Inspection on 25/02/06 for The Manor House

This inspection was carried out on 25th February 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

The Manor House 01/11/06

The Manor House 12/10/05

The Manor House 22/03/05

The Manor House 09/12/04

The Manor House 24/03/04

The Manor House 18/11/03

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 The Manor House 72 Church Street Market Deeping Lincs PE6 8AL Lead Inspector Alison Marshall Unannounced Inspection 25th February 2006 09:45 The Manor House DS0000002454.V284690.R01.S.doc Version 5.1 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 The Manor House DS0000002454.V284690.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 Adults 18-65. 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. The Manor House DS0000002454.V284690.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Manor House Address 72 Church Street Market Deeping Lincs PE6 8AL 01778 344921 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) sylvia.welford@sense.org.uk www.sense.org.uk Sense East Mrs Sylvia Welford Care Home 7 Category(ies) of Learning disability (0), Sensory impairment (7) registration, with number of places The Manor House DS0000002454.V284690.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th October 2005 Brief Description of the Service: Manor House is part of the SENSE organisation and is registered to provide care and accommodation for up to six service users over the age of eighteen years affected by deaf/blindness caused by rubella. This home shares a site with Manor Court, another care home and within the grounds are a patio, garden, hydrotherapy swimming pool, interactive multi-sensory room and administrative offices. Service users attend a day care facility in Peterborough also managed by SENSE. Transport is provided through the use of a minibus or via a regular bus service. The home is located in the town of Market Deeping, which has a variety of facilities and services. The stated aim of the home is to provide a safe and supportive environment based on best care values for people who are deaf/blind. To promote a presence in the community by the use of local amenities and services, maintaining good relationships and promoting a positive image of residents of Manor House . The Manor House DS0000002454.V284690.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 on a Saturday morning, from 9:45 to just after one o’clock. The previous inspection in October 2005 had covered all of the key standards. This inspection focused on spending time with service users and staff and observing the morning routines. The inspector went out to the local shop with one service user and one member of staff. There were five service users at home; one was away visiting his parents, and three staff on duty. What the service does well: 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. The Manor House DS0000002454.V284690.R01.S.doc Version 5.1 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Manor House DS0000002454.V284690.R01.S.doc Version 5.1 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were assessed at the previous inspection. EVIDENCE: The Manor House DS0000002454.V284690.R01.S.doc Version 5.1 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 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 Service users were supported to make decisions about their lives. EVIDENCE: Staff explained that they enabled service users to make as many choices as they were able to. They were aware of individual needs and abilities and adjusted the situation to meet this. There were numerous examples throughout the morning of service users making choices and staff encouraging and supporting them to make choices. Staff were aware of service users’ individual communication abilities and offered choices in a way and at a level at which service users could respond to. For example, one service user was asked if she wanted to go to the local shop and asked if she minded if the inspector joined her. Once out, the weather was colder than anticipated and staff checked with her if she still wanted to go. The Manor House DS0000002454.V284690.R01.S.doc Version 5.1 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12, 13, 14, 15 and 16 Service users had busy lives. Their rights and responsibilities were recognised in their daily lives. EVIDENCE: Service users attended the Sense workshop or had dedicated home days. A new workshop had been built at Bourne and service users had just started to attend here. On the morning one service user appeared anxious and staff worked out that it was because she did not have a copy of her workshop timetable in her room. Staff responded by finding one and working on the computer with her to produce a copy that she could keep. On home days staff would support service users on a 1:1 basis. These days could be used for a number of different activities decided upon the individual. Within in the house service users undertook most of the domestic chores, individually and for the group, with staff support. On the morning staff had supported service users to clean and tidy their own rooms and to do their laundry. One service user was also keen to be busy and helped to dust the living areas. Another service user helped to prepare and cook the lunchtime meal. Earlier one service user had walked with staff to the local shop to buy The Manor House DS0000002454.V284690.R01.S.doc Version 5.1 Page 10 some ingredients necessary for lunch. It was clear that she was familiar with the town centre, the shop and what to do once in the shop. Staff explained that on home days service users were supported to go out for their own personal shopping and sometimes for house shopping. The shift pattern changed at the weekend with the late shift starting at 1:00 pm. This was to allow time for trips out and activities to take place. During the weekday nights there were some planned sessions, for example, swimming and a masseuse came in. Records showed that service users were busy most evenings. Family members were encouraged to visit at any reasonable time. Service users were supported to maintain contact through visits, telephone calls and letters. Staff would make arrangements to take service users to see their families if family members were unable to travel. The daily routines within the house promoted independence and individual choice. Service users were able to choose when to get up and when to go to bed. On the morning it was clear that some service users had got up later than others. All service users had their own rooms and had individualised means for staff ‘to knock’, for example a flashing light. The Manor House DS0000002454.V284690.R01.S.doc Version 5.1 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were assessed at the previous inspection. EVIDENCE: The Manor House DS0000002454.V284690.R01.S.doc Version 5.1 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were assessed at the previous inspection. EVIDENCE: The Manor House DS0000002454.V284690.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were assessed at the previous inspection. EVIDENCE: The Manor House DS0000002454.V284690.R01.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33 and 35 Service users were well supported by a small competent dedicated staff team ensuring consistency in practice and support. EVIDENCE: There were three staff on duty on the morning of the inspection to support five service users. If the sixth service user had been at home there would have been four staff on duty. Agency staff were rarely used at the home as Sense had recruited bank staff to cover vacancies and spare shifts. The shift was made up of the deputy who had worked at the home for 15 years and two newer staff: one who had been there for just over 6 months and another who was in her fourth week. The newest member of staff was due to start on the Sense induction programme in a few weeks. This was a structured training programme that covered all of the induction standards. She had completed a couple of shadow shifts initially and had received in house induction. She felt fully supported by the manager and staff. The other member of staff had completed her induction. It was clear from observation that she had received substantial communication training and was very aware of the individual communication needs of the service users. The shift team were clearly very effective and had the necessary skills to support the service users. The Manor House DS0000002454.V284690.R01.S.doc Version 5.1 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were assessed at the previous inspection. EVIDENCE: The Manor House DS0000002454.V284690.R01.S.doc Version 5.1 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 3 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 X X X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X X X X X X X X The Manor House DS0000002454.V284690.R01.S.doc Version 5.1 Page 17 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. 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. Refer to Standard Good Practice Recommendations The Manor House DS0000002454.V284690.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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. 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