Inspection on 15/09/06 for Rutland Manor Nursing Home

This inspection was carried out on 15th September 2006.

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

Rutland Manor Nursing Home 22/06/09

Rutland Manor Nursing Home 23/06/08

Rutland Manor Nursing Home 04/01/08

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Rutland Manor Nursing Home 12-14 Rutland Road Ellesmere Park Eccles M30 9FA Lead Inspector Elizabeth Holt Key Unannounced Inspection 15th September 2006 12:00 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 Rutland Manor Nursing Home DS0000065994.V304036.R01.S.doc Version 5.2 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. Rutland Manor Nursing Home DS0000065994.V304036.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rutland Manor Nursing Home Address 12-14 Rutland Road Ellesmere Park Eccles M30 9FA 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) 0161 707 1218 0161 787 8127 Rutland Care Home Ltd Ms Antoinette Moremi Care Home 39 Category(ies) of Old age, not falling within any other category registration, with number (36), Physical disability (3) of places Rutland Manor Nursing Home DS0000065994.V304036.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. A maximum of 36 older people (OP) requiring personal and/or nursing care may be accommodated. 3 named individuals who are below 65 years of age are currently accommodated to receive nursing care by reason of physical disabilities. New registration Date of last inspection Brief Description of the Service: Rutland Manor Nursing Home is located in a residential area of Ellesmere Park, Eccles. The home provides nursing and personal care for up to 39 older people. Accommodation is provided on three floors and there is a passenger lift to each floor. The home is set within its own grounds with a designated parking area. The motorway network is accessible to the home and provides ease of access for friends and relatives. Fees for the home are between £355.52 and £500.00 per week. Rutland Manor Nursing Home DS0000065994.V304036.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place on Friday 15th September 2006. This is the first inspection since the home has changed ownership. During the inspection, time was spent talking to some residents, some of the staff and the manager about day-to-day life in the home and to establish what the home was like for the residents living there. Information was gathered as part of the inspection process, which included a questionnaire completed by the manager, which gave information about the residents, the staff and the building. Information held by the Commission, for example notifications of significant incidents were also reviewed. A sample of resident and staff files were also seen. A partial tour of the premises was undertaken and examination of documents and care files for the individual residents. Four of the ten resident/relatives questionnaires were returned to the Commission. What the service does well: What has improved since the last inspection? There was evidence that improvements had been made to the redecoration of a number of rooms including communal areas and bedrooms. The flooring in the kitchen had been replaced and plans had been made to replace the hall and landing carpets. Rutland Manor Nursing Home DS0000065994.V304036.R01.S.doc Version 5.2 Page 6 Since the last inspection there was evidence of improvements in the detail recorded in the care plans and in the risk assessments. The manager was addressing the shortfall in activities provided and two care staff members were planning to attend a course on activities. 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. Rutland Manor Nursing Home DS0000065994.V304036.R01.S.doc Version 5.2 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 Rutland Manor Nursing Home DS0000065994.V304036.R01.S.doc Version 5.2 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): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Procedures are available to ensure that the needs of prospective residents are fully assessed before they are admitted to the home. EVIDENCE: Since the last inspection the Registered Provider had issued a new Service User Guide. The files of two residents recently admitted to the home were examined and pre-admission assessments were in place. A pre assessment form is used to record the assessment carried out on a prospective resident. The home does not provide intermediate care. Rutland Manor Nursing Home DS0000065994.V304036.R01.S.doc Version 5.2 Page 9 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 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. Each resident had an individual plan of care identifying the care needs of the residents enabling staff to meet the assessed needs of the residents. Some shortfalls were noted which may lead to the resident’s health and social care needs not being fully met. The systems in place for dealing with medication protected the residents. EVIDENCE: A sample of care plans was examined. Evidence was seen of development of the care plans and risk assessments. Care plans were detailed, person centred and included detailed statements of the daily care provided. Shortfalls noted included a lack of completion of the activity of daily living assessments and incomplete life history/social activity forms. It was pleasing to see that wound care plans were detailed and included the advice taken from the Tissue Viability Nurse specialist. Rutland Manor Nursing Home DS0000065994.V304036.R01.S.doc Version 5.2 Page 10 There was evidence of resident/relatives involvement in the care plans where possible. Medication records were examined and the recordings were satisfactory with codes used appropriately. An up to date list of staff signatures for those responsible for administering medication was available. Staff were observed addressing residents in an appropriate manner. Rutland Manor Nursing Home DS0000065994.V304036.R01.S.doc Version 5.2 Page 11 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 and 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Resident’s social and recreational activities were not being met in full by the home. Residents had assistance to exercise choice over their lives. EVIDENCE: The home had an open visiting policy and the staff were seen to have a good rapport with the residents in the home. The manager is making attempts to address the shortfall in activities provided and plans have been made for two members of the care team to attend a course on activities in October 2006. As raised at previous inspections there was little evidence provided to show that residents had the opportunity to have their social or recreational needs met. In both lounge areas the residents sat with the television as the focus of attention. Resident’s care plans contained very little information about hobbies and interests and there was no evidence to suggest residents were offered a choice of activities. Results from three of the four completed residents’ questionnaires showed that the residents would value more activities. Recent activities had included shopping trips, visits to the