CARE HOME ADULTS 18-65
Manor Court 72 Church Street Market Deeping Lincs PE6 8AL Lead Inspector
Alison Marshall Unannounced Inspection 14th December 2005 02:30 Manor Court DS0000002452.V275809.R01.S.doc Version 5.1 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 Court DS0000002452.V275809.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 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. Manor Court DS0000002452.V275809.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Manor Court Address 72 Church Street Market Deeping Lincs PE6 8AL 01778 344921 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) www.sense.org.uk Sense East Mr Mitchell Bixley Care Home 5 Category(ies) of Learning disability (0), Sensory impairment (5) registration, with number of places Manor Court DS0000002452.V275809.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 28th July 2005 Brief Description of the Service: Manor Court is a single storey building with all bedrooms being for single occupancy. It is registered to provide care and accommodation for up to five service users between the ages of eighteen and sixty-four who have been affected by deaf/blindness caused by rubella. Situated in the town of Market Deeping it is conveniently placed for access to local facilities and shops. This home shares a site with Manor House, another care home and within the grounds are a patio, garden, hydrotherapy swimming pool, interactive multisensory room and administrative offices. Service users attend a day care facility in Peterborough also managed by SENSE. Transport is provided through the use of a minibus or via a regular bus service. The aim of the home as stated in its Statement Of Purpose document is to provide a safe and supportive environment based on best care values for people who are deaf blind. It confirms that the staffing of the home reflects service users individual needs. Manor Court is one of a number of care homes within the county operated by SENSE East. Manor Court DS0000002452.V275809.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection was carried out between 2.30 pm and 6.30 pm. Time was spent talking with the deputy manager, the manager and looking at records. This was the home’s second inspection in the inspection year 2005/2006. The previous inspection, carried out in July 2005 assessed all of the core standards, which are required to be inspected in a 12-month period. This inspection focused on spending time with the service users and staff. What the service does well: What has improved since the last inspection? 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
Manor Court DS0000002452.V275809.R01.S.doc Version 5.1 Page 6 contacting your local CSCI office. Manor Court DS0000002452.V275809.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Manor Court DS0000002452.V275809.R01.S.doc Version 5.1 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 the following standard(s): None of these standards were assessed. The service users had all lived at Manor Court for a number of years: the ‘newest’ service user having been there for over 4 years. EVIDENCE: Manor Court DS0000002452.V275809.R01.S.doc Version 5.1 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 the following standard(s): These standards were assessed at the previous inspection. EVIDENCE: Manor Court DS0000002452.V275809.R01.S.doc Version 5.1 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 the following standard(s): 11, 12, 13, 14 and 17 Service users had busy and varied lifestyles with opportunities to engage in a range of educational, vocational and leisure activities. EVIDENCE: Records and discussion with staff showed that service users participated in a range of individual and group activities within the local community. Service users attended the Sense resource centre in Peterborough or had dedicated home days. On home days staff would support service users on a 1:1 basis. These days could be used for a number of different activities decided upon the individual service user. Staff used icon books with service users to plan and structure the evening activities. On the day of the inspection: one service user chose to walk to a local pub; another went out for a walk: one person went to the sensory room; one person was using the computer and one service user remained in the house watching and helping with the main meal. A trip to a dry ski slope for tobogganing was planned for later in the evening.
Manor Court DS0000002452.V275809.R01.S.doc Version 5.1 Page 11 All service users went on an annual holiday together. This holiday and past holidays and outings had been put on to videos or DVDs for service users. Staff were working with service users to start to plan the 2006 holiday. Icons were used to help service users make decisions about what sort of a holiday they would like. Within in the house service users undertook most of the domestic chores, individually and for the group, with staff support. Each person had a day on which they shopped for, prepared and cooked the evening meal. The menus were drawn up in advance and on the day the person chose one of two options to cook. Each service user had their own ‘snack box’. Staff encouraged healthy eating through assisting with menu planning and food shopping. Manor Court DS0000002452.V275809.R01.S.doc Version 5.1 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 the following standard(s): These standards were assessed at the previous inspection. EVIDENCE: Manor Court DS0000002452.V275809.R01.S.doc Version 5.1 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 the following standard(s): These standards were assessed at the previous inspection. EVIDENCE: Manor Court DS0000002452.V275809.R01.S.doc Version 5.1 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 the following standard(s): 24, 25, 26, 27 and 28 Manor Court was suitably maintained and decorated and was appropriate for the needs of the service user. EVIDENCE: A tour of the premises showed that the Manor Court was generally well maintained and decorated. The home looked clean and tidy and no unpleasant smells were noticed. Furniture and fittings were domestic and in good condition. Individual service user bedrooms were personalised in terms of furniture and belongings. The flooring in the shower room still needed to be sorted. The flooring that had been laid was on an angle that resulted in water running across the floor towards the door and seeping through onto the hallway carpet. Monies had been identified and the manager was arranging for the work to be carried out. Manor Court DS0000002452.V275809.R01.S.doc Version 5.1 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33 and 34 Good recruitment practice and a commitment to training ensured that the staff had the necessary skills to provide good support to service users. EVIDENCE: The home was virtually fully staffed. Any vacant shifts were covered by existing members of staff or Sense bank staff. Sense had actively recruited a number of bank staff to support a number of services in the area. The manager of each service was responsible for a number of bank staff in terms of their supervision, training and induction. Sense were committed to staff achieving National Vocational Qualifications (NVQ). Twenty percent of the staff group had achieved NVQ 2 and a further 6 staff were working towards it. Three staff recruitment files were seen. These showed that staff had been recruited in line with a robust recruitment policy and ensured that only suitable people were employed. All checks required by law had been carried out. Manor Court DS0000002452.V275809.R01.S.doc Version 5.1 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were assessed at the previous inspection. EVIDENCE: Manor Court DS0000002452.V275809.R01.S.doc Version 5.1 Page 17 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 Standard No Score 1 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X X X X X X X X Manor Court DS0000002452.V275809.R01.S.doc Version 5.1 Page 18 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. Standard Regulation Requirement Timescale for action 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 YA24 Good Practice Recommendations The registered person should ensure that the work on the shower is completed as soon as possible. Manor Court DS0000002452.V275809.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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