Inspection on 11/01/07 for The Manor House, Seaton

This inspection was carried out on 11th 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

The Manor House, Seaton 20/02/08

The Manor House, Seaton 03/01/06

The Manor House, Seaton 16/08/05

The Manor House, Seaton 27/01/05

The Manor House, Seaton 29/10/04

The Manor House, Seaton 18/02/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE The Manor House, Seaton Fore Street Seaton Devon EX12 2AD Lead Inspector Teresa Anderson Key Unannounced Inspection 11th 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 The Manor House, Seaton DS0000022063.V316231.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. The Manor House, Seaton DS0000022063.V316231.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Manor House, Seaton Address Fore Street Seaton Devon EX12 2AD 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) 01297 22433 01297 21175 hutchc@strngarm.demon.co.uk www.manor-house.freeuk.com Dr Seldon Hutchinson Curry Mrs Susan Elizabeth Celia Curry Dr Seldon Hutchinson Curry Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15), Physical disability over 65 years of age (3) of places The Manor House, Seaton DS0000022063.V316231.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The physical disability category PD(E) to be limited to three (3) bedrooms on the ground floor. Currently rooms numbered: G4, G5 and G6. 3rd January 2006 Date of last inspection Brief Description of the Service: The Manor House is a Grade II listed building that has been converted and extended. It is situated in the heart of Seaton with easy access to transport links, shops and the seafront. The home provides accommodation and personal care for up to 15 older people. The home does not have a through floor lift but does have stair lifts for the use of people who cannot manage stairs. Other aids and adaptations are sited throughout the home to help people remain independent. There is a ramp leading to the front door to help those people who use wheelchairs. All bedrooms are single and are situated on the ground and first floors. Communal accommodation is situated on the ground floor and consists of a lounge/dining room at the rear of the property overlooking the garden and another lounge at the front of the house overlooking the road. It is this lounge which houses the television. There is a communal bathroom on each floor and a total of five communal toilets. To the rear of the property is a small and pleasant garden with seating areas. Short term on road parking is available outside the home and there are car parks nearby. Weekly fees range from £363.00 to £400.00. These do not include the cost of such items as personal toiletries, newspapers, hairdresssing and chiropody. Further information about this home, including previous CSCI inspection reports, is available from the home direct. The Manor House, Seaton DS0000022063.V316231.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place as part of the normal programme of inspection. It started at 10.00am and finished at 4.00pm. During that time the inspector spoke with the owner/manager, with 4 members of care staff and with the cook. She spoke with approximately 10 residents, 3 in depth. The care and accommodation offered to 3 residents was case tracked (this measures the needs of these people against the service offered and helps us to understand the experiences of people using the service). The inspector also observed the care and attention given to residents by staff. She saw all the communal and service areas of the home and some of the resident’s bedrooms. Before the site visit the home provided comprehensive information in a preinspection questionnaire. Surveys forms were sent to 7 of the 15 residents and 3 were returned; to 8 members of staff and 2 were returned and to health and social care staff who visit the home and 4 were received. One relative responded to surveys. Their responses and comments have been included in the report. Records in relation to assessment, care planning, medication, staffing, training, recruitment, fire safety and residents monies were also inspected. What the service does well: Good information is available to prospective residents about the services on offer at this home. Residents are assisted to visit before a decision is made about where to live. Each resident has a contract detailing terms and conditions that is updated as and when needed. On the whole the care needs of residents are planned and met. Specialist referrals are made when needed to ensure that residents remain healthy and well for as long as possible. Medication is very well managed and reviewed to ensure that residents take the appropriate type and amount of medication to manage their symptoms. The home provides activities for residents that include craft, music sessions, exercise and outings to local amenities and events. The home is very close to the centre of Seaton and as such has good access to local shops and amenities that more mobile and able residents can access. Visitors are encouraged to visit and one relative reports that no matter what time of the day he calls, he is always made welcome. The Manor House, Seaton DS0000022063.V316231.R01.S.doc Version 5.2 Page 6 Residents are helped to make choices in their daily lives, choosing for example what clothes to wear, what to eat, where to eat and how to spend their days. Residents are offered a well balanced diet that they describe as ‘lovely’, ‘very nice’ and ‘good’. Meals are usually taken in the lounge/diner but can be taken in the resident’s bedroom if they prefer. On the whole residents say they know who to make comments and complaints to and feel comfortable doing this. Staff are trained in ‘safeguarding adults’ and demonstrate a good knowledge of what to do if an allegation were made. Recruitment procedures ensure that residents are protected from harm. Any monies managed on residents behalf is stored safely and records are kept and are auditable. The Manor House is very clean, homely, warm and comfortable. Aids and adaptations are available to assist with mobility and there is a ramp to the home to assist those who use wheelchairs or cannot manage steps. The home is safe throughout and is well maintained. There are enough staff on duty and staff receive training. Residents say that staff are ‘lovely’ and that they always come when needed and are easy to talk to. The owners of this home also manage it and live on site. Staff and residents feel very supported by them. The owners consistently demonstrate the ability to care for older people as individuals, with respect and on equal terms. They carry out quality assurance monitoring on a frequent basis to ensure that the home continues to be run in the best interests of residents. What has improved since the last inspection? What they could do better: The owners of this home are committed to making it ‘a home for life’. Some residents now have high needs which aren’t always being met. The home needs to improve on some aspects of care planning, support given to some residents and the training given to staff, in particular with regards to caring for people with dementia. The home also needs to look at how residents summon help from staff when in the living room, because current arrangements are not suitable. The Manor House, Seaton DS0000022063.V316231.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. The Manor House, Seaton DS0000022063.V316231.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 The Manor House, Seaton DS0000022063.V316231.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): 1 and 3. This home does not provide intermediate care. Quality in this outcome area is good. Relevant information is available to residents about the home to help them to make a choice about where to live. Assessments of residents prior to admission ensure that staff have enough information in order to know and meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: In surveys two of the three people who responded said that they had enough information about the home before they moved in. One said they did not. When asked what might have helped the resident wanted information about a particular resident which is not allowed. Other residents said they or a relative had seen the ‘brochure’ and had visited the home. The owner reports that it is very important that prospective residents visit the home before a decision is The Manor House, Seaton DS0000022063.V316231.R01.S.doc Version 5.2 Page 10 made about where they live. They provided transport and support for one resident who was in hospital when they were trying to find a home to live in. The owner reports that preadmission assessments are carried out to ensure that the home can meet the needs of the prospective resident and to ensure staff have enough information about the resident. Staff spoken with and in questionnaires said that they had enough information about residents before they moved in. Some residents could remember being visited and being asked questions about their care needs before coming to the home. The owner reports that the documentation they have been using for this purpose has not proved the most useful and is under review. All three respondents said they had a contract detailing the terms and conditions of occupancy and that these are updated when needed. The Manor House, Seaton DS0000022063.V316231.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 and 10. Quality in this outcome area is adequate. The arrangements in place for planning resident’s care are good. However, some residents care needs are not always being met due to the number of people with high dependency needs. The healthcare needs of residents are well met with evidence of multidisciplinary involvement. The systems for the management and administration of medications are good and ensure that residents’ medication needs are met safely. Personal support is not always offered in such a way as to protect and promote residents’ privacy and dignity. This judgement has been made using available evidence including a visit to this service. The Manor House, Seaton DS0000022063.V316231.R01.S.doc Version 5.2 Page 12 EVIDENCE: Each resident has a written plan of care and three were looked at in depth. Each one generally provides good information for staff on how to deliver care in a consistent way. This includes information on the resident’s risk of developing pressure sores and what staff should do to prevent this, and information on how the resident should be helped to move and be handled. There is good evidence of the involvement of health and social care staff where appropriate. This includes GP’s, Community Psychiatric Nurse (CPN), district nurse, chiropodists and opticians. In surveys health and social care staff say that the home communicates well with them and that staff demonstrate a good understanding of residents care needs. They report that