CARE HOMES FOR OLDER PEOPLE
Manor Lodge Manor Lodge 8 Portland Avenue Exmouth Devon EX8 2BS Lead Inspector
Michelle Oliver Unannounced Inspection 20th December 2005 09:00 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 DS0000062219.V264626.R01.S.doc Version 5.0 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 DS0000062219.V264626.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Manor Lodge Address Manor Lodge 8 Portland Avenue Exmouth Devon EX8 2BS 01395 266691 01395 277886 mail@manorlodgedevon.co.uk 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) Manor Lodge [Devon] Ltd Mrs Eileen O`Neill Care Home 23 Category(ies) of Old age, not falling within any other category registration, with number (23) of places Manor Lodge DS0000062219.V264626.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 15th July 2005 Brief Description of the Service: Manor Lodge is a detached house in a quiet residential avenue close to Exmouth sea front, hospital and town centre. It provides personal care for up to 23 older people. The accommodation is arranged over ground and first floors and all rooms have en suite facilities. There is a passenger lift and a stair lift between the ground and first floor. The lounge and dining rooms are on the ground floor. There is a large parking area at the front of the house and landscaped level gardens to the front and rear of the property that also has an extensive decked area. Manor Lodge DS0000062219.V264626.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out on 20th December over 3 hours. The inspectors spoke with 5 service users and 5 members of staff. The inspector toured the premises and inspected a number of records. The manager, deputy and the owners were present throughout the inspection. All staff were friendly and professional throughout the inspection and helped where they could. What the service does well: What has improved since the last inspection?
Manor Lodge DS0000062219.V264626.R01.S.doc Version 5.0 Page 6 No requirements or recommendations were made at the last inspection. A number of training courses have been planned for staff and management in the next 12 months. 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 DS0000062219.V264626.R01.S.doc Version 5.0 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 DS0000062219.V264626.R01.S.doc Version 5.0 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): None of these standards were assessed at the time of this visit. EVIDENCE: Manor Lodge DS0000062219.V264626.R01.S.doc Version 5.0 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): OP 9. The systems for the administration of medication are good with clear and comprehensive arrangements in place to ensure residents’ medication needs are met. The procedure for ordering medication needs some minor adjustment. EVIDENCE: Three residents were looking after their own medicines at the time of the visit. Lockable facilities have been provided in their rooms for its safe storage. Records are kept of all medications received, administered and leaving the home. Records were up to date and in good order as was the drugs cupboard. Designated, appropriately trained staff administer medications. The home’s current procedure for ordering medication is delegated to the supplying pharmacy. It is considered essential for the designated person to see the prescriptions to check them against the items ordered and to sign the exemption declaration on the back of the prescription form on behalf of the resident, if the resident is unable to do this themselves, before it is submitted to the pharmacist. Manor Lodge DS0000062219.V264626.R01.S.doc Version 5.0 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): Op 13 & 14. Residents are supported to maintain their independence and control their lives in whatever way is appropriate to them as individuals. EVIDENCE: Visitors are welcome at the home at any time and residents are always asked whether they want to see them or not. Individual residents religious beliefs are sustained at Manor Lodge either by visiting ministers or by residents being supported to attend church services. Residents are encouraged to look after their own finances as long as they wish or are able to do so. Residents’ rooms were personalised with sentimental items, photographs and small pieces of furniture and all expressed their satisfaction with the accommodation provided. Manor Lodge DS0000062219.V264626.R01.S.doc Version 5.0 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): None of these standards were assessed at the time of this visit. EVIDENCE: Manor Lodge DS0000062219.V264626.R01.S.doc Version 5.0 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): None of these standards were assessed at the time of this visit. EVIDENCE: Manor Lodge DS0000062219.V264626.R01.S.doc Version 5.0 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): Op30 The skills mix of competent staff at Manor Lodge meet residents’ needs. EVIDENCE: Residents spoken to said that the staff were “kind and caring” and “always there to help”. During the visit staff spent time with residents and responded to their needs promptly in a kind, friendly manner. The owners and manager are committed to providing training for all staff at Manor Lodge. Records confirmed staff had attended a variety of relevant training sessions and all staff were confident that they were able to meet the needs of the residents. All staff are given induction and foundation training. Manor Lodge DS0000062219.V264626.R01.S.doc Version 5.0 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): Op35 Residents are protected by the home’s procedures for safeguarding their financial interests. EVIDENCE: Most residents choose to look after their own finances. Relatives or legal advisors look after finances for those who do not wish to or are unable to do so. The manager currently looks after two residents’ personal allowances. Clear, accurate records and receipts for all outgoings are kept for each of them. Manor Lodge DS0000062219.V264626.R01.S.doc Version 5.0 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 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 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 X X X X 3 X X X Manor Lodge DS0000062219.V264626.R01.S.doc Version 5.0 Page 16 Are there any outstanding requirements from the last inspection? 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. 1 Refer to Standard OP9 Good Practice Recommendations The designated person should initiate the order for medications for residents at the home. Manor Lodge DS0000062219.V264626.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Exeter Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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