Inspection on 13/06/05 for Manor Place (60)

This inspection was carried out on 13th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 Place (60) 13/02/07

Manor Place (60) 16/01/06

Manor Place (60) 07/03/05

Manor Place (60) 28/09/04

Manor Place (60) 26/01/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Manor Place (60) 60 Manor Place Bromborough Wirral CH62 3QA Lead Inspector Jeanette Fielding Unannounced Monday 13 June 2005 16.30 th 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 Place (60) F52 F02 S18994 60 Manor Place V234482 130605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 60 Manor Place Address 60 Manor Place, Bromborough, Wirral, CH62 4TX 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) 0151 645 5761 Wirral Autistic Society Mrs Helen Louise Rudd PC Care Home Only 2 Category(ies) of LD Learning Disability 2 registration, with number of places Manor Place (60) F52 F02 S18994 60 Manor Place V234482 130605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th March 2005 Brief Description of the Service: 60 Manor Place is a permanent community home for service users with Autistic Spectrum Disorder, and accommodates two service users. The house is a semi-detached two storey property, with single bedrooms and a shared bathroom. The staff office doubles up as a sleepover room. The house has a large garden / orchard that is fully accessible to both service users. The home is situated in a residential area in Bromborough Pool Village. Local amenities include a sports centre and leisure facilities, transport, public houses, entertainment complexes and various shops. Manor Place (60) F52 F02 S18994 60 Manor Place V234482 130605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was undertaken during the early evening when both service users were home from day services. Considerable time was spent speaking with the service users to obtain their views of the service. Care plans were examined to give a full picture of the service users care needs and of the care given. Records relating to health and safety were inspected to provide evidence that the service users are protected. All areas of the building were viewed and provided evidence that the service provides a clean and homely environment for the service users. What the service does well: What has improved since the last inspection? What they could do better: The carpets in service users’ bedrooms has now become worn and shabby and requires to be replaced. A programme of improvements continues but the replacement of these carpets should now be prioritised. One service users said “I like my room, but the carpet is horrible. I want to choose a nice one.” Manor Place (60) F52 F02 S18994 60 Manor Place V234482 130605 Stage 4.doc Version 1.30 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 Place (60) F52 F02 S18994 60 Manor Place V234482 130605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Manor Place (60) F52 F02 S18994 60 Manor Place V234482 130605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 The assessments on service users is comprehensive to ensure that the home can meet their individually assessed needs. EVIDENCE: A full assessment was undertaken on both service users accommodated at the home prior to their admission. Both service users lived at Raby Hall, another home owned by Wirral Autistic Society, prior to their admission to the home, where they have lived since May 2002. Assessments are undertaken by WAS’s staff, Doctors, Occupational Therapists, Social Workers and any other persons involved with the care of the service users. The documentation held at the home, and at the Society’s head office, is extremely detailed and informative. Manor Place (60) F52 F02 S18994 60 Manor Place V234482 130605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 9 The service users are encouraged to make decisions about their lives to enhance the quality of their care. EVIDENCE: The service users are very involved in the preparation of their care plans. Both service users have contributed to the identification of their needs and records are held of individual needs, preferences and plans for the future. The care plans are reviewed on a regular basis and are updated to given information on progress and renewed plans. Both service users are involved with decision making within the home. Information is clearly recorded and the records show that they are fully aware of opportunities available to them and of their right to make decisions. Comprehensive risk assessments are undertaken in relation to care, health and safety and the building. Both service users attend day services and have individual risk assessments undertaken on the different specific activities that they participate in. Manor Place (60) F52 F02 S18994 60 Manor Place V234482 130605 Stage 4.doc Version 1.30 Page 10 Both service users confirmed that they are involved with the day to day running of the home and said that the staff did all they could to support the service users choices and preferences. Manor Place (60) F52 F02 S18994 60 Manor Place V234482 130605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 15, 16, 17 Links with the local community are good with a variety of opportunities to enrich service users social and educational opportunities. EVIDENCE: Education, training and recreational opportunities are given to both service users at their day services. They are both involved in the local community and with community activities. A full range of social and leisure activities are available that service users can choose from including social clubs, swimming, cycling, walking and holidays. Both service users confirmed that they enjoyed visiting friends and family. Recent visits include horse riding, Alton Towers, Claire