Inspection on 03/10/07 for Manorfield

This inspection was carried out on 3rd October 2007.

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 14/03/07

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 Mrs S Gawley Unannounced Inspection 03rd October 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.V347390.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.V347390.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) Miss Christina Susan Buckley Mr Raymond John Buckley, Mrs Lorraine Louise Leach, Mrs Marguerite Gertrud Buckley Miss Christina Susan 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.V347390.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. 14th March 2007 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. The fees range between £325 and £600 per week. Manorfield DS0000033315.V347390.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This site visit as part of the inspection process took place on the morning and afternoon of 03 10 07. The registered manager facilitated the inspection. The commission was in receipt of an Annual Quality Assurance Assessment (AQAA) and any documents required on the day were made available. We were also in receipt of three surveys from residents and three from relatives. The comments in these surveys were all positive. Three residents were case tracked, their care plans and Medicine administration charts were inspected and they were also spoken to. They expressed satisfaction with all aspects of the home saying that staff were very caring and the food was very good. All residents spoken to throughout the day stated great satisfaction in the care they receive, that they are always treated in a respectful manner and that they enjoyed the varied activities. Two relatives were spoken to on the day and all expressed satisfaction with the home. They stated that the staff were very approachable and any concerns were quickly dealt with. All comments were very positive. Staff were observed offering care in a respectful and encouraging manner. The atmosphere in the home was very relaxed and sociable. The majority of the residents were sitting in the sitting room; others were sitting quietly in the various small seating areas around the home. This report is compiled using information as described above and also information held on file at the Commission. All of the standards were met today mostly judged as good with some being excellent. Residents in this home experience an excellent standard of care from a dedicated staff team. Manorfield DS0000033315.V347390.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: There are not any requirements from this inspection. The Registered Manager stated that she intends to extend quality assurance by creating a relatives survey to collect more information, which she can then collate. Manorfield DS0000033315.V347390.R01.S.doc Version 5.2 Page 7 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.V347390.R01.S.doc Version 5.2 Page 8 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.V347390.R01.S.doc Version 5.2 Page 9 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. Standard 6 does not apply All Residents have an assessment of need carried out prior to admission. People who use this service experience good outcomes, as there is a clear assessment and admission process. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Evidence of pre admission assessment was seen in the care plans. This ensures that Manorfield can meet the needs of that individual. Residents spoken to stated that they had enough information about the home before admission and that they were made welcome on arrival. One relative stated that the admission process for her mother was excellent and she was sure the home could meet her mothers needs. In the case of an Manorfield DS0000033315.V347390.R01.S.doc Version 5.2 Page 10 emergency admission, information is obtained from health professionals and the assessment documentation is completed within 48 hours. A residents going through the process of admission following a short respite stay and her son were spoken to and they said the home was managing this very well. During the inspection they were supplied with contract, terms and conditions and a Service User Guide. The AQAA stated that there is a checklist available to prompt staff when meeting prospective residents and relatives. Further training is planned to equip junior staff to carry out pre admission assessments and to manage unannounced viewings. Manorfield DS0000033315.V347390.R01.S.doc Version 5.2 Page 11 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): 7-10 Residents have a comprehensive plan of care documented. The resident’s health care needs are met. Medication is safely stored and administered in the home. Resident’s privacy and dignity is respected and protected by the staff. People who use this service experience good outcomes because all needs are assessed and met and residents are treated with respect. