Random inspection report
Care homes for older people
Name: Address: Pendlebury Manor Care Home London Road Pendlebury Manor Care Home, Lyme Green Park Lyme Green Macclesfield Cheshire SK11 0LD one star adequate service The quality rating for this care home is: The rating was made on: 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Joan Adam Date: 2 7 0 1 2 0 1 0 Information about the care home
Name of care home: Address: Pendlebury Manor Care Home London Road Pendlebury Manor Care Home, Lyme Green Park Lyme Green Macclesfield Cheshire SK11 0LD 01260253555 01260251641 pendlebury.manor@virgin.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Pendlebury Care Homes Ltd care home 61 Number of places (if applicable): Under 65 Over 65 0 dementia Conditions of registration: 61 The Registered person may provide the following category 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: Dementia - Code DE The maximum number of service users who can be accommodated is: 61 Date of last inspection Brief description of the care home Pendlebury Manor provides care for up to 61 people with dementia who require personal care only. It is situated on the outskirts of Macclesfield. The home is divided into two units the Villa and the Manor. Accommodation comprises of 53 single rooms and 4 shared rooms. There are dining and lounge areas in each unit and two passenger lifts for access to the first floor. There is adequate car parking facilities at the home.
Care Homes for Older People Page 2 of 8 What we found:
Two inspectors made a short visit to Pendlebury Manor on 27 January 2010 to look at what action had been taken to meet the requirements made at the key inspection that was carried out in August 2009. Since August, the manager has checked the needs of all the people living at Pendlebury Manor and as a result, has increased the number of staff on each shift to make sure that peoples needs will be met. We looked at the files of all staff who had been appointed since our last visit to the home and all showed that all the necessary checks had been carried out before the member of staff started work at the home. This included Criminal Record Bureau disclosures and references being obtained, as well as information to confirm the persons identity and their employment history. These checks are necessary to make sure that the person is suitable to work with the people who live at the home. The mandatory training with regard to fire safety, safeguarding adults, and moving and handling had improved and most staff working at the home have now received updated training in these areas. The manager has undertaken a moving and handling instructors course so that she can carry out the moving and handling training for new staff at their induction, as well as the updated training for other staff. This means that all staff will have the necessary guidance and knowledge to make sure that they can provide safe care without risk of injury to the residents or themselves. Most of the staff at the home have now received training on dementia and more training sessions have been booked. This will help them to understand the needs of the people they care for. The manager has introduced a number of improvements at the home. There is now an audit system to check the medicines and care plans regularly so any areas of concern can be identified quickly and action taken to improve them. Survey forms had been sent out to relatives and some had been returned with positive comments such as, everyone is helpful and friendly, good team of care staff, mum always looks nice and a noticeable improvement in the management of the home. Meetings are being held with relatives and residents and minutes have been taken of these to show what had been discussed and what action had been agreed. Training has improved and most staff have received training with regard to fire safety awareness, safeguarding of adults and moving and handling. This training will help to make sure that the staff can protect the people who live in the home and keep them safe. What the care home does well:
The home has a stable staff team and members of the team have received training to enable them to know how to care for people living at the home. Recruitment at the home is robust so that management can be sure staff are suitable to work with the people who live at Pendlebury Manor. A quality assurance programme is in place so that areas of concern can be highlighted and acted upon quickly. The manager is communicating with residents and relatives to gain their views on the home and care provided. This is helping to make sure that the home is being run in the
Care Homes for Older People Page 3 of 8 best interests of the people who live there. 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 2. Care Homes for Older People Page 4 of 8 Are there any outstanding requirements from the last inspection? Yes R No £ 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, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 18 18 All staff must receive up to date training regarding safeguarding of adults so they know how to recognise abuse. 30/09/2009 2 27 18 Action must be taken to 31/08/2009 make sure there are adequate numbers of staff deployed in the home to meet the needs of the people living there. 3 30 18 All staff must receive training 30/09/2009 with regard to dementia care so that the needs of people living in the home can be fully met. Adequate arrangements 04/09/2009 must be made for all staff working in the home to receive suitable training on fire safety and take part in fire drills. This is to make sure that they know what to do to protect people living in the home if fire breaks out. This is an unmet requirement with a previous timescale for compliance of 05/11/08 4 38 23 Care Homes for Older People Page 5 of 8 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, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 5 38 24 The quality assurance 30/09/2009 system must be in place so that areas of concern or that need improvement can be highlighted and acted upon quickly. 6 38 18 All staff must receive up to date moving and handling training so people living in the home are not placed at risk of possible injury. 30/09/2009 Care Homes for Older People Page 6 of 8 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, 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 Care Homes for Older People Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 Helpline: Telephone: 03000 616161 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) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 8 of 8 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
