Latest Inspection
This is the latest available inspection report for this service, carried out on 25th September 2009. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
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.
For extracts, read the latest CQC inspection for Iden Manor Care Home.
Annual service review
Name of Service: Iden Manor Care Home The quality rating for this care home is: The rating was made on: two star good service 1 4 1 0 2 0 0 8 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 review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Susan Hall Date of this annual service review: 2 5 0 9 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: Cranbrook Road Staplehurst Kent TN12 0ER 01580891261 01580893323 Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : dementia old age, not falling within any other category Conditions of registration: Whitepost Health Care Centre Number of places (if applicable): Under 65 Over 65 51 0 0 51 The maximum number of service users to be accommodated is 51. The registered person may provide the following category/ies of service only: Care home with nursing - (N) to service users 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 (OP) Dementia (DE). Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Iden Manor Care Home is owned and operated by Whitepost Health Care, who own another care home with nursing in Surrey, and a private mental hospital. Iden Manor is a Victorian Manor House, built at the end of the 19th Century. It is situated in fifteen acres of land on the edge of Staplehurst. Staplehurst offers the usual facilities of a small town and has a mainline railway station. The home is also near to
Annual Service Review Page 2 of 7 1 4 1 0 2 0 0 8 the towns of Maidstone and Ashford. The home provides 26 beds for older people with nursing needs, and 25 beds for older people with dementia and nursing needs, in the Good Shepherd unit. Two passenger lifts and stair lifts provide access to the upper floors. There is car parking space at the front of the property, and at the front of the Good Shepherd unit. Fee levels are set according to the individually assessed needs of residents, and depending on the locality of the room being used. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review:
What did we do for this annual service review? The Inspector reviewed all the information that the Commission has received, or asked for, since the last Key Inspection in October 2008. This includes: Formal notifications about things which have happened in the service, which the care home is legally required to send to CQC. The Annual Quality Assurance Assessment (AQAA), which was sent in by the service. AQAA is a self assessment that focuses on how well the home is meeting outcomes for people who live there. It also provides detailed information about how the home is running. Information about any concerns or complaints; or referrals to the Social Services Safeguarding Adults department. Details from the last key inspection and report. Relevant information obtained from other organisations. Information obtained from phone calls and letters received since the last inspection. What has this told us about the service? The AQAA was returned to CQC within the required timescales, was satisfactorily completed, and contained helpful information about the ongoing progress of the home. The last inspection report showed that the home has a caring staff team who treat the residents with dignity and respect. There are good processes in place to enable prospective residents and their families to find out about the home, and to visit it. An appointment system has been set up to ensure that a named member of staff is available to spend time with enquirers, show them around the home, and answer their questions. In the last year, this process has been extended to include trial days, where families can visit for the whole day, observe activities and stay for lunch (at no cost). Pre-admission documentation has been revised to ensure that it contains as much helpful data as possible. All residents have a pre-admission assessment to ensure that the home will be able to meet their individual needs. The assessment process has been updated to include a section on mental capacity. This applies new legislation, and provides a detailed picture of the resident and their capabilities prior to admission. Personal care plans are implemented on admission, and the residents or their representatives are involved in their care planning where possible. The care plans provide a holistic approach to all aspects of the persons health and welfare. The nursing staff will contact other health professionals as needed for further input, such as GPs, hospice nurses, psychiatrists, and dieticians. The AQAA states that the nursing and health care assistants have had increased training during the last year in palliative care, and in dementia care; and the residents benefit from their increased awareness Annual Service Review Page 4 of 7 and understanding. There has been an increase in the range and amount of activities available. There is a weekly activities programme, and a monthly programme for themed days and seasonal events. Some pets have been introduced into the home, and this is particularly good for reminiscence with residents who have dementia. Care staff are designated to work alongside activities staff during the mornings and afternoons, so that more residents can take part. The AQAA states that there are plans to increase the range and amount of activities at weekends. Families and friends are invited to share in the life of the home as much as possible; and seasonal newsletters are sent out to keep them informed of changes and forthcoming events. There are planned trips for taking residents out. Food is well managed and well presented, and staff assist residents with eating and drinking as needed. The manager has a daily presence in the home so that she is easily available; and she has an open office time each week, so that there is a specific time set aside to discuss any concerns or complaints. The complaints procedure is kept available for anyone coming into the home, and all complaints are responded to quickly. There have been two complaints during the past year, and these were both resolved within agreed timescales. One referral was made to the Social Services Safeguarding Adults team, and the home co-operated fully with their investigation processes. All staff are trained in the recognition and prevention of abuse to older people, and receive updates for this training. There have been improvements made to the premises during the past year, including refurbishment of the dementia unit, and increased space for residents with dementia to wander. There is also a rummage area. In the nursing unit, a new wheelchair stair lift has been installed, and corridors