Inspection on 19/05/05 for Manor Court

This inspection was carried out on 19th May 2005.

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

Manor Court 24/08/06

Manor Court 11/01/06

Manor Court 05/10/04

Manor Court 26/05/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE MANOR COURT 8 - 8a High Street Moorsholm Saltburn-by-Sea TS12 3JH Lead Inspector Ray Burton Unannounced 19 May 2005 10:00 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 B51-B01 S73 Manor Court V228358 190505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Manor Court Address 8 - 8a High Street Moorsholm Saltburn-by-Sea TS12 3JH 01287 660747 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 Mary Elizabeth Wood Mrs Mary Elizabeth Wood Care Home 20 Category(ies) of OP - Old Age registration, with number of places MANOR COURT B51-B01 S73 Manor Court V228358 190505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th October 2004 Brief Description of the Service: Manor Court Residential Home is situated in the quiet village of Moorsholme on the North Yorkshire moors. Set back from the High Street, it is accessed via a private road. Its position in the centre of the village make for easy access to all community facilities: Church and Chapel; Memorial Hall; public house; shop. Accommodation is provided in fourteen single bedrooms(three with en-suite facilities) and three double bedrooms (one with en-suite facility). All bedrooms had been fitted with a wash basin and all met the spatial requirements of the National Minimum Standards. Communal facilities comprise dining room and two lounges, one of which is designated a smoking lounge. The home is registered to provide care for twenty persons. MANOR COURT B51-B01 S73 Manor Court V228358 190505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was conducted on 19th May 2005 commencing at 10.30 am and lasted for a total of 5 hours. During the inspection comments were received from three residents, two relatives, the Registered Manager and four members of staff. What the service does well: What has improved since the last inspection? What they could do better: MANOR COURT B51-B01 S73 Manor Court V228358 190505 Stage 4.doc Version 1.30 Page 6 The general maintenance within the home was of a satisfactory standard and repairs and servicing of equipment was carried out regularly to ensure the safety of residents and staff however, the old and worn furniture identified in previous reports as being in need of replacement had still not been replaced. This matter must be addressed as a matter of urgency. 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 B51-B01 S73 Manor Court V228358 190505 Stage 4.doc Version 1.30 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 B51-B01 S73 Manor Court V228358 190505 Stage 4.doc Version 1.30 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) 1, 2, 5, 6 Prospective residents were given information prior to and after admission to enable them to make an informed decision about the suitability of the home and its ability to meet their needs. EVIDENCE: The home had a Statement of Purpose clearly setting out the aims, objectives and philosophy of care. Each resident had been issued with a Service Users Guide that met the requirements of the National Minimum Standards. In each personal file there was a copy of the Residents Contract showing the terms and conditions of occupancy, fees payable and details of charges for additional services. The contract had been signed by the resident or his/her representative and the manager. Manor Court is very much part of the local community and the home and staff are well known to people living in the village and surrounding areas, however the manager said that all prospective residents and their family were invited to visit the home prior to admission and given the opportunity to have a meal and meet existing residents and staff. MANOR COURT B51-B01 S73 Manor Court V228358 190505 Stage 4.doc Version 1.30 Page 9 If it was not possible for a visit to the home to be arranged the manager or a member of staff would visit the prospective resident in their own home or in hospital. Comments made by residents on the day of the inspection confirmed that they had been able to visit Manor Court prior to admission. All admissions were subject to a trial period during which time new residents were able to decide, whether their needs could be met and, if they wished to remain at the home. The home does not offer intermediate care. MANOR COURT B51-B01 S73 Manor Court V228358 190505 Stage 4.doc Version 1.30 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 standard(s) 8, 9, 10, 11 Residents’ healthcare needs were met by the home and there was evidence of multi-disciplinary working. Systems for the safe and efficient administration of medication were in place. Personal care was conducted in a sensitive manner that upheld the dignity and privacy of residents. An appropriate policy was in place to deal with the dying and death of a resident. EVIDENCE: The manager and staff displayed a good knowledge of individual residents and their needs. They were able to detail specific problems relating to the health of individuals and to demonstrate how, through regular monitoring and by enlisting the support of community-based professionals such as G.P’s., District Nurses etc they were able to meet the healthcare needs of the residents. On the day of the inspection the home received a visit from a physiotherapist who attended to the needs of a resident and instructed staff on how to carry out a particular procedure. Examination