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Inspection on 25/04/05 for Manor Park Care Home

Also see our care home review for Manor Park Care Home for more information

This inspection was carried out on 25th April 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 but made no statutory requirements on the home.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Service users gave their opinions on life at the home and said, "I came to look at this home and, after seeing others, I decided to move in straight away, my room is large". Another service user was pleased at the quality of the food saying, "The food is good". There were also good comments made about the activities available and that the staff, "treat me with respect and dignity".

What has improved since the last inspection?

Since the last inspection work has been started to replace damaged doubleglazing windows and carry out repairs to the hot water system although this work is yet to be competed. Service users were pleased that there was an activities co-ordinator although on said, "I don`t join in much, I prefer to read".

What the care home could do better:

The completion of the outdoor patio area would be a great improvement to the home. The patio has been planned for a number of years and it would be of benefit to service users if it was to be completed. The arrangements for service users money, currently held in a single bank account, should be reviewed so that service users money was not pooled.

CARE HOMES FOR OLDER PEOPLE Manor Park off Catcote Road Greenock Road Hartlepool TS25 4EU Lead Inspector Stephen Willcock Unannounced 25th April 2005 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 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 Park B54 S0186 Manor Park V223366 250405 stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Manor Park Address off Catcote Road Greenock Road Hartlepool TS25 4EU 01429 274122 01429 273472 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Four Seasons Healthcare (England) Ltd Damien Hunt Care Home 58 Category(ies) of OP - Old Age, PD - Physical Disability registration, with number of places Manor Park B54 S0186 Manor Park V223366 250405 stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 To allow the admission of one named individual under the age of 65 years. 23/02/2005condition header adate 1 To allow the admission of one named individual under the age of 65 years. 23/02/2005 Date of last inspection 25th October 2004 Brief Description of the Service: Manor Park is a care home registered with the Commission for Social Care Inspection for personal care and nursing. The home is situated close to local amenities and shops. It is a two storey purpose built home. Passenger lifts provide access to the first floor. The home offers a range of lounges and dining areas for service users and visitors. Manor Park B54 S0186 Manor Park V223366 250405 stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on 25th April 2005 over 5 hours. Time was spent talking to service users, staff and management. We also looked around the home and at a number of records. The home has a new manager who is working well to make improvements especially in planning to provide a new outdoor area for service users and visitors and to meet the requirements and recommendations from the last inspection. There were overall improvements in the management of the home and the care provided. What the service does well: What has improved since the last inspection? Since the last inspection work has been started to replace damaged doubleglazing windows and carry out repairs to the hot water system although this work is yet to be competed. Service users were pleased that there was an activities co-ordinator although on said, “I don’t join in much, I prefer to read”. Manor Park B54 S0186 Manor Park V223366 250405 stage 4.doc Version 1.30 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 Park B54 S0186 Manor Park V223366 250405 stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Manor Park B54 S0186 Manor Park V223366 250405 stage 4.doc Version 1.30 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 standard(s) 1, 2 and 3 Information to aid service users in making the decision to move into the home was available but needed to be updated. Assessments carried out within the home were satisfactory. EVIDENCE: A Statement of purpose and Service User Guide was made available for inspection. The Statement of Purpose needed to be reviewed and amended to show all items listed in Schedule 1 of the Care Homes Regulations 2001 and the section relating to complaints needs updating with the current address for the Commission for Social Care Inspection. Assessment documents were observed to be in place and covered areas of initial assessed need on admission and risk assessments including bed rail management, social and pressure sore assessments. A statement of terms and conditions or contract between the home and service user identified as being required at the last inspection was still being developed. Manor Park B54 S0186 Manor Park V223366 250405 stage 4.doc Version 1.30 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 standard(s) 7 and 9 The care planning system provides comprehensive information, allowing staff to provide care that meets the assessed needs of service users. Systems in place for the administration of medication are satisfactory. EVIDENCE: Individual service user care plans were found to be informative and comprehensive and showed evidence of regular review. The care plans were based upon the initial assessment documents at the point of admission and included areas of health and personal and social care needs, and how these needs were to be met. The recording and administration of medication was accurately carried out. Medication was stored safely and secured. Manor Park B54 S0186 Manor Park V223366 250405 stage 4.doc Version 1.30 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 standard(s) 12 and 15 A range of activities is available and service users can choose to take part or not. Food served at the home meets the service users requirements and meals can be taken where it is convenient to service users. EVIDENCE: The home has recently employed an activities co-ordinator to provide a varied choice of activities in which service users can participate. On service user said that the co-ordinator will ask