Inspection on 22/01/07 for Shardlow Manor

This inspection was carried out on 22nd January 2007.

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

Shardlow Manor 13/11/08

Shardlow Manor 15/11/05

Shardlow Manor 26/11/04

Shardlow Manor 14/07/04

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Shardlow Manor 111 London Road Shardlow Derby Derbyshire DE72 2GP Lead Inspector Andrew Bailey Unannounced Inspection 22nd January 2007 10:00 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 Shardlow Manor DS0000020093.V327173.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. Shardlow Manor DS0000020093.V327173.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Shardlow Manor Address 111 London Road Shardlow Derby Derbyshire DE72 2GP (01332) 792466 (01332) 792466 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) Mr Kevin James Popowycz Mrs Tracey Jane Popowycz Ms Emma Salt Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28) of places Shardlow Manor DS0000020093.V327173.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th November 2005 Brief Description of the Service: Shardlow Manor is a Care Home registered to provide personal care and accommodation for up to 28 people in the category of older persons. Shardlow Manor Care home is situated in the village of Shardlow, which is located on the main A6 route from Derby to Loughborough. The home has a front garden patio area, and a car park. Shardlow Manor has 22 single rooms, 17 have ensuite facilities and 3 double rooms. A variety of lounge and dinning room space is provided. The accommodation is on two floors, and there is a chair lift for access to the first floor. Inspection reports are displayed in the entrance area of the care home. The range of fees is £350 - £400 per week excluding hairdressing, private chiropody, toiletries and newspapers. This information was provided on the day of the inspection. Shardlow Manor DS0000020093.V327173.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was unannounced and took place over approximately 6 hours. Key inspections take into account a wide range of information and commence before the site visit by examining previous reports and information such as any reported incidents. The site visit is used to see how the service is performing in practice and to meet with residents and their representatives. The inspection was focused on assessing compliance with defined key National Minimum Standards. The commission had not requested the service to complete a pre-inspection questionnaire and had not sent out resident surveys for completion prior to the inspection. The registered manager was present at the inspection and one of the registered providers was present for part of the inspection. Staff were involved in supplying information during the inspection. On the day of the visit the inspector undertaking this key inspection spoke with four residents and two visitors to gain their views on the service. A second inspector undertook a thematic inspection at the same time as the key inspection. Thematic inspections examine specific aspects of services and form part of routine national investigations. A separate report is generated for the findings of thematic inspections. What the service does well: Residents and relatives were very pleased with the standards of care at Shardlow Manor. Comments included: ‘Can’t find fault with the home’, ‘Staff always helpful’, ‘Good standard of food’, ‘well run home’, ‘Management are approachable’ and ‘No complaints at all’. The registered manager has completed Level 4 National Vocational Qualification (NVQ) management and care training and she reported that she is proud that her deputy and two assistant managers are also studying for NVQ Level 4 qualifications. Residents and relatives gave feedback that supports that the home is well managed and is run in the best interests of the residents. There is good staff communication with residents and their representatives. The staff team appear motivated and committed to providing high standards of care. The home is clean and well maintained. Shardlow Manor DS0000020093.V327173.R01.S.doc Version 5.2 Page 6 Residents report that the standard of the catering is good and that there is choice of menu items provided. What has improved since the last inspection? What they could do better: There are no requirements from this inspection. The home is functioning in accordance with key National Minimum Standards, with positive outcomes for the residents. A good practice recommendation is outstanding from the last inspection for the fitting of radiator covers. Risk assessment processes are in place to minimise risk to residents, but the providers are requested to consider measures to further reduce any risk by replacing or guarding the small number of applicable radiators. There are a number of undated policies and procedures, some of which should be reviewed to ensure that they fully reflect adopted practice, for example, the written recruitment policy and procedure. The manager described the principle measures in place to reduce the risk of Legionella, but it is recommended that a competent person undertake an up to date risk assessment, with defined risk reduction measures documented as appropriate. There is a medication recommendation in regard to variable dose medicines. Shardlow Manor DS0000020093.V327173.R01.S.doc Version 5.2 Page 7 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. The summary of this inspection report can be made available in other formats on request. Shardlow Manor DS0000020093.V327173.R01.S.doc Version 5.2 Page 8 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 Shardlow Manor DS0000020093.V327173.