Inspection on 13/12/05 for Manor Hall

This inspection was carried out on 13th December 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 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 Hall 12/04/10

Manor Hall 30/12/09

Manor Hall 03/03/08

Manor Hall 30/10/06

Manor Hall 14/07/05

Manor Hall 01/02/05

Manor Hall 29/07/04

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Manor Hall Borough Lane Eastbourne East Sussex BN20 8BB Lead Inspector Kathy Flynn Unannounced Inspection 13th December 2005 12:00 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 Hall DS0000014017.V249557.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 Hall DS0000014017.V249557.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Manor Hall Address Borough Lane Eastbourne East Sussex BN20 8BB 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) 01323-722665 01323-647804 South Coast Nursing Homes Limited Ms Louise Murtagh Care Home 38 Category(ies) of Old age, not falling within any other category registration, with number (38), Physical disability (38) of places Manor Hall DS0000014017.V249557.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. A maximum of thirty-five (35) service users in receipt of nursing care and three (3) in receipt of personal care. Service users must be older people aged sixty-five (65) years or over on admission. Service users with physical disabilities under sixty-five (65) years may be admitted. 14th July 2005 Date of last inspection Brief Description of the Service: Manor Hall is registered to provide nursing care for up to thirty-five residents and personal support for up to three residents. The home consists of two buildings linked by a corridor on the first floor with a driveway separating the building on the ground floor. It has been converted and adapted for its present use and retains many of its original features. A shaft lift enables residents to have access to all parts of the home and a stair lift provides access to the lift in one part of the building. There is a large lounge with a dining area on the ground floor that is used by residents if they wish, with sufficient space for social activities and access to the patio area at the front of the home. Situated in a residential area it is close to local amenities and public transport with an attractive park nearby. Manor Hall DS0000014017.V249557.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection. The requirement recorded in the previous inspection was used to develop the plan for this inspection. The aim was to assess if the home had met the requirement, identify aspects of the service that have improved and how the service could be developed for the benefit of residents’ to give an overview of all the standards assessed within this period. The reader should be aware that the Care Standards Act 2000 and the Care Homes Regulations 2001 uses the terms service user to describe those living in care home settings, for the purpose of this report those living at care homes will be referred to as residents. This is the second statutory inspection for the year and should be read in conjunction with the first inspection carried out on 14th July 2005 The inspection took place over three hours from midday, and included an examination of care plans, medication administration charts and a tour of the home. There were 33 residents at the home during the inspection, thirty-one requiring nursing care and two requiring residential care. Ten residents, two visitors and the acting manager were happy to discuss the care provided at the home. What the service does well: The residents at Manor Hall are encouraged to regard it as their home and to make choices about how they spend their time. During the inspection residents spent their time in the lounge or their own rooms. The residents who expressed an opinion were very positive about the support they receive, they felt their needs are met and that they are able to decide with the staff what care is most appropriate for them. Visitors were equally positive. The atmosphere in the home was relaxed and comfortable, with communication between staff, residents and visitors open and friendly. A Christmas carol service was provided by a group of children from a local school, residents, visitors and staff clearly enjoyed this, other festivities were being organised for residents, including a Christmas party. Manor Hall DS0000014017.V249557.R01.S.doc Version 5.1 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 Hall DS0000014017.V249557.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 Hall DS0000014017.V249557.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): EVIDENCE: Standards not assessed at this inspection. Manor Hall DS0000014017.V249557.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): 9 The systems for the administration of medicines are good with clear and comprehensive arrangements in place to ensure residents medication needs are met. EVIDENCE: Policies and procedures are in place for ordering, storage, administration and disposal of medication, with medicine administration charts completed appropriately. The acting manager confirmed that some medication is delivered on a continual monthly basis, consequently the number of tablets stored for some residents is very high. The manager advised that she will be reviewing the ordering of medicines from particular pharmacists. Manor Hall DS0000014017.V249557.R01.S.doc Version 5.1 Page 10 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): EVIDENCE: Standards not assessed at this inspection. Manor Hall DS0000014017.V249557.R01.S.doc Version 5.1 Page 11 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 and 18. The home has a satisfactory complaints system with some evidence that residents feel their views are listened to and acted upon. Staff have good knowledge and understanding of Adult Protection issues which protects residents from abuse. EVIDENCE: There have been no complaints regarding the services provided at Manor Hall since the last inspection, the acting manager confirmed appropriate policies and procedures are in place. Residents who expressed an opinion stated that they are able to make choices about all aspects of their day-to-day life. On the day of the inspection a number were looking forward to a group from a local school singing Christmas carols. Training in adult protection and whistle blowing is provided for all staff at the home, this includes videos and questionnaires. Staff have a good understanding of the issues of adult protection and the friendly and open relationship between staff, residents and visitors was noted during the inspection. Manor Hall DS0000014017.V249557.R01.S.doc Version 5.1 Page 12 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): EVIDENCE: Standard not assessed at this inspection. Manor Hall DS0000014017.V249557.R01.S.doc Version 5.1 Page 13 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): 30 The arrangements for the induction of staff are satisfactory, enabling staff to provide appropriate levels of support and care for residents. EVIDENCE: The acting manager confirmed that all new members of staff are expected to complete appropriate training programmes, including induction and foundation courses. Opportunities to work towards NVQ qualifications are available when these have been completed. There were no new members of staff working at the home during the inspection. Manor Hall DS0000014017.V249557.R01.S.doc Version 5.1 Page 14 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, 33, 35 and 38. The management approach at the home is open and inclusive, with staff providing residents with appropriate levels of care and support. The health and safety of residents is put at risk with the use of door wedges to prop residents doors open. EVIDENCE: The registered manager is assisting, for a period of six months, at another home owned by South Coast Nursing Homes Limited. With the agreement of the Commission the deputy manager is responsible for the management of Manor Hall, with support from senior staff and head office. It was noted during the inspection that communication between staff, residents and visitors was open and friendly, the atmosphere was relaxed and residents were comfortable. Manor Hall DS0000014017.V249557.R01.S.doc Version 5.1 Page 15 The home is one of six care homes owned by the same company, with policies, procedures and quality assurance developed at head office and provided for each home. The acting manager advised that feedback from residents and their representatives is sought on a regular basis, with decisions about the services provided based on this information and the changing needs of residents. The home does not take responsibility for the finances of residents, although some petty cash is kept to pay for some additional costs, including hairdressing and chiropody. Receipts are provided for all payments and this is then added to the monthly invoice produced at head office. Previous requirements have been made concerning the use of propping resident’s doors open with wedges. This practice continues in the home, a number of wedges were found in resident’s rooms, and there is no evidence that any actions have been taken to address this to ensure the safety of residents and staff. A requirement to obtain advice from the Fire Service regarding providing a safe system of keeping fire doors open is included in this report. Manor Hall DS0000014017.V249557.R01.S.doc Version 5.1 Page 16 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Manor Hall DS0000014017.V249557.R01.S.doc Version 5.1 Page 17 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 OP38 Regulation 13(4)(c) Requirement Advice to be sought from the Fire Service with regard to keeping service users doors open safely. Timescale for action 01/03/06 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 Hall DS0000014017.V249557.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Hall DS0000014017.V249557.R01.S.doc Version 5.1 Page 19 - 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. 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