if service users want to join in with the activities but preferred to “read in my room as I enjoy books”. Another service user said “ I sometimes join in, but I prefer my own company”. Mealtime at the home are structured around set times but service users can take their meals in their rooms if they prefer. Service users commented that the “food is good” and “if I don’t like what is offered, there is always alternatives available” Manor Park B54 S0186 Manor Park V223366 250405 stage 4.doc Version 1.30 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 standard(s) 16 A satisfactory complaints policy is in place at the home and service users are confident that complaints would e dealt with properly. EVIDENCE: A complaints policy and procedure was in place and available to service users. The policy needed to be updated with the new address for the Commission for Social Care Inspection. In discussion, service users said they were confident staff would handle any complaint properly and that a complaint would be considered seriously. One service user said, “I know how to complain and would if I had to”. Manor Park B54 S0186 Manor Park V223366 250405 stage 4.doc Version 1.30 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 standard(s) 19, 20, 25 and 26 General maintenance and work highlighted at the last inspection is being carried out. The plans to provide a patio area would be a welcome improvement to the available outdoor areas. EVIDENCE: The home was generally well maintained and areas highlighted at the last inspection including the replacement of double-glazing panels and renewal of hot water regulator valves were not complete but were being attended to. Redecoration was ongoing and an onsite maintenance person attended to the general upkeep of the building. Manor Park B54 S0186 Manor Park V223366 250405 stage 4.doc Version 1.30 Page 13 The home has a number of large lounge areas for service users and visitors but lacked appropriate outdoor areas for service users to sit in during summer days. The main outdoor area joined with the home’s car park. The manager outlined plans for a patio area to be built to the front of the home and accessed from a lounge. This would greatly increase the choice of outdoor areas and be more pleasant for service users and visitors. The home was clean and tidy and free from odours. A `service user said, “my room is always clean and tidy”. Manor Park B54 S0186 Manor Park V223366 250405 stage 4.doc Version 1.30 Page 14 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 29 A robust system is in place for the recruitment and selection of appropriate staff members. EVIDENCE: Recruitment of staff to the home followed guidelines set by the parent company. Staff files were examined and found to include application forms, references and evidence of Criminal Record Bureau checks. However, some of the staff files did not contain the CRB check and the manager quickly established that these had been carried out by the company responsible for this and requested verification. Manor Park B54 S0186 Manor Park V223366 250405 stage 4.doc Version 1.30 Page 15 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 34 and 35 The procedures for the safe keeping of service users money, is robust, but arrangements for banked service users money need to be clearly individualised and not pooled. EVIDENCE: The manager is to publish the results of a service user satisfaction survey in the homes newsletter, the ‘Manor Mag’. Satisfactory accounting and financial arrangements were in place. The home is owned by Four Seasons, a large group with responsibility for many care homes. Certificates of insurance were in place and were up to date. Examination of service users personal finances found them to be accurately held and regularly checked for accuracy. It was noted that individual service users transactions were not recorded separately and a bank account of pooled monies was in place. Unless an appointee arrangement is in place, service users monies should be maintained in individual bank accounts, named for that person. Manor Park B54 S0186 Manor Park V223366 250405 stage 4.doc Version 1.30 Page 16 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 2 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 2 2 x x x x 2 3 STAFFING Standard No Score 27 x 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x x x x 2 3 2 x x x Manor Park B54 S0186 Manor Park V223366 250405 stage 4.doc Version 1.30 Page 17 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 1 Regulation 4 Requirement The Statement of Purpose must be reviewed and amended to provide all of the items required by Schedule 1 of the Care Homes REgulations 2001. (Previous timescale of 1st February 2005 not met). The complaints policy must include the current address for the Commission for Social Care Inspection. Action must be taken in relation to damaged gouble-glazing units. (Previous timescale of 1st September 2004 not met). Action must be taken to prevent risk of injury to service users and reduce hot water temperatures to 43 degrees centigrade at all hot water outlets accessible to saervice users. (Previous timescale of Immediate not met) The home must complete a quality analysis and make available the outcomes as required. (Previous timescale of 1st February 2005 not met) The home must maintain service users personal monies and records of such in accordance Timescale for action 18th June 2005 2. 16 22 18th June 2005 18th June 2005 Immediate 3. 19 23 4. 25 13 5. 33 35 18th June 2005 6. 35 17 and 20 18th June 2005 Page 18 Manor Park B54 S0186 Manor Park V223366 250405 stage 4.doc Version 1.30 with Regulations 17 and 20 of the Care Homes Regulations 2001 (Previous timescale of 1st January 2005 not met) 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 20 Good Practice Recommendations The plans to provide an outdoor patio area should be carried out as soon as possible. Manor Park B54 S0186 Manor Park V223366 250405 stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection No 1 Hopetown Studios Brinkburn Road Darlington3 DL3 6DS 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. Extracts may not be used or reproduced without the express permission of CSCI Manor Park B54 S0186 Manor Park V223366 250405 stage 4.doc Version 1.30 Page 20 - 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. 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