Inspection on 17/01/06 for Manor Lodge

This inspection was carried out on 17th 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 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 Lodge 09/12/08

Manor Lodge 16/02/07

Manor Lodge 29/07/05

Manor Lodge 06/01/05

Manor Lodge 03/08/04

Manor Lodge 05/03/04

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 Lodge 27-29 Alexandra Road Watford Hertfordshire WD17 3QX Lead Inspector Yoke-Lan Jackson Unannounced Inspection 17th January 2006 10:00 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 Lodge DS0000019454.V279469.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 Lodge DS0000019454.V279469.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Manor Lodge Address 27-29 Alexandra Road Watford Hertfordshire WD17 3QX 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) 01923 221 451 01923 253 114 Follett Care Limited Mrs Julie Parker Care Home 34 Category(ies) of Old age, not falling within any other category registration, with number (34) of places Manor Lodge DS0000019454.V279469.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home may accommodate one named service user who is under the age of 65 years. This condition will remain in force until 10 June 2007 or until the service user permanently leaves the home for any reason. 29th July 2005 Date of last inspection Brief Description of the Service: Manor Lodge is a large detached house that has been converted into a residential home for service users in the old age category. By agreement with the Commission, CSCI, (formerly NCSC), the home provides accommodation for 28 service users instead of the registered 34 since four of the bedrooms are smaller than required by the National Minimum Standards. The home is situated in a residential area within walking distance of the town centre of Watford and Watford Junction railway and bus stations. There are a limited number of free parking spaces outside the home. The administrative office, the staff room, the kitchen, the lounge/diner and the laundry room are all on the ground floor. Most of the bedrooms are on the first floor. There is a lift to the first floor. The assisted bathroom and toilet facilities are easily accessible. The only communal space is the lounge/diner which is spacious and overlooks the large patio and garden. There are tables and chairs in the garden, where most of the service users spend their lunch time in the summer months. Manor Lodge DS0000019454.V279469.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out on 17th January 2006. The registered manager and a deputy manager were present. There were 18 service users in the home. The inspection began with a tour of the premises. The inspector spent time with the service users who were all in the lounge during the visit. They appeared content and relaxed. Only positive remarks were received from the service users interviewed. One recent admission missed leaving her ‘own home’ but she was very pleased with the care given at Manor Lodge. In a few days’ time, one service user will be having her 103rd birthday celebration and another, her 100th birthday. Both staff and service users are looking forward to the day of celebration. (Please see below for details of the inspection findings). What the service does well: What has improved since the last inspection? The hallway, lounge and dining room have been re-decorated and refurbished since the last inspection. The patio area had been cleared of unwanted objects and it is accessible to service users. The home does not employ agency workers. The staffing level is maintained. The home has recruited a new domestic worker since the last inspection. Manor Lodge DS0000019454.V279469.R01.S.doc Version 5.1 Page 6 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 Lodge DS0000019454.V279469.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 Lodge DS0000019454.V279469.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): 1, 2, 3, 4 & 5. Prospective service users and their relatives are given the opportunity to visit and assess the facilities and suitability of the home. They have the information to make an informed choice. A comprehensive assessment is carried out before the prospective service user is admitted into the home. A trial period is arranged before the contract is signed. EVIDENCE: The Statement of Purpose is updated regularly. The Service User Guide is given to each service user. The pre-admission assessment details were seen in the service user file of a recent admission. The service user herself reported she is pleased with the care and service provided. Manor Lodge DS0000019454.V279469.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. The care planning system ensures that the health and personal care needs are being met. Service users are treated with respect and their wishes and preferences are accommodated. EVIDENCE: The majority of the service users were in the sitting room on the day of the inspection. They were neatly dressed and they all appeared content, relaxed and well cared for. Staff were giving additional attention to one service user who had been unwell. The home is well supported by the General Practitioner and the district nurse who are readily available when required. The medicines are administered in accordance with legislation. All the Medication Administrative Record Charts (MAR) were accurately completed. Manor Lodge DS0000019454.V279469.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): 12, 13, 14 & 15. The service users are given every opportunity to participate in all aspects of routine living. They are encouraged to maintain links with their family and friends. The meals provided are nutritious and wholesome. Choices of menu are given daily. EVIDENCE: The registered manager assured the inspector that daily activities are being provided, including one to one reading and walking exercises. The written activity programmes were not updated to reflect the daily activities given, including birthday parties. These will now be updated. Staff are organising a birthday party for one service user who will be 103 and another who will be 100 years old. The party food and birthday cakes will be prepared by the home’s own chef. One service user on respite care said that he is ‘very pleased’ with the meals provided. Manor Lodge DS0000019454.V279469.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, 17 & 18 The home has a robust Complaints’ Policy and Procedure. Complaints are taken seriously and acted upon. EVIDENCE: All concerns were dealt with immediately and positive changes were made accordingly. Staff have adequate training to promote safety and to protect the service users from abuse. They are aware of the Whistle Blowing policy. The home follows the Adult Protection Procedure of Hertfordshire Social Services. Manor Lodge DS0000019454.V279469.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): 19, 20, 21, 22, 23, 24, 25 & 26. Service users live in a safe, comfortable and homely environment. The facilities provided are adequate and well maintained. EVIDENCE: The premises appeared homely and clean. The home has an on going maintenance programme. The hallway, lounge and dining areas have been redecorated and refurbished since the last inspection. All the bedrooms are cleaned daily. There are personal items on display that reflected the personal interests of the occupants. The patio areas have been cleared of unwanted objects since the last inspection and it is accessible to service users. Manor Lodge DS0000019454.V279469.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): 27, 28, 29 & 30. The staffing level is adequate. Staff have the experience and skills required of them to meet the needs of the service users. Service users are supported and protected by the home’s recruitment policies and practices. EVIDENCE: The home does not employ agency workers. Staff are trained appropriately, including health and safety issues. The registered manager is making arrangements for staff to have training in dementia to enhance their knowledge and skills in caring for the elderly. The home’s recruitment and selection process complies with legislation. Manor Lodge DS0000019454.V279469.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, 32, 33, 34, 37 & 38. The administration and management of the home is maintained. The health, safety and welfare of the service users are promoted and protected. EVIDENCE: The registered manager ensures safe working practices. Staff are more aware of health and safety issues since the last inspection. Service users’ rights and best interest are safeguarded by the home’s record keeping, policies and procedures, which have been kept up to date and stored in accordance with the Data Protection Act 1998. All the maintenance and servicing records are maintained and they are kept up to date. Manor Lodge DS0000019454.V279469.R01.S.doc Version 5.1 Page 15 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 3 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 3 3 Manor Lodge DS0000019454.V279469.R01.S.doc Version 5.1 Page 16 Are there any outstanding requirements from the last inspection? No 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. Standard Regulation Requirement Timescale for action 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 Lodge DS0000019454.V279469.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection Hertfordshire Area Office Mercury House 1 Broadwater Road Welwyn Garden City Hertfordshire AL7 3BQ 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. 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