Inspection on 02/03/09 for Manton House

This inspection was carried out on 2nd March 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Manton House 12/02/08

Manton House 30/04/07

Manton House 03/05/06

Manton House 15/11/05

Manton House 14/04/05

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 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Manton House Nursing Home 5 Tennyson Avenue Kings Lynn Norfolk PE30 2QG     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: Alan Buttery     Date: 0 2 0 3 2 0 0 9 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 23 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.csci.org.uk Internet address Care Homes for Older People Page 3 of 23 Information about the care home Name of care home: Address: Manton House Nursing Home 5 Tennyson Avenue Kings Lynn Norfolk PE30 2QG 01553766135 01553766135 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mr Raju Ramasamy,Mr Inayet Patel Name of registered manager (if applicable) Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 22 Number of places (if applicable): Under 65 Over 65 2 22 dementia old age, not falling within any other category Additional conditions: 0 0 Total number accommodated not to exceed twenty-two (22). Twenty-two (22) Older People, not falling into any other category, may be accommodated. Two (2) Service Users, over the age of 65 years, who have dementia may be accommodated. Date of last inspection Brief description of the care home Manton House is a care home, providing nursing and residential care for up to 22 older people, two of whom may have dementia. Mr Inayet Patel & Mr Raju Ramasamy have owned the home since October 2004. Care Homes for Older People Page 4 of 23 Brief description of the care home The home is located near to the centre of Kings Lynn and is close to all local amenities including shops, pubs and post office. The building is a large end of terrace house 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. Eleven bedrooms are single, 3 of which have en-suite facilities and 4 are double occupancy rooms, 1 of which has en-suite facilities. The bedrooms are located on the ground and first floor. Ms Frost said the service currently uses the Social Services fee rates and additional charges are recorded in the contract of residence. People are advised about the relevant fee payable verbally at the time of their initial enquiry. At the time of the inspection, fees ranged between 407 and 478 pounds per week. Care Homes for Older People Page 5 of 23 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: In carrying out our inspection, we looked at information and correspondence received since our last visit. We also spent around four hours in the home, and spoke to the manager, residents and staff, and looked at the facilities available. The manager provided information and records that we needed to see along with individual resident records and staff records. with Care Homes for Older People Page 6 of 23 What the care home does well: What has improved since the last inspection? What they could do better: 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.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 7 of 23 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 8 of 23 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. Before anyone moves into the home, a full assessment is carried out to ensure that the person looking to move into the home can be confident that their needs can be met by the home. Evidence: The service is registered for up to 22 people, and at present has four vacancies, and the process for the admission of a new resident to the home was discussed with the manager of the home during our visit. Prior to anyone moving in, information about the person is obtained from their social worker, and from the person themselves and their family. This usually involves a visit to the person by the manager. The needs of the person thinking of moving into the home are assessed, and these are Care Homes for Older People Page 9 of 23 Evidence: then discussed with the care staff to ensure that they are happy that the identified needs can be met. The service are then able to confirm to the individual thinking of moving into the home that they can meet the needs that they have identified, and discuss with them how this will be done, and agree the details of their move. An initial care plan is prepared, which forms the basis of the care that they will provide, and arrangements made for the move. The service does not offer intermediate care. Care Homes for Older People Page 10 of 23 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. Individual plans are in place that show the identified needs of the person living in the home, and how those needs should be met, in a way suited to the individual person. Evidence: As already indicated, initial care plans are prepared prior to a new resident moving into the home, and these form the basis of the initial support. The plans are reviewed over the first few weeks, and discussed with the person they relate to, and with families. During our visit, we looked at some of the care plans, and the information they contained. Although covering the basic identified needs of the person, further details are required, for example one plan we examined related to a person who recently moved into the home, following a history of falls, but the plan did not include sufficient detail on the steps being taken to avoid falls. The plans should also include more detail of the persons social care and support Care Homes for Older People Page 11 of 23 Evidence: needs. The individual plans are kept under regular review, and the manager of the service audits the plans on a regular basis. In addition, the general manager, who visits the service at last monthly also o checks the care plans. The qualified staff within the home are responsible for administering medication, and all have undertaken advanced training. the service uses the Boots monitored dosage system. At the current time, none of the residents are able to manage their own medication, but the manager confirmed that should it be safe for anyone to do so, this would be risk assessed, and supported. Care Homes for Older People Page 12 of 23 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A range of activities are arranged so that people living in the home have the chance to take part in varied pursuits of their choosing. Evidence: A range of activities and events are available to people living in the home, and these were