Inspection on 31/10/06 for Manor Court

This inspection was carried out on 31st October 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 17/01/06

Manor Court 08/09/05

Manor Court 24/01/05

Manor Court 11/05/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE Manor Court Manor Court Road Nuneaton Warwickshire CV11 5HU Lead Inspector Patricia Flanaghan Unannounced Inspection 11:45 31 October & 3 November 2006 st rd 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 DS0000004253.V318812.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 DS0000004253.V318812.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Manor Court Address Manor Court Road Nuneaton Warwickshire CV11 5HU 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) 02476 383787 02476 383787 Swinnerton Trust Mrs Yvonne Thompson Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Manor Court DS0000004253.V318812.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Manor Court may also provide care to the service user named in the variation application dated 28th November 2005. 17th January 2006 Date of last inspection Brief Description of the Service: The Swinnerton Trust (a voluntary organisation) owns and manages Manor Court. Manor Court is a Victorian house, which has been adapted to provide long-term care and accommodation for 24 older people. The home is located close to Nuneaton town centre, which provides local services e.g. shops, schools, public houses, restaurants and coffee bar, and is set in its own spacious grounds on the site of a medieval priory. Manor Court benefits from a well-established garden, which is attractive, well maintained and accessible. Included in the grounds are a stream and spinney. There is car parking space available for a number of vehicles. Accommodation is available on three floors. Three rooms are located on the ground floor, twelve rooms on the second floor and a further eight rooms on the top floor of the premises. Service users can furnish and redecorate their private room to their own taste if they wish. Service users can choose to use either a slow moving shaft lift or a stair lift for easy access to the fist and second floors. There are three bathrooms two of which offer assisted baths; the third bathroom also accommodates a shower facility. Communal accommodation comprises of a dining room, two lounges and a conservatory. Manor Court is registered to provide care and accommodation for older people assessed as not requiring either specialist dementia care or nursing care. At the time of this inspection visit the fees at the home ranged from £340.00 to £385.00 per week. There are additional charges for hairdressing, toiletries and newspapers. Manor Court DS0000004253.V318812.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for residents and their views of the service provided. This process considers the care home’s capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provisions that need further development. This unannounced inspection visit took place over two days on Tuesday 31st October between 11.45am and 4.45pm and Friday 3rd November between 11.30am and 4.30pm. Two residents were ‘case tracked’. This involves establishing an individual’s experience of living in the care home by meeting or observing them, discussing their care with staff, looking at their care files, and focusing on outcomes. Before the inspection, a random selection of residents and relatives were sent questionnaires to seek their independent views about the home. Eleven responses were received from residents and four responses from relatives/visitors. An audit of the residents’ surveys showed satisfaction with the service provided, the residents knew who to speak to if they were unhappy, the home was always fresh and clean, the staff listen and act on what residents say and are available when residents need them. The registered manager of the home completed and returned a questionnaire containing further information about the home as part of the inspection process. Some of the information contained within this document has also been used in assessing actions taken by the home to meet care standards. The inspector had the opportunity to meet most of the residents and talked to five of them about their experience of the home. The residents were able to express their opinion of the service they received. General conversation was held with other residents along with observation of working practices and staff interaction with residents. The inspector also spoke with five visitors about their experience of the home. The inspector would like to thank residents and staff for their cooperation and hospitality. Manor Court DS0000004253.V318812.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? Manor Court DS0000004253.V318812.R01.S.doc Version 5.2 Page 7 Medicine management has improved ensuring the health and welfare of residents is promoted. 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. The summary of this inspection report can be made available in other formats on request. Manor Court DS0000004253.V318812.R01.S.doc Version 5.2 Page 8 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 DS0000004253.V318812.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are assessed before their admission to Manor Court to ensure the home can meet their needs. EVIDENCE: All residents are assessed before their admission to the home and this information is then used to develop care plans to meet the needs identified. The manager or a senior care officer visits prospective residents in their own home to assess their care needs and to provide information about the home. A record of the initial care needs assessment is held and used to determine whether the residents care needs can be met. Assessment records were available on the two care plan profiles examined. The initial care needs assessments examined held information about the residents background, personal circumstances and care needs. Manor Court DS0000004253.V318812.R01.S.doc Version 5.2 Page 10 A resident spoken with confirmed that she had visited the home with her family. She said she “immediately felt it was the right home” for her and called it her “home from home.” Another resident who had lived in the home for over two years said that she had visited many care homes with her daughter and “thanked her lucky stars” they had decided on Manor Court. The relative of a resident who had moved in recently said that she had visited a number of care homes on her mother’s behalf and felt Manor Court would “suit Mum best.” The relative also confirmed that the manager had visited her mother at home to assess her and had provided information about the home. Eleven completed questionnaires were received from residents. All eleven stated that they had received information about the home before they moved in so they could decide if it was the right place for them. Additional comments made include “I was able to see around the home before I made my mind up,” and “I could not have found a better home.” Manor Court DS0000004253.V318812.