Random inspection report
Care homes for older people
Name: Address: Manor House Higher Tremar Liskeard Cornwall PL14 5HJ two star good service 18/02/2009 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Gail Richardson Date: 1 4 0 1 2 0 1 0 Information about the care home
Name of care home: Address: Manor House Higher Tremar Liskeard Cornwall PL14 5HJ 01579343534 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mr Robert Anthony Broadhurst,Mrs Nichola Jayne Broadhurst care home 16 Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 6 16 dementia mental disorder, excluding learning disability or dementia Conditions of registration: 0 0 Service users to include up to 16 adults aged over 65 years with a mental illness (MD(E)) Service users to include up to 6 adults aged over 65 years with Dementia (DE(E)) Total number of service users not to exceed a maximum of 16 Date of last inspection Brief description of the care home The Manor House is a privately owned older style house and, although only approximately five miles from the town of Liskeard, it is situated in a quiet moorland village. The home offers care and accommodation to up to 16 older people who have mental heath needs or dementia. Accommodation is in mainly single rooms, one of
Care Homes for Older People Page 2 of 8 1 8 0 2 2 0 0 9 Brief description of the care home which is en suite. Rooms are available on the first and ground floors with a stair lift linking the two floors. Two lounge rooms, dining room and a small sun room are available on the ground floor with an additional large sitting room, with a dining table, on the first floor. The home has a pleasant garden at the rear, which people can use in clement weather. The owners live in a property adjacent to the home. Weekly fees for the home range from 357 to 400 pounds per week, dependent upon peoples needs. Items not covered by the weekly fees include personal toiletries and clothing, newspapers and magazines, chiropody and hairdressing. Information about the services provided at Manor House can be obtained directly from the home. Care Homes for Older People Page 3 of 8 What we found:
This random inspection was carried out by Regulatory Inspector Gail Richardson over a 2 hour period. The purpose of the inspection was to look into a concerns raised about the standard of care of one person. The inspection took place with a member of the Safeguarding Team from Cornwall Social services. The outcome of the inspection confirmed that the concern raised was unfounded. At the time of this visit there were 16 people living at the home. One person is in hospital. During the morning there were 2 care assistants and one cook on duty. The registered manager/provider was not available, but under normal circumstances she would be present as either supernumerary or as part of staff team. As part of the inspection we, the Commission, were able to tour the building, talk with a staff member and review care records relating to the person concerned. We later had telephone conversations with the registered manager/ provider and further documentation was supplied. We found everybody at the home to be very helpful and cooperative. What the care home does well: What they could do better:
We have looked at care plans and following discussion with other practitioners who have viewed further documentation conclude that care plans are suitably detailed to enable staff to have a clear information to supply the care needed. Daily records did not have a legible signature for each entry. However, we have been advised by the registered manager that an assosiated list is available which matches the staff initials with the persons full and legible signature. The registered manager is recommended to undertake a risk assessment for all free standing units including wardrobes and take the appropriate action to ensure there is no risk of tip/tilt injury. Whilst looking at care plans we identified that social care records were not fully completed and evidenced limited activity provision. One person had a fondness for a particular music, no record existed to identify how this choice is supported. The person did not have means to access this music. The registered manager is recommended to review how activities are planned and recorded. The environment of the home is mostly in good order. We discussed witht the manager by telephone that a chair identified as damaged is repaired. The manager confirmed that this would be undertaken. The registered manager is further recommended to ensure
Care Homes for Older People Page 4 of 8 that following an Occupational Therapy assessment, appropriate equipment is put in place, to ensure that grab rails and aids to Independence are supplied where there is an assessed need. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 8 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 15 The registered manager is recommened to review the activities provided to ensure that each persons personal chices and preferences are met with reference to social and recreational activity. Care Homes for Older People Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 8 of 8 - 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!
