Inspection on 14/04/05 for Manton House

This inspection was carried out on 14th April 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

Manton House 02/03/09

Manton House 12/02/08

Manton House 30/04/07

Manton House 03/05/06

Manton House 15/11/05

Manton House 18/11/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Manton House Nursing Home 5 Tennyson Avenue Kings Lynn Norfolk PE30 2QG Lead Inspector Christopher Handley Announced 14 April 2005 9.30am 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. Manton House Nursing Home I55 S61111 Manton House V214966 140405 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Manton House Nursing Home Address 5 Tennyson Avenue Kings Lynn Norfolk PE30 2QG 01553 766135 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) Mr Inayet Patel Mrs Lai-Wah Collin Mr Raju Ramasamy Mrs Lai-Wah Collin. A new application is being processed for Mrs French Care Home 22 Category(ies) of DE(E) Dementia - over 65 (2) registration, with number OP Old Age (22) of places Manton House Nursing Home I55 S61111 Manton House V214966 140405 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Twenty-two (22) Older People, not falling into any other category, may be accommodated. 2. Two (2) Service Users, over the age of 65 years, who have dementia may be accommodated. 3. Total number accommodated not to exceed twenty-two (22). Date of last inspection 18 November 2004 Brief Description of the Service: Manton House is a registered care home, providing both nursing and residential care. The home is a large end of terrace building of traditional design. The accommodation is on the ground and first floor. There is a small garden at the front of the home, and a lawn and car park at the rear of the home. Nursing care is provided by the nursing staff of the home. If medical or other nursing expertise is required this is provided via the local GP service. The home is situated on Tennyson Road, which is near to the centre of Kings Lynn. There are shops and facilities adjacent to the home. The home was purchased by Mr Inayet Patel, Mrs Lai-Wah Collin & Mr Raju Ramasamy in October 2004. Manton House Nursing Home I55 S61111 Manton House V214966 140405 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection and part of the annual inspection programme, during which a full tour of the home was undertaken. Five residents and four members of staff were spoken to and a total of 22 Standards were inspected. The Inspection was taken by Mrs French, Manager, and Mrs Lai-Wah Collin, Responsible Person. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Manton House Nursing Home I55 S61111 Manton House V214966 140405 Stage 4.doc Version 1.30 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Manton House Nursing Home I55 S61111 Manton House V214966 140405 Stage 4.doc Version 1.30 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1 & 3 The home has good information about the services of the home, but it is not always provided to all residents, this needs to happen to ensure that service users can make choices. Pre admission assessment are carried out and recorded. EVIDENCE: The Manager said that not all residents are provided with the information and gave an example of this. Detailed pre admission assessments are carried out by a trained nurse, they are recorded. The document used is now headed “Confidential Information”, this form was seen. Manton House Nursing Home I55 S61111 Manton House V214966 140405 Stage 4.doc Version 1.30 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 &10 The care plans need to reflect the involvement of resident/relatives in the care process. The health care needs of the residents are, met, following examination, and treatment. The storage of Controlled Drugs has to be improved. The home provides privacy for residents EVIDENCE: All residents have a care plan which contain the elements of assessment. planning, implementation and review, four of these were read. There is a range of essential assessments which are neatly completed. Allergies are marked in red, thus high lighting serious dangers to residents. In some areas the information is not complete, e.g. the full address is not recorded. The documents are headed “Confidential Information”. There was no evidence of involvement of residents or relatives in reviews of care. Manton House Nursing Home I55 S61111 Manton House V214966 140405 Stage 4.doc Version 1.30 Page 9 The health care needs of residents are thoroughly assessed and these need are met either in the home or the local hospital. All residents have the services of a G.P. There have been two residents who required hospital treatment following accidents in the home. The medicine system was inspected, there are correctly administered and recorded by trained nurses. There are no residents who self medicate. The storage of Controlled Drugs must be improved, as at present cupboard it is small it is over crowded. See Requirements. Privacy is provided when personal care is being carried out, and when examinations, or consultations are carried out. Knocking on doors prior to entering is the practice of this home which was frequently seen during the process of this inspection. The right to privacy forms part of the training of staff. Manton House Nursing Home I55 S61111 Manton House V214966 140405 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,&15. Arrangements for improving the provision of activities for residents have been made. There is good access for visitors to visit their relatives/friends who are in the home. The home provides a comprehensive, varied and nutritious catering. EVIDENCE: Residents have a flexible and varied life style, and their interests are recorded. Some choose to stay up late and others prefer to get up later. Residents spoken to confirmed this approach. Representatives of religions visit the home on a regular basis. The Manager has appointed one person to be responsible for activities, and list of varied activities has been drawn up and is to be implemented. It is recommended that the person appointed should undertake training in this matter. The Manager said that relatives/friends might visit the home at any time but that if possible mealtimes are to be avoided. Residents spoken to confirmed this The menus were seen, the content appears varied, nutritious and interesting. Special Diets are recorded. Residents spoke highly of the meals saying that there was “always enough” and that they were “very tasty”. Manton House Nursing Home I55 S61111 Manton House V214966 140405 Stage 4.doc Version 1.30 Page 11 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) 