Inspection on 09/01/07 for Manor Way Centre

This inspection was carried out on 9th January 2007.

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 Way Centre 06/02/09

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Manor Way Centre Manor Way Crewe Cheshire CW2 6JS Lead Inspector Mr Val Flannery Unannounced Inspection 9th January 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Manor Way Centre DS0000006506.V318108.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Manor Way Centre DS0000006506.V318108.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Manor Way Centre Address Manor Way Crewe Cheshire CW2 6JS 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) 01270 255248 01270 250638 … www.clsgroup.org.uk CLS Care Services Limited Mrs Heather Simpson Care Home 41 Category(ies) of Dementia (1), Old age, not falling within any registration, with number other category (41) of places Manor Way Centre DS0000006506.V318108.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of 41 service users in the OP category may be accommodated. Within that number 1 named service user may be (DE). When the home no longer cares for this service user registration reverts to 41 service users in the OP category Date of last inspection 1st March 2006 Brief Description of the Service: 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 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. Manor Way Centre DS0000006506.V318108.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit took place on the 9 January 2007and lasted 7.5 hours. The visit was carried out by Val Flannery, Regulatory Inspector This visit was just one part of the inspection. Before the visit the home manager was also asked to complete a questionnaire to provide up to date information about services in the home. Questionnaires from CSCI were also made available for residents, families, health and social care professionals to find out their views. Other information received since the last key inspection was also reviewed. During the visit various records and the premises were looked at. A number of residents, relatives, staff and other visitors to the home were also spoken with and they gave their views about the service. What the service does well: Residents, relatives and other visitors spoken with during the visit commented on the ‘friendly staff’ and how they, and the manager, will ‘do their best’ to ‘help you’. Information about the service offered by the home is given to prospective residents and/or their relatives. Copies of the statement of purpose, last inspection report and other information are on display in the home, so that residents and their relatives have good up to date information about what is provided at the home. The residents’ health needs are well looked after, with care being provided by medical professionals as needed, to make sure they stay well and healthy. Residents are treated with respect and their right to privacy and maintaining their dignity is part of staff induction and training. Relatives and other visitors are able to visit residents as they wish so they can keep in regular contact. Residents are helped by staff as they need to help them stay as independent as possible for as long as possible. The home’s complaints and comments procedure is displayed in the entrance area to the home. Also on display is a record of any complaints/other comments made so that residents and relatives know any concerns they might have about the home will be listened to and resolved. Manor Way Centre DS0000006506.V318108.R01.S.doc Version 5.2 Page 6 Over 50 of care staff have achieved and NVQ Level 2 or 3 so the staff group is trained and competent to meet the needs of the residents. They also have access to a range of training courses and internal support from the management team in the home and senior managers in CLS. CLS, which runs the home, has provided a range of policies and procedures to ensure the health, safety and well being of residents, staff and other visitors to the home. A quality assurance system is in place that includes getting the views on the service from residents, relatives and other professionals, to make sure that the home is run to a good standard, in the best interests of the residents. 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. The summary of this inspection report can be made available in other formats on request. Manor Way Centre DS0000006506.V318108.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Manor Way Centre DS0000006506.V318108.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1/2/3/4/5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s and/or their relatives are able to visit the home before making a decision about moving in. This ensures they have the information to show that their needs can be met at the home. EVIDENCE: One of the residents and two of the relatives spoken with said they had received information about the home before making a decision about moving in. This was provided on their initial visit to see if the home ‘would be suitable’. Others said they were aware of the service offered by the home as it had ‘a good reputation’ in the area. Two residents said their relatives had visited on their behalf and that they were glad they had followed their advice and come to live in the home. Residents said they were made to feel welcome when they moved in and that a member of staff had helped them ‘settle in’. Records seen of the admission Manor Way Centre DS0000006506.V318108.R01.S.doc Version 5.2 Page 9 checklist showed that it was usually one of the care team leaders that helped residents settle in and answer any questions about the home. One resident said she used to live in another CLS home not far from Manor Way but that had closed down. She had moved to another home but was not happy there and had asked to move to Manor Way. Although it was ‘not like her own home’, she was happy she had moved. A range of information about the home, including statement of purpose/service user guide and most recent inspection report, was on display in the entrance area of the home. Four residents’ care records were seen during the visit. These showed that senior staff from the home had carried out an assessment of the residents’ needs. Where the placement is funded by the local authority copies of the care managers’ assessments were also available. A letter was seen on one file that had been sent to the resident by the manager confirming the offer of a placement in the home. All the residents and relatives spoken with said the manager and staff ‘work very hard to care for them’. They also said staff will discuss any concerns or worries they may have about how the residents’ needs will be met at the home. Copies of the terms and conditions of residency were seen during the visit. Also seen were copies of the Individual Service User Specification that are providing by the care manager where the resident is funded by the local authority. Manor Way Centre DS0000006506.V318108.