Inspection on 12/07/07 for Manor Park

This inspection was carried out on 12th July 2007.

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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Manor Park 21/07/06

Manor Park 25/11/05

Manor Park 08/09/05

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

CARE HOME ADULTS 18-65 Manor Park 168 Park Avenue Whitley Bay Tyne & Wear NE26 1AU Lead Inspector Mary Blake Unannounced Inspection 12th July 2007 09:30 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 Park DS0000065238.V343015.R01.S.doc Version 5.2 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 Adults 18-65. 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 Park DS0000065238.V343015.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Manor Park Address 168 Park Avenue Whitley Bay Tyne & Wear NE26 1AU 0191 2520086 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) Sovereign Care North East Ltd Mr Stephen Hunter Care Home 14 Category(ies) of Learning disability (10), Mental disorder, registration, with number excluding learning disability or dementia (4) of places Manor Park DS0000065238.V343015.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st July 2006 Brief Description of the Service: Manor Park is a home providing care for 14 adults with learning disabilities or recovering from mental health problems. The home provides care for male and female service users. Situated within the town of Whitley Bay on the sea front, it provides a central location for access to local facilities. All of the bedrooms are single occupancy with bathrooms/toilets located around the building. There are spacious and comfortable communal lounges and dining areas. There were 12 residents at the time of inspection. The service user guide and last inspection report were available at the entrance. The fees range from £327 to £365 per week. Manor Park DS0000065238.V343015.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was a key unannounced and took place over one day and involved one inspector A tour of the premises was carried out. Residents care records and additional statutory records were examined. Case tracking was carried out. The Provider, acting Manager and one staff were spoken to and the inspector met eight of the residents on her visit and spoke privately with four. What the service does well: The service gives good support to enable individuals to make decisions and participate in the running of the home. The service gives good support to enable individuals to maintain and develop personal and family relationships and provides support to help deal with change. The service gives good support in preventative health care and enables individuals to have a healthy lifestyle. It was observed, and residents confirmed, that staff were kind, considerate and supportive. Staff were friendly and relaxed with the inspector and were keen to discuss their work and the residents care needs. Residents and their families are fully involved with their care plans where able. There is a complaints procedure and in addition resident views are actively sought. Residents felt their views were listened to and acted upon. Residents live in a home, which is well run and managed with good quality assurance systems being developed. Manor Park DS0000065238.V343015.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Manor Park DS0000065238.V343015.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Manor Park DS0000065238.V343015.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home undertakes a detailed pre admission assessment and liaises with the residents, family and supporting professionals prior to admission. EVIDENCE: Care plans had good information to ensure that the home can meet the needs of the prospective resident. The acting Manager is involved in the decisions and had a clear understanding of the assessment of need and the service the home provides which would ensure appropriate placements. The service user guide was available and gave detailed information about the operation of the home. Manor Park DS0000065238.V343015.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are aware of their assessed and changing needs and personal goals are reflected in their personal plan. Residents make decisions and are consulted and participate in all aspects of life within the home. Residents are supported to taken risks as part of their independence. EVIDENCE: The sample of service users plans had detailed care plans that assist residents to become as independent as possible. Whilst much improved the acting Manager is aware of the need for these to be further developed with the involvement of individual residents; from the example viewed these were well structured but not sufficiently complete or updated. Manor Park DS0000065238.V343015.R01.S.doc Version 5.2 Page 10 The residents are having their needs met by the staff in the home and the staff are providing the care in a sensitive and dignified manner. The staff have a good knowledge of resident’s psychological health care needs. There was evidence of good partnership working with other professionals. The residents have had the opportunity to participate in regular residents meetings, where discussions were held about meals, personal safety, tolerance and living together. Throughout the visits staff were treating residents with respect and dignity. Support and care was given in private. The acting Manager had ensured that all recorded information is reviewed and summarised on a monthly basis but this had not been updated since March 2007. Risk assessments were in place and had been reviewed and updated. Manor Park DS0000065238.V343015.