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 (Standard 6 did not apply to this service) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service could be confident that the service will determine that their needs can be met before they move in. EVIDENCE: Three residents were spoken with and confirmed that an assessment of their needs had been undertaken before they came to live at Shardlow Manor. Shardlow Manor DS0000020093.V327173.R01.S.doc Version 5.2 Page 10 These residents with were fully aware of why they were at the home and confirmed that meetings had taken place between themselves, the home and the local authority to discuss how their needs would be met. The personal files of these three residents were looked at and evidence was in place to demonstrate that needs assessments had been undertaken prior to admission. Shardlow Manor had completed assessments even when the local authority had undertaken an assessment of needs. This demonstrated that a thorough approach to assessment of needs was undertaken. The assessments undertaken by Shardlow Manor contained all the required information to ensure that residents’ needs could be appropriately determined. From each individual’s needs assessment personal care plans had been developed. Shardlow Manor DS0000020093.V327173.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are comprehensive plans of care and systems in place that demonstrate that residents’ health and personal care needs are met. Residents report that staff respect their privacy and dignity. EVIDENCE: Five care plans were examined as part of the case tracking process. Four of the residents were spoken with and their feedback was in keeping with the documentary records held for these residents. Two relatives also provided feedback and again this supported the evidence contained within the care plan records. These relatives also commented that there are good communication systems and relationships so that staff keep them updated on health changes. Shardlow Manor DS0000020093.V327173.R01.S.doc Version 5.2 Page 12 Care plans set out health, personal and social care needs and are regularly updated by staff. There are nominated key workers for residents and the key worker has particular input into the care plan documentation for the relevant resident. Three of the more independent residents spoken with specifically commented that staff consult them about care matters and involve them in review processes. Staff spoken with were knowledgeable about the care needs of residents and were familiar with the care plans. The care plans examined all contained tissue viability and nutritional assessment records. Falls risk assessments are documented along with general hazard risk assessments appropriate to the individual resident. The care plans contain details of input by other healthcare professionals such as ophthalmologist and general practitioner visit details recorded in the case tracked care plans sampled. It was noted during the inspection visit that care needs of residents were being met, for example by the assistance of carers at mealtime. Residents and relatives spoken with said that residents’ privacy and dignity were maintained giving examples such as speaking to residents in an appropriate manner and by knocking on doors before entering bedrooms. Resident personal preferences are recorded in care plans, for example dietary preferences, form of personal address and daily routines. Medication systems were examined at this key inspection. Allergies are noted in the care plans, on the Medication Administration Records (MAR sheets) and on labels placed with the blister packs in the medication storage trolley. There are documented risk assessments and declarations for the selfadministration of medications by residents. Residents photos are included with the MAR sheets. There is a six-monthly audit of the system by the retail pharmacy (latest report dated 05/09/06), with no actions outstanding. It was noted that variable dose prescriptions did not always have the exact dose administered recorded and a recommendation has been made to this effect. Shardlow Manor DS0000020093.V327173.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. A range of activities, varied daily routines, varied menus and a welcome to visitors ensure that residents’ preferences are accounted for. EVIDENCE: An activities coordinator works eight hours per week (two sessions). Some of the residents’ work is displayed within the home, for example, artwork. Residents spoken with were satisfied with the opportunities available to them at the home. Photographs of an outing during 2006 to Twycross zoo are on display in the entrance corridor. Residents reported that they are encouraged to make their own decisions about social interests, menu choices and daily routines. They felt that they had control over their lives. For example, one of the residents spoken with Shardlow Manor DS0000020093.V327173.R01.S.doc Version 5.2 Page 14 