Inspection on 15/06/05 for Manor Cheshire Home

This inspection was carried out on 15th June 2005.

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

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

Other inspections for this house

Manor Cheshire Home 26/03/07

Manor Cheshire Home 28/02/06

Manor Cheshire Home 22/10/04

Manor Cheshire Home 01/06/04

Manor Cheshire Home 17/03/04

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

CARE HOME ADULTS 18-65 Manor Cheshire Home Church Street Brampton Cambridgeshire PE28 4PW Lead Inspector Nicky Hone Unannounced 15 June 2005 at 16:45 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 Cheshire Home I53 I03 S15185 MANOR CHESHIRE HOME V229838 070505 STAGE 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Manor Cheshire Home Address Church Street Brampton Cambridgeshire PE28 4PW 01480 412412 01480 413737 info@london.leonard-cheshire.org.uk Leonard Cheshire 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) Mrs Lynne Hayes Care Home 21 Category(ies) of Physical Disability (21) registration, with number of places Manor Cheshire Home I53 I03 S15185 MANOR CHESHIRE HOME V229838 070505 STAGE 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 22 October 2004 Brief Description of the Service: Manor Cheshire is situated in the village of Brampton which is about three miles from the centre of the busy market town of Huntingdon, which has a range of shops, pubs, restaurants and leisure facilities. The home is purpose built, adjacent to the old Manor House, and offers accommodation in a main building and in three bungalows. The main building has thirteen single bedrooms on the ground floor and four on the first floor. The bedrooms on the ground floor have en-suite facilities. Two of the three bungalows offer single accommodation: the third bungalow has two single bedrooms, sitting room, kitchen and bathroom. Communal areas consist of a lounge/dining room, smoking room, activities area and a physiotherapy room. The home has well maintained grounds. The old Manor House is in a state of disrepair and is only used for staff training. The village of Brampton offers a range of local facilities, such as pubs, takeaway restaurants, shops and banks. The cities of Cambridge, Peterborough and Bedford are all within a half hour drive and offer a range of indoor and outdoor leisure facilities, as well as a large number of shops, restaurants and other amenities. Manor Cheshire Home I53 I03 S15185 MANOR CHESHIRE HOME V229838 070505 STAGE 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place between 4.45 and 9.35 in the evening. The inspector spent some of the time talking to the manager and staff, and looking at some areas of the building and records. However, the majority of the time was spent talking to service users, both individually and in groups. The current manager, Mrs Lynne Hayes, is retiring at the end of July 2005. The current care manager, Mrs Jan Larter, has been appointed to be manager and will be applying to the CSCI for registration. All of the residents spoken to expressed their gratitude to Mrs Hayes for the way she has “done a remarkable job and turned the home around” during her time as manager, and said how much they will miss her. However, they were all confident in Mrs Larter’s ability to continue to move the home forward and expressed no concerns about her appointment as manager. What the service does well: What has improved since the last inspection? What they could do better: The main lounge/dining room needs to be decorated and the carpet cleaned or replaced. Manor Cheshire Home I53 I03 S15185 MANOR CHESHIRE HOME V229838 070505 STAGE 4.doc Version 1.30 Page 6 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 Cheshire Home I53 I03 S15185 MANOR CHESHIRE HOME V229838 070505 STAGE 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Manor Cheshire Home I53 I03 S15185 MANOR CHESHIRE HOME V229838 070505 STAGE 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2 & 4 Residents are given plenty of information about the home, and are encouraged to visit the home as often as they want to, before making the decision to move in. Full assessments are carried out EVIDENCE: A new resident was very happy with the information she had been given about the home. She had visited to look at the home, including the room she would occupy, and to meet other service users and staff before making her decision. A full assessment of her needs had been carried out and she had chosen colours and fabrics for the decoration of her room which was done before she arrived. Manor Cheshire Home I53 I03 S15185 MANOR CHESHIRE HOME V229838 070505 STAGE 4.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8, & 9 Residents, with support when needed, make decisions about their lives and are fully involved in completing their care plans. They are encouraged to be as independent as possible and are involved in all aspects of the running of the home. EVIDENCE: Each resident has an Individual Service Plan (ISP). These were being updated to new paperwork and not all had been completed, but the ‘old’ ISPs contained detailed information about the personal and healthcare needs of each person. Residents spoken to said they write their own ISPs with assistance from the staff, and these are kept in their bedroom. Residents are encouraged to make decisions and to live normal, independent lives. One resident was pleased to tell the inspector that she now makes all her own appointments to see her doctor, optician and so on. Risk assessments are completed: one resident was disappointed that a risk assessment prevented him from using his electric wheelchair in the home, but understood that it was for his own and others’ safety. A new resident, who had been unable to go out from her previous home, is now able to go to the village alone. Manor Cheshire Home I53 I03 S15185 MANOR CHESHIRE HOME V229838 070505 STAGE 4.doc Version 1.30 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 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, 16, & 17 Residents are able to lead full, active, independent lives, with support from staff when needed. Leisure pursuits, in the home, in the local community and further afield are encouraged and those who wish to are supported to book a holiday. A wide choice of food satisfies most tastes. EVIDENCE: Each of the residents spoken to was happy with the opportunities they have for leading active, independent lives. They described how they are able to make their own arrangements for going out and to book the home’s bus when they need to, or order a taxi. Some outings are organised by the home’s activities coordinator, as are leisure pursuits within the house. One new resident described moving to the home as being given “a new lease of life”: she is able to go to the village on her own, arrange to go wherever she wishes in the home’s bus, and to join in events at the home. She said there is plenty to do: a card night the evening before the inspection had been “great