Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Manor II 205-207 Hainault Road Leytonstone London E11 1EU The quality rating for this care home is: The rating was made on: one star adequate service 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. 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: Peter Illes Date: 0 8 0 1 2 0 0 9 Information about the care home
Name of care home: Address: Manor II 205-207 Hainault Road Leytonstone London E11 1EU 02085390079 Telephone number: Fax number: Email address: Provider web address: manager.manor2@aermid.com Name of registered provider(s): Type of registration: Number of places registered: Aermid Health Care Limited care home 17 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia 0 Over 65 17 Conditions of registration: The Registered Person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: Dementia - Code DE(E) The maximum number of service users who can be accommodated is: 17 Date of last inspection Brief description of the care home Manor II is a care home registered to provide care, support and accommodation for up to 17 older people with dementia type illnesses. The home is owned and operated by Aermid Health Care Limited. Accommodation provided is in single rooms, and all have en suite facilities except two, which are an adjacent to bathrooms/ toilets. There is a main lounge/ dining room, a smaller lounge and conservatory on the ground floor, and a stair lift to the first floor that contains further bedrooms, shower and toilet facilities. The home has a large pleasant rear garden. The home is situated in Leytonstone with good transport facilities to local shops and amenities. A stated aim of the home is to Care Homes for Older People
Page 2 of 11 provide a caring and homely atmosphere, which respects the individuality, dignity and right to privacy of each resident. On the day of the inspection the range of fees for the home was £550.00 per week. A copy of the Statement of Purpose, Service User Guide and last inspection report were available and can also be obtained on request. Care Homes for Older People Page 3 of 11 What we found:
This random inspection started at 11.25am and lasted approximately two hours. The inspection was undertaken following an anonymous complaint to the Commission that the home was not properly heated and that on occasions there were not enough staff on duty to properly care for residents. As a result of this our inspection activity included: speaking to the registered manager, two care staff on duty, the majority of residents, a relative who was visiting at the time; undertaking a tour of the building; inspecting relevant documentation in the home and a telephone conversation with the responsible individual from the provider organisation. We found the environment to be warm and comfortable at the time with sufficient staff on duty. However, when inspecting relevant documentation we did find that the homes electrical installation certificate had expired and the home needs to take action to remedy this to maximise protection for all in the home. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking Care Homes for Older People Page 4 of 11 following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 11 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action 1 3 14, 15 The registered persons must 30/06/2008 ensure that as much information as possible is sought and recorded about the life history, life experiences and what has been important to residents with dementia during their lives. This is to assist staff in judging how to best meet the wishes and preferences of those people, who may not be able to tell staff about these areas when they are admitted to the home. The registered person must 31/05/2008 ensure that robust risk assessments, which are meaningfully reviewed on a regular basis, contribute to informing people?s care plans. This is to ensure that staff have clear and up to date information and guidance on how to minimise identified risks to maximise protection to people living in the home. The registered persons must 30/06/2008 ensure that as much information as possible is sought and recorded about the life history, life experiences and what has 2 7 13(4) 3 7 14, 15 Care Homes for Older People Page 6 of 11 been important to residents with dementia during their lives. This is to assist staff in judging how to best meet the wishes and preferences of those people, who may not be able to tell staff about these areas when they are admitted to the home. 4 9 13(2) The registered person must 01/08/2008 ensure that controlled drugs are stored in a controlled drugs cupboard that meets the current specification that is set out in recently amended regulations re safe storage of medicines. This is to maximise protection to residents and staff. The registered persons must 30/06/2008 ensure that a varied and personalised range of social and leisure activities and opportunities are available for all residents, both inside and outside of the home, and that clear records are kept of the activities that each resident is offered and the activities that they have taken part in. This is in order to meet people?s individual needs and preferences in a meaningful way with regard to activities provided by the home. (Previous timescale of 30/09/07 not met) The registered persons must 31/05/2008 ensure that residents are properly protected by the home?s complaints procedure being followed in full whenever a complaint or concern is recorded and that 5 12 16(2)(n) 6 16 22(3)(4) Care Homes for Older People Page 7 of 11 an investigation must take place to ensure that an identified complaint was properly dealt with, any further action that is necessary is taken to conclude the investigation and that records are available for inspection records to evidence this. 7 20 13(4) The registered persons must 31/05/2008 ensure that the garden area is made more secure to better protect people with dementia who may try to leave the garden unsupervised. The registered persons must 31/05/2008 review where wheelchairs and the hoist are stored to minimise any possible health and safety hazard to residents and staff. 8 20 13(4) 9 21 23(2)(j) The registered persons must 31/05/2008 ensure that the first floor shower is working properly to maximise the comfort and well being of residents. The registered persons must 31/05/2008 ensure that all residents have a lockable space available to them in their bedrooms to assist keep their possessions safe, unless the reason for not doing so is explained in their care plan, including how this decision was made. The home must also offer residents a key to their bedroom unless the reason for not doing so is explained in their care plan, again, including how this
Page 8 of 11 10 24 16(2) Care Homes for Older People decision was made. This requirement is made to promote the dignity and independence of residents. 11 31 9 The registered person must 31/05/2008 ensure that an application is received by the Commission to register a temporary manager for the home in the absence of the registered manager, to verify that the temporary manager has the required skills and knowledge to undertake the role. The registered persons must 31/05/2008 ensure that the home liaises with the placing authority for an identified resident and agrees how best to assist the resident manage their finances, including taking into account the best interests of the resident and the residents capacity to make decisions about their finances. This is to ensure that the resident?s financial interests are safeguarded. The registered persons must 31/05/2008 ensure that a risk assessment is undertaken regarding staff using the staircase to the basement and any required action to minimise any potential risks identified is undertaken to maximise protection to staff when using these stairs. 12 35 12(2) 13 38 23(3) Care Homes for Older People Page 9 of 11 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, Care Homes 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 1 19 13 The registered persons must 31/01/2009 ensure that unnecessary risks to the health and safety of residents are identified and as far as possible eliminated. This must include the home having a current and satisfactory electrical installation certificate. This requirement is made to maximise protection to residents and all other people that use the building. 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 Care Homes for Older People Page 10 of 11 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI 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: 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 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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 11 of 11 - 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!
