Inspection on 07/06/05 for Manor Road, 2

This inspection was carried out on 7th June 2005.

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 Road, 2 04/04/08

Manor Road, 2 04/04/07

Manor Road, 2 09/01/06

Manor Road, 2 07/02/05

Manor Road, 2 20/09/04

Manor Road, 2 16/03/04

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 2 Manor Road Tynemouth North Shields Tyne & Wear NE30 4RH Lead Inspector Jim Lamb Unannounced 07 June 2005 09:45 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. 2 Manor Road B53-B03 S354 ManorRoad V231651 070605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 2 Manor Road Address Tynemouth North Shields Tyne & Wear NE30 4RH 0191 257 4519 0191 257 4519 N/A Kay Care Services Limited 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) Mr Richard Heysham Collins CRH 24 Category(ies) of DE(E) - Dementia over 65 (5) registration, with number OP - Old Age (19) of places 2 Manor Road B53-B03 S354 ManorRoad V231651 070605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: none Date of last inspection 7.1.05 Brief Description of the Service: The home provides personal care and accommodation for older people who require long term care. The home is located in the village of Tynemouth close to shops, pubs, the post office and seafront. There are good transport links near-by. The home has a passenger lift, and service users have access to a landscaped front garden and a paved courtyard. 2 Manor Road B53-B03 S354 ManorRoad V231651 070605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes first annual unannounced inspection visit. This inspection took place over 5 hours. The inspector looked around the building and a number of records were inspected. Considerable time was spent talking to the service users, one visitor and staff. What the service does well: What has improved since the last inspection? The manager keeps a maintenance list; he ensures that the home is kept clean, safe, comfortable, welcoming and homely. 2 Manor Road B53-B03 S354 ManorRoad V231651 070605 Stage 4.doc Version 1.30 Page 6 Since the last inspection visit, new kitchen units have been fitted and new flooring in the kitchen is about to be laid. The dining room has been decorated and there are plans to decorate the main lounge and other areas within the home. 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. 2 Manor Road B53-B03 S354 ManorRoad V231651 070605 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 2 Manor Road B53-B03 S354 ManorRoad V231651 070605 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) 2 3 4 The homes pre-admission assessment process is well managed. Potential new service users are invited to visit and spend time in the home, meet other service users and staff. EVIDENCE: The inspector saw a copy of the standard contract used. It contained the range of information required by the standards. Four service users interviewed confirmed they had a copy of their individual contract. Three service users’ files were checked and on each were a copy of a full needs assessment. They contained a range of appropriate information and service users interviewed confirmed they were involved in drawing up both these initial assessments and the home’s subsequent service user plans. 2 Manor Road B53-B03 S354 ManorRoad V231651 070605 Stage 4.doc Version 1.30 Page 9 The 3 service user plans checked by the inspector were comprehensive, and listed details of service user’s needs and actions taken by the staff to meet these needs. The residents interviewed said their needs were fully met and they were happy with the care offered to them. Three care plans were checked and staff members interviewed. These confirmed that a range of specialist services was provided to service users. Staff interviewed had had a range of relevant training and experience. All service users are invited to visit the home prior to admission to meet other service users and staff. Overnight stays can also be arranged. Unplanned admissions are avoided where possible. 2 Manor Road B53-B03 S354 ManorRoad V231651 070605 Stage 4.doc Version 1.30 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 standard(s) 7 8 9 10 The service users care records are well organised and information was easily accessible. The service users personal and health care needs are well managed. EVIDENCE: There is evidence of a comprehensive assessment in the service users’ care plans. There is also a comprehensive risk assessment of service users. There was evidence of advocacy arrangements, as well as family input. Each service user has an allocated key worker. Care plans are drawn up with service users. There is evidence that plans are amended and reviewed on a regular basis. Self-advocacy is promoted; any rights that are restricted are linked to risk assessments. For those that require assistance, service users receive support from staff to manage their finances. 2 Manor Road B53-B03 S354 ManorRoad V231651 070605 Stage 4.doc Version 1.30 Page 11 Service users’ all said that they are able to make decisions for themselves. The homes medication systems were found to be well managed, staff have been trained to manage and administer medication, and the dispensing chemist provides good support and advice. 2 Manor Road B53-B03 S354 ManorRoad V231651 070605 Stage 4.doc Version 1.30 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 standard(s) 12 13 15 Social activities and meals are well organised. Service users can see visitors in private. EVIDENCE: There was evidence that each service user has the opportunity to participate in community-based activities, such as visits to local places of interests, pub and theatre outings, and using the local amenities near the home. I was informed that all service users are supported to maintain very close links with their families. All are able to choose who they want to see and when. There was evidence that daily routines promote independence, choice and freedom of movement. The inspector observed staff interacting in a sensitive and respectful manner with service users. The Home’s menus are based on the known likes and dislikes of the service users. At least two hot meals are provided on a daily basis. The service users that I spoke with said that the food was very good. 2 Manor Road B53-B03 S354 ManorRoad V231651 070605 Stage 4.doc Version 1.30 Page 13 A range of special diets can be catered for. 2 Manor Road B53-B03 S354 ManorRoad V231651 070605 Stage 4.doc Version 1.30 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 standard(s) 16 18 The manager and staff ensure that complaints are handled objectively; the service users were confident that their concerns will be taken seriously and acted upon. There are procedures in place for dealing and responding to any suspicion or allegations of abuse. EVIDENCE: The home does have a complaints procedure, which the inspector saw. It contains details of how to contact the CSCI to make a complaint, that complaints would be responded to in 28 days and that complainants would not be victimised. Four service users interviewed confirmed that they had been given copies of the procedure and that staff listened to their complaints and dealt with them fairly. They spoke of their key workers supporting them and helping them to deal with any concerns that they may have. One service user spoken to who had made a complaint in the past said these had been dealt with fairly. The home does keep a record of complaints. Since the last inspection visit there have been no reported complaints. 