Inspection on 14/10/05 for Manor Court

This inspection was carried out on 14th October 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 Court 15/06/07

Manor Court 22/11/06

Manor Court 04/05/05

Manor Court 14/09/04

Manor Court 28/04/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Manor Court 257 Blandford Road Efford Plymouth Devon, PL3 6ND Lead Inspector Jane Gurnell Unannounced 14th and 20th October and 3rd November 2005 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 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 Court D52-D04 S3540 Manor Court V241935 141005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Manor Court Address 257 Blandford Road, Efford, Plymouth, Devon, PL3 6ND 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) 01752 768425 01752 785781 Anchor Trust Mrs Susan Victoria Hill Care home 37 Category(ies) of Old age, not falling within any other category registration, with number (37), Physical Disability - over 65 years (37), of places Dementia - over 65 years (5) Manor Court D52-D04 S3540 Manor Court V241935 141005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1) DE(E) Category for a maximum of 5 residents only 2) Age 60 yrs 3) To admit one named Service User aged 55 years. Date of last inspection 19.5.05 Brief Description of the Service: Manor Court is a large home situated in a residential area of Efford, a short distance from the local shopping centre. The home is a purpose built, 3 storey building with accommodation provided on the 1st and 2nd floors: a passenger lift provides access to all floors. All thirty-seven bedrooms are single and selfcontained, providing a small kitchen area and an en suite shower room. The home provides care and accommodation for up to 37 residents for reason of old age, physical disability or dementia. Manor Court D52-D04 S3540 Manor Court V241935 141005 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was undertaken over 3 days. All visits were unannounced and took place on 14th and 20th October and 3rd November 2005. The inspection was undertaken over a 3-week period to monitor the quality of care being provided at a time when there were staff shortages. The inspector spoke to a total of 30 residents, one visitor, toured the building on each occasion and examined care records and the documentation relating to staff recruitment. This report also includes the findings of an unannounced visit made to Manor Court on 14th September 2005 in response to a complaint made to the Commission regarding staff shortages. What the service does well: What has improved since the last inspection? What they could do better: Care staff must receive training in issues relating to the care of older people with dementia. Care plans must be updated to provide a description of the residents’ current care needs and residents must be involved in the review of their plan. Quality Assurance process must be expanded to include consultation with the residents. Staff must not work a waking night shift after having worked an afternoon shift. Manor Court D52-D04 S3540 Manor Court V241935 141005 Stage 4.doc Version 1.40 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 Court D52-D04 S3540 Manor Court V241935 141005 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Manor Court D52-D04 S3540 Manor Court V241935 141005 Stage 4.doc Version 1.40 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 standard(s) 3, 5 Thorough and comprehensive systems for admission allow service users and their relatives to be confident that their needs can be met. EVIDENCE: One newly admitted resident described how she had been able to visit Manor Court before making a decision to move in. A pre-admission assessment had been undertaken for this resident. Manor Court D52-D04 S3540 Manor Court V241935 141005 Stage 4.doc Version 1.40 Page 9 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 standard(s) 7, 8, 9, 10 Residents’ health and personal care needs are being met. Residents are treated respectfully. EVIDENCE: Those care staff identified at the previous inspection as demonstrating a lack of understanding of the care needs of older people and particularly of those with dementia, are no longer employed at Manor Court. Residents said that the staff were very kind and caring and, despite the staff shortages, they felt very well cared for. One resident who had recently returned from hospital following a serious illness described how well he is being cared for and the effort the care and catering staff were making in supporting him with his changing dietary needs. Although this information was written in the daily care notes accessible to all care staff the care plan required updating. One newly admitted resident’s care plan was partially completed: a clear description of her care needs was written in the daily care notes. Medication is stored safely and the records are well maintained. The controlled drug register had been changed for a type that prevents tampering and the balance of controlled drugs was checked and found to be accurate. Manor Court D52-D04 S3540 Manor Court V241935 141005 Stage 4.doc Version 1.40 Page 10 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 standard(s) 12, 15 Meals are nutritious and varied. Leisure and social activities have been planned to encourage resident involvement. EVIDENCE: During this period of staff restructuring, the Registered Manager has taken the opportunity to review how leisure activities are offered to residents. Musicians are invited to Manor Court monthly and care staff facilitate activities following consultation with residents: those identified for the forthcoming week included a clothes faire. Care staff said that