Inspection on 23/09/05 for Urmston Manor

This inspection was carried out on 23rd September 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.

Other inspections for this house

Urmston Manor 15/11/06

Urmston Manor 18/01/06

Urmston Manor 26/01/05

Urmston Manor 05/10/04

Urmston Manor 26/03/04

Urmston Manor 15/12/03

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 Urmston Manor 61-63 Church Road Urmston Manchester M41 9EJ Lead Inspector Val Bell Unannounced 23 September 2005 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. Urmston Manor F55F05 S5633Urmton Manor V241630 230805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Urmston Manor Address 61-63 Church Road Urmston Manchester M41 9EJ 0161 747 6510 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) Mrs Jacqueline Entwistle Mrs Jacqueline Entwistle CRH Care Home PC Care Home only 24 Category(ies) of OP Old age registration, with number of places Urmston Manor F55F05 S5633Urmton Manor V241630 230805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: All service users will fall within the category of old age, but may in addition have a physical disability. Date of last inspection 26th January 2005 Brief Description of the Service: Urmston Manor is a care home registered to provide accomodation and personal care to twenty-four older people in twenty single and two double bedrooms. The home is located in a residential area of Urmston, Manchester. The home is set in spacious grounds with a pleasant garden area. There is limited parking at the rear of the building and space to park on the road at the side of the home. The home is on a main road with good access to public transport facilities into Manchester and surrounding areas. A selection of shops and Urmston market are close by. The home provides personal care within a broadly domestic setting to meet the needs of older people who do not have high dependency needs. Urmston Manor F55F05 S5633Urmton Manor V241630 230805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place during daytime hours on Friday 23 September 2005. Records, including care plans were examined, a tour of the building was undertaken and the inspector spent time in the lounge talking to residents and staff. The inspector also observed staff assisting residents at their lunchtime meal. Three of the four requirements made at the previous inspection had been met. The outstanding requirement was re-iterated in this report and no further requirements were made at this inspection. What the service does well: What has improved since the last inspection? What they could do better: Staff had not received training in the Protection of Vulnerable Adults from abuse. This requirement was outstanding from the previous inspection. Urmston Manor F55F05 S5633Urmton Manor V241630 230805 Stage 4.doc Version 1.40 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. Urmston Manor F55F05 S5633Urmton Manor V241630 230805 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 Urmston Manor F55F05 S5633Urmton Manor V241630 230805 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) 1 Accurate information was provided to prospective residents and this enabled them to be confident that the home would be able to meet their individual needs. EVIDENCE: The homes Statement of Purpose and Service User Guide contained the relevant information to enable prospective residents to make a decision on whether the home could meet their needs. This was confirmed in conversation with residents who had recently been admitted to the home. A relative of one of the residents stated that, ‘Staff are good at answering any questions that I have and keep me informed regarding my mother’s welfare.’ It had not been necessary to make any changes to these documents since the last inspection. Urmston Manor F55F05 S5633Urmton Manor V241630 230805 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 and 9 The health and personal care needs of residents had been appropriately assessed and residents were confident that their needs would be met in a sensitive and dignified manner. EVIDENCE: Four care plans were examined during the inspection. The home was using the Training Masters assessment and review documentation. It was evident that residents had access to the full range of community health services and it was noted that prompt referrals were made in response to any health concerns identified. One of these residents suffered from diabetes. In conversation with the cook it was apparent that she had been fully informed of the appropriate diet to be offered to this resident and a varied stock of diabetic foods was held to enable the resident to make choices. The care plan for another resident recorded that she was visually impaired. This resident told the inspector that staff ensured that she always sat in the same place at mealtimes so that she can orientate to her surroundings. Following lunch, one of the residents had a fall. Staff handled this competently in a calm manner and used the correct moving and handling techniques. The resident was offered reassurance and her dignity was maintained. Urmston Manor F55F05 S5633Urmton Manor V241630 230805 Stage 4.doc Version 1.40 Page 10 One of the residents became concerned because she had spilt food on her skirt during lunch. A carer noticed this and offered to take the resident to her room so that she could change. The resident declined but accepted the offer of going to the bathroom so that the carer could sponge her skirt down. This was considered to be an area of best