Random inspection report
Care homes for older people
Name: Address: The Manor House The Manor House 61 Manor Road Medomsley Consett Durham DH8 6QW two star good 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: Nicola Shaw Date: 1 0 1 2 2 0 0 9 Information about the care home
Name of care home: Address: The Manor House The Manor House 61 Manor Road Medomsley Consett Durham DH8 6QW 01207560099 F/P01207560099 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) : Aimgo Limited care home 36 Number of places (if applicable): Under 65 Over 65 15 21 dementia old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 0 0 The Manor House is a care home registered to provide care and accommodation for a total of 36 older people. This home includes a separate unit, The Margaret Suite, which provides care and accommodation for 15 older people with dementia. There is an emphasis on integrating the residents with dementia into the main part of the home. The Manor House is owned by a private company, Aimgo Limited, which has its address in Consett, County Durham. This is the only care home operated by this company. The home is located in Manor Road, which is the main road through Medomsley in North West County Durham and is convenient for the limited local
Care Homes for Older People Page 2 of 8 Brief description of the care home amenities of the village. The home was opened in 1990 and consists of a large extended and adapted two storey building. All bedrooms are in single use. There is a passenger lift to the first floor. The home has extensive and pleasant gardens with fine views over the local countryside. Care Homes for Older People Page 3 of 8 What we found:
This random inspection was carried out following the annual service review of this home on 12th November 2009. When we did the annual service review there was insufficient information in the Annual Quality Assurance Assessment, ( this is the information we ask for from the home about what they do well and what has improved in the last year), to confirm that this home was still providing a good service. In addition to this two health and social care professionals commented in surveys that there was an unpleasant odour in the home and one commented that the home would benefit from investment in manpower/resources. Both the manager and owner were available to help us with the inspection. We looked at the environment, discussed activities, looked at staffing levels and staff training. We also discussed with the owner why the home was still without registered manager. Daily life and Social Activities: The manager confirmed that although there is not an activities co-ordinator a member of care staff has a number of designated hours per week to organise activities. There is an activities programme on display in the home. Activities available to service user include dominoes, bingo and an organist who comes into the home to entertain people. During our visit staff sat chatting with service users. Some service users were encouraged to take part in a ball game. There is a large television remote control, with large buttons, to help service users use this independently. There is a large spacious secure garden that service users can use independently in the warmer weather. Complaints and Protection: The owner confirmed that she has a copy of Durhams Local Authority Safeguarding Adults procedure in the office. There is also information about this on display in the home, however, none of the staff have had training in relation to this. Environment: There were no unpleasant odours in the home on this day. The manager told us that since we last inspected she has introduced a quality assurance process to ensure that the cleanliness of the home is maintained. We looked around the home which was clean. New radiators have recently been fitted in the conservatory and as a consequence of this the carpets in the lounge had been pulled away from the walls. The manager pointed out to us that the carpets had not been re- fitted correctly and were quite rucked in places, posing a potential health and safety hazard to the service users. Although she assured us that staff were aware of this hazard, and did not leave service users unsupervised in the lounges, there was no risk assessment in place about this.
Care Homes for Older People Page 4 of 8 There have been a number of improvements to the environment since we last visited. These include the renovation of the roof to make the home more heat efficient, the redecoration of two bedrooms and the kitchen, the fitting of new blinds in some bedrooms, the provision of leather recliner chairs and a 42 inch flat screen television. The driveway has also been re-graveled. Staffing: On duty on the day of our visit were the manager, 1 senior carer, 4 care staff, 1 administrator, 1 cook, a maintenance person and 2 domestics. These staffing levels are adequate for the 29 service users currently living in the home. The manager confirmed that in addition to NVQ level 2 training or above in care staff have completed training about dementia, health and safety, infection control, palliative care and some are undertaking leadership training. Management and Administration: The current manager has 14 years management experience. She has undertaken additional training, for example about the Mental Capacity and Deprivation of Liberty Acts, in order to keep her knowledge and skills up-to-date. However, there is no registered manager for this service. The owner told us that the current manager will be submitting an application to become the registered manager. What the care home does well: 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 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 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 1 18 13 All staff should be provided with training about safeguarding adults. This is to ensure service users are protected from abuse. 28/05/2010 2 19 13 The manager must complete 31/12/2009 a risk assessment and action plan to minimise the risks for the rucked carpets. This is to protect the health and safety of service users. 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 1 38 The manager should submit her application to become registered with the CQC without further delay. 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!