they were confident that more frequent activities would be provided once staffing arrangements were stabilised. Residents said how much they enjoy their interaction and conversation with the staff. Meals are varied and nutritious: residents said that supper is now offered each evening. Residents are provided with food items to enable them to prepare snacks and drinks in their own rooms. Manor Court D52-D04 S3540 Manor Court V241935 141005 Stage 4.doc Version 1.40 Page 11 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 standard(s) 16, 18 Residents are confident that concerns and complaints are treated seriously and that they will be protected from abuse. EVIDENCE: The recent actions of the Registered Manager and her staff team have demonstrated that they will not tolerate disrespectful behaviour towards residents. Residents said that the atmosphere in the home had improved greatly over the past month and they were confident that their concerns have been dealt with appropriately. Those care staff consulted were aware of the complaints procedure. Manor Court D52-D04 S3540 Manor Court V241935 141005 Stage 4.doc Version 1.40 Page 12 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 standard(s) 24, 26 The service users live in a pleasant, well-maintained home that is comfortable and warm and which provides sufficient facilities to meet their needs. EVIDENCE: The home is purpose built, well maintained and meets the needs of residents with physical disabilities. All communal rooms and bedrooms were pleasantly decorated and furnished and residents and visitors said that it was always very clean. Manor Court D52-D04 S3540 Manor Court V241935 141005 Stage 4.doc Version 1.40 Page 13 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29, 30 Residents are cared for by motivated and caring staff. EVIDENCE: Residents said that the quality of care continues to improve and that they feel very well cared for. Those staff identified as rude and abrupt at the last inspection are no longer employed at Manor Court. Care staff have been supported by Agency staff to maintain adequate staffing levels. At the visit made to Manor Court on 14th September, it was found that one member of care staff was working a waking night shift after having worked an afternoon shift: this is not good practice and an immediate requirement notice was issued to ensure this did not happen again. The dementia care training identified to occur following the previous inspection was postponed due to the staffing issues: the training booklets had been purchased and the Deputy Manager said that the training would be planned once all the newly appointed staff start their employment at Manor Court. Those care staff consulted said that they felt very well supported and had confidence in the Registered Manager, Ms Attridge and the newly appointed Deputy Manager. The files of a number of newly appointed staff were examined and these contained the required documentation including written references and Criminal Record Bureau checks. Manor Court D52-D04 S3540 Manor Court V241935 141005 Stage 4.doc Version 1.40 Page 14 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 36, 38 The Registered Manager and her staff team strive to ensure that the residents live in a well managed home that provides a stimulating and safe environment that respects and protects their rights. EVIDENCE: Ms Attridge, Registered Manager is qualified to NVQ 4 in Care and has a Diploma in Management. She has demonstrated her ability to deal with difficult issues that affect the well-being of residents and has worked in co-operation with the residents, their families and the Commission to address the issues of poor staff attitude raised at the last inspection. Staff confirmed that they are well supported and have had supervision throughout this difficult time: due to the nature of the staffing difficulties, supervisions have not always been recorded. The newly appointed Deputy Manor Court D52-D04 S3540 Manor Court V241935 141005 Stage 4.doc Version 1.40 Page 15 Manager gave assurances that a formal plan of supervision has been developed to ensure all care staff receive supervision at least 6 times a year. The Quality Assurance system does not yet include formal consultation with residents. Health and safety practices were satisfactory ensuring that equipment was maintained in good working order and staff had received training in fire safety, first aid and manual handling. Manor Court D52-D04 S3540 Manor Court V241935 141005 Stage 4.doc Version 1.40 Page 16 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION x x x x x 3 x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 2 x x 3 x 3 Manor Court D52-D04 S3540 Manor Court V241935 141005 Stage 4.doc Version 1.40 Page 17 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 OP7 Regulation 15 Requirement Timescale for action 30.11.05 2. 3. 4. OP30 OP33 OP27 18 24 18 Care plans must provide a description of the residents current care needs and residents must be involved in the review of their plan. Staff must be suitably trained in 31.1.06 issues relating to the care of older people with dementia. The Quality Assurance system 28.2.06 must include formal consultation with residents. Staff must not work a waking immediate night shift after having worked an afternoon shift. 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 Good Practice Recommendations Manor Court D52-D04 S3540 Manor Court V241935 141005 Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Court D52-D04 S3540 Manor Court V241935 141005 Stage 4.doc Version 1.40 Page 19 - 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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