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All residents had a plan of care. Three residents were case tracked. The care plans inspected contained comprehensive information on health, personal and social need. The care plans were drawn up following an assessment of their needs. These included nutritional assessments, mobility, hygiene, continence, Manorfield DS0000033315.V347390.R01.S.doc Version 5.2 Page 12 and pressure areas. One had information on managing a resident’s wish to smoke. The care plans were up to date and had evidence of monthly review. Access to specialist health support is available as required including practitioner, chiropodists, dentists and outpatient appointments. general The residents are fully involved in the development and maintenance of their care plans. Medicines are stored, administered, recorded and disposed of appropriately. Should a resident wish to administer their own medicine a locked space is provided in their room. Medicine administration charts inspected were up to date. The three residents case tracked and many others were spoken to during the inspection and they confirmed that they are treated with respect at all times and that their privacy and dignity are protected. Two residents with visual impairment had telephones with large buttons. Throughout the inspection it was observed that residents are spoken to with respect. Residents spoken to stated that their clothes were looked after with care in the laundry. Manorfield DS0000033315.V347390.R01.S.doc Version 5.2 Page 13 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): The lifestyle offered in the home meets resident’s needs and preferences. Visitors are welcome and residents enjoy a varied diet. People who use this service experience excellent outcomes as activities and events provided satisfy their social, cultural and recreational needs. Nutritional food is offered of a very high quality This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is an excellent activities programme in the home with some activity on every day. Residents spoken to confirmed this and staff stated that most of the residents join in the activities. This includes in house activities, outside entertainers and trips out and is supported by three activities coordinators who each come in once a week. The entertainment includes quizzes, films, music, shows and bridge. Outside speakers are invited and talks are given on a variety of topics. A resident with visual difficulties has talking books and two residents were seen engaged in their own hobby of knitting. There are several well-stocked bookcases in the home. There are regular outings in the home’s Manorfield DS0000033315.V347390.R01.S.doc Version 5.2 Page 14 mini bus and residents said they particularly enjoyed these. There are regular residents meetings; the minutes of a recent were seen on the notice board. Residents, staff and visitors confirmed that making visitors welcome was an important part of supporting residents in their relationships with friends and family. The staff always offers refreshments to visitors. Communion is offered monthly and the Service User Guide is explicit regarding supporting resident’s religious wishes. Residents spoken to stated that they have freedom in daily routines and that staff are helpful and encouraging. The approach of staff was witnesses throughout the inspection. All residents spoken to stated that were extremely satisfied with the food and that there was always choice. Lunch was served in the well-decorated and furnished dining room, which is tastefully furnished. The cook was spoken to and menus seen offered good choice. There is a four-week menu in place taking into consideration residents wishes. The cook stated, and residents confirmed that there is a flexible approach to breakfast with most residents having this in their bedrooms at the time of their choosing. Manorfield DS0000033315.V347390.R01.S.doc Version 5.2 Page 15 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 Complaints are appropriately managed. Residents are fully protected from abuse People who use this service experience good outcomes because there is a complaints procedure, and trained staff protect residents from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a complaints procedure in place, which all residents and relatives said they were aware of. All however stated that they have never had cause to complain as care in the home is very good and any deficiency or problem that arises is dealt with immediately. They feel that all staff working in the home take their views seriously. The registered manager stated in the AQAA that bas the home is small, there is a relaxed environment, which encourages an open culture whereby residents and relatives feel comfortable to discuss problems in an informal way. There are not any complaints on record. There are several letters of compliment in the complaints/compliments folder. Manorfield DS0000033315.V347390.R01.S.doc Version 5.2 Page 16 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.V347390.R01.S.doc Version 5.2 Page 17 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, 20,21,24 26 Residents live in a safe and well-maintained environment and have the specialist equipment required to maximise independence. Residents have comfortable personalised bedrooms. The home is clean and hygienic. People who use this service experience excellent outcomes because the home is safe, clean and well maintained. This judgement has been made using available evidence including a visit to this service EVIDENCE: The providers, one of whom is also the registered manager have ensured that the physical environment of the home provides for the individual requirements of the people who use the service who live there. The living environment is appropriate for the particular lifestyle and needs of the residents and is homely, safe and comfortable and well maintained. Manorfield DS0000033315.V347390.R01.S.doc Version 5.2 Page 18 All parts of the home inspected were neat, clean and free from offensive odour. All areas are decorated and furnished to a high quality. Residents, relatives and surveys confirmed that the home is always fresh and clean. The sitting and dining rooms are decorated to a high standard and have comfortable furnishings. There are several small sitting areas about the home where two or three residents may sit quietly and there is a conservatory which has had new furnishings. A fish tank and several well-stocked bookcases