Inspection on 02/06/05 for Manorfield

This inspection was carried out on 2nd June 2005.

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

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

Other inspections for this house

Manorfield 15/09/09

Manorfield 03/10/07

Manorfield 14/03/07

Manorfield 13/12/05

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 Veronica Gay Unannounced 2 June 2005, 09:30 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. H60-H11 S33315 Manorfield V224606 020605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Manorfield Address Clappers Lane, Earnley, Chichester, West Sussex, PO20 7JJ Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01243 673023 Miss Christina Susan Buckley Mr Raymond John Buckley Mrs Lorraine Louise Leach, Mrs M G Buckley Miss Christina Susan Buckley Care Home (CRH) 17 Category(ies) of Old age, not falling eithin any other category registration, with number (OP), (17) of places H60-H11 S33315 Manorfield V224606 020605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9 November 2004 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. Accommodation is all on ground floor and apart from one double room (which is currently used as a single) all rooms are single. Thirteen of the sixteen rooms have en-suite facilities. There are several sitting areas including a large spacious sun conservatory. The gardens and grounds are attractively laid out and comprise of patio areas, and water feature. H60-H11 S33315 Manorfield V224606 020605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 27 April 2005 and lasted six hours. During that time the inspector toured the building, visited thirteen residents in the privacy of their rooms and spoke to staff members to gain a sense of what it was like to live and work in the home. A visitor was also asked for his opinion regarding the standard of care. Records were examined at random. The inspector examined seven files including two new residents. Residents told the inspector that Manorfield continues to provide a good standard of care to vulnerable people. No requirements were made following this inspection. During this inspection the core standards were examined for compliance. During the course of the day the Manager and registered providers very ably assisted the Inspector, and the inspector would like to thank them, and everyone else who cooperated with her at this inspection. What the service does well: What has improved since the last inspection? Since the last inspection activities have been expanded and now include gardening. One resident said she particular enjoyed growing vegetables. H60-H11 S33315 Manorfield V224606 020605 Stage 4.doc Version 1.30 Page 6 Building work has started to improve the facilities further by adding extra rooms that will lead out to the garden. An application is pending for the home to increase the registration to twenty-two. An advert has been placed to employ a cleaner during the day. 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. H60-H11 S33315 Manorfield V224606 020605 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection H60-H11 S33315 Manorfield V224606 020605 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,4,6 Prior to moving into Manorfield people were given sufficient information about what the home offers, to enable them to make a choice as to whether or not they want to live there. In addition before moving into the home, people are assessed, by the manager, in their own home or hospital whenever possible, to make sure they are suitable, and invited for a trial period. People know exactly what they can expect from Manorfield and what is expected from them. EVIDENCE: Some of the residents spoken to on the day of inspection confirmed that they had been given information all about Manorfield, and that they had been invited to visit the home before they came to stay. Some residents could not remember, but said that they were “very pleased they were here”. Residents told the Inspector that they would go to the Manager or staff if they had any queries, and had no complaints whatsoever about the way they were being looked after. The Inspector looked at the care records of the residents, and found them all to be satisfactory. Intermediate care is not provided. H60-H11 S33315 Manorfield V224606 020605 Stage 4.doc Version 1.30 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 standard(s) 7, 8,9 Resident’s health, personal and social care needs are set out in an individual plan of care. Medication is managed safely. Residents said staff member’s treats them with respect so that their dignity is preserved. EVIDENCE: The inspector saw sample care plans. These gave a clear detailed picture of the resident’s needs and preferences. It was confirmed by many of the residents who the Inspector spoke with on the day of inspection that their varying needs were being met. Residents said they “couldn’t fault anything about the home”. Another resident said, “ I prefer this home to others I have lived in” Another resident said she appreciated the cleanliness of the home and that” everything was so nice”. The manager confirmed to the Inspector that staff members administering medication had all received the appropriate training. The inspector was pleased to see that staff knocked on resident’s doors and awaited an invite before just walking in. H60-H11 S33315 Manorfield V224606 020605 Stage 4.doc Version 1.30 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 