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 & 17 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Residents are supported to have opportunities for personal development and take part in appropriate activities. Residents are supported to have appropriate family and personal relationships Resident’s rights are respected and responsibilities recognised in their daily lives. Residents are offered healthy diet and a relaxed and social mealtime. EVIDENCE: Residents have good opportunities to gain personal development, through inhouse staff support and external social opportunities. Manor Park DS0000065238.V343015.R01.S.doc Version 5.2 Page 12 The residents, Provider, acting Manager and staff provided evidence that the residents have opportunities for personal development both in the home and through involvement in a range of community based activities. Staff assists and encourage residents to maintain family links and previous friendships, respecting the individual resident’s wishes. Some residents spend weekends at the family home. In discussion with the residents, acting manager and staff they confirmed their involvement and choice in relation to visitors. Opportunities to meet people who do not have a disability were available and reviewed within the individual plan was social and relationship opportunities. Residents enjoyed a range of leisure activities. For example golf, shopping, music and craft were undertaken. The residents have regular outings and holidays at local and national venues. Residents have the opportunity to increase their social network and staff support residents to maintain existing friendships and social relationships. It was observed staff seeking permission prior to entering individual rooms and interacting well with residents. Residents were observed to move freely around the home and were able to spend time alone. Residents commented on the quality and choice of food available. Fresh fruit was available and residents were observed having coffee in a relaxed and social setting. Choice of meals was evident and residents are able to prepare light meals in the kitchen. Manor Park DS0000065238.V343015.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18 &19 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents receive personal support the way they prefer and require. Residents physical and emotional health needs are met. EVIDENCE: It was evident from examination of care plans, discussions with provider, acting manager, staff and residents that residents, who require personal support, are given this in a way that protects their dignity and maximises their independence. Residents’ individual health needs are identified and residents are supported to access community health services such as general practitioner, district nurse, dentist, and optician. All residents have an annual health check. Physiotherapist, dietician, psychologist and learning support team provide specialist health support. Manor Park DS0000065238.V343015.R01.S.doc Version 5.2 Page 14 Staff training has been undertaken to provide awareness and additional support for health related needs. Families are involved as necessary whilst respecting confidentiality. Medication was not fully inspected but the medicines were stored safely and the monitored dosage system was in place. There were no controlled drugs. Staff spoke knowledgably about medication and administration and had recently completed training in this area. Manor Park DS0000065238.V343015.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents feel their views are listened to and acted upon. Residents are protected from abuse, neglect and self-harm EVIDENCE: The complaints procedure is in the service users guide and copies are displayed in the home. There have been no recorded complaints. Residents spoken to felt very confident that their views would be listened to and acted upon if necessary. All of the residents said that they knew problems were dealt with and how this would be done. Staff were aware of the whistle blowing policy and informing the manager or the Proprietor of any incidents or issues of which there are concerns. It was clear from the training records that staff had completed Protection of Vulnerable Adults training. Staff spoke knowledgably about the protection of the residents and what action they would take if they had cause for concern. Any allegations or cause for concerns within the home have been appropriately addressed. Manor Park DS0000065238.V343015.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,27 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents live in a safe environment and the home continues to be refurbished. There are good communal areas. There are suitable toilets and baths, which are about to be refurbished. The bedroom areas are personalised and comfortable. The home is clean, pleasant and hygienic. EVIDENCE: The location and layout is suitable for the residents who live here. There are lounges and a dining room, which are pleasantly decorated and furnished. Residents were able to freely use the home and there was a range of television and audio equipment available for their use. The lounges, bathrooms, toilets and bedrooms had been redecorated and refurbished. The first floor bathrooms and toilets were in need of refurbishment and plans were in place for this work to commence in August 2007. Manor Park DS0000065238.V343015.R01.S.doc Version 5.2 Page 17 The residents have been encouraged and supported to bring personal items with them, resulting in individualised rooms reflecting personal taste and previous lifestyles. The bedrooms continue to be refurbished, and there has been recent replacement of bedroom furniture. The home was very clean with no offensive odours. Manor Park DS0000065238.V343015.