Inspection on 14/03/07 for Manorfield

This inspection was carried out on 14th March 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

Manorfield 15/09/09

Manorfield 03/10/07

Manorfield 13/12/05

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 Christine Lawrence Unannounced Inspection 14 March 2007 10:00 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.V330518.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. Manorfield DS0000033315.V330518.R01.S.doc Version 5.2 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) Christina Buckley, Lorraine Leach, Marguerite Buckley and Raymond Buckley Christina Buckley Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (22), Physical disability (4), Physical disability of places over 65 years of age (4) Manorfield DS0000033315.V330518.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. A total of 22 persons may be admitted, at any one time: of whom 4 persons in the category Physical Disability age 60-65 years may be accommodated. of whom 4 persons over the age of 65 years in the category Physical Disability Elderly PD(E) may be accommodated. 13 December 2005 Date of last inspection Brief Description of the Service: Manorfield is a residential care home for older people. The home is situated at the end of a short drive with only a few other houses. Earnley is a quiet village. There is a bus service although this is not frequent. The home has its own transport. The building is modern and the newer extension is purpose built. There is plenty of car parking space for visitors and the gardens are attractive and well maintained. Information about the home, including previous reports from the CSCI will be made available on request. On 27 February 2007 the fees were stated as £325 per week. Manorfield DS0000033315.V330518.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection visit was unannounced and started at 10.10 and finished at 17.30. The inspector looked at various records in the home and also used information sent to the Commission by the manager before the visit. Information from the previous inspection was also referred to. A tour of parts of the building was undertaken and the inspector spoke with several residents in their rooms. Surveys were sent out to residents before the site visit and nineteen were completed and returned. Information from these is also used for this report. The inspector made observations of staff interacting with residents and spoke to staff on duty as well as the manager and one of the other owners. The inspector also joined the residents for lunch. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Manorfield DS0000033315.V330518.R01.S.doc Version 5.2 Page 6 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.V330518.R01.S.doc Version 5.2 Page 7 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): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can be confident that the home judges that it can meet their needs. EVIDENCE: The individual records of four residents were looked at during this inspection. They showed that assessments are carried out on the needs of prospective residents. The assessment is recorded and covers the topics noted in Standard 3 of the National Minimum Standards. These assessments would be carried out by the manager, or assistant manager. One of the records also showed that when a local authority is involved in the placement, information is included from the social services department. Examples were noted of the assessments being carried out in the prospective residents’ current situation. The pre-admission assessment is used to compile an individual plan for each resident. The manager said that she will only admit someone to Manorfield if she is sure that the home can meet their needs. Manorfield DS0000033315.V330518.R01.S.doc Version 5.2 Page 8 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 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from having an individual plan of care which identifies how their health and care needs are to be met. They are protected by the home’s procedures for dealing with medication and they can be confident that they will be treated with respect. EVIDENCE: Each resident has an individual plan of care and this is within a Standex format. There is sufficient detail in the plans to ensure that health and care needs are identified. Staff spoken to said that there was enough information and detail in the plans to make sure that they can help and support the residents appropriately. Staff also said that the residents themselves are encouraged to say what suits them. The residents confirmed this, making it clear that staff listen to what they say and encourage them to be as independent as possible. The plans seen were up to date and any changes to Manorfield DS0000033315.V330518.R01.S.doc Version 5.2 Page 9 residents’ needs are noted. Tina Buckley, the manager, is currently looking at how staff can most effectively use the Standex system. Residents’ weight is recorded monthly. Records showed that other health care professionals (including chiropodists, dentists and outpatient appointments) are involved as required. Medication is appropriately stored and administered. The inspector observed medications being given out at lunchtime and looked at the medication storage and administration records. Residents spoken to said that staff were polite and respectful. They knocked at bedroom doors and called them by the name they preferred. Comments about staff included “…they are always willing to help…” “…very good…” “…they understand my problems…” “…we are well looked after…”. Comments about privacy and dignity included “…my privacy is important to them…” “… they are respectful and polite…”. Manorfield DS0000033315.V330518.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can be confident that their preferences will be responded to and that they will be supported to maintain contact with friends and family. Residents will be encouraged to make choices and they will benefit from nutritious food. EVIDENCE: There is a variety of leisure and social activities that take place at Manorfield. An activities organizer works two mornings a week and there are sessions for crafts, music, quizzes, bingo and exercise - some weekly and some monthly. Outside entertainers and speakers also are arranged. There are regular outings in the home’s mini bus and residents said they particularly enjoyed these. Holy communion takes place monthly and the inspector was informed that other wishes for following a religion would be responded to. Special requirements are also taken into account such as supporting people with sight difficulties. It was clear from observations and from the comments made by residents and staff that people are encouraged and enabled to make choices about their daily routines. A local bridge group come into the home regularly. A garden party is planned for the