of the accident records revealed there had been two accidents in the home during the last twelve months, both had been referred to the Accident & Emergency Unit for treatment. MANOR COURT B51-B01 S73 Manor Court V228358 190505 Stage 4.doc Version 1.30 Page 11 None of the current residents had been assessed as being able to control their own medication. All medicines were stored appropriately in a secure facility and dispensed according to the home’s policy and procedures for the receipt, recording, storage, handling, administration and disposal of medicines. All staff responsible for the handling of medication had undergone appropriate training. It was observed during the inspection that staff treated residents with respect, that they knocked on bedroom and toilet doors before entering and addressed residents courteously by their preferred name as recorded in their care plan. Residents told the inspector that they were happy with the way that personal care was delivered and praised staff for the way that they looked after them. Particular mention was made of the way in which healthcare needs were addressed. One resident said “They look after my health, make sure I see the doctor regularly and get the nurse in to do blood tests.” He stated that he did not wish to look after his own tablets but preferred staff to manage them. A suitable policy was in place to deal with dying and death and Manor Court was looked on as a “home for life” with residents being enabled to remain in the home during their last days, unless medical needs dictated otherwise. A member of staff interviewed during the course of the inspection spoke with great sensitivity and insight about the role of the carer and the interaction between carer and cared for during a residents final days “It is the last thing you can do for a person and it must be done well.” She explained the importance of talking to the resident and of keeping him/her informed about what was going on around them, and of not assuming that because they appeared to be unconscious they could not hear what was being said. She understood the importance of not only supporting the resident but also providing support to family members. MANOR COURT B51-B01 S73 Manor Court V228358 190505 Stage 4.doc Version 1.30 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 standard(s) 13, 14, 15 Staff encouraged residents to maintain links with family, friends and the local community. Residents were able to exercise control over their lives. A healthy, balanced and varied diet was provided. EVIDENCE: It was apparent, from observation and conversation with staff and residents that there was a relaxed and friendly atmosphere in the home. Routines were flexible and allowed residents’ to exercise personal choice and to maintain control over their own lives, subject to their individual plan. Residents said they could go to bed and get up whenever they wanted and could have their meals served in their rooms if they wished. Records of food served showed a healthy, balanced diet was provided and that alternatives to the main dish of the day were always available. Meals were served at set times although there was a high degree of flexibility to accommodate individual wishes and circumstances. The manager stated that the home operated an “open door” policy and relatives and friends were welcome to visit at any reasonable time. Three residents confirmed they were able to receive visitors at any time and were able to meet with them in private if they wished. MANOR COURT B51-B01 S73 Manor Court V228358 190505 Stage 4.doc Version 1.30 Page 13 One resident said he was being collected that evening by two friends and taken to a concert in the village. Residents were able to maintain control over their own financial affairs for as long as they were able and had the capacity to do so, after which their financial affairs were handled by an appointed representative (usually a relative). The home did not exercise control over the financial affairs of any resident. Residents were encouraged to bring personal possessions with them when admitted to the home and this was most evident in bedrooms that had been individualised by furniture and other personal possessions brought from the occupants own home. MANOR COURT B51-B01 S73 Manor Court V228358 190505 Stage 4.doc Version 1.30 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 standard(s) 16, 17, 18 The home had a satisfactory complaints system and policies and procedures to protect residents from abuse and to safeguard their legal rights. EVIDENCE: The homes complaints procedure was written in a simple and easily understood manner and contained information on how to make a complaint, to whom the complaint should be made, the timescale for the complaint to be dealt with and the course of action to be taken should the complainant not be satisfied with the way that the matter had been handled. The complaints book showed there had been no complaints received during the last twelve months. The three residents and two visitors spoken to during the inspection said that they had never had cause to make a complaint against the home, but they were aware of the procedure and felt that any concern or complaint would be dealt with quickly and efficiently. Policies and procedures were in place to ensure the safety and protection of residents and to respond to any suspicion or allegation of abuse. A copy of the “No Secrets” adult protection procedure was available to staff, who were able to demonstrate a suitable understanding of what constituted abuse and what to