Inspection on 16/01/06 for Manor Place (60)

This inspection was carried out on 16th January 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Manor Place (60) 13/02/07

Manor Place (60) 13/06/05

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 4TX Lead Inspector Jeanette Fielding Unannounced Inspection 16th January 2006 04:15 Manor Place (60) DS0000018994.V280253.R01.S.doc Version 5.1 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 Place (60) DS0000018994.V280253.R01.S.doc Version 5.1 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 Place (60) DS0000018994.V280253.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Manor Place (60) Address 60 Manor Place Bromborough Wirral CH62 4TX 0151 645 5761 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) Wirral Autistic Society Mrs Helen Louise Rudd Care Home 2 Category(ies) of Learning disability (2) registration, with number of places Manor Place (60) DS0000018994.V280253.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th June 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) DS0000018994.V280253.R01.S.doc Version 5.1 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. Much of the 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 and were found not to contain information regarding recent care reviews. Records relating to health and safety were inspected to provide evidence that the service users are protected and were found to be in order. 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: 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) DS0000018994.V280253.R01.S.doc Version 5.1 Page 6 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 Place (60) DS0000018994.V280253.R01.S.doc Version 5.1 Page 7 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 the following standard(s): 3 The assessments on service users are comprehensive to ensure that the home can meet their individually assessed needs. EVIDENCE: No new service users have been admitted to the home. 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) DS0000018994.V280253.R01.S.doc Version 5.1 Page 8 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 the following standard(s): 6, 7, 9 The service users are actively involved in decisions regarding their lives to enhance their quality of life. EVIDENCE: Service users are involved with all reviews of their care plans. No evidence is held on the individual care files of the outcomes of recent reviews or changes to care plans. The last review for one service users was in November 2005 but no information is recorded regarding outcomes or proposed changes to the plan of care. Formal reviews are usually held each six months with care plans being reviewed on a monthly basis by the key workers. The formal reviews are attended by the service users, family, key worker and other persons involved in their care provision. Care files are to be updated and all information duty recorded. Service users confirmed that they are involved with the decision making within the home. The records held in the home provide evidence that service users are fully aware of opportunities available to them and of their right to make decisions. Manor Place (60) DS0000018994.V280253.R01.S.doc Version 5.1 Page 9 The information recorded in the daily diaries by the staff are comprehensive and provide full details of the service users lifestyle and social activities. 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. 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. Both service users have their personal possessions in the home and a list of personal items should be recorded and held on their care file. Manor Place (60) DS0000018994.V280253.R01.S.doc Version 5.1 Page 10 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 the following 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. The daily diaries held for service users refer to visits to friends in the local community. 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. 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) DS0000018994.V280253.R01.S.doc Version 5.1 Page 11 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 the following standard(s): 18, 19, 20 The system for the administration of medications is good to ensure service users medication needs are met. EVIDENCE: The service users confirmed that the staff at the home encourage them to make decisions and a selection of alternatives are always offered. Preferences are recorded in care plans with 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. The member of staff on duty was able to demonstrate that she was fully knowledgeable of the procedure. Manor Place (60) DS0000018994.V280253.R01.S.doc Version 5.1 Page 12 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 the following standard(s): 22, 23 Appropriate checks are made on all staff to ensure the protection of service users. EVIDENCE: Both service users were spoken to during the inspection and 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 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 in accordance with the recruitment procedure. Manor Place (60) DS0000018994.V280253.R01.S.doc Version 5.1 Page 13 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 the following standard(s): 24, 30 The standard of the environment within this home is good providing service users with a pleasant and homely place 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. New carpets have been fitted in the bedrooms and service users said that they were very pleased with this. One service user said that he would like his bedroom redecorated as he did not like the current wallpaper very much and it did not match the new carpet. All areas of the home are clean and are decorated and furnished to a good standard and the home is well maintained. Manor Place (60) DS0000018994.V280253.R01.S.doc Version 5.1 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 The staff are given appropriate training to ensure that the needs of the service users is met. EVIDENCE: The member of staff on duty on the day of the inspection has worked for Wirral Autistic Society for some years. She is currently covering the sickness of a regular member of staff. The service users confirmed that they knew the member of staff well, were comfortable with her and enjoyed having her in the home. The member of staff on duty confirmed that considerable training had been undertaken and that training updates were given on a regular basis. Wirral Autistic Society has a training department who hold responsibility for ensuring that all staff undertake full training during their induction training programme together with training on autism and specific training to meet the needs of the service users. All staff are given regular supervision and annual appraisals are undertaken to identify further training needs. Manor Place (60) DS0000018994.V280253.R01.S.doc Version 5.1 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39, 42 EVIDENCE: The manager and staff speak with the service users on a one to one basis to ascertain their views of the home. Residents confirmed that regular meetings are held and they are given every opportunity to make comment on all issues relating to the home and to their care. The issues discussed are recorded. Quality monitoring systems are in place and the service is also monitored by the National Autistic Society who review of the service on a regular basis. 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) DS0000018994.V280253.R01.S.doc Version 5.1 Page 16 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 X 3 3 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 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 4 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 X X X 3 X X 3 X Manor Place (60) DS0000018994.V280253.R01.S.doc Version 5.1 Page 17 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. 1. Standard YA6 Regulation 15 Requirement The Registered Person must ensure that the records relating to reviews of service users care plans are made available in the home. Timescale for action 24/02/06 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 Place (60) DS0000018994.V280253.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Liverpool Local Office 3rd Floor Campbell Square 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) DS0000018994.V280253.R01.S.doc Version 5.1 Page 19 - 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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