Inspection on 14/10/08 for Manton Hall

This inspection was carried out on 14th October 2008.

CSCI found this care home to be providing an Good service.

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

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Manton Hall Lyndon Road Manton Oakham Rutland LE15 8SR     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Carole Burgess     Date: 1 4 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Manton Hall Lyndon Road Manton Oakham Rutland LE15 8SR 01572737212 01572737785 mantonhall@btconnect.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Foundation Care (Norwich) Ltd Name of registered manager (if applicable) Mrs Esther Eileen Abbott Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Additional conditions: The maximum number of service users who can be accommodated is 31 The registered person may provide the following categories of service only: Care Home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Dementia - Code DE Mental Disorder, excluding learning disability or dementia - Code MD Physical Disability - Code PD Date of last inspection 0 31 Over 65 care home 31 Care Homes for Older People Page 4 of 26 Brief description of the care home Manton Hall is a large detached home set in pleasant gardens and has been extended in recent years to include ground floor bedroom accommodation and a conservatory. The home provides personal care for up to 31 elderly people some of whom may have care needs due to Physical Disabilities, Dementia and Mental Disorder. All of the homes bedrooms have en-suite facilities (toilet and wash-hand basin); fifeteen of these also have showers. There are additional toilets, showers and assisted bathing facilities, and pleasant communal and dining areas. The first floor is accessable by a passenger or chair lift for people who are unable to manage the stairs. Situated on the edge of the quiet village of Manton, close to Rutland Water, the home is easily reached by car from neighbouring towns and counties. There are car parking spaces at the front of the home. The Statement of Purpose, Servie Users Guide & Inspection Report are available on request (these provide information on how the home is organised and what services they provide). The Statement of Purpose and Service Users Guide are provided for all new residents. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This is an overview of what the Inspector found during the inspection. The quality rating for this service is 2 Stars. This means the people who use the service experience good quality outcomes. We as it appears throughout the Inspection Report refers to The Commission for Social Care Inspection. The focus of the inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for people who use the service and their views of the service provided. Care Homes for Older People Page 6 of 26 The previous key inspection was undertaken on 23rd November 2006. The site visit was unannounced and took place over six hours. We selected three residents and tracked the care they received through a review of their records, discussions with them (where possible), other people who use the service, visitors, the care staff, and observation of care practices. We spoke with staff members regarding the training and support they received. Planning for the inspection included assessing notifications of significant events, a review of the Annual Quality Assurance Assessment (AQAA) sent to the CSCI by the service. Surveys were sent to the service to residents, staff and health professionals to provide feedback to the CSCI. Four residents, three care staff and two health professional returned the surveys. All were positive about the care provided at Manton Hall. The Registered Manager and other staff spoken with were positive and helpful during the inspection. The fees at the time of inspection were five hundred pounds per week. Extras include hairdressing, personal toiletries, newspapers and magazines. What the care home does well: What has improved since the last inspection? What they could do better: There are four good practice recommendations. There should be a more detailed pre-admission assessment that includes details of a persons social history, family, past & present hobbies, likes and dislikes, interest and expectations of the care that they are to receive. Staff, who have not received recent safeguarding training updates should do so as soon as possible so that they have current information to ensure that residents are protected from abuse. Although the home has pre-set valves to prevent scalds it is recommended that these are checked periodically and written records maintained to ensure that they remain at the correct temperature close to 43 degrees Celsius. Feedback is provided for people who complete the annual quality questionnaire to show that their comments have helped to improve the service. Care Homes for Older People Page 8 of 26 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents are provided with detailed information about the home. They have their health, and welfare needs assessed, but this could be improved by the addition of a comprehensive social assessment to ensure that all of their care needs are identified before they move into the home. Evidence: The home provides people with a Statement of Purpose and Service Users Guide, both give information about the services that home provides to help people decide if the home is the right one for them. People said that they had received a copy of the Terms and Conditions (Contact) when they moved to the home, or within a few days if they moved there in an emergency; and when asked in the pre-inspection survey, Have you received a contract? all four responded that had received one and one person said that they had received welcome Care Homes for Older People Page 11 of 26 Evidence: letter. One person also said that they Had heard that Manton Hall was a good Residential Home, and that the residents were well looked after. The pre-admission assessment focused on health and welfare needs but lacked information about the person interests, work, family, hobbies and expectations on which to base a person centered plan of care. Manton Hall does not provide intermediate care. Care Homes for Older People Page 12 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are well looked after in respects of their health and personal care needs Evidence: Care plans were detailed and gave carers clear information about the health and personal care needs of the people who live at Manton Hall. The Registered Manager had reviewed the care plans, at least monthly, so that peoples care needs continued to be identified and met. Care plans had been discussed with, agreed and signed by either the resident or their representative. Three people who responded to the pre-inspection survey replied that they usually received the care and support they need, and that they only had to wait a few minutes, even if staff were busy. They all said that they received the medical support they needed. Contact with health professionals such as GPs, District Nurses etc were recorded to Care Homes for Older People Page 13 of 26 Evidence: ensure that healthcare needs and treatments were addressed. Medication policies and procedures were sound. Staff had received appropriate training which ensured that people received their medication safely and as prescribed. Observations during the visit to the service showed that staff had a good awareness of how to protect peoples privacy and dignity and spoke to residents and visitors in a respectful, friendly and supportive manner. The residents and relatives spoken with all said that staff were kind, caring and that people were well cared for by caring staff. Two health professional who responded to the pre- inspection surveys indicated that staff seek advice and act upon it and that individuals health care needs were met. They also said that the home create an environment to meet different individual needs. Care Homes for Older People Page 14 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staff work hard to ensure that residents experience a safe and homely life style which matches their expectations and