Inspection on 16/01/06 for Sutton Manor Care Home

This inspection was carried out on 16th January 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

Sutton Manor Care Home 28/10/08

Sutton Manor Care Home 31/10/06

Sutton Manor Care Home 16/08/05

Sutton Manor Care Home 06/03/05

Sutton Manor Care Home 19/07/04

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 Sutton Manor Care Home Priestsic Road Sutton In Ashfield Nottinghamshire NG17 2AH Lead Inspector Steve Keeling Unannounced Inspection 16th January 2006 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 Sutton Manor Care Home DS0000008807.V277813.R01.S.doc Version 5.1 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. Sutton Manor Care Home DS0000008807.V277813.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Sutton Manor Care Home Address Priestsic Road Sutton In Ashfield Nottinghamshire NG17 2AH 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) 01623 551215 01623 441150 Ashmere Care Homes Mrs Barbara Ann Guinnane Care Home 45 Category(ies) of Old age, not falling within any other category registration, with number (45) of places Sutton Manor Care Home DS0000008807.V277813.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th August 2005 Brief Description of the Service: Sutton Manor Residential Home is part of the Ashmere Care Group. The home is situated on Priestic Rd Sutton In Ashfield, Nottinghamshire. One of three Care Homes based on the site close to the town centre and community facilities, the home provides 45 beds offering personal care for older people 65 plus. The home provides en suite facilities to the majority of rooms. The accommodation is provided on two floors. The home offers an intermediate care service with 5-10 beds for rehabilitation. The aim of the residential intermediate care scheme is to provide a safe environment within a residential setting for people who would otherwise face unnecessary prolonged hospital stay, inappropriate acute hospital admission or long term care. Through the provision of specialist interventions by a multidisciplinary team individuals are given the opportunity to maximise their potential when carrying out activities of daily living. The home has large garden facilities that are well maintained and easily accessible to the service users. Sutton Manor Care Home DS0000008807.V277813.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place in on 16th January 2006 by one inspector and was unannounced. It found that the overall quality of care provided is very good. The main method of inspection was case note tracking, this is a method of selecting service users within the home and discussing with them their expectations and experiences of living within the home environment. The case tracking method also analyses the records of the service users to ascertain if the service users identified needs are being addressed appropriately within the care home setting and that their safety and well being is being maintained. On this occasion two residents notes were case tracked. And both service users and their relatives expressed a great deal of satisfaction with the care provision within the home. At the time of the inspection a total 40 residents were accommodated at the home. It was evident that the management and staff within the home are very committed to the provision of a high standard of care to the service users. The manager within the unit was very helpful and cooperative and professional thus ensuring that the inspection process moved forward in a professional and efficient manner. What the service does well: Sutton Manor offers a pleasant, very well maintained environment for service users. The Manager of the home with the support of her dedicated staff are committed to provision of an environment that is conducive to achieving optimum independence, comfort and safety for the service users. The home has a programme of routine maintenance in place to ensure that any shortfalls in the standard of the immediate environment are dealt with effectively and efficiently. Service users monies are managed effectively at the home and are stored in a secure location to ensure the service users are not exposed to financial abuse. Sutton Manor Care Home DS0000008807.V277813.R01.S.doc Version 5.1 Page 6 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. Sutton Manor Care Home DS0000008807.V277813.R01.S.doc Version 5.1 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 Sutton Manor Care Home DS0000008807.V277813.R01.S.doc Version 5.1 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. 6. The manager of the home has made considerable progress in relation to the assessment of needs and the care planning process, both the aforementioned elements of care are managed effectively at the home. EVIDENCE: Sutton Manor accommodates a Residential Intermediate Care Scheme (RICS). The aim of the scheme is to provide a safe environment in the residential setting for people who would otherwise face unnecessary prolonged hospital stay, inappropriate acute hospital admission or long term care. This is achieved by offering a safe environment for rehabilitation that involves an opportunity for recovery within a six-week period. The scheme provides a maximum of ten beds for constant usage and once the service user has received rehabilitation they will be discharged home or into a residential/nursing care environment. It is evident that the minor inconsistencies, identified at a previous inspection, in relation to the pre admittance assessment process and care plan formulation have been rectified. A case tracked service user had been admitted to Sutton Manor from the Residential Intermediate Care Scheme (RICS) now had full assessment of needs performed by members of the multidisciplinary team Sutton Manor Care Home DS0000008807.V277813.R01.S.doc Version 5.1 Page 9 within the RICs scheme, and it was evident that care plans are now formulated by the manager of the home based on this effective risk assessment tool. Sutton Manor Care Home DS0000008807.V277813.R01.S.doc Version 5.1 Page 10 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. 