fun”. Volunteers are involved in some of the activities. The manager expressed some disappointment that sometimes the activities coordinator will, after discussion with residents, make arrangements, and then residents decide not Manor Cheshire Home I53 I03 S15185 MANOR CHESHIRE HOME V229838 070505 STAGE 4.doc Version 1.30 Page 11 to participate. Several residents have made plans to go on holiday: for example, three people are going to Tenerife in October, two are going on a Winged Fellowship holiday, one has been to Park House at Sandringham and one said he has decided to go to London. Residents said they are involved in planning what is on the menu and are able to choose what they want to eat for the following week. Several people commented on how good the food is, and how there is a wide choice. One person said he would like more “English food”. Manor Cheshire Home I53 I03 S15185 MANOR CHESHIRE HOME V229838 070505 STAGE 4.doc Version 1.30 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 & 20 Residents are satisfied with the personal and healthcare support they receive, and are encouraged to have control of their own medication. EVIDENCE: Personal care and support needs are detailed in the individual ISPs. Residents spoke highly of the personal care they receive and staffs’ attention to detail, including meticulous hygiene routines to prevent the spread of infection. ISPs showed that residents make appointments as needed with healthcare professionals such as dentists, opticians and so on. Residents said they are encouraged to have control of their own medication if they wish to. Staff reported that they receive training from Boots in the administration of medication and are then monitored by the care manager to ensure they are competent: records seen were completed correctly. Manor Cheshire Home I53 I03 S15185 MANOR CHESHIRE HOME V229838 070505 STAGE 4.doc Version 1.30 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 The home has a robust complaints system and residents know that their views will be listened to and acted on. EVIDENCE: All residents spoken to were clear that they would approach the manager or care manager if they had any concerns, and all had confidence that their concerns would be dealt with. Several commented that they had never had to complain. Manor Cheshire Home I53 I03 S15185 MANOR CHESHIRE HOME V229838 070505 STAGE 4.doc Version 1.30 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 26, 29 & 30 The home is comfortable, safe, clean and equipped to meet the needs of the residents. The main lounge/dining-room is in need of decoration and recarpeting. EVIDENCE: The majority of the home seen was clean, hygienic, well-maintained and pleasantly decorated. Residents spoken to said their bedrooms contain everything they require, including overhead tracking where necessary, and all their personal possessions: this was evident in the rooms seen. The communal lounge/dining-room has been in need of re-decorating and re-carpeting for some time. The local RAF group had offered to raise the money to do this, and carry out the work, but at the time of the inspection had not been able to start. The manager said the decoration, including some minor structural alterations to the room, was now due to start on 26 June 2005, and the carpets (ordered and in stock) would be fitted as soon as the decorating is complete. Manor Cheshire Home I53 I03 S15185 MANOR CHESHIRE HOME V229838 070505 STAGE 4.doc Version 1.30 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 35 & 36 The home has a competent, stable staff team who are offered a wide range of training to equip them well to meet the needs of the residents. EVIDENCE: Staff spoken to, and training records, confirmed that staff are offered a wide range of training opportunities and are well-qualified to offer the support required by the residents. The manager reported that she expects to have 100 of the staff team qualified to NVQ (National Vocational Qualification) in care level 2 or above within a year. This is highly commendable. All staff receive regular supervision. The home was awarded Investors in People earlier this year. Manor Cheshire Home I53 I03 S15185 MANOR CHESHIRE HOME V229838 070505 STAGE 4.doc Version 1.30 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 39 & 42 The manager has a clear vision for the home which she has effectively communicated to residents and staff. Her management style, with the support of the staff team, has enabled her to make a success of a home that was struggling. EVIDENCE: The manager is retiring at the end of July. Residents were very complimentary about the way she has “turned the home around”, and will miss her. However, her management style, which residents described as “open-door” and “listening” has been encouraged throughout the staff team, and the residents spoken to were confident that the new manager (the current care manager) will carry on with the good work that has been firmly embedded in the ethos of the home. Staff said they receive very good support through day to day contact with the management team, one-to-one supervision and regular staff meetings. Residents’ views are gathered by one-to-one contact and through the residents’ committee which is convened and chaired by the residents. The Leonard Cheshire organisation has sent out a questionnaire to all users of its Manor Cheshire Home I53 I03 S15185 MANOR CHESHIRE HOME V229838 070505 STAGE 4.doc Version 1.30 Page 17 services, and a resident survey is being developed at the Manor. Health and safety matters are dealt with by the health and safety committee which meets regularly, and risk assessments are carried out and reviewed. Manor Cheshire Home I53 I03 S15185 MANOR CHESHIRE HOME V229838 070505 STAGE 4.doc Version 1.30 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 4 x 3 x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 3 4 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 x x 3 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 x 3 3 Standard No 31 32 33 34 35 36 Score x 4 3 x 4 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Manor Cheshire Home Score 4 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 4 3 x x 3 x I53 I03 S15185 MANOR CHESHIRE HOME V229838 070505 STAGE 4.doc Version 1.30 Page 19 yes 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 24 Regulation 23(2)(d) Requirement The main lounge/dining room must be decorated and the carpet cleaned or replaced Timescale for action 31 August 2005 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard None Good Practice Recommendations Manor Cheshire Home I53 I03 S15185 MANOR CHESHIRE HOME V229838 070505 STAGE 4.doc Version 1.30 Page 20 Commission for Social Care Inspection CPC1, Capital Park Fulbourn Cambridge CB1 5XE 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 Cheshire Home I53 I03 S15185 MANOR CHESHIRE HOME V229838 070505 STAGE 4.doc Version 1.30 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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