specialist advice is sought and that appropriate actions are taken. In surveys residents say they always or usually get the care and medical support they need. When spoken with staff demonstrate a good knowledge of the residents, their needs, daily routines and preferences. Of the three care plans seen two gave good directions for staff. For example one directed staff on how to help a resident with a severe communication problem to remain independent. Another demonstrated very good care planning for a resident with diabetes. However, the third care plan did not demonstrate good care planning for a resident who is currently challenging the service. There are few recordings of any observations made of this resident’s behaviour and what might pre-empt any challenges, and there were no instructions for staff regarding what actions to take to manage such challenges. One member of staff explained that when the resident becomes agitated that they are taken to their bedroom which, it is reported, calms the resident. However, this has not been discussed or agreed with the wider multi disciplinary team. This strategy is not part of the care plan and therefore important issues such as when to use this strategy and for how long have not been agreed or recorded. In addition the effects of this management strategy have not been recorded. It is therefore difficult to determine if this is being used appropriately, consistently and in line with good practice. This issue was discussed with the owner. During observations of care some staff demonstrate a ‘parental’ style of care towards those people with dementia. For example, on different occasions some staff ignored, talked over, reprimanded and generally did not try to understand the concerns and reality of one resident. In relation to this latter point the owner explained that his staff use ‘reality orientation’, which is when people The Manor House, Seaton DS0000022063.V316231.R01.S.doc Version 5.2 Page 13 are reminded for example about the time and place. This is not always considered helpful for all residents. The system for managing medication within the home ensures that there is a clear audit trail and that the margin for error is reduced. Records checked are up to date. There is strong evidence in care plans that staff work hard with the health care team to ensure that residents have the optimum amounts and types of medication they need. The effects of changes to medication are recorded and reported to the GP and Community Psychiatric Nurse where appropriate. Healthcare staff, in surveys, report that medication is appropriately managed. In surveys and in discussions residents say that their privacy is well protected and that they are treated with dignity. However, during the inspection two carers did not knock on residents’ bedroom doors. One resident says this is unusual and one carer says this is because they are very busy and forget. The dignity of some residents might be being compromised by little things like laddered tights, hems that need mending and having to balance biscuits on their laps because these were not served on plates. The Manor House, Seaton DS0000022063.V316231.R01.S.doc Version 5.2 Page 14 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 and 15. Quality in this outcome area is good. Links with the community and visitors are good and residents, on the whole, have their social care needs met. Support is offered in a way that promotes choice and flexibility. The meals offered provide choice, variety and meet nutritional needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: In surveys and in discussions residents say that there are always or usually activities arranged that they can take part in. These include exercise, music sessions, arts and crafts, ball and floor games and outings to local events. In one lounge there are numerous up to date magazines and newspapers and books (including large print books) are available for residents. In another lounge there is a TV. The Manor House, Seaton DS0000022063.V316231.R01.S.doc Version 5.2 Page 15 One resident explains that staff know that another resident with communication difficulties likes watching TV in the late evening. This person gets tired easily, needs more rest and as a consequence goes to bed earlier than she used to. In order to meet her preference for watching TV, whilst also meeting her need to rest, staff ask which programmes she likes so that her TV can be set to the preferred channel which she can watch and fall asleep to in bed. Some of the current residents have communication difficulties and not all can take part in the organised activities on offer. The owner reports that staff work hard to engage these people in conversation or just be with them. However, during this inspection staff were seen to interact with residents only when a task such as giving out meals or drinks was being carried out. There were no interactions seen that were based on the intention of being with that resident socially. This was discussed with the owner who explained that one carer had phoned in sick that day and so staffing numbers were less than normal. Residents explain that routines are quite flexible, for example in the main they get up and go to bed when they like. Residents are helped to make other choices such as what clothes to wear and where they spend their time. One carer was overheard kindly offering a choice of biscuits to residents. However, she spoke very quickly, gave