practice and was commended. The administration of medication to residents was observed during the residents’ mealtime. Medication was appropriately administered and signed for by the member of staff concerned. The process was carried out in a relaxed manner. Urmston Manor F55F05 S5633Urmton Manor V241630 230805 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) 12, 13, 14 and 15. Residents assessed daily living needs were being met by a caring and knowledgeable staff team and residents felt that they were treated as individuals. Activities provided stimulation and interest and meals provided a healthy and varied diet for residents. EVIDENCE: Conversations were held with six residents and the daughter of a resident to find out what it was like to live in the home. All those spoken to complimented the quality of the food and added that the quantities were generous. Residents were aware that they had a choice of meals and on the day of inspection the choice was eggs, chips, peas and bread and butter or fish pie. Dessert was a choice between strawberry crumble and custard or yoghurt. A resident who was on a special diet requested diabetic sliced peaches and cream for dessert. Another resident told the inspector that she was not eating very well at the moment. It was noted that staff had provided this lady with a mid-morning build-up drink. Staff offered encouragement to the resident to sit at the dining table along with other residents at lunchtime. With continued reassurance the resident was able to eat some of her lunch. Urmston Manor F55F05 S5633Urmton Manor V241630 230805 Stage 4.doc Version 1.40 Page 12 Residents confirmed that their relatives and friends were welcome to visit at any time and staff were observed to make visitors welcome throughout the inspection. All residents spoken to confirmed that staff were kind, caring and understanding. It was noted that staff were very good at explaining what was happening to residents who had visual impairments. Staff responded promptly to residents’ requests for assistance and staff were heard to refer to individuals by their preferred names. Residents told the inspector that suitable activities were provided by the home. These included visiting entertainers, bingo, dominoes, manicures and arts and crafts. Residents also helped to clean the brass ornaments in the home. A hairdresser was available in the home every Tuesday and chiropody services were provided. Urmston Manor F55F05 S5633Urmton Manor V241630 230805 Stage 4.doc Version 1.40 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 standard(s) 18 The absence of staff training in the awareness of abuse could potentially place residents at risk of not being protected from abusive situations. EVIDENCE: Staff had not received training in awareness of abuse as required at the last inspection. The manager should contact Trafford Social Services Adult Protection Officer to find out what training is available. Urmston Manor F55F05 S5633Urmton Manor V241630 230805 Stage 4.doc Version 1.40 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 standard(s) 19 and 26 The high standard of living accommodation provided enabled residents to live in clean, hygienic and comfortable surroundings. EVIDENCE: On a tour of the home, including residents’ bedrooms, the premises were found to be clean and hygienic and no unpleasant odours were present. Décor, furnishings and fittings were of a high standard and there was a very homely feel to the living accommodation. Residents had personalised their bedrooms with possessions from home to reflect their individual tastes and preferences. It was noted that the lounge TV was switched off during lunch so that residents could enjoy their meal in peace. This encouraged residents to engage in meaningful conversation with others at their table. Urmston Manor F55F05 S5633Urmton Manor V241630 230805 Stage 4.doc Version 1.40 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 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) EVIDENCE: None of the Standards in this section were assessed on this occasion. Urmston Manor F55F05 S5633Urmton Manor V241630 230805 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) 34 and 38 The home was well managed and this safeguarded the health, safety and welfare of residents using the service. EVIDENCE: The outstanding requirement made at the last inspection for the home to display a current certificate of public liability insurance had been addressed. There were no health and safety issues identified during this inspection. Urmston Manor F55F05 S5633Urmton Manor V241630 230805 Stage 4.doc Version 1.40 Page 17 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 3 x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 2 x x x 3 x x x 3 Urmston Manor F55F05 S5633Urmton Manor V241630 230805 Stage 4.doc Version 1.40 Page 18 Yes 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 OP18 Regulation 13 (6) Requirement Staff must receive training and be fully aware of the policies and procedures in realtion to the Protection of Vulnerable Adults. Previous timescale of 26/03/05 not met. Timescale for action 23/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Urmston Manor F55F05 S5633Urmton Manor V241630 230805 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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 Urmston Manor F55F05 S5633Urmton Manor V241630 230805 Stage 4.doc Version 1.40 Page 20 - 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. 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