Inspection on 26/07/05 for The Manse Nursing Home

This inspection was carried out on 26th July 2005.

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 17/02/06

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 Preston, Lancashire PR4 2UJ Lead Inspector Lynne Lynch Announced 26 July 2005 09:30am th 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 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 F57 F09 S6057 The Manse Nursing Home V190240 260705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The Manse Nursing Home Address Kirkgate, Kirkham, Near Preston, Lancashire, PR4 2UJ Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01772 626684 Mr Leslie Edward Ansell & Mrs Janet Mary Ansell Mrs Catherine Mary Molyneux CRH Care Home with Nursing 30 Category(ies) of OP Old Age 30 registration, with number of places The Manse Nursing Home F57 F09 S6057 The Manse Nursing Home V190240 260705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person shall at all times employ a suitably qualified manager Date of last inspection 15th February 2005 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 F57 F09 S6057 The Manse Nursing Home V190240 260705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced and spanned a period of seven hours. The inspector spoke individually with the home’s provider and registered manager and a member of the care team. Individual discussion also took place with five residents and two visitors. Assessment information and care plans were viewed along with a number of records and policies and procedures. Prior to this inspection, seven resident, ten relative/visitor, seven General Practitioner and four Health and Social Care Professionals comment cards provided by the Commission For Social Care Inspection were completed and returned. A letter from a relative was also received from a relative, which was complementary of the assessment and care planning procedure in the home. This provided further information from residents, relatives and professionals involved with the home and how they felt that The Manse was meeting the needs and requirements of people who live at the home. What the service does well: What has improved since the last inspection? The home responded well to requirements and recommendations made by the Commissions pharmacy inspector during the last inspection making improvements to its systems. The homes has always had good records, however these have improved further ensuring good quality up to date information is maintained. The Manse Nursing Home F57 F09 S6057 The Manse Nursing Home V190240 260705 Stage 4.doc Version 1.40 Page 6 Residents meetings have been actively encouraged by the home to enable those that are able to voice their opinions. There home has continued it’s clear commitment to the training and development of all staff and has developed in house modular training in respect of mandatory training. 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 Manse Nursing Home F57 F09 S6057 The Manse Nursing Home V190240 260705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection The Manse Nursing Home F57 F09 S6057 The Manse Nursing Home V190240 260705 Stage 4.doc Version 1.40 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 standard(s) 3 and 6 There is a very good comprehensive assessment procedure in place, which ensures the needs of the residents are met. EVIDENCE: The records of three residents were examined all had good pre admission information and a full assessment. The information was comprehensive and included detail of specialist needs. There was also evidence of other professional assessments being carried out to supplement the homes assessment. Contracts and confirmation correspondence were also viewed on file. Indicator of dependency, moving and handling and continence assessments were all completed and specialist equipment identified prior to admission. Residents are only admitted to The Manse following a pre admission assessment of current strengths and needs by the home’s manager. This collated information, evidenced at inspection, enables the manager to make an informed decision as to whether The Manse could satisfactorily address the prospective service user’s current strengths, needs, wants and wishes. This collated information forms the basis of the initial plan of care. People are not admitted to The Manse solely for intermediate care. The Manse Nursing Home F57 F09 S6057 The Manse Nursing Home V190240 260705 Stage 4.doc Version 1.40 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 standard(s) 7,8,9 and10 The home has a clear and consistent care planning system in place. The health care needs of service users are very well met with evidence of good multi disciplinary working taking place. Basic human rights of residents are supported. EVIDENCE: The care plans viewed provided good information in respect of Health, Personal and Social needs. One ladies Care plan clearly reflected the initial assessment and information received from the hospital in respect of specialist health needs. Each area of an individuals care plan has a section for the resident/relative to comment, one relatives comments were helpful and had obviously aided the construction of the care plan. It was evidenced through discussion; observation and examination of documentation that residents health needs are fully met. There is a good relationship with health and social care professionals in order to maintain health and social well being. Comments made in one ladies daily records regarding her lips appearing blue upon exertion were reflected by a review of her care plan that day. Comments made via GP comment cards confirmed that care at the home is very good “Excellent standard of care”, “fantastic well run nursing home cannot praise them enough”,“the very best nursing home”, The Manse Nursing Home F57 F09 S6057 The Manse Nursing Home V190240 260705 Stage 4.doc Version 1.40 Page 10 “excellent nursing home, level of care second to none would have no hesitation to recommend staff know patients well”. The home has good systems in place in respect of medication however a number of requirements and recommendations were made at the last inspection to strengthen the systems already in place. These were acknowledged and acted upon immediately. Discussion with residents, staff and comments made on the Commission For Social Care Inspection comment cards, confirmed that the maintenance of residents privacy and dignity is given high priority at The Manse and upheld at all times. All staff receive training in respect of these topics during the process of induction and through a variety of other training opportunities. A thank you letter received stated, “The staff are very respectful and helped to retain her dignity to the