Inspection on 24/08/06 for Manor Court

This inspection was carried out on 24th August 2006.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Manor Court 11/01/06

Manor Court 19/05/05

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 Key Unannounced Inspection 24th August 2006 09:00 X10015.doc Version 1.40 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 DS0000000073.V309438.R01.S.doc Version 5.2 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 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 DS0000000073.V309438.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Manor Court Address 8 - 8a High Street Moorsholm Saltburn-by-Sea TS12 3JH 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) 01287 660747 Mrs Mary Elizabeth Wood Mr K Wood, Mr J Wood Mrs Mary Elizabeth (Molly) Wood Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Manor Court DS0000000073.V309438.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named individual under the age of 60 years be able to be admitted to the home. 11th January 2006 Date of last inspection 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 washbasin 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 DS0000000073.V309438.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was conducted on 24th August 2006, commencing at 9am. During the inspection a tour of the building was conducted, records examined and the inspector spoke to service users, staff and the registered manager. An important part of the inspection process was the case tracking of three residents to see whether they had been given sufficient information before making a decision to enter the home and whether the care they were receiving met their individual needs and wishes. What the service does well: This was a positive inspection of a small family run residential home that continues to serve the local rural community by providing care in a comfortable and homely environment; most of the residents came from Moorsholme and the surrounding villages and after being admitted to the home were able to continue to participate in village life and take part in local events and activities. The building was well maintained, décor was in good order and furniture was domestic in style and appropriate for the needs of residents, some of who had mobility difficulties. Bedrooms had been personalised by personal items and small pieces of furniture brought from the occupants own home. The home encouraged members of staff to undertake training to aid their personal development and help them meet the needs of residents. The following were some of the many positive comments received from residents during the inspection: “The manager is a wonderful woman. The staff are kindness itself, we are all treated as a family. This is a grand place I would recommend it to anybody.” “It’s a good place, they look well after you.” “Excellent food, couldn’t get better.” Manor Court DS0000000073.V309438.R01.S.doc Version 5.2 Page 6 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 contacting your local CSCI office. Manor Court DS0000000073.V309438.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Manor Court DS0000000073.V309438.R01.S.doc Version 5.2 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 the following standard(s): 1,2,3,4,5, Quality in this outcome area was good. This judgement has been made from the evidence gathered both during and before the visit to this service. 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. The homes assessment procedure ensured no one would be admitted unless their needs could be met. EVIDENCE: The home had a Statement of Purpose clearly setting out the aims, objectives and philosophy of care. Examination of personal files revealed that each resident had been given a Service Users Guide and a contract showing the terms and conditions of occupancy, fees payable (currently £330 per week) and details of charges for additional services; contracts had been signed by the manager and the resident or his/her representative. Manor Court DS0000000073.V309438.R01.S.doc Version 5.2 Page 9 Three personal files were examined, each contained a copy of the homes own assessment and, where referred by the Social Services Department, a copy of the care managers assessment. Prior to admission prospective residents and their relatives were invited to visit the home to meet residents and staff; if unable to visit the home prospective residents would be visited in their own home or hospital by the manager or a senior member of staff so that an assessment could be conducted to determine the suitability of the placement. 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 continue to live at Manor Court. The home does not offer intermediate care therefore standard six does not apply. Manor Court DS0000000073.V309438.R01.S.doc Version 5.2 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 the following standard(s): 7,8,9,10,11 Quality in this outcome area was good. This judgement has been made from evidence gathered both during and before the visit to this service. The homes care planning process ensured that resident’s needs were identified and met. Personal care was conducted in a sensitive manner that upheld the dignity and privacy of residents. Systems were in place to ensure the safe handling of medication. An appropriate policy was in place to deal with the dying and death of a resident. EVIDENCE: Three randomly selected care plans were examined; each contained information about all areas of the individual’s health, personal and social care needs. Assessments (including risk assessments) of physical and social needs had been conducted; these were regularly reviewed and appropriate action taken to respond to any changes. Daily records showed resident’s health was monitored and healthcare needs met by community based health services such as the persons own GP., District Nursing Service, chiropodist, optician etc. The manager stated that one of the local doctors held an informal weekly surgery at the home. Manor Court DS0000000073.V309438.R01.S.doc Version 5.2 Page 11 The home had a suitable medication policy and procedures; medication was stored securely and administered by designated staff all of who had received appropriate training in the administration and safe handling of medicines. Residents who had been assessed as being able to administer their medication were asked if they wished to keep their own medicines. It was observed during the inspection that residents were treated with respect and addressed courteously and appropriately. Members of staff displayed insight into the problems associated with old age and spoke sensitively about how needs could be met and how they could help a resident to preserve their dignity and privacy, particularly when assisting with personal care. Residents expressed satisfaction with all aspects of life at the home and praised staff for the way in which care and support was given. 