This inspection was carried out on 15th December 2008.
CSCI found this care home to be providing an Adequate service.
The inspector found there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 5 statutory requirements (actions the home must comply with) as a result of this inspection.
Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Thornton Manor Care Home Thornton Green Lane Thornton Le Moors Cheshire CH2 4JQ The quality rating for this care home is: The rating was made on: one star adequate service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Wendy Smith Date: 1 5 1 2 2 0 0 8 Information about the care home
Name of care home: Address: Thornton Manor Care Home Thornton Green Lane Thornton Le Moors Cheshire CH2 4JQ 01244301762 01244301985 patb@casicare.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr Barry Potton care home 47 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia learning disability old age, not falling within any other category physical disability 0 0 0 47 Over 65 1 1 47 0 Conditions of registration: The registered person may provide the following category of service only: Care home with nursing: Code N, to people of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category: Code OP Physical Disability: Code PD Learning Disability (over 65 years): Code LD(E) (maximum number of places 1) Dementia (over 65 years): Code DE(E) (maximum number of places 1) The maximum number of people who can be accommodated is: 47. Date of last inspection Brief description of the care home Thornton Manor is a three storey building that has been extended and adapted as a care home for older people and people with a physical disability. There are bedrooms, Care Homes for Older People
Page 2 of 9 bathrooms and communal areas on the ground floor and the first floor. The second floor is used as office accommodation. The home is set in its own grounds in a rural location between Ellesmere Port and Chester. It is close to the motorway network but is not accessible by public transport. There is parking space to the front of the building and gardens to the front, side and rear. Care Homes for Older People Page 3 of 9 What we found:
The home is registered to provide care for frail older people and for people with a physical disability. From discussion with the acting home manager, and from our observation, it was apparent that some of the people living at Thornton Manor had care needs that did not fit the homes categories of registration. One person has very complex needs and challenging behaviour and to the best of our knowledge the home does not employ any staff who have the knowledge, skills and experience to ensure that this persons needs can be met. The care plans we looked at had not been written or maintained to a satisfactory standard and therefore did not provide evidence that peoples needs had been assessed, that the care had been planned, or that the care being given was reviewed. Risk assessments to show how individuals should be kept safe were not in place. The recording of wound care was poor. Some staff have poor written English skills and this makes some of the records difficult to understand. The home employs three nurses who each work 72 hours a week to cover day and night duties. We spoke with one of the nurses who said that she was happy to work these hours but we are concerned that the care provided to residents may be compromised if staff are tired. The rotas showed that some care staff also work 72 hours a week. Recruitment records showed that some new staff have started working in the home before a POVAfirst check (initial check from the Criminal Records Bureau) and written references have been received. Without these basic checks, there is a risk that people unsuitable to work with vulnerable people are working in the home. There were no written records of an induction process for any of these staff, at least one of whom has no previous experience in care work. We can therefore not be sure that they know how to work safely. Accidents were recorded on an accident pad. The pad was not being used properly and accidents had not been assigned a reference number. The format does not allow space for any detail to be recorded and there were no records to show that accidents had been followed up, or any consideration given to the prevention of further accidents. A considerable proportion of the incidents recorded resulted from challenging behaviour from residents. Records showed that a number of incidents had occurred in the home which should have been reported to CSCI, (as required by regulation 37 of the Care Homes Regulations 2001), but had not been reported. This means that we are not receiving confirmation that staff at the home are taking appropriate action to protect residents when serious incidents and accidents occur. What the care home does well:
The home was clean and there appeared to be enough staff on duty at the time we visited. Care Homes for Older People Page 4 of 9 What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 9 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action 1 29 18 New staff must not be employed in the home until two satisfactory references are received to ensure that they are suitable to work in care and the residents are protected from possible harm. 02/07/2008 Care Homes for Older People Page 6 of 9 Requirements and recommendations from this inspection
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 4 12 The registered person must make suitable provision to ensure that the assessed health and personal care needs of residents can be met at the home. So that people who do not fit the homes registration categories are not admitted to the home, and so that residents assessed needs are met. 05/01/2009 2 7 15 Each resident must have a 31/01/2009 clearly written care plan that shows how their needs are to be met. So that all staff have access to the information they need to provide the correct care for each person. 3 29 18 New staff must not work in the home until a POVAfirst check has been received for them. To protect residents from possible poor practice or abuse. 05/01/2009 Care Homes for Older People Page 7 of 9 4 30 18 New staff must receive structured induction training when they start work at the home. So they know how to work safely to meet the needs of the residents. 05/01/2009 5 38 37 The CSCI must be notified of 05/01/2009 any occurrences listed in regulation 37 of the Care Homes Regulations. To show that the home is taking appropriate action to protect residents. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 9 of 9 - 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!