10. The case tracking procedure established that the care plans examined addressed the health needs of the service users and it was established that health needs were being met at the home. No service users within the home are responsible for the administration of their own medication at the time of the inspection, although facilities for selfadministration of medicines are available should it be required. Service users spoken and relatives visiting the home stated that staff at the home always promotes the principles of respect and dignity. EVIDENCE: The documentation of two service users was case tracked at the time of the inspection. From the previous inspection concerns were identified in relation to the care planning process. Specifically the care plans lacked specific detail for carers to provide effective health promoting interventions. Sutton Manor Care Home DS0000008807.V277813.R01.S.doc Version 5.1 Page 11 Since the last inspection the manager of the home has developed a more comprehensives care planning format which in clear, concise and well organised The care plans were being evaluated on a monthly basis to ensure the holistic needs of the service users are met effectively at the home. It was also evident that service users or service users relatives now participate in the care plan formulation and are encourage to play an active role in the healthcare provision at the home. The home maintains daily progress documentation for all service in which the elements of care identified in care plans are evaluated. At the time of the inspection no service users were responsible for the selfadministration of medicines. It was established that should a service user wish to be independent in the administration of medicines the manager would perform a comprehensive risk assessment, if the service users was deemed as being safe, self-medication would be facilitated if at all possible. At the time of the inspection, service users were clean, presentable and dressed in appropriate clothing for the season. A relative visiting a service user was very positive in relation to all aspects of care afforded to his relative, he stated that staff spoke to his relative in a considerate and caring manner as they did with all the service users within the home. Service user spoken with also stated that the staff always respected privacy and dignity and that all the care staff within the home and the manager are helpful, pleasant and attentive. It was established that staff always knocked on the bedroom doors of service users before entering thus promoting the principles of privacy and dignity. All service users were very presentable at the time of the inspection, a serviced user stated that the laundry facilities within the home are very good and that her clothes were always returned promptly and in a clean well ironed condition. Staff were witnessed addressing the service users in a very pleasant and respectful manner and it was evident that the service users were very comfortable and contented within the home environment. Sutton Manor Care Home DS0000008807.V277813.R01.S.doc Version 5.1 Page 12 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): 13. Service users maintain contact with family, friends and are encouraged to foster and maintain contacts with representatives from the local community. EVIDENCE: It was established through conversations with service users and relatives visiting the home that no restrictions are in place in relation to visiting times. At the time of the inspection several relatives and friends were visiting service users. Relatives spoken with confirmed that the home operates an open policy in relation to visiting times and that staff at the home are always very pleasant and amicable. Service users are also encouraged to maintain contacts and interactions beyond the homes immediate environment. Hired transport is utilised to take service users to local areas of interest and it was also evident that the service users had enjoyed their Christmas party in which relatives and friends of service users were encouraged to attend. In ensuring that service users have to opportunity to access advocacy services the manager of the home ensures that a list of advocacy services such as Age Concern are displayed within the foyer of the home so that the service users Sutton Manor Care Home DS0000008807.V277813.R01.S.doc Version 5.1 Page 13 can access representatives from advocacy services effectively and confidentially. Sutton Manor Care Home DS0000008807.V277813.R01.S.doc Version 5.1 Page 14 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. Service users feel confidant that any concerns or complaints will be listened to, taken seriously and acted upon by the manager. EVIDENCE: In an attempt to facilitate an effective complaints procedure the manager at Sutton Manor ensures that the complaints procedure is on display at the entrance hall to the home. The complaints procedure is also included within the admission documentation given to service users and their representatives at the time of admission. At the time of the inspection the manager of the home was investigating no complaints and the Commission for Social care Inspection had not received any complaints. All service users spoken with were confident that the manager and the care staff would always address any complaints or concerns in a sensitive and professional manner and the service users would not hesitate to discuss any concerns in relation to the care afforded to them within the home environment. A relative of a service users stated that he had made a very minor complaint to the manager of the home and he was very satisfied with her professional and prompt response to his concern. Sutton Manor Care Home DS0000008807.V277813.R01.S.doc Version 5.1 Page 15 Sutton Manor Care Home DS0000008807.V277813.R01.S.doc Version 5.1 Page 16 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): Standards 19-26 were not inspected on this occasion. EVIDENCE: Sutton Manor Care Home DS0000008807.V277813.R01.S.doc Version 5.1 Page 17 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. 