enhance these areas. The residents stated that the atmosphere in Manorfield is very homely and that they are very comfortable. All bedrooms have ensuite facilities, some with shower or bath. There are two further assisted bathrooms and a large walk in wet shower room. Aids and adaptations to meet the needs of the people using the service are in place. A small kitchenette is provided so as to enable residents to make hot drinks if they wish. There are sufficient toilets to enable immediate access. Bedrooms are personalised with resident’s own belongings and have comfortable furnishings. The rooms are light and most look out on to the surrounding countryside. Some carpeting and furnishings have been replaced in the past year. A married couple have the freedom to use their two rooms as they wish. There is a call bell system in place. There are regular residents meetings and residents are consulted about changes in the home. There are accessible and well-maintained landscaped grounds for residents to use. Some bedrooms have direct access on to these areas. The laundry is sited away from the communal areas and has the correct policies and equipment in place to prevent cross infection. Manorfield DS0000033315.V347390.R01.S.doc Version 5.2 Page 19 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): 27-29 Residents are protected by the homes recruitment policies and procedures and by an induction and training programme. People who use this service experience good outcomes because a suitably recruited and trained staff meets their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff rota showed sufficient staff on duty at all time and residents spoken to stated that staff always attend when they are called. They also confirmed that they feel their needs are met by competent staff and in a respectful manner. Two of the three surveys received responded that staff always attend, the third responded usually. Induction and training records show that staff are trained to do their jobs. This improves outcomes for residents. Relatives spoken to were confident this was the case. Two of the three relatives surveys received responded that staff always have the skills necessary to look after residents, the third responded usually. 50 of the carers have undertaken or are undertaking National Vocational Qualification 2. Evidence of supervision was seen in the staff files. Manorfield DS0000033315.V347390.R01.S.doc Version 5.2 Page 20 Personnel files inspected showed that the home follows a recruitment policy and all documents required were in place. Staff do not commence work without having a Criminal Records Bureau Clearance and POVA check. There is a stable staff team with very little turnover. Some carers are over the standard retirement age as they have the ability and skills to continue working. Staff spoken to were relaxed and stated that they feel well supported in the home. The Registered Manager stated that she feels the staff can empathise with the residents and offer person centred care. Staff meetings are in place to discuss issues and promote the home is run in the best interests of the residents. One relative stated, “The home has friendly, helpful and cheerful staff.” An extra activities coordinator has been employed, as has a cleaner. Manorfield DS0000033315.V347390.R01.S.doc Version 5.2 Page 21 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): 31,33,35,38 Residents and staff benefit from experienced management. The home is run in their best interests. Quality assurance procedures are in place and are being further developed. People who use this service experience excellent outcomes as the home is well managed and is run in their best interests. This judgement has been made using available evidence including a visit to this service EVIDENCE: The registered manager has the required qualification and experience, is highly competent to run the home and meets its stated aims and objectives. The manager demonstrates effective financial planning and budgetary control skill, and the home provides value for money. Future plans for the Manorfield DS0000033315.V347390.R01.S.doc Version 5.2 Page 22 organisation were discussed. The AQAA stated that she meets frequently with other providers to compare fees, service and staffing levels. From discussions with residents, relatives and staff it is evident that there is strong leadership of staff, and the manager is responsive to the needs and requests of the people who use the service. Records are held securely within the guidance of the data protection act and are up to date. Equal opportunities are promoted and are evident in the staffing policy. The area is not an ethnically diverse one and therefore does not have diversity issues in relation to this. Staff are trained in health and safety matters, individual training records reflect this, and regular updates are planned as shown on the training plan. Some quality assurance systems are in place. An AQAA was prepared; there are regular staff and residents meetings. Relative’s feedback is verbal at present but the manager intends to put in place a written survey to capture relative’s opinions of the home. The possibility of extending this to professionals could be explored. Manorfield DS0000033315.V347390.R01.S.doc Version 5.2 Page 23 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 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 4 4 X X 4 X 4 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 4 X 4 X 3 X X 4 Manorfield DS0000033315.V347390.R01.S.doc Version 5.2 Page 24 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.V347390.R01.S.doc Version 5.2 Page 25 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. 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