Inspection on 06/02/09 for Manor Way Centre

This inspection was carried out on 6th February 2009.

CSCI found this care home to be providing an Good service.

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 Way Centre 09/01/07

Manor Way Centre 01/03/06

Manor Way Centre 19/07/05

Manor Way Centre 07/10/04

Manor Way Centre 23/04/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Manor Way Centre Manor Way Crewe Cheshire CW2 6JS     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Val Flannery     Date: 0 6 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 25 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 25 Information about the care home Name of care home: Address: Manor Way Centre Manor Way Crewe Cheshire CW2 6JS 01270255248 01270250638 stephen.maddock@clsgroup.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): CLS Care Services Limited Name of registered manager (if applicable) Stephen Maddock Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The registered person may provide the following category of service only: Care home only - Code PC. To service users of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP. The maximum number of service users who can be accommodated is: 41. Date of last inspection Brief description of the care home Manor Way Centre provides care for forty-one older people. Located on a residential estate in Crewe, the home is within reach of local facilities such as a shop, pub and is on the bus route to the town centre. Access between the ground and first floor of the two-storey building is by a passenger lift or stairway. All the bedrooms are single and contain hand-washing facilities. There are sufficient toilets and bathrooms to meet the needs of residents. There are a variety of aids and adaptations around the building to help residents with mobility problems. Dining areas are provided on both floors; as are a number of communal lounges. Residents have access to the garden to the rear of the Care Homes for Older People Page 4 of 25 care home 41 Over 65 41 0 Brief description of the care home home as well as a veranda area on the first floor. Staff are on duty twenty-four hours a day to deliver care to residents. The current scale of charges for accommodation in the home is 343.34 to 420.00. For further details on these and other charges please contact the manager. Care Homes for Older People Page 5 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The overall quality rating for this service is two stars. This means that the people who use the service experience good quality outcomes. This visit took place on the 6 February 2009 and took seven hours. It was carried out by one inspector. The report will say we when referring to what we did, as it is written on behalf of the Commission for Social Care Inspection. During the visit we spoke with people living in the home, their relatives, a social worker, the manager and staff. We looked at the home environment and at various records held by the home to check the care that people are receiving and to see how the home is being run. Care Homes for Older People Page 6 of 25 The visit was just one part of the inspection. Before the visit the home manager was asked to complete a questionnaire to provide up to date information about the home. CSCI questionnaires were made available to people living in the home and staff so they could tell us what they think of the home. The last inspection of the home was completed on the 9 January 2007. What the care home does well: The statement of purpose/service users guide to the home has been up dated so that people living at the home and those who are interested in moving in have up to date information about the home, its staff and what services it provides. Staff from the home carry out an assessment of need with people who may wish to live in the home to make sure that the persons needs can be met there. They also receive information about the person from the care manager of the local authority so they have as much information as possible to make sure peoples needs are met when they move in. Care plans are in place to identify peoples health and personal care needs and what staff need to do to meet these needs appropriately in the way that people living in the home prefer. Staff support the people living in the home with personal care tasks in a sensitive and caring manner. The health care needs of people living at the home are monitored to make sure that any problems are treated quickly and people remain as healthy as possible. Staff are aware of the importance of ensuring the privacy and dignity of the people living in the home is protected at all times. Family and friends are kept informed by staff about their relatives. They can visit the home at any time so that it is easier for people who live at the home to keep in touch with their loved ones. There is an activities co-coordinator working in the home who arranges a range of activities, both in the home and in the local community. This helps to make sure that people can stay active and have the chance to join in social occasions. The complaints procedure for the home is made available to the people living there, their relatives and other visitors. Complaints and concerns received by the home are taken seriously so that people raising concerns can be confident that these will be acted upon. There are policies and procedures in place in the home on safeguarding adults and staff receive training on this so they know what to do to make sure people living in the home are protected from harm and abuse. The home is well maintained so the people living there live in comfortable and safe surroundings. Staff who work in the home are aware of the care needs of the people who live there and provide support and assistance in a manner that encourages their independence and respects their dignity and privacy. The home is well managed so that it is run in the best interests of the people living there. They and their relatives are confident the management of the home will listen to their concerns and worries and act upon them. Care Homes for Older People Page 8 of 25 What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 25 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have their needs assessed before they move into Manor Way so they know the home has the information to ensure these needs can be met. Evidence: During our visit we looked at the care records of two of the people who have come to live in the home to check what care and support they were receiving. The records showed that staff from the home had carried out an initial care needs assessment and had also completed a support plan to show how the persons need would be met at the home. We also saw copies of care needs assessments that had been done by care managers from the local authority. A social worker we spoke with during our visit told us that staff from the home had been very good at getting information about the care needs of person who wished to move into the home. We saw a copy of the information leaflets about the home (the statement of purpose Care Homes for Older People Page 11 of 25 Evidence: and service user guide). These had been up dated to show the change of registered manager, other staff changes and the contact details for the Commission for Social Care Inspection. During our visit we spoke with two relatives who were visiting. They told us they had visited the home on behalf of their relatives who wished to live in the home. They both said that they had received information about the home and had been made to feel very welcome by staff. When we checked the care records, we saw that one of the care needs assessments had not been signed by the member of staff who carried it out. We also noted that other assessments carried out by staff, for example, about administration of medication and risk assessment of pressure ulcers had not been signed by staff. This should be done to confirm who has carried out the assessments. Care Homes for Older People Page 12 of 25 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in Manor Way have their personal and health care needs met in a manner that protects their privacy and dignity. Evidence: The care records of two of the people living in the home were seen during the inspection. People who live in the home, relatives, staff and a social worker were also spoken with during the visit. Staff were also seen administering