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Please note that the information on this website is now out of date.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 03/11/05 for Thornton Manor Care Home

Also see our care home review for Thornton Manor Care Home for more information

This inspection was carried out on 3rd November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

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

Residents expressed their satisfaction with the personal care provided by the home`s staff. Facilities are provided to enable residents to do their own laundry, to cook and to use a computer. The home provides transport for residents to go out shopping or to social events, and for relatives who have difficulty in reaching the home. Staff and residents were very satisfied with the standard of meals provided.

What has improved since the last inspection?

There is a continuing improvement in the appearance of the home, with some new furniture, carpets, soft furnishings and redecoration. The standard of cleanliness of the environment has improved. The home is not using any agency staff. The home has a new manager who has considerable previous experience.

What the care home could do better:

The pharmacist inspector continues to express serious concerns regarding the handling, administration and recording of medicines. Medicines are not managed to the required standard.Care plans need to be improved. The maintenance and redecoration programme needs to be carried on to completion. The standard of cleaning, whilst better than before, could still be improved. Records of staff recruitment and training must be kept in the home.

CARE HOMES FOR OLDER PEOPLE Thornton Manor Care Home Thornton Green Lane Thornton Le Moors Cheshire CH2 4JQ Lead Inspector Wendy Smith Unannounced Inspection 3rd November 2005 09:30 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 Thornton Manor Care Home DS0000018787.V262360.R01.S.doc Version 5.0 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. Thornton Manor Care Home DS0000018787.V262360.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Thornton Manor Care Home Address Thornton Green Lane Thornton Le Moors Cheshire CH2 4JQ 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) 01244 301762 01244 301985 Mr Barry Potton Care Home 47 Category(ies) of Old age, not falling within any other category registration, with number (47), Physical disability (11) of places Thornton Manor Care Home DS0000018787.V262360.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Inspection Staffing must be provided to meet the dependency needs of the service users at all times and will comply with any guidelines which may be issued through the Commission for Social Care Inspection The service is registered to accommodate a maximum of 47 service users in the category OP (Old age, not falling within any other category) Within the maximum number of service users to be accommodated, no more than 11 people under the age of 65 years may be accommodated within the category PD (Physical disability) until 25th July 2005 17/05/05 2. 3. 4. Date of last inspection Brief Description of the Service: Thornton Manor is a three storey building that has been extended and adapted as a care home for older people and younger adults with a physical disability. 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. Bedrooms are on the ground and first floors, with a passenger lift and staircases providing access to the first floor. All bedrooms have a hand washbasin and 21 rooms have an en-suite toilet. The third floor is used as office space. On the ground floor there is a main lounge, a dining room, a games room and a smoking lounge. There is a lounge/dining room on the first floor. There are assisted bathrooms on both floors and a call bell system is available in all rooms. Thornton Manor Care Home DS0000018787.V262360.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 3rd November 2005, as part of the Commission for Social Care Inspection’s annual inspection programme. Two inspectors carried out the inspection over three and a half hours, and the pharmacist inspector assessed the administration and management of medicines. The inspectors spoke with residents and staff, and time was spent in discussion with the new home manager. The manager had taken up post in October 2005. 34 residents were living at the home. What the service does well: What has improved since the last inspection? What they could do better: The pharmacist inspector continues to express serious concerns regarding the handling, administration and recording of medicines. Medicines are not managed to the required standard. Thornton Manor Care Home DS0000018787.V262360.R01.S.doc Version 5.0 Page 6 Care plans need to be improved. The maintenance and redecoration programme needs to be carried on to completion. The standard of cleaning, whilst better than before, could still be improved. Records of staff recruitment and training must be kept in the home. 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. Thornton Manor Care Home DS0000018787.V262360.R01.S.doc Version 5.0 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 Thornton Manor Care Home DS0000018787.V262360.R01.S.doc Version 5.0 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): 3, standard 6 is not applicable. The home manager will assess all prospective residents before admission is agreed. EVIDENCE: Thornton Manor has a new manager who took up post in mid October 2005. She told the inspectors that she will assess any prospective residents who are referred to the home to ensure that their needs can be met in full, and that they are within the registration categories of the home. There had been one recent emergency admission and full information about this person’s needs were provided by the home care service before admission was arranged. Thornton Manor does not provide intermediate care. Thornton Manor Care Home DS0000018787.V262360.R01.S.doc Version 5.0 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): 7, 8 and 9. Care plans need to be improved in order to meet the required standard. Health and personal care needs are met to the satisfaction of residents. The handling of medicines does not meet the required standard. EVIDENCE: Each resident has a care plan folder that contains a variety of information about the individual’s needs, and how they are to be met. The manager considers that the format of the care plans is not wholly appropriate for recording nursing care and has ideas for how it can be improved. The care plan folders also need ‘sorting out’ to remove superfluous pieces of paper and ensure that the information they contain is accurate, relevant and up to date. See requirement. A number of residents were spoken with and they expressed their satisfaction with the way in which personal care is provided for them. They confirmed that they are able to access medical services as and when needed. Thornton Manor Care Home DS0000018787.V262360.R01.S.doc Version 