Inspection on 13/12/05 for Manorfield

This inspection was carried out on 13th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Manorfield 15/09/09

Manorfield 03/10/07

Manorfield 14/03/07

Manorfield 02/06/05

Manorfield 09/11/04

Manorfield 29/04/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Manorfield Clappers Lane Earnley Chichester West Sussex PO20 7JJ Lead Inspector Mrs V Gay Unannounced Inspection 13 December 2005 09:30 13/12/05 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 Manorfield DS0000033315.V265192.R01.S.doc Version 5.0 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. Manorfield DS0000033315.V265192.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Manorfield Address Clappers Lane Earnley Chichester West Sussex PO20 7JJ 01243 673023 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) Miss Christina Susan Buckley Mr Raymond John Buckley, Mrs Lorraine Louise Leach, Mrs Marguerite Gertrud Buckley Miss Christina Susan Buckley Care Home 17 Category(ies) of Old age, not falling within any other category registration, with number (17) of places Manorfield DS0000033315.V265192.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd June 2005 Brief Description of the Service: Manorfield is a privately owned establishment registered with the Commission for Social care Inspection, to accommodate up to seventeen persons in the category OP (Old Age over 65 years of age, not falling within any other category). The owners are Mr and Mrs R Buckley (seniors), Mrs M Buckley, Mrs L Leach and Miss Buckley.Miss C Buckley and Mrs L Leach are actively involved in the day-to-day running of the establishment. Miss C Buckley RGN is the Registered Manager. The establishment is purpose built, set in its own grounds in the rural setting of Earnley. All rooms except one are single and they are at ground floor level. Extensive works have recently taken place to increase the size of the home and improve the communal facilities for the residents. Eight en-suite bedrooms have been added, of which four are now occupied. The final stage of work is to re-site the kitchen and extend the lounge dining room. The home will then be able to accommodate twenty-two persons. Manorfield DS0000033315.V265192.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, the second of a minimum of two statutory visits that an inspector must make to each care home during the course of a year. The first inspection was undertaken earlier in the year. At this inspection the Inspector looked at standards that were not looked at during the previous inspection, as well as any outstanding issues from the last report. The reader is advised to look at the reports of both inspections for a full picture of the home. Where standards have not changed the report remains the same. Miss Buckley and Mrs Leach assisted the Inspector throughout the inspection. During this inspection the Inspector examined records of care being provided to residents, as well as records of any accidents, issues, concerns or complaints, to make sure that the residents at Manorfield were being taken care of. The inspector met new residents who were all very positive with regard to the care they were receiving and said that the Manager and the staff members were “really kind” and” very caring”. The Inspector would like to thank everyone who cooperated with her on the day of this inspection. There were no requirements following the previous inspection and all standards were met or exceeded. What the service does well: What has improved since the last inspection? Since the previous inspection the new extension is now fully operational with attractively furnished en-suite bedrooms. There is a purpose built walk in shower room, which is fully equipped to assist residents with their bathing needs. Staffing levels have been increased and National Vocational Qualification level 2 and 3 training is ongoing. The Registered Manager Ms Buckley has recently completed her Registered Manager’s Award and Mrs Leach has registered to commence training in the new year. An activities organiser has been employed to broaden the scope of activities available to the residents. Manorfield DS0000033315.V265192.R01.S.doc Version 5.0 Page 6 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. Manorfield DS0000033315.V265192.R01.S.doc Version 5.0 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 Manorfield DS0000033315.V265192.R01.S.doc Version 5.0 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 the following standard(s): 5 The Registered Manager ensures that prospective residents are invited to visit the home and wherever possible move in for a trial stay before making a decision to stay permanently. EVIDENCE: A recently admitted resident told the inspector that she and her family had visited the home before deciding to live there. A Statement of Purpose and Service Users Guide were provided to ensure she had all the relevant information about what to expect from the home. Manorfield DS0000033315.V265192.R01.S.doc Version 5.0 Page 9 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 the following standard(s): 10 Residents said they felt the staff at all time treated them