preferred to spend most of the day in their bedroom and staff respected this. Bedrooms were seen to be personalised with residents’ own belongings. Care plan documentation includes records of personal interests and preferences. Relatives spoken with said that they are always made welcome and feel able to approach management and staff with any queries. The lunchtime meal was served during the inspection. It was noted that staff were on hand to help residents who required assistance. The mealtime was unhurried and residents stated that they had enjoyed their meal. Other than soft diets there were no special dietary requirements for the current residents, but the registered manager confirmed that special dietary requirements could be accommodated. The catering staff establish the menu item requests from residents for meals on an individual basis. In the case of the midday meal, preferences are ascertained during mid-morning drinks. Shardlow Manor DS0000020093.V327173.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints information was good. This meant that residents are informed of what to do if they were not happy with the service and care provided. A satisfactory safeguarding adults system is in place including a whistle blowing policy to support staff and residents. EVIDENCE: The complaints procedure was displayed within the home and within the Statement of Purpose and the information pack given to all residents before admission. The complaints procedure was clear and included the 28-day timescale for response to complaints. The contact details for the commission for social care inspection were also included. Two complaints had been received at Shardlow Manor since its last Key inspection in November 2005. Both of these complaints had been dealt with Shardlow Manor DS0000020093.V327173.R01.S.doc Version 5.2 Page 16 satisfactorily and both were documented clearly and demonstrated the action that was taken and the outcome of the complaints. Within each residents personal file concerns forms were in place. This ensured that any areas of concern, however informal, that were made by residents were recorded, including the outcomes of these concerns. All three residents were asked if they were aware of the complaints procedure at Shardlow Manor. All three stated they were aware of the procedure, but one resident said they had never read it. The other two residents confirmed that they had read it and stated that they found it easy to understand. All three residents felt that they would be able to make a complaint if they needed to. All three residents confirmed that residents meetings were held periodically and stated that any areas of concern by residents were usually addressed at the meetings and dealt with promptly by the registered manager. There is a safeguarding adults file containing the written adult protection policy and procedure, and the local authority guidance (including reporting documentation). Staff have attended local authority training sessions on adult protection, and examination of training records confirmed this. There is a staff whistle-blowing procedure in place and this is included in the staff handbook issued at commencement of employment. Shardlow Manor DS0000020093.V327173.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is furnished, cleaned and maintained to a good standard, providing residents with a safe, pleasant and comfortable place to live. EVIDENCE: A partial tour of the care home was carried out, including observation of some of the bedrooms (at the invitation of the residents). The lounge/dining rooms are spacious and comfortably furnished. The residents spoken with were satisfied with their private accommodation and had been encouraged to personalise their rooms. Shardlow Manor DS0000020093.V327173.R01.S.doc Version 5.2 Page 18 The home was very clean and tidy at inspection and residents confirmed that the cleaning and hygiene standards are good. Residents said that there was an efficient and prompt laundry service at the home. Washing machines have a specific programmed cycle for disinfection, where appropriate. The grounds of the home are safe and accessible to the residents. There is sufficient car parking for visitors to the home. Shardlow Manor DS0000020093.V327173.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has staff in sufficient numbers and with appropriate recruitment and training to meet the needs of and safeguard the residents. EVIDENCE: Residents and relatives felt that there were sufficient numbers of staff to meet their needs. They reported that staff have good communication skills, adopt a caring approach and appear competent in their roles. Examination of the rotas established that there are 4 carers in a morning, three or four in an afternoon and two at night. There is always a senior care assistant on duty. In addition to these staffing numbers the managers are supernumerary and there is frequently additional staffing available, for example activities coordinator, particularly in the afternoon. There are separate staffing arrangements for catering, housekeeping and maintenance duties. One of the registered providers (owners) has input at the home at least once per week. Shardlow Manor DS0000020093.V327173.R01.S.doc Version 5.2 Page 20 There are photographs of staff on display in the entrance