medication to people who live in the home and providing personal care and support. District nurses were seen visiting a number of the people who live in the home. The plans of care seen showed how the people wished to be cared for and also included detailed information about their healthcare needs and how these were to be met. Also included in the records were letters about hospital visits and appointments. The people spoken with said they can request visits from healthcare professionals and that staff are very good at requesting visits from nurses and doctors. Staff were seen helping the people who live in the home with using the bathroom, Care Homes for Older People Page 13 of 25 Evidence: having their mid day meal and move about the home. This was done in a sensitive and caring manner that respected the dignity of the people. Two relatives were spoken with during the inspection. They said staff always treated the people living in the home with kindness and understanding and that they have never seen or heard staff being unkind to the people living in the home Care Homes for Older People Page 14 of 25 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Family and friends are able to visit the home as they wish so ensuring the people living in the home are able to maintain links with people who are important to them Evidence: During the inspection a number of the people who live in the home were spoken with. They said they are supported to be as independent as possible. They were seen moving between their bedrooms and the communal lounges/dining area. Staff were seen supporting the people with mobility problems. People said they are encouraged to make decisions about how they live their lives, for example, when they go to bed and get up, where they spend their leisure time and where they have their meals. The home has an activities co-ordinator who organises a range of activities, both in the home and in the local community. The people spoken with said they can choose to join in the activities as they wish. The people spoken with during the inspection, including two relatives, said visitors are able to visit the home as they wish. They said visitors are made to feel welcome by the staff and that they are kept informed of any accidents, incidents that may involve their relatives. Care Homes for Older People Page 15 of 25 Evidence: Comments received from people about the food offered were, on the whole very good. People said they are offered choices and that they can eat their meals where and when they wish. One person said they had raised concerns about the quality of the food and that her concerns were listened to and acted upon. Staff were seen assisting people with their mid day meal. This assistance was offered in a sensitive and unhurried manner. Care Homes for Older People Page 16 of 25 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Complaints are taken seriously and acted upon so ensuring the people who live in the home are confident their concerns will be listened to. Evidence: People spoken with during the inspection, including two relatives, said they are aware of the complaints procedure and who to raise issues of concern with. They also said they were confident that their concerns would be listened to and acted upon. The complaints procedure is included in the statement of purpose/service user guide to the home, a copy of which is kept in each bedroom. Details on how to contact the Commission for Social Care Inspection are included in the complaints procedure. The manager for the home said they have not made any referrals under the adult protection procedures. CLS have provided policies and procedures on protecting adults from abuse or harm, a copy of which is available in the home. Also available was a copy of the guidelines No Secrets. Information provided by the manager showed that staff had received/will have received training on CLSs new safeguarding adults procedures by the end of May 2009. This is to make sure they have up to date information on the actions they would need to take to make sure that people who live at the home are protected. Care Homes for Older People Page 17 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a clean, pleasant and comfortable environment for the people who live there. Evidence: On the day of the inspection the home was bright, clean, tidy and free from unpleasant smells. There is a maintenance programme in place that ensures the environment is kept safe for the people who live in the home. The people who live in the home and the relatives spoken with on the day of the inspection said the home is always well maintained and that the staff work very hard to ensure it is kept clean and tidy. Located in a residential area of Crewe the home is close to shops, public house and doctors surgery. All of the bedrooms are single and contain hand washing facilities. Toilet and bathing facilities are located around the home and are within easy reach of bedrooms and communal areas. There is a passenger lift that allows access between the first and ground floors of the two storey building. Care Homes for Older People Page 18 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live in the home are supported by a staff team who know them so ensuring their needs are met and they are safe from possible harm. Evidence: The staffing rota seen on the day of the inspection showed that there is normally one care team leader and three care assistants on duty during the day and one care team leader and one care assistant on duty during the night. The rota also showed that there are sufficient domestic and kitchen staff on duty during the day. On the day of the inspection the registered manager was also in the home. Information provided by the manager in the Annual Quality Assurance Assessment showed that thirteen staff have achieved an NVQ Level 2 or above. Training records were provided by the manager that showed that there is a training and development plan in place for the home for 2009/10. However, the individual staff training records provided by the manager showed that a number of staff have not received up to date training on the adult protection procedures. The manager said that all staff will have received up dated adult protection training by April 2009. A number of the people who live in the home and two relatives were spoken with during the inspection. They said staff were kind and caring also that staff are kept very busy and that they could do with more staff on duty particularly in the mornings. Care Homes for Older People Page 19 of 25 Care Homes for Older People Page 20 of 25 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is being run in the best interests of the people who live there so ensuring their welfare is protected and promoted. Evidence: Since the last inspection of the home in January 2007 the registered manager has changed. the new manager was registered in September 2008. He said he has acheived an NVQ Level 4 and the registered managers award. He also said he has attended periodic training in order to up date his knowledge and skills in managing a care home. He has worked for CLS Care Services for a number of years and has been a manager with the organisation for over six years. During this time he has managed a number of care homes in the organisation. A number of people living in the home, relatives and staff were spoken with during the inspection. They said they were satisfied with the overall running of the home and that current manager has a different approach to the running of the home. They said they Care Homes for Older People Page 21 of 25 Evidence: are able to approach the manager with any concerns/complaints and are confident these will be listened to and acted upon. Care Homes for Older People Page 22 of 25 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 23 of 25 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 2 The care needs assessment and other assessment information should be signed by the staff who have carried out the assessments to make sure that it is easy to identify who did them and when. The record of staff training show be monitored and action taken to ensure staff receive their refresher training as required. 2 30 Care Homes for Older People Page 24 of 25 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 25 of 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. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!