Inspection on 26/10/05 for Manorfield House

This inspection was carried out on 26th October 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 House 06/03/07

Manorfield House 15/03/06

Manorfield House 22/03/05

Manorfield House 24/02/05

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Manorfield House Manor Road Horsforth Leeds LS18 4DX Lead Inspector Kathleen Firth Unannounced Inspection 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 House DS0000033211.V260613.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 House DS0000033211.V260613.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Manorfield House Address Manor Road Horsforth Leeds LS18 4DX 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) 0113 2583561 0113 2583561 Leeds City Council Department of Social Services Mr Robert Owen Preston Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27) of places Manorfield House DS0000033211.V260613.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd March 2005 Brief Description of the Service: Manorfield House is a purpose built residential home offering personal care to twenty-seven older people. It is owned and operated by Leeds City Council. The home has undergone a major refurbishment and the rooms are now all single and apart from two have en suite facilities. Accommodation is provided over two floors, the first being accessed by a passenger lift or staircase. All bathrooms have been fitted with specialist baths and equipment allowing residents to retain independence, privacy and dignity. Personal laundry is done on the premises and an outside contractor has responsibility for laundering towels and bed linen. All food is freshly prepared on the premises. The home is situated off the main road and parking is available for visitors. Manorfield House DS0000033211.V260613.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 that took place over three and three quarter hours by one inspector on Wednesday 26th October 2005. The inspector looked around the building, spoke with residents, staff and management, examined residents’ records including care pans, menus, staff rosters and the Service User Guide. Staff and residents were very helpful throughout the inspection and joined in the process. Ten residents and three members of staff were spoken to. What the service does well: What has improved since the last inspection? Regular staff supervision sessions are now in place. 75 of staff have achieved Level 2 and some have achieved Level 3. Manorfield House DS0000033211.V260613.R01.S.doc Version 5.0 Page 6 Suitable equipment that meets the needs of the residents is now in place. All residents are issued with the terms and conditions of the service on admission in the form of a Licence Agreement. Financial records regarding the residents’ monies seen were correctly maintained. Some work has been done on the care plans and risk assessments and this will continue. 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 House DS0000033211.V260613.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 House DS0000033211.V260613.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): 1, 2, 3, 5, 6 People are able to make an informed decision about the home from the written information they receive and what they see when visiting. EVIDENCE: A copy of the Statement of Purpose given to all prospective residents was seen, found to be very comprehensive containing sufficient information to help anyone make an informed choice about the home. The complaints procedure, residents’ rights and the visiting policy are all contained in the Statement of Purpose. The manager visits all prospective residents wherever they are so that she can assess their level of need. They are then invited to visit the home and spend some time there, speaking to staff and other residents. People are able to see the room they will occupy on this visit. Relatives and representatives are also invited to look around the home. People who are coming to the home for respite care always spend a full day there before their first admission. No one comes to live at the home without first visiting. Residents spoken to at the inspection confirmed that they had been to look around the home prior to their Manorfield House DS0000033211.V260613.R01.S.doc Version 5.0 Page 9 admission. Some had found this a useful thing to do whilst others had no feelings about its usefulness. Social workers provide their care assessment for the manager and staff. Discussions are held once the information is gathered to determine if the person’s needs can be met at the home. Once admitted to the home all residents are issued with a licence agreement. This contains the terms and conditions of the home and informs people of the service they can expect. It also spells out what is expected from the resident. These agreements are kept in the individual files. Intermediate care is not provided at this home. Manorfield House DS0000033211.V260613.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10, 11 Staff are aware of the residents’ needs and there is good communication amongst the staff group. Residents are treated with dignity and their privacy maintained at all times. EVIDENCE: Care plans looked at contained the needs of the residents and what tasks staff need to do in order to meet these. A good pen picture of the resident was available for staff to read. The plans were clear, concise, easily understood and contained healthcare, social and religious needs. Allergies were recorded on the care plans, as were any specific instructions. Risk assessments were in place with the coping strategies as appropriate. Evidence was seen that the residents and their families or representatives are involved in drawing up the care plans. Most of the care plans were seen to have been reviewed and updated on a regular basis. Nutritional assessments are done where there is a need and weight checks done on a monthly basis. Residents can decide if they want staff to check on them during the night and this is recorded in their care plan. Manorfield