Lodge in North Wales and the Lake District. At the inspection, one service user said that he was planning to visit France and was really looking exited about the trip. Routines within the home are generally dictated by day services and the activities planned for each individual service user. Weekends are more flexible with service users being offered a range of activities to participate in. Manor Place (60) F52 F02 S18994 60 Manor Place V234482 130605 Stage 4.doc Version 1.30 Page 12 Service users participate in meal planning and are also involved in shopping and meal preparation as they are able. The record of meals taken by service users provides evidence that they take a nutritious and well balanced diet. Manor Place (60) F52 F02 S18994 60 Manor Place V234482 130605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19, 20 The medication at this home is well managed promoting good health. EVIDENCE: The staff at the home encourage the service users to make decisions. Preferences are recorded in care plans, one service user choosing to write his own. Service users have an annual health check together with regular visits to the GP, dentist, optician and other healthcare professionals. Details of all planned visits are recorded. Information and advice given by healthcare professionals is also recorded. Only one service user requires medication and comprehensive records of all medications administered are held. All medications are appropriately ordered, stored, administered and disposed of in accordance with the home’s policy and procedure. Manor Place (60) F52 F02 S18994 60 Manor Place V234482 130605 Stage 4.doc Version 1.30 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22, 23 Appropriate checks are made on all staff to ensure the protection of service users. EVIDENCE: Both service users said that they felt their views were listened to and acted on. The records held in the home provide evidence that individual preferences are recorded, and where possible, respected in line with a risk management programme. The member of staff spoken to confirmed that training on abuse and adult protection issues had been given and is updated on a regular basis. All staff at the home have had appropriate checks made on them to ensure that the service users are protected. Manor Place (60) F52 F02 S18994 60 Manor Place V234482 130605 Stage 4.doc Version 1.30 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 30 Regular investment in the home ensures that service users have comfortable and safe environment in which to live. EVIDENCE: The home is located in Bromborough Pool village and is close to shops and other amenities. It is a three bedroom semi detached property and all areas are fully accessible to the service users. Since the last inspection, new dining furniture has been provided together with a new three piece suite. The carpets in service users’ bedrooms has now become extremely worn and now requires to be replaced due to the poor condition. All other areas are bright and pleasant the home is safe and extremely comfortable. All areas of the home were found to be clean and well maintained. Manor Place (60) F52 F02 S18994 60 Manor Place V234482 130605 Stage 4.doc Version 1.30 Page 16 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 The staff are given appropriate training to ensure that the needs of the service users is met. EVIDENCE: There has been no change to the staff team since the last inspection. The records held by the Society provide evidence of on-going training for all staff. The member of staff on duty at the time of the inspection was able to provide evidence of planned training. The needs of the service users are met through on-going assessment in relation to the training needs of the staff. Manor Place (60) F52 F02 S18994 60 Manor Place V234482 130605 Stage 4.doc Version 1.30 Page 17 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39, 42 Health and safety are promoted by the management and staff to ensure the protection of the service users. EVIDENCE: The staff and manager speak with the service users on a one to one basis to ascertain their views of the home. Residents meetings are held and the issues discussed are recorded. Quality monitoring systems are in place and the service is also monitored by the National Autistic Society who undertake regular reviews of the service. Risk assessments are undertaken and risk management strategies are in place to ensure that the health and safety of the service users are protected. Safety certificates inspected were found to be up to date and well maintained. Manor Place (60) F52 F02 S18994 60 Manor Place V234482 130605 Stage 4.doc Version 1.30 Page 18 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 4 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 4 4 x 3 3 3 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Manor Place (60) Score 4 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 4 x F52 F02 S18994 60 Manor Place V234482 130605 Stage 4.doc Version 1.30 Page 19 N/A 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 24 Regulation 23 Requirement The Registered Person must ensure that the carpets in service users bedrooms are replaced due to their poor condition. Timescale for action 30/9/05 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 Good Practice Recommendations Manor Place (60) F52 F02 S18994 60 Manor Place V234482 130605 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection Liverpool Area Office 3rd Floor, 10 Duke Street Liverpool L1 5AS 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 Place (60) F52 F02 S18994 60 Manor Place V234482 130605 Stage 4.doc Version 1.30 Page 21 - 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. 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