People with dementia 13/02/2009 must be supported by people who are suitably qualified and competent in this area of care. This will help to ensure that the needs of people with dementia are met. 20 31 10 (1) (a) The management of this home should manage the home with sufficient care, competence and skill. This will help to ensure that the health and welfare needs of each person living here are met. 21 31 8 An application must be made 07/12/2009 to register a manager for this home. This will help to ensure that people benefit from living in a home that is managed by a suitable and from management systems that help to ensure peoples safety and well being. 13/02/2009 31/12/2009 Care Homes for Older People Page 11 of 15 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 22 33 24 Results of the system for monitoring the quality of care should be acted upon. This will help to ensure that people are involved in the running of the home and that actions are taken to improve the quality of care provided in the home. 26/02/2010 23 38 37 All incidents and events, including deaths, must be reported to the commission. This will ensure that the commission are kept up to date about events in the home. 07/12/2009 24 38 23 You must ensure that 31/12/2009 equipment provided at the home for use by people living here is maintained in good working order. This will help to ensure that people living in the home are safe. 25 38 26 The providers must visit the home at least once monthly on an unannounced basis. They must do this so that they can form an opinion as to the standard of care provided in the home. They must record their findings and send these to the commission after each visit. Previous timescale of 13/04/07 not met. 31/07/2008 Care Homes for Older People Page 12 of 15 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 Not inspected on this occasion. Previous timescale 31/12/07. 26 38 13 You must ensure that the health and welfare needs of people living here are met. This must include, but is not exclusive to, moving and handling people safely, maintaining equipment and restricting window openings as appropriate. This will help to ensure that people living here are kept safe through safe working practices. 07/12/2009 27 38 26 The providers must visit the home at least once monthly on an unannounced basis. They should do this to help them to form an opinion as to the standard of care provided in the home. They must record their findings and send these to the commission after each visit. 07/12/2009 28 38 13 Risks to people living here, to include but not exclusive to, the risk of falling should be identified and as far as possible should be eliminated. This will help to ensure that people are kept safe. 29/01/2010 Care Homes for Older People Page 13 of 15 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 Care Homes for Older People Page 14 of 15 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). 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