16,17,& 18 The home has an effective complaints procedure which is known to the residents. The home ensures that residents legal rights are protected. Staff are aware of the procedure which protects residents from abuse. EVIDENCE: There is a Complaint procedure which is in a large print is posted up around the home. Concerns/complaints are dealt with quickly thus allaying any worries. The residents spoken to knew how to make a complaint if needed, and that any concerns they had would be dealt with quickly. Residents legal rights are protected and the Manager would facilitate legal advise if needed. The home has an Adult Abuse Awareness policy, staff are aware of the seriousness of this matter. The Manager has sound knowledge of what steps to take in this matter, should such an event arise. Manton House Nursing Home I55 S61111 Manton House V214966 140405 Stage 4.doc Version 1.30 Page 12 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 The location of the home is suitable for its stated purpose. The grounds, which are mainly at the rear of the home are small but well maintained There is no programme of routine maintenance. The home looks poorly maintained because of the condition of the carpet on the ground floor. EVIDENCE: The home complies with the requirements of the local fire service and the environmental health department, and the home has documents to this effect. The grounds which are at the rear of the home consist of a car parking area, a small lawn with flower borders, which are well maintained. At present the Manager said that the home does not have a programme of routine maintenance, but she has undertaken to draw one up. Manton House Nursing Home I55 S61111 Manton House V214966 140405 Stage 4.doc Version 1.30 Page 13 The carpet on the ground floor corridor has been industrially cleaned three times, yet despite this, on the day of the inspection it looked grey, dirty, and showed signs of wear and tear. This is a very busy corridor and forms the major though way on the ground floor of this home. Its present appearance strongly detracts from the appearance of the residents home, and gives a poor image to visitors. It is recommended that all this carpet is replaced. Apart from the main corridor on the ground floor, the home was clean hygienic, and free from offensive odours. The home’s laundry, which now has a sealed floor, complies with the elements of Standard 26. There are sluicing facilities in the home, and the washing machine meets the appropriate regulations of Standard 26. Manton House Nursing Home I55 S61111 Manton House V214966 140405 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) 28,& 30 The home has not yet achieved the target of having 50 of staff (not including qualified nursing staff). The home’s induction and foundation training do not meet TOPPS specification. The low numbers of staff who have undergone a recognised training programme could put the care provided to residents at risk. The home has newly developed training records. EVIDENCE: There are 3 staff who have NVQ level 2, and three who are taking it. There is a member of the domestic staff who has NVQ level 1. The Manager is aware of the target required being 50 of care staff to have NVQ training. At present there 9 trained nursing staff and one was briefly spoken to about her training update. The Manager has recently undergone the Fit Person interview process as part of her being registered as the Manager of the home and is aware that she will be required to undertake the Managers Award Training. Manton House Nursing Home I55 S61111 Manton House V214966 140405 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) 33, 35 & 36 The home does monitor the services provided, but does not have a recognised Quality Assurance scheme in place. The residents have good access to the personal monies which the home holds on their behalf. The Manager carries out planned, recorded supervision for the development of staff. EVIDENCE: There is monitoring of the services carried out on a daily basis, and are monitored on a monthly basis by the General Manager. Services are monitored on a ongoing basis. It is recommended that the home undertake a survey of the services it provides, and then takes formal steps to develop a recognised Quality Assurance System. Manton House Nursing Home I55 S61111 Manton House V214966 140405 Stage 4.doc Version 1.30 Page 16 The home’s system for holding small amounts of money on behalf of the residents is a safe . The monies are clearly recorded, and are kept in a locked container. The home has a written procedure for this which is known to senior staff. The system provides speedy access to monies for residents. If needed the Manager would facilitate legal advice. The Manager carries out planed supervision of staff, which covers the areas required by Standard36. The home have developed their own comprehensive supervision form, which was seen Manton House Nursing Home I55 S61111 Manton House V214966 140405 Stage 4.doc Version 1.30 Page 17 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 2 3 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 2 x x x x x x 2 STAFFING Standard No Score 27 x 28 2 29 x 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 2 x 2 x 3 3 x x Manton House Nursing Home I55 S61111 Manton House V214966 140405 Stage 4.doc Version 1.30 Page 18 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. 2. Standard 9 Regulation Requirement That the home install a larger Controlled Drug Cupboard Timescale for action 3 months 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. 2. 3. 4. 5. 6. 7. 8. 9. Refer to Standard 1 19 19 28 30 31 i 33 12 Good Practice Recommendations Residents to be provided with a copy of the Statement of Purpose and Service users Guide A list of routine maintenance needs to be kept All the carpeting on the ground floor should be replaced. The NVQ trining programme needs to continue. The induction and foundation training programme need to meet NTO specification. The Manager needs to undertake the Managers Training Award The home needs to take steps to obtain a recognised Quality Assurance Award The activites person be provided with apporpriate training. Manton House Nursing Home I55 S61111 Manton House V214966 140405 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection 3rd Floor Cavell House St Crispins Road Norwich NR3 1YF 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 Manton House Nursing Home I55 S61111 Manton House V214966 140405 Stage 4.doc Version 1.30 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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