standard(s) 12,13,14,15 People living at Manorfield are able to make the day-to-day decisions about how they want to live their life. There is a range of activities for those who wish to participate, and residents are encouraged to maintain contact with all their old friends and family wherever possible. The food is of a good standard, and offers a choice of menu, with people able to eat either with other residents or in their own room should they prefer. EVIDENCE: H60-H11 S33315 Manorfield V224606 020605 Stage 4.doc Version 1.30 Page 11 There were a variety of activities on offer at Manorfield, and the majority of people told the Inspector that they felt that there was enough to do, should they wish it. One resident said she enjoyed the outing in the home’s vehicle to Goodwood. One resident said she still found the transition to living in a home difficult at times because she had enjoyed an active life previously. On the day of inspection the Inspector observed the meal being served, which was well presented, and plentiful. The dessert that followed was fresh raspberries and was clearly enjoyed by all. The inspector noted that the meal was served on hot plates, and in a way to encourage appetites. One resident told the Inspector that “the food was good” and another said that she “had no complaints whatever”. From direct observation, the Inspector noted that the mealtime appeared to be unhurried, with residents being afforded sufficient time to eat their meal. H60-H11 S33315 Manorfield V224606 020605 Stage 4.doc Version 1.30 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,18 Residents said they are listened to and understand how to raise a compliant should they wish to. Policies and procedures are in place to protect residents from abuse. EVIDENCE: The Commission has received no complaints for Social Care Inspection. Residents said they knew who was in charge and felt comfortable to approach them if things were not right. Several residents said they enjoyed speaking to Mrs Buckley (Senior) who visits regularly as part of the homes Quality Assurance Policy. All staff has obtained Criminal Records Bureau checks to ensure they are safe to work with vulnerable people. A visitor said, “ If I have any concerns I am more than happy to discuss with the registered providers who I find very approachable”. H60-H11 S33315 Manorfield V224606 020605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,26 Residents live in a safe, well-maintained environment. The home is spotlessly clean, and fresh. EVIDENCE: The inspector made a tour of the home. All areas of the homes are nicely decorated, well maintained and furnished in a comfortable manner. During the building work resident said that the disruption had been minimal so far. One resident said she enjoyed the garden and that she had planted some runner beans, which she hoped, would grow. The last fire officer’s report confirmed that safety measures in the home were satisfactory. All areas of the home are clean and hygienic. One resident said “ It’s a treat to live in such a clean home when you have high standards yourself”. The last Fire officers report dated 25 March 2004 required some maintenance work, which the manager confirmed has been done. There is a small laundry area, which is to be upgraded within the improvement plans. H60-H11 S33315 Manorfield V224606 020605 Stage 4.doc Version 1.30 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 Adequate staffing is provided to meet the needs of the residents. EVIDENCE: The inspector saw the staffing rota and asked residents if there were sufficient staff on duty to help them when they required assistance. Residents staff were always readily available and one said” Staff are always willing and cared for me well, following a recent fall.” The cook on duty said she knew the likes and dislikes of the residents. The records showed that there was a nucleus of staff that has worked at the home for sometime. The manager said that an advert has been placed for a daily cleaner, to support the staff who currently attend to the cleaning duties. H60-H11 S33315 Manorfield V224606 020605 Stage 4.doc Version 1.30 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35,36 Resident’s financial interests are safeguarded. Staff are appropriately supervised. EVIDENCE: Residents who were not able to deal with their own finances told the inspector that their families assisted them. All residents can have a key to their room if they wish to safeguard their personal belongings. There is a supervision policy and one of the registered providers is usually on duty during the day to support staff. A member of staff said she felt well supported and that she had obtained a National Vocational Qualification level 3 in care. Residents said, “the staff are so kind “. H60-H11 S33315 Manorfield V224606 020605 Stage 4.doc Version 1.30 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 4 x x x x x x 4 STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x 3 3 x x H60-H11 S33315 Manorfield V224606 020605 Stage 4.doc Version 1.30 Page 17 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 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. 1. Refer to Standard Good Practice Recommendations H60-H11 S33315 Manorfield V224606 020605 Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection 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. 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