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 able to remain in the home during their last days, unless medical needs could not be met. Manor Court DS0000000073.V309438.R01.S.doc Version 5.2 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 the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Residents were able to exercise choice and make decisions about their lives. Routines were flexible and able to accommodate individual preferences and expectations. Residents were encouraged to maintain links with family, friends and the local community. A healthy, balanced and varied diet was provided. EVIDENCE: Manor Court provided care in an informal, friendly and relaxed atmosphere. Routines were flexible with residents being able to make decisions about everyday things such as when to rise and retire to bed. Members of staff said residents were encouraged to make decisions about their own lives and to be as independent as possible, subject to their individual plan and risk assessments. Meals were generally served in the dining room at set times although there was a high degree of flexibility to accommodate individual wishes. Residents said they could have their meals served in their own room if they wished. Manor Court DS0000000073.V309438.R01.S.doc Version 5.2 Page 13 There was a four-week rolling menu showing a varied and balanced diet was provided. Residents confirmed they were offered an alternative meal of their own choice should they not wish to have the dish of the day. Many very favourable comments were received about the quality of the meals; one resident said: “Very good food, you wouldn’t get better at home.” The dining room was comfortably furnished, however the appearance and homeliness of the room would be greatly improved if the oilcloth type table covering were replaced with table linen. Although there were no visitors to the home during the course of this inspection it was obvious from conversation with residents and staff that Manor Court was very much part of the local community and that residents enjoyed frequent contact with their friends and relatives who were always made welcome whenever they visited. Residents confirmed they were able to receive visitors at any time and were able to meet with them in private if they wished. A resident told the inspector: “My family can come anytime and they are always made welcome and given tea and biscuits.” Another resident, an ex farmer, spoke of visiting a local agricultural show with his family the previous day and of meeting all of his old friends and neighbours. Various regular in-house activities and events (e.g. sing-a-long, quoits, gentle exercise) were organised by staff who, whilst encouraging residents to participate, respected their decision should they decide not to. In addition there were seasonal and community events such as: Scarecrow Competition, Christmas Shop, and Coffee Afternoon. Manor Court DS0000000073.V309438.R01.S.doc Version 5.2 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 the following standard(s): 16,17,18 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The home had appropriate policies and procedures in place in relation to the protection of vulnerable adults and for dealing with complaints. Residents felt confident that appropriate and swift action would be taken to resolve any complaint or concern they might have. All staff had received training in adult protection. EVIDENCE: The 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 lack of recorded complaints reflected the proactive attitude of the manager and members of staff to ensure, by regular informal consultation with residents and their families, that any anxieties or concerns were quickly dealt with. Residents expressed satisfaction with the care they received and said that if they were worried about anything they had only to tell a member of staff and it would be dealt with. Manor Court DS0000000073.V309438.R01.S.doc Version 5.2 Page 15 One resident said: “The staff are kindness itself, we are all treated as family. This is a grand place I would recommend it to anybody.” 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. Most members of staff had attended training in adult protection; further training was planned for the remaining staff. All residents had been enrolled on the electoral register and were encouraged to vote at local and general elections. Manor Court DS0000000073.V309438.R01.S.doc Version 5.2 Page 16 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 the following standard(s): 19,20,21,22,23,24,25,26 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The environmental standard was good, providing residents with a comfortable and homely place in which to live. 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 afford protection against scalding. First floor windows had been fitted with restrictors. Lighting was domestic in nature and emergency lighting had been provided throughout the home. 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. Manor Court DS0000000073.V309438.R01.S.doc Version 5.2 Page 17 Since the last inspection a new disabled bath had been installed in one of the bathrooms. 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 occupants 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 and met the needs of elderly people, some of who had mobility difficulties. Manor Court DS0000000073.V309438.R01.S.doc Version 5.2 Page 18 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement is made from evidence gathered both during and before the visit to the service. Staff were employed in sufficient numbers, and with appropriate skills and training, to meet service users needs. The home operated an appropriate recruitment procedure. EVIDENCE: On the day of the inspection there were sufficient numbers of staff on duty to meet the needs of residents. Examination of staffing rosters revealed that the home was always adequately staffed. Members of staff were encouraged to undertake training and currently thirteen of the twenty one members of the care staff were qualified to a minimum of NVQ level 2 in Care; five were qualified to NVQ level3 and one to NVQ level 4. All mandatory training was upto-date. The home had a recruitment policy and procedures to ensure all necessary checks, including Criminal Records Bureau, were conducted and two suitable references received prior to commencement of employment. Manor Court DS0000000073.V309438.R01.S.doc Version 5.2 Page 19 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,36,37,38 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. A well managed home with policies and systems in place that protected residents and ensured their health, safety and welfare. EVIDENCE: The manager has many years experience of working with older people both in a hospital and residential care setting, however to meet the National Minimum Standard she should hold appropriate qualifications in both care and management. Members of staff and residents spoken to during the inspection considered the home to be well managed and expressed confidence in the registered manager who, they said, was approachable and supportive. Manor Court DS0000000073.V309438.R01.S.doc Version 5.2 Page 20 Staff said they were happy in their work, felt their contribution was valued and were encouraged to undertake training that would aid their personal development and help them meet the needs of residents. All members of staff received formal supervision on at least six occasions per year. Appropriate policies and procedures covering all aspects of the management of the home were in place and regularly reviewed to reflect changing legislation and current good practice. Records, including care plans, were maintained in good order and were held securely and appropriately. The manager and staff were aware of their responsibilities under health & safety legislation. The building, furnishings and fittings were regularly checked and serviced to maintain a safe environment. A designated representative, generally a family member, dealt with the financial affairs of residents and only small amounts of cash were handled by staff at the home. Any item of value held for safekeeping on behalf of a resident was held securely and an appropriate record kept. Manor Court DS0000000073.V309438.R01.S.doc Version 5.2 Page 21 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 3 x 3 3 3 3 Manor Court DS0000000073.V309438.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? NO 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 OP31 Good Practice Recommendations The Registered Manager should have a qualification at NVQ level 4 or equivalent in care and management by 2005 The oilcloth type table coverings should be replaced with table linen. 2 OP15 Manor Court DS0000000073.V309438.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Tees Valley Area Office 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 DS0000000073.V309438.R01.S.doc Version 5.2 Page 24 - 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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