end”. The Manse Nursing Home F57 F09 S6057 The Manse Nursing Home V190240 260705 Stage 4.doc Version 1.40 Page 11 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 standard(s) None of the above standards were assessed at this inspection. EVIDENCE: The Manse Nursing Home F57 F09 S6057 The Manse Nursing Home V190240 260705 Stage 4.doc Version 1.40 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 standard(s) 16 and 18 Good practices and policies are in place to enable concerns to be raised and responded to and to protect residents from abuse. EVIDENCE: The home has a comprehensive complaints procedure, which is contained in the Service User Guide and is displayed in the home. The home has received no complaints since the last inspection. The Commission for Social Care Inspection has received no complaints within the last year and there have been no vulnerable adult referrals to Social Services. Comment cards received from residents, relatives and professionals all confirmed that people were well informed in respect of the homes complaint procedure with only one relative indicating that they had raised a concern. Complimentary letters are received regularly by the home. All the residents spoken to were happy with their care and had no concerns. The home has an abuse policy in place, which includes guidance on whistle blowing, abuse by residents and advice for staff regarding challenging behaviour. This policy is easily accessible by staff. Criminal Records Bureau clearances were checked and seen to be in order. The home maintains records of details of staff applications and clearances received and liaise well with the commission in respect of Pova clearance. All seven residents who completed comment cards and the residents spoken to said they felt safe in the home. The home prefers residents or their family members to deal with their finances. Any money held for residents is kept in the safe. The Manse Nursing Home F57 F09 S6057 The Manse Nursing Home V190240 260705 Stage 4.doc Version 1.40 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 standard(s) None of the above standards were assessed at this inspection. EVIDENCE: The Manse Nursing Home F57 F09 S6057 The Manse Nursing Home V190240 260705 Stage 4.doc Version 1.40 Page 14 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29 and 30 Staffing levels and skills mix are determined in accordance with the assessed needs of service users accommodated The home has good arrangements for staff training. A robust recruitment process is applied in order to protect service users. EVIDENCE: The Manse staffing levels and skills mix are determined in accordance with the assessed needs of service users accommodated. There are two qualified staff on duty at all times who are supported by care staff. The home does not use agency staff preferring to cover shifts with their own staff therefore ensuring good continuity of care. There is sufficient ancillary staff employed to ensure standards in respect of domestic and catering are maintained. There is a clear commitment to the training and development of all staff at The Manse and staff have worked hard to achieve their NVQ qualifications. Currently 10 of the 21 care staff employed at the home have successfully achieved a National Training Qualification (NVQ) award in care with six more staff working towards this qualification. The manager ensures that all staff attend mandatory training updates. Two qualified staff have completed a venupuncture course. Courses for palliative care, infection control and food hygiene are also accessed. The Deputy Matron is also being supported to access the Registered Managers award. The home operates a thorough recruitment process in order to protect service users. Since the last inspection, some new members of staff have been appointed. From observation of three staff member’s personnel files, it was evident that the homes policy and procedures in respect of staff recruitment had been followed. An application form, health questionnaire, formal interview, The Manse Nursing Home F57 F09 S6057 The Manse Nursing Home V190240 260705 Stage 4.doc Version 1.40 Page 15 references and a Criminal Records Bureau clearance had been obtained prior to the applicants actually taking up post at the home. All newly appointed care staff undertake an induction to the home, which meets the detailed Training Organisation of the Personal Social Services induction-training programme. A member of staff spoken to said, her induction was thorough and equipped her to work in the home. The Manse Nursing Home F57 F09 S6057 The Manse Nursing Home V190240 260705 Stage 4.doc Version 1.40 Page 16 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38 The management and staff at the home are competent and the health, safety and welfare of residents are strongly promoted. EVIDENCE: Health and Safety is covered in the homes staff induction and all staff receive health and safety information. Health and Safety is something that the home takes seriously and good mandatory training is in place. Health and Safety is discussed at staff meetings with representatives from each staff team attending including domestic and kitchen staff. Risk assessments are carried out for the building and the home employs a maintenance person to ensure repairs are carried out. Inspection of records indicated that that regular fire drills take place and that fire equipment is regularly serviced. Information provided in the questionnaire completed by the registered manager stated that all safety equipment is regularly serviced. A record of all accidents is maintained. The homes emergency call bell system has recently been malfunctioning. A contractor has been called out to the home to deal with this The Manse Nursing Home F57 F09 S6057 The Manse Nursing Home V190240 260705 Stage 4.doc Version 1.40 Page 17 and residents spoken to said although this had been inconvenient they did not feel it had greatly impacted on the care they had received. The Manse Nursing Home F57 F09 S6057 The Manse Nursing Home V190240 260705 Stage 4.doc Version 1.40 Page 18 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 4 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION x x x x x x x x STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x x x x 3 The Manse Nursing Home F57 F09 S6057 The Manse Nursing Home V190240 260705 Stage 4.doc Version 1.40 Page 19 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. 1. 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 Good Practice Recommendations The Manse Nursing Home F57 F09 S6057 The Manse Nursing Home V190240 260705 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection 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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