local library and sitting in the home’s garden. In house activities had included; piano playing, singing, cards, dominoes and beauty therapy. Rutland Manor Nursing Home DS0000065994.V304036.R01.S.doc Version 5.2 Page 12 Residents stated they were able to receive visitors at a time of their choice. Residents stated they enjoyed the food that was provided by the home. The cook made a special effort with homemade desserts, which residents stated were enjoyable. Rutland Manor Nursing Home DS0000065994.V304036.R01.S.doc Version 5.2 Page 13 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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefited from a complaints policy and procedure. Policies and practices in the home safeguarded the residents from abuse. EVIDENCE: The home had a record of any complaints/concerns raised. Residents spoken to said they knew how to make a complaint and felt a complaint would be dealt with appropriately. A number of staff had received training in Adult Protection procedures and were aware of the course of action to take in the event of an allegation of abuse. A discussion with the manager highlighted this training should be extended to all staff working at the home. Following receipt of one concern under Adult Protection procedures a review of the documentation highlighted there were some shortfalls in the record keeping, in particular shortfalls in detail in the resident’s care plan and risk assessments for the individual concerned. A request was made to the home at the time to amend this information and there was evidence that the care plan and risk assessments had been reviewed to include the appropriate details. Rutland Manor Nursing Home DS0000065994.V304036.R01.S.doc Version 5.2 Page 14 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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment appeared safe. The home was clean, comfortable and homely for the residents living there. EVIDENCE: The home provides a clean and homely environment. The facilities include an internal passenger lift to all floors. There was evidence of a programme of redecoration in place in the home. Since the previous inspection several of the rooms had been decorated. The décor and furnishings were comfortable and homely. Residents said they were able to have some of their own furniture in their bedrooms. A cleaning programme is in place and the home was clean and free from odour. Rutland Manor Nursing Home DS0000065994.V304036.R01.S.doc Version 5.2 Page 15 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, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence and a visit to the home. The number, deployment and training of staff appeared sufficient to meet the needs of the residents. Procedures for staff recruitment were in place to protect residents. EVIDENCE: At the time of the inspection the home accommodated 17 residents in receipt of nursing care and 3 residents in receipt of personal care only. On the day of the inspection the staffing numbers and the skill mix of the staff appeared appropriate to meet the needs of the residents accommodated. The manager was supernumerary to the staffing levels at the time of this inspection and stated this was her normal pattern of working to enable her to oversee the care of the residents. The staff duty rotas reflected the number of staff on duty. The home employs 13 care assistants with 9 members of staff having successfully achieved the National Vocational Qualification level 2 award. From observation and comments from staff on duty they were happy in their work and found the manager and registered nurses supportive to work alongside. The staff team appeared well motivated and happy. Rutland Manor Nursing Home DS0000065994.V304036.R01.S.doc Version 5.2 Page 16 Residents spoke positively about the staff team and said they were kind and helpful. The home had a recruitment policy. A review of a sample of staff files these included application forms, written references, evidence of Criminal Records Bureau checks, induction and evidence of training and staff development. Rutland Manor Nursing Home DS0000065994.V304036.R01.S.doc Version 5.2 Page 17 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 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager of the home carries out her responsibilities fully. Shortfalls in the provision of a fire risk assessment for the home has the potential to put residents at risk. EVIDENCE: The manager is fully aware of her responsibilities and demonstrated her knowledge of the residents well. The manager had recently completed a course in Business Administration and had attended study days in relation to her professional development. Staff said the manager was approachable and would listen to any issues they had. The home has policies and procedures in place to manage the financial interests of the residents. Rutland Manor Nursing Home DS0000065994.V304036.R01.S.doc Version 5.2 Page 18 Procedures are in place to find out the views from the people who use the service what they think of it. A recommendation was made that comment cards are sent to visiting professionals in order to obtain their opinion of the service being delivered. A policy on health and safety in the home was available. Fire maintenance safety checks were being carried out in line with the recommended guidance. There was no evidence of a completed fire risk assessment and a requirement has been made. A recommendation was made that individual staff sign to show their attendance at a fire drill. An accident book was available to record any accidents and injuries occurring in the home. The pre inspection questionnaire stated that health and safety checks were being carried out at appropriate frequencies. Rutland Manor Nursing Home DS0000065994.V304036.R01.S.doc Version 5.2 Page 19 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X 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 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 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 2 Rutland Manor Nursing Home DS0000065994.V304036.R01.S.doc Version 5.2 Page 20 No 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 Standard OP38 Regulation 23 Requirement The registered person must consult with the fire authority and provide an appropriate fire risk assessment. A copy of this should be forwarded to the Commission. Timescale for action 03/11/06 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 2 Refer to Standard OP12 OP33 Good Practice Recommendations It is recommended that an accurate record is kept of all activities undertaken and the residents that took part in the activities. It is recommended that a quality assurance of system is sent to visiting professionals to provide an audit to report on the quality of the service provided. Rutland Manor Nursing Home DS0000065994.V304036.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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 Rutland Manor Nursing Home DS0000065994.V304036.R01.S.doc Version 5.2 Page 22 - 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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