Inspection on 17/02/06 for The Manse Nursing Home

This inspection was carried out on 17th 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 Manse Nursing Home 03/04/07

The Manse Nursing Home 26/07/05

The Manse Nursing Home 15/02/05

The Manse Nursing Home 24/08/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE The Manse Nursing Home Kirkgate Kirkham Near Preston Lancashire PR4 2UJ Lead Inspector Mrs Lynne Lynch Unannounced Inspection 17th February 2006 13:30 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 Manse Nursing Home DS0000006057.V258018.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Manse Nursing Home DS0000006057.V258018.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Manse Nursing Home Address Kirkgate Kirkham Near Preston Lancashire PR4 2UJ 01772 686684 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) Mr Leslie Edward Ansell Mrs Janet Mary Ansell Mrs Catherine Mary Molyneux Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places The Manse Nursing Home DS0000006057.V258018.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Registered Person shall at all times employ a suitably qualified Manager 26th July 2005 Date of last inspection Brief Description of the Service: The Manse Nursing Home is registered with the Commission for Social Care Inspection to provide personal and nursing care for 30 older people of both sexes across the full spectrum of dependency needs, including terminal illness. The home is situated in a residential area of Kirkham close to the town centre, and is within close proximity to shops and local amenities. Service users are encouraged to retain their links within the community and every effort is given to ensuring that relationships, hobbies and interests are pursued. Relatives, friends and visitors are made welcome at the home at any time. Activities are organised within the home and outings are arranged for service users who wish to participate. The home has 24 single rooms and 3 double rooms situated on the ground and first floor and accessed by a passenger lift. Communal areas comprise of four lounges, a dining room and a sitting area on the first floor landing. There is a hairdressing room and a small kitchen is available for service users and their visitors to make drinks and snacks for themselves. There are two specialist Parker baths with recline and shower facilities. There are gardens to the front and sides of the facility, which are accessible to all service users with ramps. The Manse Nursing Home DS0000006057.V258018.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and spanned a period of four and a half hours. The inspector spoke individually with the home’s deputy manager and a member of the care team. Individual discussion also took place with six residents and one visitor. Care plans were viewed along with resident’s financial records, staff records, policies and procedures. A full tour of the building was also conducted. What the service does well: What has improved since the last inspection? What they could do better: No areas were noted to require improvement as a result of this inspection. The home should be commended for continuing to maintain a very good standard of care. The Manse Nursing Home DS0000006057.V258018.R01.S.doc Version 5.1 Page 6 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 Manse Nursing Home DS0000006057.V258018.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Manse Nursing Home DS0000006057.V258018.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of the above standards were assessed at this inspection. EVIDENCE: The Manse Nursing Home DS0000006057.V258018.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of the above standards were assessed at this inspection. EVIDENCE: The Manse Nursing Home DS0000006057.V258018.R01.S.doc Version 5.1 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Activities are well managed and co-ordinated with excellent support given. The meals are of a consistently good standard. EVIDENCE: Routines are kept as flexible as possible to ensure service users are able to exercise choice in their everyday lives. On admission, service users interests and hobbies are recorded. The home has a designated member of staff to organise activities and this is an area of great improvement. The residents in the home are involved in planning activities and are consulted via questionnaires and through daily conversation. Activities provided include dominoes, bingo, reminiscing and use of a reminiscent box of smells. One of the residents holds a flower arranging session every couple of months, another resident who has a large collection of DVD’S and videos loans them out to others and a relative of a previous resident comes to the home on a weekly basis to play the piano. Large print books, jigsaws and boxed games are available. Residents can have a newspaper delivered on a daily basis if they wish. Clothes and toiletry sales are held and special days are noted and celebrated such as Easter and Valentines Day. One lady who has a degenerative illness has received input from the occupational therapist regarding suitable activities. Further development of activities was discussed The Manse Nursing Home DS0000006057.V258018.R01.S.doc Version 5.1 Page 11 with the activity co-ordinator to ensure that the homes frailer residents needs in this area are equally met. Local clergy visit the home on a regular basis and communion is held for those service users who wish to participate. The arrangements for visiting are included in the Statement of Purpose and Service User’s Guide. Visitors are made welcome at any time and can be entertained in the service users own room or in the communal areas of the home. One relative spoken to stated that she was satisfied with the visiting arrangements and was always made to feel welcome at the home and she was able to have a meal with her relative if she wished. The home has a Data Protection policy and procedure, which informs service users of their access to their records and the service users care plan, is kept in their room. Service users are encouraged to bring in personal possessions and an inventory is kept. The menus were inspected and found to provide a varied and balanced diet. The Kitchen staff were able to confirm they had information about residents with special diets and personal preferences. Meal times are set although flexible enough to accommodate preferences. Residents were observed requesting alternatives to the menu and requests were met. The kitchen staff showed great understanding and empathy to the needs of residents particularly those who were frail or ill. One lady said, “the food is lovely, I am quite fussy, but nothing is too much trouble”. Residents spoken to all confirmed that they enjoyed their meals and said that the meals were always well presented. Staff were observed assisting the more frail residents. This task was carried out in a sensitive and unhurried manner. At the time of the inspection there was a high ratio of residents that required assistance with their meals and additional staff are available at meal times to assist in this. Good organisation ensures that this task is carried out in an efficient, timely and respectful way. It was pleasing to note that residents requiring a blended diet had their meal presented in a way that retained colour and texture. The Manse Nursing Home DS0000006057.V258018.R01.S.doc Version 5.1 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of the above standards were assessed at this inspection. EVIDENCE: The Manse Nursing Home DS0000006057.V258018.