summer. Manorfield DS0000033315.V330518.R01.S.doc Version 5.2 Page 11 Residents and staff (and visitors!) confirmed that making visitors welcome was an important part of supporting residents in their relationships with friends and family. Refreshments are always offered and are presented attractively on a tray. Visiting is not restricted. Two residents currently manage their own finances and others are supported in various ways by relatives or representatives. Residents are encouraged and enabled to bring in personal possessions when they move in and this was clearly evident in those rooms seen during this inspection. Lunch was very enjoyable as a social occasion and for the good food. Residents were complimentary about the food – “…good home cooking, not that canteen style…” – and said that if on any occasion they did not want what was on the menu then they would be offered an alternative. There was plenty to eat and staff were supportive when necessary. Small touches such as attractively set tables, salt and pepper mills and a choice of drinks show that the home tries think about what makes a difference. Portions were different for individuals who wanted more or less food. Residents were supportive to each other. Manorfield DS0000033315.V330518.R01.S.doc Version 5.2 Page 12 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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints would be handled objectively and in keeping with the home’s appropriate procedures and residents/their representatives can be confident that any concerns will be listened to, taken seriously and responded to. Staff are aware of adult protection issues and there are systems in place which create an atmosphere for protecting residents from abuse. EVIDENCE: Information from the service user surveys and from residents and visitors spoken to at the time of the visit were clear about knowing who to talk to if they had any concerns. There had been no formal complaints noted and Tina Buckley said that small things tend to be sorted out as soon as they are known about, to ensure that they do not become problems or complaints. There are policies and procedures in place regarding adult protection, whistle blowing and the management of residents’ monies and valuables. Staff spoken to were very clear about their responsibilities towards the people living in the home. Manorfield DS0000033315.V330518.R01.S.doc Version 5.2 Page 13 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, 20, 23, 24 and 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents benefit from living in a well-maintained and clean environment. EVIDENCE: The communal areas of the home are very attractively decorated and furnished. Everything is of good quality and the lounges, dining room and other areas are bright, spacious, cheerful and homelike, with attention to detail such as plants and pictures. There is also a house cat and a parrot, both of which have immaculate facilities. The owners are clearly committed to maintaining high standards. The garden area has recently been landscaped and there are lawns as well as patio areas and garden bird nesting and feeding facilities. One resident said how much pleasure the gardens gave. Bedrooms are also attractively furnished and decorated and residents confirmed that they were enabled and encouraged to bring in their own possessions. One couple Manorfield DS0000033315.V330518.R01.S.doc Version 5.2 Page 14 have chosen to share and this has been arranged by the home with one room as a bedroom and one as a sitting room. In answer to the question in the survey asking ‘Is the home fresh and clean?’ all residents answered always. On the day of the inspection this was confirmed by the inspector. The laundry facilities are satisfactory and laundry is done at night whenever possible. Manorfield DS0000033315.V330518.R01.S.doc Version 5.2 Page 15 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are met by sufficient staff who are competent and trained. Residents are supported and protected by the home’s recruitment procedures. EVIDENCE: The rota showed that there are sufficient staff on duty and residents answered ‘always’ or ‘usually’ in answer to the question ‘Are the staff available when you need them?’ – mostly ‘always’. Residents generally had high opinions of the staff and how they provided support. There are two waking night staff. Four members of staff have a national vocational qualification and eight are currently undertaking theirs. The staff records showed that the recruitment procedure is robust and includes written references, criminal records bureau checks and written terms and conditions of employment. Each member of staff is given a copy of the General Social Care Council’s code of practice. Training is ongoing and the manager uses a range of techniques such as inhouse training underpinned by workbooks and videos. Outside trainers and distance learning packs. Induction training is provided. Manorfield DS0000033315.V330518.R01.S.doc Version 5.2 Page 16 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, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from the home being managed by someone who is competent, experienced and knowledgeable. Residents’ financial interests are safeguarded and their views are sought. Staff and residents have their health and safety promoted and protected. EVIDENCE: The manager is competent and experienced and as one of the owners she is particularly able to discharge her responsibilities fully. In discussions with her she clearly demonstrated her commitment to keep up to date with current good practice. As ‘hands on’ owners, the two actively involved partners – Tina Buckley and Lorraine Leach – seek out the opinions of residents, staff and visitors. They are currently looking at ways of formalising their quality Manorfield DS0000033315.V330518.R01.S.doc Version 5.2 Page 17 assurance procedures. The home does not get involved with the finances of any resident. Health and safety training is provided to staff and there is a range of policies and procedures to underpin this training. The maintenance and service contracts are appropriate. The inspector advised that the records of fire safety checks be more fully recorded. Manorfield DS0000033315.V330518.R01.S.doc Version 5.2 Page 18 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 3 X 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 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 4 X X 4 4 X 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 X 3 X 3 X X 3 Manorfield DS0000033315.V330518.R01.S.doc Version 5.2 Page 19 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 Manorfield DS0000033315.V330518.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Manorfield DS0000033315.V330518.R01.S.doc Version 5.2 Page 21 - 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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