do in the event of such an incident occurring. Residents were encouraged to vote at local and general elections and most exercised this right by using the postal voting system. MANOR COURT B51-B01 S73 Manor Court V228358 190505 Stage 4.doc Version 1.30 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 standard(s) 19, 20, 21, 22, 23, 24, 25, 26 The environmental standard of the home was generally good providing residents with a safe, comfortable and homely place in which to live. The old and worn furniture in the residents’ lounge and dining room however detracted from the overall comfort in the home. There was sufficient specialist equipment to meet the current needs of residents. Bedrooms contained many personal effects and reflected the personality of the occupant. EVIDENCE: A tour of the building revealed décor and fabric to be in good condition and the building clean and hygienic and free from offensive odours. All areas of the home were centrally heated and radiators had been covered with suitable guards to ensure a low surface temperature. Hot water outlets accessible to residents had been fitted with pre-set valves to provide water temperatures close to 43 degrees Centigrade. First-floor windows had been fitted with restrictors. Lighting was domestic in nature and emergency lighting had been provided throughout the home. MANOR COURT B51-B01 S73 Manor Court V228358 190505 Stage 4.doc Version 1.30 Page 16 The numbers and suitability of lavatories and bathing facilities met the National Minimum Standard. Sufficient and appropriate specialist disability equipment was available to meet the needs of residents. Records were available showing regular checks and servicing of equipment was undertaken. Bedrooms were spacious, light and airy and many enjoyed open views across the moors. Three single and one double bedroom had en-suite facilities, the remainder had been provided with wash hand-basins. All were individually decorated and appropriately and comfortably furnished. The inclusion of furniture and other effects brought from the occupant’s own home personalised them and helped stamp their personality on the room. Double rooms had been provided with appropriate screens to ensure the privacy and dignity of persons sharing a room. Communal space within the home met the National Minimum Standards. Furniture was comfortable and domestic in character. It was however disappointing that the old and worn furniture first identified in the inspection of October 2003, and in all subsequent inspection, had still not been replaced. It is acknowledged that the manager had experienced difficulties with her supplier and that two manufacturers had gone into liquidation, however the condition of the furniture had further deteriorated and it is now essential that these items are replaced as a matter of urgency. MANOR COURT B51-B01 S73 Manor Court V228358 190505 Stage 4.doc Version 1.30 Page 17 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) 30 The home has a highly motivated staff team with the skills and training to meet residents needs. EVIDENCE: The manager understood the importance of having a trained staff team and encouraged all members of staff to undergo training courses that would help them to understand and meet the needs of the residents. Conversation with staff revealed a motivated team who were benefiting from training and who were able to meet the assessed needs of residents and provide care in a sensitive and competent manner. Current and recently completed training included: Manual Handling; Eye Care; Oral Hygiene; Essential Food Hygiene; Health & Safety; First Aid. Currently the home has eight members of staff qualified to a minimum of NVQ level 2 in Care. Two are currently working towards gaining NVQ level 3, a further two towards NVQ level 2 and a Senior Care Worker is working towards NVQ level 4 in Management. MANOR COURT B51-B01 S73 Manor Court V228358 190505 Stage 4.doc Version 1.30 Page 18 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 The home has a capable and experienced manager who is able to motivate staff and effectively organise all aspects of the running of the home. EVIDENCE: The registered manager has many years experience of working in a management capacity in residential care and discharges her duties in an efficient and responsible manner, however she does not hold an NVQ level 4 or equivalent qualification in management and care. MANOR COURT B51-B01 S73 Manor Court V228358 190505 Stage 4.doc Version 1.30 Page 19 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 3 3 x x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 2 3 3 3 3 3 3 STAFFING Standard No Score 27 x 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 2 x x x x x x x MANOR COURT B51-B01 S73 Manor Court V228358 190505 Stage 4.doc Version 1.30 Page 20 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 OP20 Regulation 16(2) Requirement The home must replace the old and worn furniture as identified in previous inspection reports Timescale for action 22/7/05 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 OP31 Good Practice Recommendations The Registered Manager should have a qualification at NVQ level 4 or equivalent in care and management by 2005 MANOR COURT B51-B01 S73 Manor Court V228358 190505 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection Unit B, Advance St Marks Court Teesdale Stockton-on-Tees TS17 6QX 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 B51-B01 S73 Manor Court V228358 190505 Stage 4.doc Version 1.30 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!