Inspection on 07/01/06 for Manor Farm House Residential Home

This inspection was carried out on 7th January 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 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 Farm House Residential Home 23/05/07

Manor Farm House Residential Home 26/07/06

Manor Farm House Residential Home 27/07/05

Manor Farm House Residential Home 18/03/05

Manor Farm House Residential Home 29/07/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Manor Farm House Residential Home Church Road Kessingland Lowestoft Suffolk NR33 7SJ Lead Inspector Alan Clare Unannounced Inspection 10:00 7 January 2006 th 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 Farm House Residential Home DS0000024440.V275870.R01.S.doc Version 5.1 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 Farm House Residential Home DS0000024440.V275870.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Manor Farm House Residential Home Address Church Road Kessingland Lowestoft Suffolk NR33 7SJ 01502 740161 01502 740756 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) Mr Hector Jackson Mrs Alison Palmer Care Home 25 Category(ies) of Dementia - over 65 years of age (1), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (1), Old age, not falling within any other category (25) Manor Farm House Residential Home DS0000024440.V275870.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. One person over 65 years of age, whose name was given to the Commission on 20 May 2005 who requires care by reason of dementia. One person over 65 years of age, whose name was given to the Commission on 11 August 2005, who requires care by reason of mental disorder. Date of last inspection Brief Description of the Service: Manor Farm House is a residential care home registered under the provisions of the Care Standards Act 2000 to accommodate 25 older persons. It is privately owned, and personally supervised, by Mr and Mrs Jackson.Located in the village of Kessingland, Manor Farm House is close to main amenities although transport would be required to access them. Manor Farm House was first registered in 1983 and consists of a two storey main building with a bungalow extension that is linked to the main building. The Home provides 17 single bedrooms and four double bedrooms that are all provided with a wash hand basin. There is a choice of areas for service users to sit, either in the large lounge in the extension, a smaller seating area, or the conservatory. The dining room is situated at the front of the home and provides views of the open countryside. There is a stair-lift fitted to assist service users to access the first floor. Manor Farm House Residential Home DS0000024440.V275870.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and started at 12.00 midday on a Saturday following Christmas and New Year celebrations. At the time of the inspector’s arrival residents were preparing to take lunch. The senior care assistant on duty who assisted throughout the visit welcomed the inspector. Later the registered manager who was not on duty visited the home to further assist with the inspection. The inspector took time to focus on the requirements and recommendations of the previous announced inspection report whilst also making a tour of the building, speaking with residents, one visitor and a number of staff. A selection of records relating to residents care were seen and particular attention was paid to arrangements within the home throughout the resident’s lunchtime. What the service does well: What has improved since the last inspection? Resident’s medicines are now all provided from individually labelled containers. The home has to provided a lockable medicine trolley of it’s own design and making. The home has included the current name and contact details of CSCI in the complaints procedure. Manor Farm House Residential Home DS0000024440.V275870.R01.S.doc Version 5.1 Page 6 A complaints record is kept. The registered manager is about to undertake training in the protection of vulnerable adults. A non-permeable floor has been laid in the laundry. Resident’s records and care plans are now regularly audited and filed in an orderly easily accessible system. 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 Farm House Residential Home DS0000024440.V275870.R01.S.doc Version 5.1 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 Farm House Residential Home DS0000024440.V275870.R01.S.doc Version 5.1 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): Perspective residents and their relatives have the information they need before deciding on whether to move in to the home. Residents and their relatives are given the opportunity to visit and assess the home’s qualities before deciding to move in. EVIDENCE: The layout and language of The Residents information Guide and Statement of Purpose has been re written to make them easier to understand. One resident who moved in earlier this year described to the inspector how the resident and family members were invited to look around and see the vacant room before deciding to move in, commenting that “ we were helped and given advice by the staff “. Manor Farm House Residential Home DS0000024440.V275870.