Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 28/09/07 for The Manor Nursing and Residential Home

Also see our care home review for The Manor Nursing and Residential Home for more information

This inspection was carried out on 28th September 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

New people are given a pre assessment and the assessment process continues after admission to the home. One of the residents who spoke with the inspector said that they visited the home twice before deciding to stay at the Manor. Comments from residents about care included `I like it here at the Manor hotel the staff are very kind to me`. `If I am ill the nurses will always send for the doctor`. `I am offered a strip wash every morning and have a shower weekly.` Two relatives commended the care given to their family member and the respect and dignity shown to their family member by the staff. Comments from relatives and regular friends who visited about care included `He looks better than when he lived at home, he always looks fresh and clean`. `My relative likes a smoke and is taken outside by the staff or when I visit I take them out in a wheelchair and they have an extra smoke.` `This is not an easy job to do and I think the staff do a very good job.`

What has improved since the last inspection?

Improvements in the area of medicines were seen at this inspection. The monitoring of care is improving.

CARE HOMES FOR OLDER PEOPLE The Manor Nursing and Residential Home 78-80 Lutterworth Road Aylestone Leicester Leicestershire LE2 8PG Lead Inspector Lesley Allison-White Key Unannounced Inspection 28th September 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 Nursing and Residential Home DS0000001919.V351641.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 Nursing and Residential Home DS0000001919.V351641.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Manor Nursing and Residential Home Address 78-80 Lutterworth Road Aylestone Leicester Leicestershire LE2 8PG 0116 2990225 0116 2990257 themanorcarehome@hotmail.com themanorcarehome@hotmail.com Mr Bassir Jugon 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) ** Post Vacant *** Care Home 49 Category(ies) of Dementia (49), Dementia - over 65 years of age registration, with number (49), Learning disability (23), Learning disability of places over 65 years of age (23), Mental disorder, excluding learning disability or dementia (23), Mental Disorder, excluding learning disability or dementia - over 65 years of age (23), Old age, not falling within any other category (49), Physical disability (49), Physical disability over 65 years of age (49) The Manor Nursing and Residential Home DS0000001919.V351641.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No person may be admitted to The Manor Nursing and Residential Home who fall within the category / combined categories MD, MD (E), LD, LD (E), when 23 persons who fall within any category / combined categories are already accommodated within the home. No person under 55 years of age who falls within categories DE, MD, PD or LD may be admitted to the Manor Nursing and Residential Home No one falling within category OP may be admitted into The Manor Nursing and Residential Home where there are 49 persons of category OP already accommodated within the home The maximum number of persons to be accommodated at The Manor Nursing and Residential Home is 49 30th May 2007 2. 3. 4. Date of last inspection Brief Description of the Service: The Manor Nursing and Residential Home is a large establishment situated on the Lutterworth Road formerly a large house it has been re-developed and comprises of two houses numbers 78 and 80. It is within easy reach of Leicester by public transport or car. The home offers accommodation for up to forty-nine residents with nursing, residential, mental health, and learning disability needs. The home also offers respite care facilities and is set in extensive mature gardens, which are mainly laid to lawn with shrub borders. There is a conservatory and also a covered area, which is occasionally used for activities or as a quiet area for visitors. The home has two dining room/ lounges. The home has a number of shared rooms and some bedrooms are en-suite. Both floors are accessible to residents by either a passenger or stair lift. All rooms are fitted with smoke detectors and nurse call systems. There are ample parking spaces and a number of local hotels and public amenities are within close proximity of the home. Fees range from £280.00 to £1,000 per week. The Statement of Purpose and Service User Guide (information about the service provided) are readily available. The Employers Liability Certificate of insurance is clearly displayed in the The Manor Nursing and Residential Home DS0000001919.V351641.R01.S.doc Version 5.2 Page 5 entrance hallway. Also seen was Registration Certificate from the Commission of Social Care Inspection (CSCI) and a copy of the last inspection report is available on request. The Manor Nursing and Residential Home DS0000001919.V351641.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection is on outcomes for residents and their views of the service provided. This was an unannounced inspection and took place on a Friday. The inspection focussed on checking existing records kept in the home, talking to residents, their relatives and other visitors, the staff and observing care practices in some cases. There were forty-six residents at the home at this inspection with two residents in hospital. The service history was used to plan this inspection. At this inspection all the key National Minimum Standards were met. The Deputy, Registered Nurses, and Responsible Individuals facilitated the inspection. What the service does well: What has improved since the last inspection? The Manor Nursing and Residential Home DS0000001919.V351641.R01.S.doc Version 5.2 Page 7 Improvements in the area of medicines were seen at this inspection. The monitoring of care is improving. 