discussed with the manager of the home during our visit, and with staff, a student on placement and residents. The activities include music and movement, paint and craft sessions, cookery, trips out, shopping, barbeques and some sensory activities specifically for residents who spend most of their time in their rooms. The manager also told us how they try to involve families in the events and activities they arrange, for example, they held a family day out at a local stately home, which included 15 of the residents and their families, and they plan to do more in the coming year. Staff and students have helped raise additional funds through sponsored walks and Care Homes for Older People Page 13 of 23 Evidence: coffee mornings to help with the events and trips out. During our visit, we looked at three individual plans, but these did not show sufficient detail of the likes and dislikes of the residents, or details of the activities that the individuals had taken part in. A range of home cooked food is provided, and a record of the meals served was seen during our visit, and we saw care staff assisting people with their dinner. More choice is now available at teatime, and new meals introduced include scrambled egg, pate on toast and macaroni cheese, and these have proved very popular Care Homes for Older People Page 14 of 23 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. Procedures are in place to ensure that people living in the home be confident that any concerns, complaints or allegations are suitably dealt with. Evidence: The service has a complaints procedure in place, and we discussed with the manager the way in which complaints are dealt with. The manager said they had an open door policy and welcomed visits from family members to discuss any concerns, and that they had not received any formal complaints since our last inspection. A safeguarding procedure is in place, and all staff received training as part of their induction, and regular updates. Although some safeguarding issues have been reported, the service have acted appropriately, and in keeping with their procedures, and the two incidents were discussed with the manager during our visit. Care Homes for Older People Page 15 of 23 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service provide a clean and safe place for people to live Evidence: During our visit, we looked around the property, and were offered the chance to see some of the residents rooms by the residents. The home was clean, and free from any unpleasant odours. Since our last visit, radiators have been fitted with covers to avoid anyone burning themselves, and the home is refurbishing rooms on an ongoing basis, including new soft furnishings, whicjh individual residents are able to help choose. The home has a small enclosed garden in which residents can safely spend time in the better weather, and are planning to provide more shelter in this area, and the chance for residents to eat outside in the summer, and a water feature. People living in the home help with some of the garden work, planting and maintaining hanging baskets. Care Homes for Older People Page 16 of 23 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. Recruitment procedures and staff training ensure that people living in the home are supported by staff able to meet their needs. Evidence: The manager advised that the home is currently fully staffed, and the team in place have been encouraged to be more flexible in their approach, allowing the service to offer more to the people living in the home. The team have been very supportive, and willing to adopt new working practices, and particularly keen to learn new skills. Most of the staff have or are training toward NVQ qualifications, including domestic and kitchen staff, and a wide range of training is available. This has included management training and a group of staff including care staff are taking part in this course. Other training has included mental capacity act and deprivation of liberty training, palliative care, clinical supervision training for the manager and deputy, a course in reminiscence training for the activity co-ordinator and dementia care training for all staff. Care Homes for Older People Page 17 of 23 Evidence: Recruitment procedures are in place, and the required checks made on all new employees. As part of our inspection, and during our visit we looked at staff records for three people who have joined the service in recent months. Although references had been obtained, these should be verified, as the documentation used was not clear. Care Homes for Older People Page 18 of 23 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 service is well arranged, and procedures ensure that people living and working in the home are safe. Evidence: During our visit, we spent time with the manager, and looked around the building. We also looked at the maintenance records for the home, which were all in order. The manager of the service is well qualified, and experienced, and confirmed that she receives a good level of support from her line manager. However, at the time of the inspection, an application for registration with the commission had not been made, and this should be addressed as a mater of urgency. All staff receive regular supervision, and a record of the supervisions held was seen during our visit, and the training records of staff were seen on the files examined as part of our visit. Care Homes for Older People Page 19 of 23 Evidence: These indicated that all staff receive comprehensive health and safety training Care Homes for Older People Page 20 of 23 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 21 of 23 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 1 12 16 Individual plans must show the social needs of the person and how they will be met So that people living in the home have activities available suited to their like and dislikes. 30/04/2009 2 31 8 The manager of the home must submit an application for registration with The commission. So that people living in the home are confident the home is managed by a suitable person 30/04/2009 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 Care Homes for Older People Page 22 of 23 Helpline: 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 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). 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. Care Homes for Older People Page 23 of 23 - 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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