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10,11 Residents can expect that their needs and preferences are set out in an individual care plan and that their health needs are fully met. Residents can expect that their prescribed medicines will be stored and administered in accordance with the homes MAR policy. However, they cannot be assured that ‘over the counter’ medicines that they wish the home to administer on their behalf will on every occasion be recorded in the MAR records. Residents can expect that staff will respect the privacy of those residents who require it either through informed choice or necessity of their care needs. EVIDENCE: Four residents care plans seen on the day were detailed and completed up to date. Each care plan give an account of the care and attention given to residents through out the day or night and referred to the visits and actions of district nurses and doctors who had visited the resident. Manor Farm House Residential Home DS0000024440.V275870.R01.S.doc Version 5.1 Page 10 Random sample of medicine containers and recording sheets evidenced that the home’s practice is in accordance with its policy for prescribed medicines. However,one item of ‘over the counter’ medicine kept in the medicine cabinet was not recorded within the MAR policy or resident’s care plan. The inspector noted that comments made by two residents as to the “caring and thoughtful way” in which staff go about their work indicated that residents felt that they were treated with respect and dignity. The inspector observed staff as they went about their work, and noted that they interacted with residents in an open and courteous manner, which enhanced the relationship between carer and resident. Staff were seen to knock on resident’s room doors before entering, and ensuring that lavatory doors were closed whilst residents occupied them. The record of care provided to a resident who had passed away during the night prior to the inspection described the care and attention that staff had provided the resident. The records also recorded the involvement of the deceased resident’s family and the supportive nature of the contact that had taken place between them and the home. Manor Farm House Residential Home DS0000024440.V275870.R01.S.doc Version 5.1 Page 11 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 Service users can be assured that the home will endeavour to make some attempt to match their expectations for social and recreational interests. However, resident cannot expect that they will be provided with a full and varied list of opportunities for activities which will meet their needs throughout the year. Residents can be assured that activities and entertainment will be arranged over the Christmas and New Year period. Residents can expect that the home will encourage and support them in maintaining contacts with family and the community. Residents can be assured that the home will respect their choices in lifestyle and control over their lives. Residents can expect that they will be offered well cooked and pre pared meals which they are able to choose from a menu of home cooked dishes and that the meal will be served in their room or in the calm setting of the dinning room. EVIDENCE: Manor Farm House Residential Home DS0000024440.V275870.R01.S.doc Version 5.1 Page 12 Whist residents talked about the party and visit from the local Church Choir at Christmas, they were unable to give any information about any other opportunities for recreational activity that the home may arrange. Staff spoken to talked about the difficulty of engaging a frail group of people in any activity other than Bingo, although they sought to assure the inspector that opportunities for one to one activity was available. This was not seen to be recorded in the sample of care plans inspected. One visitor informed the inspector that when visiting the home each day there is always “ a welcome and cup of tea from the staff”. A resident informed the inspector that a partner who lives locally is able to “call in at any time”. Two residents spoken to separately explained to the inspector that they “preferred” to be in their rooms and that staff respected this and served them their meals in their rooms “as they wished”. Lunch was served in a calm and peaceful manner; the attention of two staff focused on four individual residents who required assistance to manage their meal and who where sat on a separate table in the dinning room. The dual aspect windows provided adequate lighting and an open and airy sense to the room. Plated meals containing the resident’s choice of entrée are served by staff to residents who are allowed to eat in their own time. Portions are decided upon by staff who informed the inspector that they are familiar with individual resident’s appetite and preferences. Residents who choose to remain in their room are served their meal on a tray. Meals are accompanied by squash or water of choice served in plastic beakers whilst the crockery in use was made up of a number of different patterns and designs. Menus for the following week were seen by the inspector who noted that sufficient food was available in the home to provide the range of choice available to residents. Manor Farm House Residential Home DS0000024440.V275870.R01.S.doc Version 5.1 Page 13 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 18 Residents and their relatives can be assured that the home will listen to their complaints seriously and act upon them. Residents and their relatives can be assured that the home is in the process of arranging for staff to undertake training in Protection of Vulnerable Adults. EVIDENCE: The home, complaints book is available to visitors to the home. A visiting relative informed the inspector that the manager and owner were “very approachable and seemed to do their utmost in sorting out any problems”. The registered manager informed the inspector that she was about to undertake training in Protection of Vulnerable Adults and that on her completion she would be arranging “in house training for staff”. Manor Farm House Residential Home DS0000024440.V275870.R01.S.doc Version 5.1 Page 14 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, 24,26 Residents and their relatives can expect that the home offers a safe environment but that there are areas within the home where decoration would benefit from renewing. Residents and relatives can expect that resident’s rooms will be safe, comfortable and that they will have he opportunity to have their own processions around them. However residents who share a room with one other cannot be assured that their personal possessions and items of toiletry will arranged in a way in which they are easily distinguishable from the other resident’s possessions. Residents and their relatives can expect the home to be clean and hygienic. EVIDENCE: Care plans seen by the inspector evidenced that Risk Assessments