House DS0000033211.V260613.R01.S.doc Version 5.0 Page 11 Residents said that they are treated with respect and that staff maintain their dignity whilst still meeting their needs. The residents are registered with various GPs but keep their own where possible. The healthcare teams offer good support to the home. GP and District nurses’ visits are recorded along with the reason for the visit and any action required following it. Evidence was seen in the care plans that systems are in place to ensure regular visits by chiropodists and opticians. Dental treatment is obtained as and when required. None of the permanent residents manage their own medication so the home has a procedure in place for this. They use the Nomad system with the pharmacist bringing the filled boxes to the home each week. All records seen were correctly maintained and medication was stored correctly. Staff have received certified training in the Administration of Medication. Some of the respite residents do manage their own medication and they sign a disclaimer on admission to say that they are responsible for it. A lockable drawer is provided in the bedroom for storage. Staff were observed to treat the residents in a respectful way and those spoken to said that no one came into their room without knocking at the door. Any post delivered for a resident is given to them. If they are unable to deal with it themselves staff will offer them help. In some circumstances post is given to the next of kin to deal with. Residents’ wishes following their death is clearly recorded in their file. People are able to stay at the home to die if this is their wish and their needs can be met. The GP is involved in the discussion to make this decision and is then able to access all the extra services required to make sure the person is cared for in the correct way. Relatives can stay at the home overnight if they wish. Manorfield House DS0000033211.V260613.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Residents are encouraged to be part of the decision making process and make choices about their lifestyle. They are supported to maintain contact with family and friends. Visitors are welcome at the home in line with the Visitor’s Policy. A good, varied and nutritious diet taking into account individual choices is provided at the home. EVIDENCE: The manager has only been in post since the summer and has recently formed a residents’ committee who she will meet with on a regular basis. Residents spoken to said that they are able to choose what times they go to bed and get up. They are able to go out if this is agreed in their care plan and visitors can come to them at any time as per the visitor’s policy. There is a designated smoking area in the home and staff keep cigarettes for the residents if this has been agreed and recorded. Residents spoken to said that the meals are very good at the home and that they enjoy them. They confirmed that there is always a choice offered and an alternative available if it is something they do not like. The dining room is very pleasant and offers sufficient space for people to sit and enjoy their meal. The meal served during the inspection was well-presented and nutritious in content. Special cutlery that allows residents to eat their meals independently Manorfield House DS0000033211.V260613.R01.S.doc Version 5.0 Page 13 was available. Diabetic diets are catered for at the home. Work is being done to be able to put a daily menu on each table as this is felt to be appropriate for the present residents. There are some activities arranged for the residents including trips out, entertainers coming in, board games, jigsaw puzzles, T.V., music and talking books. Staff take people out shopping on a one to one basis and also do some spontaneous activities. The manager intends to draw up a list of activities in the near future and display it on the notice board. The Church of England minister holds a communion service monthly and visits the home on a more regular basis. Eucharistic ministers visit the Roman Catholics to bring Holy Communion. Local school children visit the home and sing to the residents and the cub scouts bring bulbs for them. Residents spoken to said that they are happy with the activities offered although one person would like to go out more but staff are not always available to go with him. He did add that staff are always happy to bring things in for him if he cannot go and get them. Manorfield House DS0000033211.V260613.R01.S.doc Version 5.0 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17, 18 Residents and their relatives have their views listened to, taken seriously and action is taken to resolve issues. Residents’ rights are protected at all times. They are protected from abuse. EVIDENCE: The appropriate policies and procedures are in place to deal with complaints and adult protection. Some of the staff have received training in Adult Protection and others are awaiting a date to attend. The home’s policy is in line with the Leeds Adult Protection Committee. There is a copy of the complaints procedure on the notice board at the home and every resident is given a copy. No complaints have been made in the past twelve months. People spoken to said that they are able to speak to the manager and staff if they have any worries or concerns and these are dealt with quickly and appropriately. All of the residents are registered to vote. Most of them choose to use the postal system but they can be taken to the polling station if this is their preference. Staff will help to complete the postal votes if asked to do so. All financial records seen were correctly maintained and up to date with receipts for monies spent available. Residents are made aware that they and their family or friends can look at their records. Manorfield House DS0000033211.V260613.R01.S.doc Version 5.0 Page 15 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, 24, 26 The home offers a safe and well-maintained environment for the residents. Appropriate bathing and toilet facilities are provided. EVIDENCE: The home is furnished to a very good standard with the fittings, fixtures and décor being of good quality. It is very clean and tidy throughout offering a safe, comfortable environment. Residents spoken to said it is much better since the refurbishment. All rooms are single and other than two have en suite facilities. There is an enclosed garden where the residents can sit in the good weather. The communal rooms are very comfortable offering sufficient space for the residents. The conservatory is light and airy offering a quiet area for the residents to sit. The dining room is big enough for all the residents to be able to sit and eat their meal in comfort. The bedrooms are of a good size, well furnished, decorated and carpeted in colours chosen by the residents. Residents have been encouraged to personalise their rooms by bringing things from home. Most of the residents Manorfield House DS0000033211.V260613.R01.S.doc Version 5.0 Page 16 were seen to have brought photographs and mementos from home. Residents confirmed that they are able to lock their doors and that they have a lockable cupboard or drawer in their room. There are sufficient toilets for the residents at the home and there are assisted bathing and showering facilities available. Occupational therapists carry out assessments as required to make sure that people have the equipment they need to retain their independence. One lady said that she had recently been assessed for a profile bed that would help her get in and out of bed independently. Hopefully she will not have to wait too long for this to be delivered. There is a call system throughout the home for residents to summon help if they require it. Manorfield House DS0000033211.V260613.R01.S.doc Version 5.0 Page 17 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): 27, 29, 30 Residents are supported and protected by recruitment procedures in place. Staffing numbers and skill mix ensure that the residents’ needs can be met. EVIDENCE: The staff numbers were appropriate at the time of the inspection and residents and staff were able to confirm that this is the normal way of working. The staff rosters viewed for a period of weeks confirmed the numbers and grades of staff on duty. The manager is able to cover sickness if enough notice is given. The home has a 30-hour vacancy and interviews are to be held later in the week. Recruitment is carried out to comply with equal opportunities and two written references are obtained before anyone is allowed to start working at the home. CRB, POVA, Visa and work permit checks are also carried out. Staff files were seen to contain all required information except photographs. The home operates the key worker system and most of the residents know whose theirs is. Training takes a high priority at the home and staff spoken with confirmed that they are able to access relevant training. Staff are encouraged to do NVQ and the majority of them have completed level 2, one person is working on it and one new person is doing her induction. There are two assessors working in the home. They have also undergone other training including movement and handling, hoist awareness and care practises. Manorfield House DS0000033211.V260613.R01.S.doc Version 5.0 Page 18 Communication within the home is very good and handovers are done before each shift. All staff attend these handovers so are aware of what has happened on the previous shift and are up to date with each residents’ condition. Manorfield House DS0000033211.V260613.R01.S.doc Version 5.0 Page 19 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): 31, 33, 35, 38 The home is well managed, the interests of the residents are seen as very important to the manager and staff and are safeguarded at all times. EVIDENCE: The manager has many years experience working in residential care and is currently working towards the registered manager’s award and NVQ level 4. She has worked as a manager for fifteen years in different homes. Residents said that they are able to speak to her if they have any worries. Staff said that she offers good support to them and one person said that she feels valued as a worker at the home. At staff meetings people are able to speak up and feel that the manager listens to them. The manager has overall responsibility for health and safety although all staff are trained in this area. All staff have received first aid training but there is Manorfield House DS0000033211.V260613.R01.S.doc Version 5.0 Page 20 not always a Registered First Aider on duty at the home. Fire bells are tested weekly and the sprinkler system is tested monthly. Major appliances and PAT testing is carried out annually. The manager completes a monthly health and safety check. Nothing was seen that could cause a hazard to residents, staff or visitors to the home. Financial records seen were up to date and correctly maintained. The local authority carries out its own financial audits. An in house quality assurance survey has been carried out at the home with very positive results. It was obvious from the remarks recorded that residents had been given time to answers the questions where they had required help to complete the questionnaires. Manorfield House DS0000033211.V260613.R01.S.doc Version 5.0 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 4 3 3 X X 3 X 3 STAFFING Standard No Score 27 3 28 X 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 House DS0000033211.V260613.R01.S.doc Version 5.0 Page 22 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. 1 Standard OP 29 Regulation 19(d)(1) Requirement Up to date photographs of staff should be in their files. Timescale for action 31/01/06 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 OP 12 Good Practice Recommendations A record of activities at the home should be kept. Manorfield House DS0000033211.V260613.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 House DS0000033211.V260613.R01.S.doc Version 5.0 Page 24 - 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. 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