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7/8/9/10/ Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Key-workers have been allocated to individual residents. This helps ensure residents are able to build up a good relationship with staff. EVIDENCE: During the visit the plans of care for four residents were seen. These showed that the assessed care needs of residents’ had been identified and that plans are in place to meet these needs. Also that the plans are regularly reviewed by staff from the home, with involvement of the resident, their relatives and social services and other professionals as necessary. Residents and relatives spoken with said they receive visits from healthcare professionals as required. Also that staff are ‘very good’ at ‘getting the doctor’ to visit if any resident is feeling unwell. A district nurse was spoken with during the visit. She said staff provide ‘excellent’ care to residents. She also said that staff from the home would always seek advice from doctors, nurses and other healthcare professionals and, in her experience, promote the healthcare and well being of residents. She also commented on the care being Manor Way Centre DS0000006506.V318108.R01.S.doc Version 5.2 Page 11 provided to a resident who is confined to her bed. She said the care given is ‘very good’ and could not be bettered in any other care setting. Letters seen on residents’ files showed that they are supported to attend hospital appointments, either by staff or by relatives. Lifting aids such as bath hoists, sling lifts and mobility aids such as wheelchairs, grab rails and walking frames are provided for residents. The care team leader on duty during the visit was seen giving medication to residents. This was carried out in a satisfactory manner. Those residents who have been assessed as being able to look after their own medicines, have a lockable drawer provided in their bedroom for storage. A copy of CLS’s policy and procedures on the administration of medication to residents is kept in the home. Residents, relatives and other visitors spoken with said staff are ‘very respectful’ when offering personal to residents. For example, residents said staff knock on their bedrooms doors before entering and are ‘very kind’ when helping with bathing/using the toilet. They also said they are encouraged and supported to be as independent as possible with, for example, dressing/undressing and eating their meals. During the visit staff were seen speaking with residents in a respectful manner. Residents said they ‘feel safe’ in the home because there are always staff around to help; ‘you only have to ring the bell and someone will come’. Manor Way Centre DS0000006506.V318108.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12/13/14/15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The routines of the home are, wherever possible, planned around residents’ care needs. This helps ensure residents stay as independent as possible. EVIDENCE: Residents and relatives spoken with said they are able to manage their daily routines and can make choices about where they wish to spend their leisure time, when and were they wish to eat and what time they go to bed/get up. However, a number did comment that staff are sometimes ’very busy’ and that they may have to wait for help with personal care tasks. Residents said they are able to have visitors as they like. The relatives said they are always made to feel welcome by staff and that they were informed from the beginning that they could visit when they wished. The home has two activity co-ordinators who organise social activities, both in the home and in the local community. A number of residents and relatives said they are not always made aware of events and that they do not always feel like joining in. Manor Way Centre DS0000006506.V318108.R01.S.doc Version 5.2 Page 13 Residents said the food offered is, on the whole, ‘very good’. They also said that ‘sometimes the meat may be tough’ or that they might not like the choices on offer. These issues were also identified in a resident and relative survey that was carried out by the home. The manager said that they are addressing the issues raised through team meetings, reviews and individual staff supervision. During the visit residents were seen receiving their mid-day meal. The meal was unhurried and staff were seen helping residents. A record was seen on a resident’s file that recorded her food and fluid intake as there are concerns about her general health. One resident said one of the cooks had spoken with her about her likes and dislike when she first moved in. The social worker spoken with during the visit said she ‘no concerns about the care offered to residents’. Manor Way Centre DS0000006506.V318108.