respectively. EVIDENCE: Each resident has their own door key available to protect their privacy. The inspector was pleased to see that staff knocked on resident’s doors and awaited an invite before just walking in. Manorfield DS0000033315.V265192.R01.S.doc Version 5.0 Page 10 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 the following standard(s): These standards were not assessed on this occasion. At the previous inspection these standards were met in full. EVIDENCE: Manorfield DS0000033315.V265192.R01.S.doc Version 5.0 Page 11 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 the following standard(s): 16 Residents and their relatives or representatives are confident that their complaints will be listened to and taken seriously. EVIDENCE: Manorfield has a complaint’s procedure that is made available to everyone. There were no complaints recorded at the time of the inspection. The registered providers consult daily with each resident to ensure their needs are being met. Manorfield DS0000033315.V265192.R01.S.doc Version 5.0 Page 12 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 the following standard(s): 19,20,21,25,26 Residents live in a safe, well-maintained environment and have access to safe and comfortable indoor and outdoor communal facilities. Residents have sufficient and suitable lavatories and washing facilities and access to the specialist equipment they require to maximise their independence. The home has been extended to include a further eight en-suite rooms, new laundry, kitchen and extra spacious shower room. The lounge and dining room are currently being extended. EVIDENCE: Several building contractors were working in the home on the day of this unannounced inspection. The management and staff are doing their utmost to keep the disruption to a minimum. The building complies with the requirements of the Fire Officer and Environmental Health Officer. When the final stage of the building work is complete Miss Buckley has agreed to confirm in writing to the Commission for Social Care Inspection, in order that the certificate can be amended. The furnishings and lighting are of a high standard, which residents said they liked. Pipe work and radiators are guarded or have safe low temperature surface to prevent risk of burns to residents. Standards of hygiene and cleanliness through out the home are very good. Manorfield DS0000033315.V265192.R01.S.doc Version 5.0 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28 29 & 30 Residents are in safe hands at all times. A robust recruitment procedure is followed to ensure the right type of staff are employed to care for vulnerable people. Staff have the necessary skills and confidence to perform their role in a professional manner. EVIDENCE: The Manager informed the Inspector that all staff members had received induction training together with fire safety, manual handling, first aid and adult protection. In addition the Inspector was told that all staff members who administer medication were soon to receive up date training. New staff are confirmed in post, following completion of a satisfactory Criminal Records Bureau check. A new member of staff said he was currently receiving induction training and was looking forward to attending a training course in food hygiene. Staff records are kept up to date and staff sign to confirm any training received. The inspector was informed that soon 50 of the care staff will be trained to National Vocational Qualification level 2. Manorfield DS0000033315.V265192.R01.S.doc Version 5.0 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33,38 Policies, procedures and practices are regularly reviewed in light of changing legislation and following good practice. The registered providers do their best to act in the best interests of staff and residents. The Registered Manager confirmed that risk assessments are undertaken and recorded. EVIDENCE: Residents meetings are held and residents are encouraged to voice their opinions about the daily happenings of the home. The home has a Quality Assurance policy and feedback is sought from relatives and other interested parties. An audit of the homes findings will be examined at the next inspection. During the building works staff remain vigilant to ensure the health and safety of the residents is protected. Residents spoken with in private said that Manorfield was a comfortable home and that the staff were attentive. Manorfield DS0000033315.V265192.R01.S.doc Version 5.0 Page 15 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 X X X X 4 X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No X 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 4 4 4 X X X 3 3 STAFFING Standard No Score 27 X 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X X X X 3 Manorfield DS0000033315.V265192.R01.S.doc Version 5.0 Page 16 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. 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 Manorfield DS0000033315.V265192.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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 Manorfield DS0000033315.V265192.R01.S.doc Version 5.0 Page 18 - 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!