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 summary of this inspection report can be made available in other formats on request. The Manor Nursing and Residential Home DS0000001919.V351641.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 Nursing and Residential Home DS0000001919.V351641.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives are given information about the home in order to make an informed decision about whether the service is right for them. EVIDENCE: The Service User Guide and Statement of Purpose are available to prospective residents. A copy of the most recent inspection report is available on request. The acting Registered Manager is responsible for conducting the care assessments. The pre-assessment forms are completed and a full assessment of need entered into the care plans, as seen by the inspector. (Care plans are care notes giving specific information about the care required for an individual resident). New people are given a pre assessment and the assessment process The Manor Nursing and Residential Home DS0000001919.V351641.R01.S.doc Version 5.2 Page 10 continues after admission to the home. One of the residents who spoke with the inspector said that they visited the home twice before deciding to stay at the Manor. A trial period of one to three months is given to new residents to ensure that their needs can be met. Registered Mental Nurses and Registered General Nurses are employed and both mental and physical care is provided as required in accordance with the residents needs as assessed. None of the residents case tracked were able to describe the assessment process but family members of other residents who spoke with the inspector were able to explain that they felt fully involved in this process. Standard 6 intermediate care is not offered at the Manor Nursing and Residential home. The Manor Nursing and Residential Home DS0000001919.V351641.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 good. This judgement has been made using available evidence including a visit to this service. Residents feel they are treated with respect. EVIDENCE: The primary method of inspection used was “case tracking”. This involved speaking with the residents who use the service provided, looking at two residents care plans and making observations. Two care plans were inspected. Care, social and mental needs were addressed. Care plans included a record of residents’ interests and during the inspection this was seen. This is recorded in the activities and social care section of this report. A key worker system is in operation at the home. The key worker ensures that the residents’ stay is made comfortable by befriending the resident, ensuring that the residents’ health and social care needs are met. The Manor Nursing and Residential Home DS0000001919.V351641.R01.S.doc Version 5.2 Page 12 Four residents medicines were examined there were minor errors found otherwise satisfactory. The inspector was informed that the supplier of medicines to the Manor Nursing and Residential home was to provide training for staff on medications the following week. Comments from residents about care included ‘I like it here at the Manor hotel the staff are very kind to me’. ‘If I am ill the nurses will always send for the doctor’. ‘I am offered a strip wash every morning and have a shower weekly.’ Two relatives commended the care given to their family member and the respect and dignity shown to their family member by the staff. Comments from relatives and regular friends who visit about care included ‘He looks better than when he lived at home, he always looks fresh and clean’. ‘My relative likes a smoke and is taken outside by the staff or when I visit I take them out in a wheelchair and they have an extra smoke.’ ‘This is not an easy job to do and I think the staff do a very good job.’ The Manor Nursing and Residential Home DS0000001919.V351641.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are encouraged to maintain contact with family and friends and provide a lifestyle that matches expectations. EVIDENCE: The two residents’ case tracked was no longer able to join in group activities and spent much of their time in their bedrooms for different reasons. The activities co-ordinator provided activities for each resident in their rooms or asked their families to provided items that they liked before becoming ill such as bright yellow flowers placed where the resident could see them. Other residents and their families were able to explain that they were involved in a boat trip or joined in an evening’s entertainment at the Manor Nursing and Residential home. Small group activities also took place such as bingo or board games. For some of the residents being able to dine with their relatives helped them to feel settled at meal times. The meals seen appeared appetising and both resident and visitors said that the food was good with extra food if they required it. The Manor Nursing and Residential Home DS0000001919.V351641.R01.S.doc Version 5.2 Page 14 Residents not case tracked said that they had a choice as to when they went to bed, when they went out with relatives and returned, when they had a bath or shower or what they placed in their bedrooms. Relatives who spoke with the inspector said that staff often asked them if they would like a drink during their visit. Visitors were seen visiting during the day and five of the visitors who spoke with the inspector said that they felt welcome by the staff and residents and some visitors were seen dining at the Manor with their relative. The Manor Nursing and Residential Home DS0000001919.V351641.