Inspection on 03/11/06 for Manor Park Care Home

This inspection was carried out on 3rd November 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 Park Care Home 14/10/09

Manor Park Care Home 28/10/08

Manor Park Care Home 26/09/05

Manor Park Care Home 25/04/05

Manor Park Care Home 25/10/04

Manor Park Care Home 14/06/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Manor Park off Catcote Road Greenock Road Hartlepool TS25 4EU Lead Inspector Bridgit Stockton Unannounced Inspection 10:30 3 November 2006 rd 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 Park DS0000000186.V303536.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 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 DS0000000186.V303536.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Manor Park Address off Catcote Road Greenock Road Hartlepool TS25 4EU 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) 01429 274122 01429 273472 None Four Seasons Healthcare (England) Limited (Wholly owned subsidiary of Four Seasons Health Care Ltd) Dorothy Huitson Care Home 58 Category(ies) of Old age, not falling within any other category registration, with number (0), Physical disability (0) of places Manor Park DS0000000186.V303536.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. To allow the admission of one named individual under the age of 65 years. To allow the admission of up to 5 service users aged 50 years plus with physical disabilities (PD). 26th September 2005 Date of last inspection 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 DS0000000186.V303536.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out over a period of 4 hours on 3rd November 2006. The plan for the inspection was to check whether the home had met previous requirements and recommendations; to talk with service users about living in the home; to meet with care staff and the home’s management team; and to look at records. What the service does well: What has improved since the last inspection? What they could do better: The program for refurbishment and redecoration within the home must continue, and the assisted bathrooms should be a priority, the bath panels were worn and the flooring needs replacing. Manor Park DS0000000186.V303536.R01.S.doc Version 5.2 Page 6 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 DS0000000186.V303536.R01.S.doc Version 5.2 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 Park DS0000000186.V303536.R01.S.doc Version 5.2 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&6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users can be assured that their needs are appropriately assessed prior to admission to the home and that they are given sufficient information to make an informed choice before moving into the home. EVIDENCE: The home’s Statement of Purpose and Service User Guide have been updated. These guides contained all of the information that is required to enable people to make an informed choice about where to live. Evidence was seen in service users files that service users or their representatives had signed a contract with the home. The contracts included a breakdown of the fees and who was responsible for paying the fee. The manager confirmed that visits to prospective service users always takes place before their admission to the home, to carry out an assessment of needs. Four service users files inspected had pre admission assessments and care management assessments so that a decision could be made about whether the home was able to meet the needs of the individual, prior to admission. Manor Park DS0000000186.V303536.R01.S.doc Version 5.2 Page 9 Intermediate care is not offered at Manor Park Care Home therefore this standard was not assessed. Manor Park DS0000000186.V303536.R01.S.doc Version 5.2 Page 10 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good systems are in place to ensure that health care needs of the service users are met. Service users can be confident that their privacy and dignity is protected and that they are treated with respect. EVIDENCE: The manager has spent some time training and coaching staff in the planning and delivery of service users care. A service user plan has been developed for each service user that identifies needs associated with health and personal care. This ensures that staff are clear about what is required of them in meeting a service user’s needs. The care plans of four service users were inspected. They were comprehensive and well written. Careful and thoughtful strategies to address particular needs or problems of some service users were well documented and sensitively written. There was evidence of involvement of specialist healthcare people such as the district nurse, the dietician, continence nurse and chiropodist. The medication at the home was inspected. The home operates a monitored dose system. All of the medication was signed for on the medication administration record. The practice of a member of staff administering service Manor Park DS0000000186.V303536.R01.S.doc Version 5.2 Page 11 users medication was observed. The staff member was clear and confident about the medication she was administering, however to minimise the potential risk of a service user getting the wrong medication only one service user at time should be attended to. The service users spoken to felt that the staff “were wonderful” and that their particular needs and wishes were addressed in a kind and professional manner. Service users confirmed that their privacy is maintained and respected by staff. One service user said ‘it’s okay here, I can do as I please, the staff help me whenever I need it’. Manor Park DS0000000186.V303536.R01.S.doc Version 5.2 Page 12 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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users had some activities arranged, but would benefit from an activities organiser for a more structured individual approach. A good selection of meals with choices and alternatives are available for service users at the home. EVIDENCE: Flexible visiting arrangements allow the service users to maintain good and regular contact with family and friends. Service users confirmed that they could have as many visitors as they like and at any time they chose. Service users spoken to said they were able to do as they please, one service user said ‘staff help me when I want help, that’s what I like, you don’t have to do anything you don’t want to do’. The home does not employ an activities coordinator, the manager confirmed that this post has been advertised and interviews will be taking place soon. Currently care staff are trying to provide some activities but this is only when there is sufficient time and resources to do so. Some service users spoken to said that the meals were good. One service user said ‘ the foods okay, we get plenty on the plate, the choice is good to’. The lunchtime meal was being served during the inspection. It looked nice and Manor Park DS0000000186.V303536.R01.S.doc Version 5.2 Page 13 service users said they enjoyed it. Staff were able to assist service users who needed help. Manor Park DS0000000186.V303536.R01.S.doc Version 5.2 Page 14 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be confidant that their concerns and complaints are dealt with appropriately and that safeguards are in place to protect them from abuse. EVIDENCE: There are adequate written policies and procedures in place to deal with complaints and the care staff spoken to confirmed they were aware of these. Staffs knowledge of this help ensure that they were able to address any issues or anxieties of the service users, relatives and visitors to the home. Staff training has taken place in the protection of vulnerable adults in abuse. Staff recruitment procedures were adequate and staff were employed and deployed following appropriate CRB and POVA checks. The manager and staff team were clear and confident in the protection of vulnerable adult procedures. Manor Park DS0000000186.V303536.R01.S.doc Version 5.2 Page 15 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be assured they live in a safe, clean and comfortable environment. EVIDENCE: Some service users bedrooms and all the communal areas and bathrooms were inspected. These were all nice and clean. The home is undergoing refurbishment with many areas of the home redecorated. The manager confirmed that the communal bathroom facilities are to be upgraded and refurbished. The bedrooms and communal areas were comfortably furnished, and all the dining rooms were bright and airy. In some service users bedrooms secondary heating had been supplied. The manager explained that there had been problems in some rooms with the central heating system, but this was now resolved. Many of the service users had personalised their own rooms to Manor Park DS0000000186.V303536.R01.S.doc Version 5.2 Page 16 make them more homely. One service user said ‘ I think my room is smashing, I have got some stuff from home in here, and I like that’. Infection control procedures are implemented throughout the home. Manor Park DS0000000186.V303536.R01.S.doc Version 5.2 Page 17 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service user can be confident that staff are trained and on duty in sufficient numbers to meet their assessed needs. EVIDENCE: Nine out of eighteen care staff are trained to the National Vocation Qualification (NVQ) level two or above in care. There was evidence of on going training for staff in such things as palliative care, moving and handling of service users, fire awareness and prevention of falls. From the rota supplied with the pre inspection questionnaire there was sufficient nursing and care staff on duty to meet the assessed needs of service users. Service users said that staff were always around and answered the call bells quickly. One service user said ‘the staff are always popping in to see if I am okay ’. Another service user said ‘I would give the staff one hundred and fifty out of one hundred, they are really good, they are always willing’. Manor Park DS0000000186.V303536.R01.S.doc Version 5.2 Page 18 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): 31,33,35 &38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be assured that the care home is managed properly and their best interests safeguarded. EVIDENCE: The home is well managed. Staff, service users and visitors to the home have open access to the manager at Manor Park; this was evident during the inspection. Some service users personal allowances are held at the home. Financial policy and procedures are in place to ensure that all transactions can be accounted for. Receipts are retained and signatures obtained for any financial transaction regarding service users money. There is a company policy in place to gain views of the users of the service. A report of which is fed back to the manager of the home, via the area manager who conducts regular quality assurance visits to the home. Manor Park DS0000000186.V303536.R01.S.doc Version 5.2 Page 19 The homes health and safety file was examined; all equipment in the home is regularly checked with valid certificates issued. Manor Park DS0000000186.V303536.R01.S.doc Version 5.2 Page 20 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 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 2 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 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 X 3 X 3 X 3 3 Manor Park DS0000000186.V303536.R01.S.doc Version 5.2 Page 21 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. 1 Refer to Standard OP13 Good Practice Recommendations It is recommended that an activities coordinator is appointed for the home. This was also subject to a requirement made at the previous inspection. Manor Park DS0000000186.V303536.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington 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 DS0000000186.V303536.R01.S.doc Version 5.2 Page 23 - 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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