area of the home. The display includes the qualifications of staff. More than 50 of care staff are NVQ Level 2 qualified (approximately 90 when those in training complete their courses). Some of the care staff are trained to NVQ Level 3. The recruitment files of two personnel were examined and there was evidence of an appropriate recruitment system in place to safeguard residents. Whilst the systems in place in practice are robust, it is recommended that the written recruitment policy/procedure be updated to reflect the good practice that is being followed. For example, the written policy/procedure does not refer to Criminal Records Bureau checks. Staff training records were examined at this inspection. There is a training matrix, with forward planning to ensure that staff receive mandatory training updates. There are training opportunities for subjects in addition to mandatory training e.g. dementia, bereavement and aggression. The training programme is informed by the staff supervision and appraisal systems, which identify training needs. Shardlow Manor DS0000020093.V327173.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was well managed and runs with the safety, welfare and best interests of residents foremost. EVIDENCE: Residents and relatives reported that the home appears well managed and that management and staff are available, approachable and communicate well with residents and visitors. Shardlow Manor DS0000020093.V327173.R01.S.doc Version 5.2 Page 22 The manager has the relevant qualification (at NVQ Level 4) and the deputy manager and two assistant managers are also undertaking Level 4 training. This indicates that there is a robust management structure for residents. A resident satisfaction survey was undertaken in December 2006. The findings are being analysed with a view to feeding back to residents on a one-to-one basis, where indicated, and also by publishing the findings for the benefit of current and prospective residents. At this inspection there was discussion between the inspector and management about how the published findings could be disseminated to current and prospective residents and their representatives e.g. through inclusion of summarised findings in the Service User Guide. Quality assurance is discussed at management meetings, with an annual review plan prepared. Residents meetings are held periodically and there is regular one-to-one interaction with residents and relatives by the management. One of the registered providers (owners) attends at least once per week and works at the home during these visits. It was noted at inspection that whilst there are a range of written policies and procedures to guide staff, the majority are not dated (making the review process less clear) and in some instances are no longer up to date to reflect the robust practices in place at the home e.g. recruitment of staff. A recommendation has been made to review policies and procedures. The system for handling residents’ personal monies (not fees) was examined and there was confirmation that there are suitable accounting procedures in place. A good practice recommendation is outstanding from the last inspection for the fitting of radiator covers. Risk assessment processes are in place to minimise risk to residents, but the providers are requested to consider measures to further reduce any risk by replacing or guarding the small number of applicable radiators. The manager was able to describe the general measures in place to reduce the risk of Legionella (undertaken by the maintenance person), but it is recommended that a competent person undertake an up to date risk assessment, with defined risk reduction measures documented as appropriate. In other respects, the service/maintenance documentation indicated that residents are protected by robust procedures, with all evidence of gas and electrical services having been suitably checked/maintained. Shardlow Manor DS0000020093.V327173.R01.S.doc Version 5.2 Page 23 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 X 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 X 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 4 X 3 X 3 X X 3 Shardlow Manor DS0000020093.V327173.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No 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. Standard Regulation Requirement Timescale for action 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. Refer to Standard OP9 OP33 OP38 Good Practice Recommendations Prescribed variable dose medicines should have the exact administration dose recorded on the Medication Administration Record. Policies and procedures should be reviewed to ensure that they reflect current practice The Registered Persons should consider covering the radiators with guards, as recommended by the Environmental Health Officer. (Recommendation from last inspection) There should be an up to date Legionella risk assessment documenting any relevant preventive measures 4. OP38 Shardlow Manor DS0000020093.V327173.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: 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 © 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 Shardlow Manor DS0000020093.V327173.R01.S.doc Version 5.2 Page 26 - 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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