2 Manor Road B53-B03 S354 ManorRoad V231651 070605 Stage 4.doc Version 1.30 Page 15 The home has a Whistle Blowing policy procedure as well as, the Local Authorities Vulnerable Adults procedures. The home also has a copy of the D.H. “NO SECRETS” for further information. 2 Manor Road B53-B03 S354 ManorRoad V231651 070605 Stage 4.doc Version 1.30 Page 16 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 21 22 23 24 25 26 The home was safe, clean, comfortable and well-maintained, good progress and improvements to the décor have been made. EVIDENCE: On the day of the inspection the home was clean, well decorated and well maintained. The home is in a residential location. The service users interviewed did say it was homely and very comfortable. The grounds were tidy, safe, attractive and accessible. The fire service had made visits to the home. Requirements made had been actioned. The home does have an appropriate amount of sitting, recreational and dining space. 2 Manor Road B53-B03 S354 ManorRoad V231651 070605 Stage 4.doc Version 1.30 Page 17 There are sufficient rooms for a variety of activities to take place. Service users can see visitors in private in their own rooms or one of the quiet lounges. The dining areas are large enough to cater for all service users. There is a smoke-free sitting room. Outdoor space and all areas of the home are accessible to people in wheelchairs. Furnishings and fittings were domestic in design and in good condition. Lighting was sufficiently bright and also domestic in design. The home does have a sufficient number of baths, showers and toilets. These were close to bedrooms, lounges and dining areas. Doors were labelled and had privacy locks. There were appropriate aids and adaptations – eg seat raisers, grip rails, bath hoists. Room sizes did meet the minimum required. Room dimensions were such there was space on either side of the bed when necessary to enable access for carers and specialist equipment. Service users’ bedrooms checked all had opening windows. The rooms were centrally heated and the heating level could be controlled within each bedroom. Radiators were low surface temperature and pipes were guarded. Lighting levels were sufficient and there was emergency lighting throughout the home. The home was clean and free from offensive odours. The laundry facilities appeared to be well organised, COSHH information was displayed. Washing machines have the specified programme to meet disinfection standards. 2 Manor Road B53-B03 S354 ManorRoad V231651 070605 Stage 4.doc Version 1.30 Page 18 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) 27 28 The majority of the staff has worked in the home for a long time. The deployment and number of staff is sufficient to meet the needs of the service users. EVIDENCE: Staff levels on the day of the inspection did meet the agreed level. Samples of rotas were checked and these stated the required numbers of staff were on duty. Service users interviewed said that staffing levels were appropriate. All the staff were over 18 years of age and those left in charge were at least 21. Staffing levels ; 8.00am – 3. 30pm 4 staff 3. 30pm –10.00pm 3 staff, from 10.00pm – 8.00am 2 staff. The inspector checked staff records and found that 70 of the home’s staff is qualified and others are expected to qualify to NVQ level 2 by December 2005. Training needs of staff are identified via supervision and appraisal sessions. 2 Manor Road B53-B03 S354 ManorRoad V231651 070605 Stage 4.doc Version 1.30 Page 19 The manager will ensure that staff receives supervision within the agreed timescales. 2 Manor Road B53-B03 S354 ManorRoad V231651 070605 Stage 4.doc Version 1.30 Page 20 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) 31 32 36 37 There is good leadership, guidance and direction to staff to ensure service users receive consistent quality care and that the service users safety and welfare is protected. EVIDENCE: The registered manager has many years experience in senior management and has a level 4 National Vocational Qualification in management and care. In the last year all of the staff team have attended several courses to keep themselves up to date. Staff interviewed were clear about the their responsibilities. Staff and service users spoke positively about the manager saying he had encouraged both staff and service users to contribute to the development of the service. 2 Manor Road B53-B03 S354 ManorRoad V231651 070605 Stage 4.doc Version 1.30 Page 21 Service users and visitors are informed when inspections take place and have access to inspection reports. Copies are on display for relatives/others to see. The records that I inspected were found to be appropriately completed, I was provided with information which verified that appropriate maintenance contracts for the home are in place. Finance records have previously been forwarded to the CSCI to verify that the home is viable. 2 Manor Road B53-B03 S354 ManorRoad V231651 070605 Stage 4.doc Version 1.30 Page 22 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 x 3 3 3 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 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 4 3 x x x 2 3 x 2 Manor Road B53-B03 S354 ManorRoad V231651 070605 Stage 4.doc Version 1.30 Page 23 no 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 op 36 Regulation 18 (2) Requirement Staff require to be supervised within the agreed timescales Timescale for action 1.8.05. 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 No recommendations were identified. 2 Manor Road B53-B03 S354 ManorRoad V231651 070605 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection Northumbria House Manor Walks, Cramlington Northumberland NE23 6UR 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 2 Manor Road B53-B03 S354 ManorRoad V231651 070605 Stage 4.doc Version 1.30 Page 25 - 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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