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 & 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager ensures there are adequate numbers of staff on duty that have appropriate skills and experience to care for the residents. The recruitment processes in place protect residents. External and internal training takes place to develop or maintain staff skills and knowledge to meet the individual needs of residents. Residents would benefit from staff undertaking supervision at the recommended timescales. EVIDENCE: There are enough staff on duty to meet the necessary staffing levels and the current needs of the residents. There has been a turnover of staff but the home has recently recruited one ancillary and one care staff. The Provider is currently reviewing staffing levels. Manor Park DS0000065238.V343015.R01.S.doc Version 5.2 Page 19 In house and external training takes place and the acting Manager continues to work toward 50 of the staff having NVQ level 2 or above. Changes in staff mean that this training is ongoing. Staff said that they would be undertaking or had completed NVQ level 2 or over and new staff spoke of the homes induction and training programme. Staff meetings are used to provide additional in-house training. A new staff handbook has been developed. Staff spoken to had a good understanding of individual needs and the principals of promoting independence, choice, respect and dignity. One staff recruitment files were examined and were satisfactory. Staff supervisions had begun and were well structured and documented, these need to be completed on a more regular basis. Manor Park DS0000065238.V343015.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The acting Manager has systems in place to organise the home taking into account the needs and wishes of the residents. Resident’s benefit from a well run home with a Manager who has developed an open and inclusive atmosphere. Good quality systems have been established and are being developed. The homes record keeping policies and procedures protects residents’ rights. Residents’ health, safety and welfare are generally protected. Manor Park DS0000065238.V343015.R01.S.doc Version 5.2 Page 21 EVIDENCE: The homes current Registered Manager is Mr Stephen Hunter, who is also the proprietor. Whilst actively involved he does not have day-to-day management responsibility of the home. Changes to the management are under review and the Provider agreed that once formalised and application to become registered must be submitted to the Commission for Social Care Inspection. Residents and staff said they felt confident with the openness and approachability of the acting Manager. Regular meetings had been held for residents, relatives and staff. The records of these were seen and contained a wide selection of appropriate topics. There are always a good number of resident attending. The records examined were secure but recent management changes have resulted in some required records not being completed at the necessary timescales. The Provider was aware and was ensuring that these would be put in good order. The Providers visit regularly and completes monthly reports. It was evident that they are well known to residents, family and staff. Staff supervision records showed a comprehensive process but that the timescales of six per year would not be met. Health and safety systems are well organised, the building is safe and the management and staff spoke knowledgeably about maintaining and promoting the welfare of the residents. A new Quality assurance system has been introduced and being established across the organisation. Fire testing and maintenance is undertaken at the given timescales but recent management changes has resulted in some gaps in testing, this was being addressed. A fire Officer visit in March 2007 was satisfactory. Manor Park DS0000065238.V343015.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 X X 3 X 3 X X 3 X Manor Park DS0000065238.V343015.R01.S.doc Version 5.2 Page 23 Yes 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. 1. Standard YA6 Regulation 15 & 17 Requirement The Registered Person must complete, review and update service users care plans Outstanding as of 01/10/06 but good progress being made. The Registered Person must submit an application for the proposed Registered Manager to the CSCI Outstanding as of 14/09/06 but recent management changes occurred. 3. YA36 18 (2) The Registered Person must ensure that all staff has supervision at the given timescales of six times per year. Outstanding as of 01/12/06 but good progress being made. 01/10/07 Timescale for action 01/10/07 2. YA37 8 01/10/07 Manor Park DS0000065238.V343015.R01.S.doc Version 5.2 Page 24 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 Park DS0000065238.V343015.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS National Enquiry Line: 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 © 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 - 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!