preferences. Evidence: The home has an activities organizer who is fairly new in post but has made a good start in arranging activities and entertainments for the residents, taking into consideration their individual needs and preferences. There is a regular weekly activities program that included; Monday: gardening and flower arranging, visits to the garden center, Tuesday: exercise to music, and games, Wednesday out and about and shopping or baking if the weather was inclement and Friday: arts & crafts. The home higher a mini bus once a month for outings. During the visit people watched television, played Bingo, which was very popular, with a prize donated by a relative. Later in the day the activities organizer spent individual time with the residents, whilst a number of the ladies visited the hairdresser, who regularly visits the home. Religious and spiritual need were supported; birthdays and festive days were Care Homes for Older People Page 15 of 26 Evidence: celebrated and shared with the local community to ensure that residents were able to remain fully engaged with community life. A small group of residents were to attend a Harvest Festival celebration at Oakham School. Residents have a telephone in their room enabling them to keep in touch with friends and family, and their own television if they choose. Residents said that they were able to have visitors at any time. Staff support residents with making choices in their everyday life. All residents spoken with said they got up and went to bed when they wished and could breakfast in their rooms if they wished and were well supported by very caring staff. All meals were prepared in the homes kitchen by the cook. A cooked breakfast was available every day. Drinks such as tea, coffee and soft drinks were available throughout the day. Special diets such as diabetic and soft diets were catered for. Residents had a nutritional assessment in their care plan and were weighed regularly, where necessary, to ensure that their dietary needs were met. Residents said that they always enjoyed their meals and a visitor said that she took lunch with her relative free of charge and that the meals were nice. Two other visitors said that they were always offered a cup of tea and a sandwich and made welcome when they visited in the afternoon. One resident said that they had not had a bad meal yet. And another said that they had a sherry party and cake to celebrate their birthday which they shared with other residents and visitors. Care Homes for Older People Page 16 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Arrangements or receiving and responding to complaints were sound resulting in the satisfactory protection of residents rights. Evidence: Residents and staff comments show that people feel comfortable discussing any problems and concerns they have with the staff and that they would be listen to and their concerns addressed. The CSCI have not received any complaints about the service. The homes policies and procedure reflect local safeguarding protocols and staff were able to demonstrate the correct procedures to safeguard residents from abuse and harm. However, some staff had not had safeguarding updates for about three years and it was recommended that they should receive updates as soon as possible. Care Homes for Older People Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A comfortable, clean and high standard of accommodation is provided for the residents. Evidence: The home was clean, comfortable and well maintained with adaptations to suit residents specific needs. It was decorated and furnished to a high standard that created a comfortable, light, spacious but homely environment. Residents can take their lunch in a pleasant conservatory area or the dining room, and residents have access to a safe and attractive sensory garden. All of the residents rooms were a good size and had en suit facilities, some with showers. All were clean and well decorated and many were personalised with pictures, soft furnishings and items of furniture. There were sufficient additional toilets, bathing and assisted bathing facilities. Residents and visitors said that the home was always clean and tidy and maintained high standards. The home had a well organized maintenance and refurbishment program. However, Care Homes for Older People Page 18 of 26 Evidence: although sinks and baths had control valves, and water temperatures were satisfactory, water temperatures were not checked to ensure that residents were safe from scalds. Care Homes for Older People Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff at the home were sufficient in number and trained to meet the residents needs. Evidence: There were twenty five residents at the time of the site visit. Current staffing level ensure that there are sufficient staff on duty to meet residents personal & healthcare needs and spend time with residents to support them to enjoy social interaction and the activities provided by the home. In addition to the care staff there was a housekeeper, cooks, and administrative staff. The Registered Manager is supernumerary. Four staff files were checked and showed that there was a satisfactory recruitment process which ensured that residents were protected from harm. New staff carry out an induction program and had mandatory, annual updates. Staff undertake training in specific areas such as fire training, first aid, moving and handling, food safety, infection control, and safeguarding adults. The Registered Manager said nine care staff had completed National Vocational Qualification (NVQ) in Care and that ten other care staff were undertaking NVQs. This ensures that staff have the necessary skills to give safe care to the residents. Care Homes for Older People Page 20 of 26 Evidence: Care Homes for Older People Page 21 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The Registered Manager provides good supportive leadership ensuring that residents receive a high standard of care. Evidence: The Registered Manager is a Registered Nurse with many years of experience in care. She works in a supervisory capacity in addition to the care staff and is supported by the deputy manager. There is a culture of openness and friendliness with good interaction between staff, residents and visitors. The home do not usually manage money for residents but occasionally may hold small amounts for short periods if necessary. The home conduct annual quality audits (satisfaction surveys). Although issues arising Care Homes for Older People Page 22 of 26 Evidence: are addressed, the comments received are not currently collated to provided feedback for those people who completed the survey so that they can see how they have helped to improve the service. Staff are well supervised and receive regular formal supervision to ensure that their training needs are monitored and that residents receive a good standard of care. Health and Safety Policy and Procedures, such as regular recorded fire drills and fire alarm tests are completed, to ensure the health and safety of the residents and staff. A resident said I have been here a short time and in that time I have no complaints. Good care, good food, staff are very nice and also very helpful. Care Homes for Older People Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 3 It is recommended that needs assessments are more detailed and include details of social background, interests, hobbies, religious and cultural needs to enable a person centered care plan to be developed at the point when a person moves into the home. It is recommended that all staff should receive updates in safeguarding vulnerable adults in line with current local protocols at least every two years. It is recommended that the water temperature of taps accessible to residents are checked, and records maintained to ensure that residents are protected from scalds. It is recommened that feedback is provided for people who complete the annual quality questionnaire to show how their comments have helped to improve the service. 2 18 3 25 4 31 Care Homes for Older People Page 25 of 26 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). 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