are in place for residents. Staff were seen to carry out checks on one resident who is cared for in the resident’s own room. Manor Farm House Residential Home DS0000024440.V275870.R01.S.doc Version 5.1 Page 15 During the tour of the home the inspector noted that areas of the home’s decoration were looking worn and would benefit from renewal. The registered manager informed the inspector hat the home was drawing up plans to continue a modest programme of re decoration. Individual residents rooms were generally comfortable and included residents personal items and possessions. However, in shared rooms it was not possible to distinguish resident’s individual items of toiletry. During the tour of the building the inspector noted that the home was found to be clean, hygienic and free of odours. Manor Farm House Residential Home DS0000024440.V275870.R01.S.doc Version 5.1 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): 27,28,30 Resident’s and relatives can be assured that resident’s needs will be met by the numbers and skill mix of staff and that the home will provide training to ensure that the staff are competent to do their jobs. EVIDENCE: At the time of the visit there were 5 staff and the senior care on duty, with an additional member of staff on duty until midday. The inspector noted that staff were able to go about their work and respond to residents needs in a calm and unhurried manner. Residents were seen to be receiving individual attention as was required. Staff behaved in a courteous manner. One resident with special needs was assisted in her care by two members of staff whilst others who required individual help with lunch received the assistance they required without causing any delays to the support required by other residents. The home has recently provided day release to 4 members of staff to attend a specialist dementia course. The senior care has undertaken NVQ training and the registered manager is about to undertake training in Protection of Vulnerable Adults. Manor Farm House Residential Home DS0000024440.V275870.R01.S.doc Version 5.1 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): 31,32,37,38 Residents and relatives can expect that the home is well run and that the manager is able to discharge her responsibilities in the best interests of residents. They cannot be assured that during extreme weather conditions that staff will be able to carry out laundering duties in temperatures, which are comfortable to them. EVIDENCE: The current manger has worked at the home for many years and continues to strengthen her experience and knowledge by developing her knowledge of providing services to people who experience dementia. Records including those relating to residents care, seen on the day were in good order. Manor Farm House Residential Home DS0000024440.V275870.R01.S.doc Version 5.1 Page 18 The home currently has one vacancy for a carer. Continuity within the staff group for residents is enhanced by the low turnover of staff. Interaction between the manager and staff was seen to be open, respectful and warm. The registered manager informed the inspector that her aim is for “care at the home to be Tip Top” and that “families tell us that is so”. The inspector noted that the home’s washing machines are sited under an outside extension which on the day of inspection was open to cold weather conditions. The home’s laundry is equipped with ‘domestic’ type washing machines. The registered manager informed the inspector that providing that the ‘hot prewash’ cycle was selected for washing soiled items, the laundering process at the home met with hygene standards. On the day of the visit there were no instructions displayed to inform staff of this. Manor Farm House Residential Home DS0000024440.V275870.R01.S.doc Version 5.1 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X X X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X X X X 3 2 Manor Farm House Residential Home DS0000024440.V275870.R01.S.doc Version 5.1 Page 20 Are there any outstanding requirements from the last inspection? Yes 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 9 Regulation 13(2) Requirement The registered person must ensure that ‘over the counter’ medicines, which are in the custody of the home, are recorded in the home’s MAR procedures. The home must inform CSCI in writing CSCI of plans to provide residents with stimulating activity programme based on resident’s needs. The registered person must set out a plan for a staged plan of redecoration of the home. The registered person must demonstrate in writing to CSCI that the temperatures in the laundry area comply with Health and Safety of the staff during all weather conditions. The registered person must ensure that all staff receives training in the protection of vulnerable adults. This is a repeated requirement of the previous inspection. Timescale for action 21/01/06 2. 12 12 (b) 31/01/06 3. 4. 19 38 23 (2)(d) 23 (a) 31/01/06 28/02/06 5. 18 13(6) 31/01/06 Manor Farm House Residential Home DS0000024440.V275870.R01.S.doc Version 5.1 Page 21 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 15 Good Practice Recommendations To improve with the ambience and experience of dinning the home should review the current use of plastic beakers for refreshments along and the use of odd tableware’s at mealtimes. The home should ensure that resident’s personal toiletries are easily identifiable. The home should seek clarification in writing from environmental health that the use of domestic washing machines is suitable for the satisfactory laundering of soiled items. Clear instructions as to the procedure for the laundering of soiled items should be made available to staff. 2. 3 24 16 (2) (e) (j) Manor Farm House Residential Home DS0000024440.V275870.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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 Farm House Residential Home DS0000024440.V275870.R01.S.doc Version 5.1 Page 23 - 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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