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 The home is decorated and furnished to a good standard. Good protocols are in place to ensure the risk of cross infection is minimised. EVIDENCE: The Inspector toured the home and found that the physical standards are consistently good through out the building. A rolling programme of refurbishment is constant which results in a pleasant and well-maintained environment. A Maintenance man is employed to carry out day-to-day maintenance and minor repairs. This ensures a good and safe standard is maintained. Residents evidently appreciated their surroundings one lady said, that she liked her room, she had been offered a bigger room but chose to stay in the one she was in because she felt comfortable and settled. She also said “There appeared to be a draft from my window I mentioned this and they are fitting a new window”. The Manse Nursing Home DS0000006057.V258018.R01.S.doc Version 5.1 Page 14 Staff, are encouraged to record any areas that require attention, this record is then viewed by the maintenance man and he dates and signs the record once remedial action has been taken. All radiators are guarded and fail-safe devices are fitted to all hot water outlets, the water temperature is checked regularly and the findings recorded. The communal rooms are spacious, comfortable and furnished appropriately to meet the needs of the residents. The residents’ bedrooms were all individual, reflecting their preferences and containing personal possessions. Specialist equipment was seen around the home ensuring individual needs are met whilst promoting independence. The laundry room is suitably situated and the facilities ensure that laundry is washed at the appropriate temperatures. Walls and floors are impermeable that minimises the risk of cross infection. At the time of the inspection the home was found to be warm, thoroughly clean and free from any offensive odours. All staff receive training in infection control. The Manse Nursing Home DS0000006057.V258018.R01.S.doc Version 5.1 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28 There is a clear commitment to supporting staff to fulfil their potential ensuring people employed at The Manse Nursing Home have the skills required to meet the needs of the residents. EVIDENCE: There is a good skill mix of staff employed at The Manse Nursing Home that ensures a holistic approach is adopted to meeting the assessed needs of the residents. There is a clear commitment to the training and development of all staff at the home and all non-nursing staff are expected to embark on the NVQ training programme once they have completed their induction training. Currently 67 of the care staff employed at the home has either a nursing or NVQ qualification. Induction training is provided and staff are provided with a mentor until the registered manager is satisfied that the new staff member is competent to carry out their duties unsupervised. The registered manager ensures that, all staff attend mandatory training in all core subjects. Staffing levels were sufficient for the number of residents living at the home and reflective of need. Residents spoken with said they were happy with the The Manse Nursing Home DS0000006057.V258018.R01.S.doc Version 5.1 Page 16 care they receive from the home and were well treated by the staff with residents commenting, “Staff are wonderful, nothing is too much trouble”, “I couldn’t wish for a better home”. Staff spoken to said they were clear about their role and work well as a team to ensure the individual and collective needs of residents are met. A relative spoken with said, “my mother chose to come hear and I cannot praise it enough the staff are angels”. The Manse Nursing Home DS0000006057.V258018.R01.S.doc Version 5.1 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33 and 35. The home is very well managed. The registered manager has a strong sense of direction and leadership. Quality monitoring takes into account the views of people who use the service. Resident’s financial interests are safeguarded. EVIDENCE: The registered manager has an RGN qualification and many years experience in aspects of elderly care. As a registered nurse she continues to undertake the statutory training in respect of maintaining her qualification and continues to undertake periodic training. The manager has completed the Registered Manager’s Award. The manager has an extensive job description, which gives clear lines of accountability and has proved herself more than able to discharge her responsibilities fully. Staff spoken to fully understood the lines of accountability within the home. The manager was not present at the time of the inspection. The deputy manager was in charge and advised that she is being encouraged to improve her management skills under the guidance of the The Manse Nursing Home DS0000006057.V258018.R01.S.doc Version 5.1 Page 18 manager. The home monitors the quality of the service being provided and the level of service user satisfaction through the use of questionnaires to service users and visitors to the home. Any issues arising are addressed. The home sets itself standards to be met and these are reviewed along with a yearly quality audit The results of service user surveys are included in the homes service user guide. The inspector saw evidence on care plans of skills and abilities being maintained as long as possible. The home has regular pharmacy audits carried out. All policies and procedures are signed and regularly reviewed. The manager visits service users personally at least every other day to discuss any issues. Service users spoken to were happy with their involvement in the home. The inspector felt that the Manse continues to exceed this standard and implement effective quality measures. The manager of the home is appointee for several service users; relatives deal with all other service users finances, this being actively encouraged by the home. Relatives are billed by the home for any additional costs. There is a safe available for the storage of valuables within the home. Any financial dealings for service users are noted on a transaction card and confirmed by a dual signature. There are no pooled finances and clear financial records are kept. The Manse Nursing Home DS0000006057.V258018.R01.S.doc Version 5.1 Page 19 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 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 X 17 X 18 X 3 X X X X X X 3 STAFFING Standard No Score 27 X 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 4 X 3 X X X The Manse Nursing Home DS0000006057.V258018.R01.S.doc Version 5.1 Page 20 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. Refer to Standard Good Practice Recommendations The Manse Nursing Home DS0000006057.V258018.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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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