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16/18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a complaints and adult protection procedure in place. This ensures residents, and others, are able to raise concerns and are protected from abuse. EVIDENCE: A comment and complaints procedure is on display in the entrance area. CLS comment cards are available which residents and visitors can use to raise concerns/compliments. The complaints procedure includes details on how to contact the Commission for Social Care Inspection. The record of complaints showed that an issue raised was addressed appropriately by the home. It is the policy of the organisation that, wherever possible, residents and/or their relatives are responsible for managing their financial and other affairs. CLS Care Services has an adult protection policy and procedure, which includes the government guidelines ‘No Secrets’. A copy is available in the home. The manager confirmed that there have been no adult protection issues since the last inspection. Manor Way Centre DS0000006506.V318108.R01.S.doc Version 5.2 Page 15 The relatives, other visitors and staff spoken with during the visit were aware of the complaints procedure and what action to take if they had any concerns. Staff were also aware the homes adult protection procedures. Manor Way Centre DS0000006506.V318108.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well maintained with enough shared rooms, such as lounges and dining rooms, and single bedrooms for privacy so that residents live in a safe, comfortable and homely environment. EVIDENCE: The home is well maintained and provides a safe and comfortable environment for residents. A garden to the rear of the home is accessible to residents and provides a safe and pleasant outdoor area. The balcony area, located off a lounge on the first floor, provides an outdoor area for residents whose bedrooms are on the first floor. There are sufficient toilets and bathrooms, with baths and/or showers throughout the home so that residents all have suitable facilities close to their rooms. Manor Way Centre DS0000006506.V318108.R01.S.doc Version 5.2 Page 17 Residents are accommodated in single bedrooms. The rooms seen during the visit contained residents’ personal possessions they had brought into the home with them. Residents spoken with said they are satisfied with their bedrooms. One resident said it ‘would be nice if the rooms were en-suite’. Bath aids and other lifting equipment are provided for residents with mobility problems. On the day of the inspection the home was clean and free from unpleasant odours. The relatives, nurse and social worker spoken with said the home is always clean and tidy when they visit. Manor Way Centre DS0000006506.V318108.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27/28/29/ 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff receive training and support to ensure they are able to meet the assessed needs of residents. EVIDENCE: The staffing rota seen showed that there is normally one care team leader and three care assistants on duty during the day and one care team leader and two care assistants on duty during the night. A number of staff have transferred from a CLS home that closed last year. Because of this the home has been able to operate with two care assistants during the night. Information provided by the manager showed that fourteen of the seventeen care team leaders/care assistants have achieved and NVQ Level 2/3. A list provided by the manager showed that staff have attended the following training: • Moving and Handling • Fire Training • Dementia • Abuse • Funeral • First Aid. Manor Way Centre DS0000006506.V318108.R01.S.doc Version 5.2 Page 19 Residents spoken with said all staff are ‘very helpful’ and that they had confidence in the staff team within the home. Four staff personnel files were seen during the visit. These contained the required information including application form, Criminal Record Bureau disclosures, copy of disciplinary procedures and a copy of the induction programme. Staff spoken said they receive support and guidance from senior staff in the home and from within CLS Care Services. Manor Way Centre DS0000006506.V318108.R01.S.doc Version 5.2 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31/32/33/36/37/38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The way the home is managed ensures that it is run in the best interests of residents. EVIDENCE: The manager for the home has been employed by the organisation in a senior capacity for a number of years. She has completed her NVQ Level 4 in management and the Registered Managers Award. She has attended training required for the day-to-day running of the home included a course on caring for residents with dementia. Residents, relatives and other visitors spoken with commented on her ‘hands on’ approach and said that ‘she leads by example’. They also said that the Manor Way Centre DS0000006506.V318108.R01.S.doc Version 5.2 Page 21 manager, and other senior staff, are ‘very approachable’ and will act upon any concerns/worries raised. In October 2006 the home carried out a satisfaction survey by sending questionnaires to residents, relatives and other professionals. A copy of the findings and actions was on display ion the entrance area to the home. The overall feedback showed that they were satisfied with the service offered by the home. A number of comments were received about the quality of the food and how, occasionally, meals are not too good. There were also comments made about residents having baths. The manager said these issues are being addressed through team meetings and individual staff supervision. The following records were seen during the visit: • Fire Safety including training and drills • Portable Appliance Test • Passenger Lift Service Record • Service Record for the boilers • Service record for lifting equipment • Water test for Legionella • Contract for waste disposal These were satisfactory. Records of accidents were seen on residents’ files. Copies of CLS Care Services policies and procedures on health and safety are kept in the home and followed by staff. Manor Way Centre DS0000006506.V318108.R01.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 X 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 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X X 3 3 3 Manor Way Centre DS0000006506.V318108.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Manor Way Centre DS0000006506.V318108.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Way Centre DS0000006506.V318108.R01.S.doc Version 5.2 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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