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are provided with the support they require to meet their personal and healthcare needs in a manner that respects their privacy and dignity. EVIDENCE: The care plan files for two residents were examined. The files contain detailed, helpful information explaining people’s needs. The care plans cover a comprehensive range of personal care needs and health care needs. The care plans examined recorded most of the identified needs of the residents. However, care plans did not always contain clear directions for staff about the actions required to meet the needs. For example, the ‘Handling/Bed’ section on one of the care plans examined stated that the resident “sometimes needs help to get in and out properly”. It didn’t specify which type of ‘help’ was needed. In conversation, the resident told the inspector that they needed assistance at all times to get into bed as their legs needed lifting on to the bed. Manor Court DS0000004253.V318812.R01.S.doc Version 5.2 Page 12 A manual handling assessment dated 24/05/05 was also examined. The instructions to staff said, “resident cannot get up without help, needs assistance.” The type of assistance was not identified, for example, were one or two staff required or, possibly was a hoist required? Nonetheless, staff spoken to were very knowledgeable about the people they were caring for and were aware of all their needs and preferences. Verbal communication between the staff group is very good and lots of information about residents is shared in this way. Information in the care review notes also verified that the home seeks to involve residents, relatives and other relevant people in the review process. Entries in residents’ health records and comments by staff confirmed that people are supported to gain access to relevant health professionals where required, such as the GP, district nurse, dentist and optician. This was also verified by comments made by a number of residents and one resident visited the dentist during the inspection. One resident stated in their comment card, “the staff call in the doctor when they see you need medical attention.” Health records contained evidence confirming that where extra care is required it is correctly monitored and recorded, for example, fluid and food intake is recorded in detail each day. This ensures that any resident at risk is eating well and they do not become dehydrated. Care staff records daily entries after each shift these described how residents spend their day and note any changes in their general health and well being. The management of medicines in the home was examined. The weekly stock of medicines is safely stored in a locked cupboard. Staff receive training in the safe administration of medicines. Administration records are well maintained. The home uses a monitored dosage system (‘blister pack’) for the administration of medicines. The lunchtime administration of medication was observed and was satisfactory. All residents spoken to were positive about the care they receive in the home. Throughout the inspection staff were observed to be caring and supportive towards residents. The people living at the home were seen to be well groomed and dressed in well laundered, age appropriate clothing, indicating that they are supported to maintain a good self-image. Residents’ personal care needs are carried out behind closed doors demonstrating that staff show a suitable regard for people’s privacy and dignity. Residents and visitors spoken with said the staff were kind and respectful. Comments made include, “the girls are excellent,” and “the girls are kind and helpful.” Comments noted in the resident questionnaire surveys include: “the staff are always cheerful,” and “I am very happy here and thanks to the staff for making me so comfortable.” Manor Court DS0000004253.V318812.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to participate in social activities and are given choices in how their care is delivered including choices of meals provided to maintain their quality of life. EVIDENCE: Visitors are welcome at the home and information is available in the home’s brochure of visiting arrangements. Care plans reviewed showed that the religious and cultural needs of residents are established and considered when planning their care. The full programme for activities is displayed on the notice board with daily activities written on a chalkboard. Regular outings are undertaken and there were photographs on display of recent outings, for example, residents had enjoyed a canal barge trip during the summer. The manager is in the process of completing a Certificate in ‘Providing Therapeutic Activities for the Elderly.’ She is putting what she has learned into practice and was very positive on how this benefits the residents, for example, she intends to allocate a day specifically for one to one sessions with residents when she has completed the course. Manor Court DS0000004253.V318812.R01.S.doc Version 5.2 Page 14 Residents said that they choose how they spend their day and take part in the social activities if they wished to. One resident stated in the questionnaire “You can join in if you want or just sit and watch.” Residents meetings are held monthly with minutes of the meetings displayed on the notice board. The minutes of recent meetings demonstrated that residents have a say in the running of the home with several suggestions on activities they would like to see provided. All residents spoken with felt there were sufficient activities offered by the home. Most residents have good contact with their relatives and some residents go out with their family on a regular basis. Family and friends are welcomed at the home and are invited to attend parties and other celebrations. Some residents are able to leave the home on their own and continue with their dayto-day life in the community. For example, the home was arranging for a resident to attend a concert in December with some friends and a resident was on holiday with family at the time of the inspection visit. All visitors spoken with said they are given a warm friendly welcome by all the staff whenever they visit. A tour of the premises found that residents are encouraged to personalise their own private rooms. Evidence of personal possessions including small items of furniture were seen in a number of residents’ private rooms. The kitchen was clean and well managed. Records of fridge, freezer and high risk cooked food temperatures are maintained. A cleaning schedule was in place and used to make sure all areas of the kitchen were regularly cleaned and hygienic. Food storage areas were well stocked with a wide range of fresh, tinned and frozen foods. The inspector joined residents for their lunchtime meal in the pleasant dining room. Tables were set nicely with tablecloths, serviettes and flowers. Good quality crockery and cutlery is used making the mealtime an enjoyable experience for residents. Up to four people sit to a table and residents can sit where they would like to, although most appeared to have their ‘own’ places at the table. A choice of menu, including a vegetarian option is available and the menu of the day is displayed at the entrance to the dining room. Residents could help themselves to the vegetables that were placed on the table in vegetable dishes with gravy also being served separately. This is to be commended and enables residents to make their own choices about portion sizes. All of those spoken with enjoyed their meal and commented that the food is usually good. Residents were relaxed and enjoyed chatting to each other. Staff were on hand to provide assistance if required and assisted residents in a discreet and sensitive manner. Manor Court DS0000004253.V318812.R01.S.doc Version 5.2 Page 15 Before the inspection a number of residents returned questionnaires and made the following comments about the meals in the home. • • “Soups would be very welcome before lunch, tea meals need more variety, including sandwiches sometimes,” “There is a good selection and choice, especially at breakfast. The addition of soup before the main meals would be very welcome occasionally. A variation from sandwiches at the evening meal would be very welcome.” “The food at the home is very good.” “Always a good choice.” • • The manager said she would raise the matter of menus at the next resident meeting and ask ’volunteers’ to look at ways of improving the menus, with a view to offering greater choice at meal times. Manor Court DS0000004253.V318812.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has appropriate policies and procedures for the protection of residents and complaints are listened to and taken seriously. EVIDENCE: A detailed complaints procedure is available and accessible to residents, staff and visitors in the home. Neither the home nor the Commission for Social Care Inspection have received any complaints since the last inspection visit. A record of compliments and complaints is maintained in the home. In practice, people living in the home talk to care staff or the manager if they have any concerns. Several residents commented that the manager and staff were approachable, always listened to their concerns and always ‘fixed it.’ One resident said, “I have nothing to complain about, everything is perfect.” Another resident commented in their questionnaire “I find the staff very kind and I am able to talk to them about things that might trouble me.” Staff training records were seen to demonstrate that most of the staff had received training in recognising and responding to signs of abuse. The manager has arranged appropriate training for the remainder of the staff. It was evident through discussion with the manager and members of care staff that they are aware of how to respond to an allegation of abuse in the care home. Manor Court DS0000004253.V318812.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24, 25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a well-maintained and safe environment that is equipped to meet their individual needs. Residents are able to personalise their rooms and benefit from living in a home that is clean and free of offensive odours. EVIDENCE: A tour of the home found the environment was generally well maintained. All areas of the home seen were clean, bright and airy and odour free. One resident commented, “There are never any funny smells here.” The home has a large communal lounge, television lounge, a conservatory used as a quiet area and a separate dining room. People living in the home moved around it freely making good use of both the communal and individual space. Residents were seen to come and go to their rooms as they choose. There are large, well-maintained gardens for residents to enjoy and one resident said “I love wandering about the garden in the summer “. Manor Court DS0000004253.V318812.R01.S.doc Version 5.2 Page 18 Several of the bedrooms were seen. Residents are encouraged to bring their own possessions into the home and personalise their rooms. Without exception, all service users spoken with were happy with the accommodation provided. One resident who had recently moved into the home said that her room had been decorated before she moved and she had been asked what colour she would like. She said, “my room is very comfortable, I like to spend time in my room reading.” She said she considered Manor Court “my home from home.” Comments on the resident survey questionnaires include: • • “The home is very comfortable, I myself have a lovely room,” “My room is always fresh and clean,” The home has systems in place for the management of dirty laundry and the clothes of everyone living in the home looked clean, ironed and well looked after. Two washing machines and two tumble dryers are available. All are in good working order. A resident commented, “There are no problems with the laundry. Bed linen is changed regularly and is always crisp and fresh.” During conversation, a visitor said, “Dad always looks clean and well dressed.” Manor Court DS0000004253.V318812.