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives feel confident that their complaints and concerns will be acted upon. EVIDENCE: Since the last inspection in May 2007 the Commission for Social Care Inspection (CSCI) has received a complaint about the Manor Nursing and Residential Home. The complaint has been dealt with. Relatives who spoke with the inspector said that they have been told that they can talk to any member of the senior staff at any time about any concerns that they may have. The acting Registered Manager and proprietors make themselves known and available during the days. Staff who spoke with the inspector were able to explain issues such as the Protection Of Vulnerable Adults (POVA) and felt that they would know how to report a concern. The Manor Nursing and Residential Home DS0000001919.V351641.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. A further review of radiators in the home will ensure that safety of residents is maintained. EVIDENCE: New carpets are replacing old carpets. Both parts of the Manor appear clean and tidy. Bedrooms seen by the inspector were made comfortable by residents having some of their own personal items in their rooms with them. Residents who spoke with the inspector were able to say that they like their rooms. The inspector spoke with the Responsible Individuals (R.I.) with regard to ensuring that rooms where residents can move are re-checked to ensure that they have appropriate safety measures surrounding radiators as residents allocated to rooms can change. This will be now be a recommendation as at the last inspection the R.I. reviewed this. The Manor Nursing and Residential Home DS0000001919.V351641.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are trained and competent to do their jobs. EVIDENCE: Two student nurses were seen helping at the Manor. The student that the inspector spoke with explained that their learning included dealing with challenging behaviour and how to deal with specific individuals, helping and assisting at medicine times, assisting residents on a one to one basis at meal times. Residents are able to benefit from having extra staff to care for them. Care staff that spoke with the inspector said that they received training to help them to carry out their roles at the Manor and have supervisions to discuss this. Relatives who spoke with the inspector said that they did not think that the Manor had noticeable staff shortages the rota indicated that staff were asked to be flexible to cover the needs of the residents. On this occasion none of the residents mentioned any concerns about not understanding staff with accents and relatives said that they felt all staff gave good care. Staff was observed moving and handling a resident and this was satisfactory. The Manor Nursing and Residential Home DS0000001919.V351641.R01.S.doc Version 5.2 Page 18 A review of residents seating in the upstairs lounge area may be necessary to ensure that all residents are seated comfortably. This will be a recommendation. Staff was seen interacting with residents in a friendly manner. The Manor Nursing and Residential Home DS0000001919.V351641.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run in the best interests of the residents. EVIDENCE: Residents, friends and relatives who spoke with the inspector felt satisfied by the management of the home. Health and Safety policies are in place and a maintenance person is employed to ensure small hazards are identified and removed or repaired. The Responsible Individuals present at inspection explained that the fire records were up to date. This ensures the safety of residents living at the home. The Manor Nursing and Residential Home DS0000001919.V351641.R01.S.doc Version 5.2 Page 20 Carpet refurbishment is taking place at number seventy-eight in many of the public areas. Relatives are encouraged to help manage residents finances wherever possible or the residents themselves. Quality assurance records are available and were seen at the inspection in May 2007, as were CSCI questionnaires. They were satisfactory. The Manor Nursing and Residential Home DS0000001919.V351641.R01.S.doc Version 5.2 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 The Manor Nursing and Residential Home DS0000001919.V351641.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP19 Good Practice Recommendations To ensure that rooms where residents can move are rechecked to ensure that they have appropriate safety measures with regards to radiator protection as residents allocated to rooms can change. To review residents seating in the upstairs lounge on number 78 to ensure that all residents are seated comfortably. 2. OP19 The Manor Nursing and Residential Home DS0000001919.V351641.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Manor Nursing and Residential Home DS0000001919.V351641.R01.S.doc Version 5.2 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. 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!