5.0 Page 10 The pharmacist inspector looked at the handling, storage and administration of medicines and the findings have been included, in detail, in a separate letter. There was evidence of poor practice in handling, administration and recording of medicines. The pharmacist has identified concerns that have been ongoing for a lengthy period of time, and these were discussed with the home manager. See requirement. Thornton Manor Care Home DS0000018787.V262360.R01.S.doc Version 5.0 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 the following standard(s): 12 and 15 Residents’ social needs are provided for and independence is promoted. The standard of catering is good. EVIDENCE: Some of the younger residents go out to day centres. Facilities are provided to enable the younger residents, and any of the older residents who wish, to do their own laundry, to do some cooking, and to use a computer and access the internet. A minibus is provided and is used frequently to take residents out for social and shopping trips. Transport can also be provided for visiting relatives who have difficulty in getting to the home. Most residents had a television and other entertainment equipment in their room. Some social activities are provided in the home. There is no activities organiser, but a senior care assistant is taking on this role at present. Residents confirmed their satisfaction with the meals provided, and the home manager said that the food was the best she had found in the homes that she had worked in. There are always choices available for any resident who does not wish to have the main menu. Several residents have a fridge in their bedroom and one resident has a large fridge/freezer. He told the inspectors Thornton Manor Care Home DS0000018787.V262360.R01.S.doc Version 5.0 Page 12 that he is very fond of curries and spicy food and his wife brings in his favourite foods. The dining room is decorated and furnished to a good standard. Thornton Manor Care Home DS0000018787.V262360.R01.S.doc Version 5.0 Page 13 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): 16 and 18. The home has a complaints procedure but there were no records of complaints received. The home has adult protection procedures, but there were no records to show that staff had received training in this regard. EVIDENCE: The home has a complaints policy and procedure. The manager said that she had been unable to find records of any complaints received and how they had been dealt with. See requirement. The home has policies and procedures for the protection of vulnerable adults and there was a copy of ‘No Secrets’ in the manager’s office. Records were not available to show that staff had received training about adult protection. See requirement. Thornton Manor Care Home DS0000018787.V262360.R01.S.doc Version 5.0 Page 14 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 environment has improved significantly over recent months and this needs to continue. The home looked reasonably clean and there were no unpleasant odours. EVIDENCE: In general, the environment has continued to improve since the last inspection. All bathrooms were clean and one was being decorated. Bathrooms have been improved by decoration but still do not have a curtain or blind at the window and, in some cases, a light-shade. There were several unoccupied bedrooms that need to be decorated. The kitchen was being decorated and retiled. The manager has bought some new bedding and curtains that have improved the appearance of bedrooms. There were no unpleasant odours present, but the standard of cleaning could be further improved. The home has a small laundry containing washing Thornton Manor Care Home DS0000018787.V262360.R01.S.doc Version 5.0 Page 15 machines and tumble driers. There is a separate room where laundry is ironed and folded, and a domestic washing machine and drier have been installed in this room for residents to use. Thornton Manor Care Home DS0000018787.V262360.R01.S.doc Version 5.0 Page 16 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): 27 and 30. Staff are provided to meet the needs of residents. There were no satisfactory records of staff recruitment and training EVIDENCE: Inspection of the staff rota showed that staff are provided in sufficient numbers to meet the needs of residents, including a nurse on each floor of the home between 8am and 8pm. No agency staff were being used. The manager said that she had been unable find employment records for some staff, and that others were incomplete. She had also been unable to find training records for all staff. See requirement Thornton Manor Care Home DS0000018787.V262360.R01.S.doc Version 5.0 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 The home has a new manager who has previously been registered with the Commission for Social Care Inspection. EVIDENCE: The manager had only been in post for two weeks at the time of the inspection. She is a registered nurse who has had previous experience of managing care homes, and has been previously registered by the Commission for Social Care Inspection as a care home manager. Thornton Manor Care Home DS0000018787.V262360.R01.S.doc Version 5.0 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 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 2 8 3 9 1 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 2 X X X X X X 2 STAFFING Standard No Score 27 3 28 X 29 1 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X X X X X Thornton Manor Care Home DS0000018787.V262360.R01.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? Yes 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 Each resident must have a care plan that identifies their needs and how the needs are to be met. The care plans must be accurate, relevant and up to date. The care plans must demonstrate that the resident, and/or their family where appropriate, has been consulted. 2 OP9 13 Ensure that medicines are handled, administered and records made to the required standard. The registered person must keep a record of any complaints received at the home and supply a copy to the Commission for Social Care Inspection on request. The registered person must keep in the home records relating to each person employed, as listed in schedule 2 of the Care Homes Regulations. 28/02/06 Requirement Timescale for action 03/11/05 3 OP16 22 30/11/05 4 OP29 19 30/11/05 Thornton Manor Care Home DS0000018787.V262360.R01.S.doc Version 5.0 Page 20 5 OP30OP18 13, 18 The registered person must provide evidence that staff have received training appropriate to their work, including adult protection training. 31/12/05 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 Thornton Manor Care Home DS0000018787.V262360.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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. Extracts may not be used or reproduced without the express permission of CSCI Thornton Manor Care Home DS0000018787.V262360.R01.S.doc Version 5.0 Page 22 - 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!