30. On the day of the inspection the home was employing 5 care staff to provide care for forty service users. It is the opinion of the regulation inspector that the current staffing levels is sufficient to meet the needs of the service users. Staff have access to an ongoing training opportunities provided within the home environment but it was evident that some members of care staff had not attended statutory training events within 2005 and as such their proficiency within health care provision could be compromised. EVIDENCE: Staff employed at the home is sufficient to meet the needs of the forty service users accommodated at the home. On the morning of the inspection five carers were on duty. Throughout the afternoon period, four carers were on duty with one senior carer and two carers covered the night period. It was established that the home does not employ any qualified nurses, as the home does not provide nursing services. In addition to the care staff directly employed at the home, additional staff are employed by the local health authority within the intermediate care setting. Although the management at the home does not count the intermediate care staff their presence within the home provides additional support. It was evidenced that appropriate training opportunities are available to care staff employed at the home in an attempt to ensure quality care is provided for the service users. It was evident that all the care staff at the home did not Sutton Manor Care Home DS0000008807.V277813.R01.S.doc Version 5.1 Page 18 always attend the statutory training courses, together with additional training courses. The records of two members of staff were examined and it was established that there were shortfalls in the provision of statutory training for both care staff. The manager of the Home stated that she will ensure that the individuals will attend appropriate training opportunities throughout the next year but to satisfy standard 30 the Commission for Social Care Inspection will required further evidence in relation to the training courses planned for the forthcoming year and evidence of the statutory training provided at the home in 2005. Sutton Manor Care Home DS0000008807.V277813.R01.S.doc Version 5.1 Page 19 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. 38. It was evident that the manager at Sutton Manor is professional, fit to be in charge, of good character and is able to discharge her responsibilities fully. The home is run in the best interests of the service users through the provision of an effective consultation process. Service users financial interests are safeguarded by the policies utilised at Sutton Manor. The manager at Sutton Manor Residential Home ensures that the health, safety and welfare of service users and staff are promoted and protected EVIDENCE: The manager of the home has been in post since December 2004. Having gained her a City in Guilds qualification in advanced management and Care in 1997 and in possession of the D32 and D33 NVQ assessors award it was Sutton Manor Care Home DS0000008807.V277813.R01.S.doc Version 5.1 Page 20 evident the manager has the necessary experience and educational abilities to effectively perform the managers role at Sutton Manor residential home. It was evident that she has now formulated and maintained effective documentation and evaluations appertaining to the needs of the service users, especially those who receive intermediate care services. All documentation is stored securely to protect service users confidentiality. Service users and staff spoken with specifically expressed their admiration towards the manager of the home and they felt confident in her abilities to manage the home in a clear supportive manner. The manager, in attempting to ensure that the home is run in the best interests of the service users, has initiated a service user discussion forum. The forum allows for the identification of issues relating to the care provided at the home. The forum also allows for the discussion of plans for future developments such as refurbishments and social activities. The content of the resident’s forum are minuted effectively for future reference. At the time of the inspection it was evidenced that the service users monies are effectively managed. The home maintains separate written records of all monitory transactions and the service users monies are not “pooled” thus protecting the service users from financial abuse. It was also evident that secure facilities are available in service users rooms to ensure the safe-keeping of money and valuables. It was evidenced that the home is maintained to a very high standard throughout and it was determined that appropriate precautions are taken in relation to the control of Legionalla contamination, the testing of emergency lighting, the testing of fire equipment and fire alarms. It was also evidenced that the home ensures that appropriate maintenance schedule are performed by external contractors, on all equipment designed of aid mobility such as wheelchairs, hoists and specialist baths. It was evidenced that electrical equipment utilised within the home had undergone the Portable Appliance Test (P.A.T) to ensure that it is in good working order and safe. The manager of the unit could also demonstrate that hot water outlet checks are performed on a monthly basis and window restrictor checks are also performed on a monthly basis together with the staff call system which is also checked monthly. The “pre printed” records appertaining to the all the aforementioned issues were clear, concise and well maintained by a very enthusiastic and dedicated maintenance technician. Sutton Manor Care Home DS0000008807.V277813.R01.S.doc Version 5.1 Page 21 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 3 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 X 13 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 3 28 X 29 X 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X X 3 Sutton Manor Care Home DS0000008807.V277813.R01.S.doc Version 5.1 Page 22 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 OP30 Regulation 18 (1) (c) Requirement The registered person shall ensure that the persons employed by the registered person to work at a care home receive training appropriate to the work they are to perform. Timescale for action 31/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Sutton Manor Care Home DS0000008807.V277813.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Sutton Manor Care Home DS0000008807.V277813.R01.S.doc Version 5.1 Page 24 - 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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