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ have their care needs met by appropriate numbers of trained and experienced staff. Rigorous staff recruitment procedures promote the safety of residents. EVIDENCE: At the time of the inspection there were 24 residents in the home including one person on holiday. Duty rotas seen evidenced that staffing levels are being maintained within agreed levels. On both days of the inspection there were five carers on duty in the morning and four in the afternoon/evening. Two waking staff are on duty each night. Two housekeepers, a laundry assistant two catering staff and a maintenance man provided ancillary cover. The manager advised that all new staff complete induction training to the required standards and once this is completed they are enrolled onto an appropriate training course to complete the National Vocational Qualification Level 2 in Care (NVQ level 2). This training is to support staff in providing more effective care to the residents. Training records provided by the manager demonstrate that 12 carers have completed NVQ level 2 training and four are enrolled on the training ensuring that 75 of care staff in the home will have an NVQ Level 2 in care. Manor Court DS0000004253.V318812.R01.S.doc Version 5.2 Page 20 The personnel files of two recently appointed staff were examined and these contained all the necessary information and pre-employment checks necessary to determine fitness such as, previous work history, references, Criminal Record Bureau (CRB) disclosures and checks made against the Protection of Vulnerable Adults register (PoVA). The cabinet containing staff files was locked and not available for examination on the first day of the inspection visit, as the manager was on a training day. The manager has since put systems in place to ensure authorised officials can access the files, if necessary. New staff have an induction relevant to their role and responsibilities that includes shadowing an experienced worker and training in health and safety, safe moving and handling techniques and the principles of care. Staff training records confirmed regular updates in a range of health and safety issues and moving and handling. Manor Court DS0000004253.V318812.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems are in place to ensure the home is run in the best interests of the residents and to ensure the health and safety of the residents is protected. EVIDENCE: The manager is experienced, has attained the Registered Managers Award qualification and is suitably qualified to manage the home. She continues to update her learning, for example, she is completing a Certificate in Providing Therapeutic Activities for the Elderly. The home has good quality assurance systems, which include ways of gaining the opinions of the people at the home about the service they receive. This includes regular residents meetings as well as seeking people’s views about a Manor Court DS0000004253.V318812.R01.S.doc Version 5.2 Page 22 various aspects as part of the care review process. Feedback from relatives and others was obtained in a less formal manner during ‘one to one’ meetings and from thank you letters and cards. Regular monthly visits are carried out by the responsible individual to ensure the home is running properly. The manager and the maintenance man to ensure the home is safe and well maintained for people to live in also carry out thorough monitoring checks of various aspects of the home. One visitor commented on their questionnaire “I have no complaints and I can see for myself that the home is well run.” People’s personal monies are stored away safely and a clear record of expenditure is kept so that it is possible to check how people’s money has been spent. The manager confirmed that the majority of residents at the home receive support from outside of the home to manage their finances, either from their relatives or other advocates. The pre inspection questionnaire completed by the manager indicates that all relevant health and safety checks are carried out by the home. Certificates were seen during the inspection for the maintenance and service of major systems. The fire log was checked. These records indicate that fire alarms and lights are tested at the correct frequencies and that drills are carried out at the home. A record is routinely completed to monitor the temperature of the hot water in the home to ensure that it kept at a safe and comfortable temperature for people to use. No health and safety hazards were observed at this inspection. Evidence was seen to confirm that staff receive regular training in moving and handling, fire safety, first aid and food hygiene. Manor Court DS0000004253.V318812.R01.S.doc Version 5.2 Page 23 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 X X 3 X X N/A 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 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X 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 3 X 3 X 3 X X 3 Manor Court DS0000004253.V318812.R01.S.doc Version 5.2 Page 24 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. 1 Standard OP7 Regulation 15 Requirement Care plans must set out in detail the action needed to be carried out to ensure that all aspects of the health, personal and social care needs of each resident is met. Care plans must be up to date and reflect the current needs of individual residents. These must be reviewed monthly as a minimum. Timescale for action 31/01/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Manor Court DS0000004253.V318812.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Leamington Spa Office Imperial Court Holly Walk Leamington Spa CV32 4YB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 DS0000004253.V318812.R01.S.doc Version 5.2 Page 26 - 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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