too many choices for people with cognitive or communication difficulties to deal with and did not help residents to make a choice by showing them the actual biscuits on offer. In surveys residents say they always or usually like the meals offered. One commented that there is too much food. Comments from residents included ‘lovely’, ‘very nice’ and ‘good’. Drinks are offered frequently. During the morning staff bought hot drinks for residents and for a while helped those residents who need help to drink. However, one resident (who needs plenty of fluids) spilt approximately half of their drink and this was not replaced and another was left with half a cup of tea. She was assisted to finish this when it had gone cold. Residents choose what time they have breakfast, what to have and where to have it. Lunch is usually served in the lounge/diner although this may be served in bedrooms if wished. The evening meal is served at around 5.00pm and supper at the time which suits residents. In the lounge there is a large clock and large lettered reminder of what day it is to help those with sight or orientation problems. However, the menu (displayed in the same area) is written in small writing and was difficult to read on the day of inspection. None of the residents asked knew what was being offered for lunch or could remember being told. The Manor House, Seaton DS0000022063.V316231.R01.S.doc Version 5.2 Page 16 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): Quality in this outcome area is good. The home has a complaints system that residents feel confident in using if they need to. Residents feel safe and well cared for and staff’s knowledge of adult protection ensures that residents live in an environment where they are protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Neither the home nor the Commission have received any complaints about this home. In surveys and during discussions residents say they know how to make a complaint, who to make the complaint to and are confident that any comments or complaints would be dealt with. They say they feel safe and well cared for and are confident and comfortable in the presence of staff. One very able resident says that staff are ‘kind and good’ to all residents including those who are less able. Staff receive training in ‘safeguarding adults’ and they have an understanding of what abuse is and what they should do if they suspect abuse or if an The Manor House, Seaton DS0000022063.V316231.R01.S.doc Version 5.2 Page 17 allegation has been made. One of the owners has recently completed a course to become a trainer in delivering this training. The Manor House, Seaton DS0000022063.V316231.R01.S.doc Version 5.2 Page 18 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): Quality in this outcome area is good. The environment of this home provides residents with a homely, clean and comfortable place to live. The system for summoning help does not promote independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents say that the home is always clean and fresh. It is comfortably and appropriately furnished including aids and adaptations and raised seats for those who need them. There are stair lifts for those people who can’t manage stairs and a ramp up to the front door for wheelchair users. The décor is very homely in style with flowers, pictures, paintings and plants throughout. Little touches like flowers on tables, clean tablecloths and seasonal plants add to the homely feel. Some areas of the home have been redecorated and new carpets laid. The Manor House, Seaton DS0000022063.V316231.R01.S.doc Version 5.2 Page 19 The home still have a cat and a dog and residents say how much they enjoy their company. There is a call bell system in the home which, in bedrooms, residents have access to. However, in the lounge there is only one call bell. When asked how they summon help residents who do not have access to this say they either ask the resident who sits near it to ring the bell on their behalf or they try to get the attention of a carer as they walk through. Staff were seen adhering to infection control policies and the laundry is tidy and clean. The kitchen is clean and tidy and records are kept of all food served and of fridge and freezer temperatures (for food hygiene purposes). The fire officer has visited the home and said that any necessary improvements had been made. The Manor House, Seaton DS0000022063.V316231.R01.S.doc Version 5.2 Page 20 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): Quality in this outcome area is good. Staff receive training and are employed in sufficient numbers to provide residents with the support and care they need. Further training in dementia care would provide staff with enhanced skills in communicating with residents. The recruitment procedures designed to protect residents are followed, ensuring residents’ safety. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff on duty include the owners who live on site. There are usually four carers on duty in the morning together with a domestic and cook, three carers in the afternoon and evening and one waking and one sleeping at night. In surveys and discussions residents say they always get the care they need, that staff are very kind and helpful and listen and act on what they say. One resident said that at night they know that one resident rings the bell and always gets the help they need. One resident said ‘the carers are lovely and you feel you can talk to them’. One health/social care professional said ‘I have always been very impressed with the care given and the sympathetic attitude of staff’. However, two residents said that they had experienced staff speaking about their social lives whilst giving them care and one said that staff could be The Manor House, Seaton DS0000022063.V316231.R01.S.doc Version 5.2 Page 21 overheard talking about residents. The inspector overheard loud conversations taking place in the kitchen next to the dining room and around the home. 62 of care staff are trained to NVQ Level 2 in care or above. This is above the 50 recommended by the Commission and shows good investment in staff and their training needs. As reported in the Health and Personal Care staff would benefit from further training in how to communicate with people with dementia. Additional training (apart from mandatory training) depends on the needs of each member of staff and includes dementia care and diet and nutrition. However, because many residents have developed higher dependency needs, both physical and cognitive, their needs are not always being appropriately met (see health and personal care). Three staff recruitment files were inspected. Each had an application form, references, a police check and a photograph of the member of staff, all of which help to protect the resident from harm. The Manor House, Seaton DS0000022063.V316231.R01.S.doc Version 5.2 Page 22 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): Quality in this outcome area is good. The management systems in place help to ensure residents live in a wellmanaged, safe environment where they are protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Manor House is owned and managed by a couple who live on site. They have consistently shown a real commitment to the care of the elderly and to treating people as individuals, with respect and dignity and as equals. Staff are very complimentary about the support they give and of their caring natures. The Manor House, Seaton DS0000022063.V316231.R01.S.doc Version 5.2 Page 23 Residents know them by name and demonstrate confidence in their skills and attitude. All policies are kept up to date and checks and controls are in place to ensure that the home is well maintained and safe. These include fire training and drills and the maintenance of gas and electrical systems. Staff receive appropriate mandatory training in First Aid, moving and handling, food hygiene and infection control. The owners carry out frequent quality assurance surveys to help continually improve the services offered. Residents monies are kept safely and securely. The system for managing monies ensures that all monies handled are auditable. Three accounts were checked and found to be in order. However, evidence demonstrates that the owners’ attempts to make this a ‘home for life’ for residents has resulted in some residents developing high care needs, both physically and cognitively, which the home is struggling to meet. The owner says that the service is ‘stretched’ and that this is affecting care delivery. The Manor House, Seaton DS0000022063.V316231.R01.S.doc Version 5.2 Page 24 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 3 x 2 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x 2 x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x 3 x x 3 The Manor House, Seaton DS0000022063.V316231.R01.S.doc Version 5.2 Page 25 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. 1. Standard OP7 Regulation 15 (2) (b) Requirement Timescale for action 01/03/07 2. OP10 12 (4) (a) 3. OP30 18 (1) (c) You must ensure that you keep each residents care plan under review. This relates to the need to identify changing needs to ensure that this service can continue to meet the needs of all residents. You must ensure that the home 01/03/07 is conducted in a manner which respects the dignity of residents. This relates to the need to ensure that residents’ clothes are cared for and that staff do not talk over or about residents. You must ensure that the 30/06/07 persons employed at the care home receive training appropriate to the work they are to perform. This relates to the need to provide staff with training in communicating with people with dementia. The Manor House, Seaton DS0000022063.V316231.R01.S.doc Version 5.2 Page 26 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. 4. 5. 6. Refer to Standard OP7 OP10 OP12 OP15 Good Practice Recommendations You should ensure that where needed, care plans include strategies for staff on how to meet the needs of those residents who challenge the service. You should ensure that staff always knock on bedroom doors before entering, even when they are busy. You should ensure that residents with cognitive impairments have their social needs met. You should ensure that the menu is available in a format suitable for those with visual, cognitive and/or communication difficulties. You should ensure that staff provide enough support to residents to ensure that they have enough to drink throughout the day. You should ensure that call systems are accessible to all residents. OP15 OP22 The Manor House, Seaton DS0000022063.V316231.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Devon Area Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 The Manor House, Seaton DS0000022063.V316231.R01.S.doc Version 5.2 Page 28 - 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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