Inspection on 08/09/05 for Manor Court

This inspection was carried out on 8th September 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 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 31/10/06

Manor Court 17/01/06

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 8th September 2005 11:30 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.V249530.R01.S.doc Version 5.0 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.V249530.R01.S.doc Version 5.0 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.V249530.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Manor Court DS0000004253.V249530.R01.S.doc Version 5.0 Page 5 Date of last inspection 24th January 2005 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 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. All service users private rooms are single; and have en-suite facilities. (Washbasin and toilet). A call alarm facility is standard in all bedrooms. A number of service users have had telephones installed in their private rooms for personal use. The home provides a public telephone, which is located in the vestibule. Service users can furnish and redecorate their private room to their own taste if they wish. Due to the size and layout of the premises the home may not be suitable for wheelchair users. Wheelchairs can however be used to assist service users to transfer. Manor Court is registered to provide care and accommodation for older people assessed as not requiring either specialist dementia care or nursing care. Manor Court DS0000004253.V249530.R01.S.doc Version 5.0 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over one day between the hours of 11.15 am and 5.00pm. This was the first visit for this inspection year. Staff co operated fully with the inspection. The senior carer on duty was present throughout the inspection. The inspection process involved a tour of the home, talking with the senior carer, examining records and care plans, observation of care practices along with discussions with residents, staff and two relatives who were visiting on the day of the inspection. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Manor Court DS0000004253.V249530.R01.S.doc Version 5.0 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 DS0000004253.V249530.R01.S.doc Version 5.0 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): 3, 4 and 5. Standard 6 is not applicable for this home. Residents are assessed before moving into the home. They are provided with the opportunity to visit the home to assess the quality, facilities and suitability of the home before they move in. EVIDENCE: The files of three residents were reviewed during this inspection. The admissions procedure included an assessment by the home completed before admission and provided the opportunity for the prospective residents and/ or their relatives to visit the home. Records showed that assessments had been completed and this provided the necessary information for the home to be able to provide the care needed. The community care plans provided by the social worker, as part of the individual needs assessment process, were seen within the residents care plans. Manor Court DS0000004253.V249530.R01.S.doc Version 5.0 Page 9 The records seen and a discussion with the staff evidenced that care staff, individually and collectively, had the necessary experience and skills to meet the assessed needs of the current service users. A discussion with two of the most recently admitted residents evidenced that they had visited the home before making a decision to move in permanently. Other residents advised that their relatives had visited the home to look round before they moved into the home. Manor Court DS0000004253.V249530.R01.S.doc Version 5.0 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 and 10 The home was meeting the health needs of the service users although there were aspects of the record keeping that needed improvement. Without this improvement they is the chance that aspects of residents’ care may not be fully attended to. Personal support is offered in such a way as to maintain residents’ privacy and dignity. EVIDENCE: The home have individual plans of care identifying the health and personal care needs but and in some cases no falls risk assessment, or a very basic assessment had been completed. Not all plans were evaluated regularly, one plan being last evaluated in February 2005. Although staff state they are aware of the individual needs of residents, this is based on what staff ‘just know’ and individual assessed needs are not all identified and documented in care plans. Manor Court DS0000004253.V249530.R01.S.doc Version 5.0 Page 11 This approach is dependent upon staff memory and good verbal communication systems. For example, one resident regularly leaves the home on social outings, but no risk assessment had been completed for these outings or directions for staff to follow in the event of an unforeseen incident. A discussion was held with the senior care on duty during the inspection on how care planning documentation could be improved. Residents spoken felt that their health care needs were being met stating that they saw the dentist, the chiropodist, the optician and that the GP or District Nurse saw them when necessary. The risk of pressure sores is assessed and the necessary equipment would be provided if necessary. Nutritional issues were identified and if necessary a nutritional plan was in place. Residents looked cared for with attention to their personal appearance and personal hygiene, which includes oral hygiene. Residents received dental, chiropody care and saw the optician. The home supported residents to attend outpatient appointments. The home promoted the privacy, dignity and independence of the residents. Staff were observed responding to residents in a sensitive manner and were able to describe how they undertook tasks in a manner that promoted residents’ privacy and supported them to make choices over their lives. Four residents told the inspector that they were treated with respect and that the staff were very kind. One resident advised that ‘nothing is too much trouble’ for staff and another advised that the ‘girls work very hard and there is nothing to complain about.’ Manor Court DS0000004253.V249530.R01.S.doc Version 5.0 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 and 14 Residents were satisfied with their lifestyle in the home and they had been able to exercise choice and influence decisions affecting them. Contact has been maintained with relatives and friends of residents. Opportunities to access the local community have been made available. EVIDENCE: There is a planned programme of activities and entertainment in the home. The programme is displayed on the residents notice board and staff undertake most activities with residents. Trips out to local places of interest are arranged. The home had the use of a minibus. Entertainers also visit the home and church services are held there. Residents said that they could choose how they spend their day and could take part in the social activities if they wished to. Residents meetings are held regularly. The minutes of the meetings are displayed on the notice board. The minutes demonstrated that residents have a say in the running of the home with several suggestions on activities they would like to see delivered. Most residents spoken with felt there was sufficient activities offered by the home. Two residents and a visitor said that they would like to see more variety in the activities available in the home. Manor Court DS0000004253.V249530.R01.S.doc Version 5.0 Page 13 A pay phone is available for residents in the entrance hall. Some residents have telephones in their rooms or mobile phones. One resident and a visitor said that they would like a portable phone to be available which could be brought to the residents when they receive incoming phone calls. Observations made during the inspection showed that staff allowed service users time to carry out their daily living routines. Most residents have good contact with their relatives and a good number of 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 day-to-day life in the community. All visitors spoken with said they are given a warm friendly welcome by all the staff whenever they visit. Manor Court DS0000004253.V249530.R01.S.doc Version 5.0 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 Systems for the management of complaints are satisfactory. Residents can be confident that their concerns are listened to, taken seriously and acted up on. EVIDENCE: Residents and relatives spoken with were aware of the complaints procedure and how to make a complaint if they needed to. They were satisfied that any issues taken to the manager or her deputy would be dealt with promptly. The home has a clear complaints procedure, which is explained in the homes statement of purpose and given to all prospective service users or their family/representative before moving into the home. The complaints procedure is also located on a notice board in reception. The Commission for Social Care Inspection (CSCI) has not received any complaints since the last inspection visit. Manor Court DS0000004253.V249530.R01.S.doc Version 5.0 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 the following standard(s): 19, 20, 24 and 26 The standard of the environment within this home is good providing residents with an attractive and homely place to live. The gardens are well maintained and accessible, so the residents can take pleasure in these areas. EVIDENCE: The communal areas and some bedrooms were seen during the inspection. There are three lounges and a conservatory available to residents. Communal areas are in good order and the home was warm and comfortable. Residents and relatives were observed to be sitting in the lounge areas, bedrooms, the entrance area, dining room and the conservatory. There are large, well-maintained gardens for residents to enjoy. Observations of bedrooms visited indicate that residents are encouraged to bring in personal items to individualise their own space and that bedrooms are furnished based on their individual needs. On the day of the inspection the premises were clean, hygienic and free from offensive odours. The laundry facilities were in good order and residents confirmed they had no problems with laundering arrangements at the home. The home has provided policies for the control of infection and provides protective clothing and disposable gloves. Manor Court DS0000004253.V249530.R01.S.doc Version 5.0 Page 16 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 The number and skill mix of the staff is sufficient to meet the needs of the residents. EVIDENCE: It was evidenced from duty rotas and the number of staff on duty on the day of inspection that there was sufficient care staff available to meet the needs of residents during the day. Rotas examined showed that there are four staff on duty during the day and two carers during the night. There is a good balance within the staff group which includes experienced staff and younger staff who are embarking on a new career. Manor Court DS0000004253.V249530.R01.S.doc Version 5.0 Page 17 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): These standards were not assessed as part of this inspection. EVIDENCE: Manor Court DS0000004253.V249530.R01.S.doc Version 5.0 Page 18 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 3 X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 3 X X X 3 X 3 STAFFING Standard No Score 27 3 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X X Manor Court DS0000004253.V249530.R01.S.doc Version 5.0 Page 19 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 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. Risk assessment must be developed on an individual basis for the residents, both in daily living activities within the home and within the community. Timescale for action 30/11/05 2 OP7 13(4) 30/11/05 Manor Court DS0000004253.V249530.R01.S.doc Version 5.0 Page 20 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 2 Refer to Standard OP12 OP13 Good Practice Recommendations It is recommended that individual residents recreational and social care wishes are taken into account when developing the activities programme. Consideration should be given to making a portable telephone available to residents to make and receive telephone calls. Manor Court DS0000004253.V249530.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Leamington Spa Office Imperial Court Holly Walk Leamington Spa CV32 4YB 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 DS0000004253.V249530.R01.S.doc Version 5.0 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!