have been re-carpeted. Additional equipment has been obtained, including more electrical nursing beds, and two new mobile hoists. There is a rolling programme of refurbishment for all areas. The premises are kept clean and hygienic. The home has extensive grounds, with areas that can be accessed by the residents; and safe and secure garden areas for residents with dementia. Staffing levels have been increased since the last inspection, and this includes twilight shifts, ensuring that there are additional staff on duty at the busiest times. The home has recruited two more Registered Mental Nurses, and this has increased the skill mix of nursing staff. Staff training has been developed to include additional subjects apart from mandatory training. This includes training courses in nutrition and medication management, as well as training in palliative care and dementia care. A new training provider is now overseeing the training programme, improving the quality of staff training. The home has also been approved by Christchurch Canterbury University to take first year student nurses on placements. The company actively encourage staff to study for NVQ levels 2 and 3, and for the Learning in Care programme. The manager is a level 1 nurse, and has over twenty years of experience in caring for older people. She is assisted by a deputy manager and by administrative staff. Regular staff meetings are held, to enable all staff to take part in developing the ongoing life of the home. There are also meetings for residents and relatives, and yearly
Annual Service Review Page 5 of 7 questionnaires, to encourage people to share their views. The AQAA includes data in regards to servicing and maintenance records, and policies and procedures for the home; and it confirms that these are kept up to date. What are we going to do as a result of this annual service review? The Commission is confident that this home is continuing to operate to a good standard, and we will continue to monitor the home through ongoing processes. A key inspection will be carried out by 14th October 2010. However, we can inspect the service at any time, if we have concerns about the quality of the service, or the safety of people using the service. Annual Service Review Page 6 of 7 Reader Information
Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline:
Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a copy of the findings in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. Annual Service Review Page 7 of 7 - 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!
Statement of Purpose
‘Statement of Purpose’ Iden Manor Nursing Home Cranbrook Road Staplehurst KENT TN12 0ER Telephone: 01580 891261 Fax: 01580 893323 INDEX
Introduction to Iden Manor Statement of Quality (Intention) Statement of Values (Philosophy of Care) Statement of Aims and Objectives (Mission Statement) Staffing and Staff Management Services and Accommodation Admission Process and Placement Review Provision of Social Activities Further Resources and Information Page 3 Page 4 Page 5 Page 6 Page 7 Page 8 Page 9 Page 10 Page 10-12 APPENDICES Appendix 1 Appendix 2 Appendix 3 Complaints Procedure for Iden Manor Standard Terms and Conditions Example Organisational Structure Statement of Purpose Iden Manor Author Karen Pain Registered Manager 7/7/2010 2 Introduction (Whilst this document is written in English, translation is available if required according to service user needs. The term ‘service user’ is the reference of choice in the document and captures the terms for patient, resident and client.) Iden Manor is a beautiful unspoilt Victorian Manor House, built for a leading city banker at the end of the 19th Century, and is set in fifteen acres of peaceful Kent countryside. Since the 1930s, Iden Manor has been run by The English Province of the Congregation of Our Lady of Charity “The Good Shepherd (of Angers) Charity” as an alcohol rehabilitation centre. Thus, the house has become a cherished and respected local landmark. Iden Manor was purchased by the Whitepost Healthcare Group in December 2002 and registered with the Commission for Social Care Inspection (CSCI) in March 2003 to provide nursing care for the Elderly. Some staff have been here for many years and still enjoy coming to work here. We wish to retain and maximise the resources we have, providing a warm and friendly environment within our unique facility for our local community as a whole. Within the peace and tranquillity of our home we provide quality assured nursing care to those people from the surrounding areas of Kent, who benefit from our approach and atmosphere of Iden. We will continually develop the service by close cooperation with service users, families and carers by linking together social and healthcare professionals from NHS and independent providers; in order to provide a seamless service for care. We pride ourselves in being responsive to local needs, our key stakeholders and NHS partners in managing the ‘bed flow’ so that service users are provided with the right care, at the right time and in the right place. We will work for continuous improvement for our service users, families, carers and staff here at Iden; to ensure that quality and practice continue to develop enabling appropriate care provision. As such we endeavour to encourage furtherance of the ethos of the home towards achieving excellence through evidence based practice, research and teaching. We will work towards our goal of becoming a centre for excellence in practice for care provision for our client groups. Statement of Purpose Iden Manor Author Karen Pain Registered Manager 7/7/2010 3 Statement of Quality (Intention) This document has been compiled to enable our service users to understand and be a part of the future of their home. To ensure this the following descriptions of the home, its philosophy, ethos and purpose are made explicit so that service users can express their opinions and choices in an open and transparent way to enable us to provide for and be responsive to their needs. The management of the home place a strong emphasis on the highest quality service possible for all of its service users. The home believes that no matter how good its present services, there is always room for improvement, hence the following statement regarding our approach to quality. Iden Manor is a comprehensively equipped Private Nursing Home, which is registered under the terms of the Care Standards Act 2001, with the Care Quality Commission (CQC) previously the Commission for Social Care Inspection (CSCI). The home is dedicated to the provision of the finest care for its service users. This will be achieved through the integration of efficient and effective administrative practices with first class standards of care in accordance with the requirements for registration, and appropriate supplementary regulations, and the Care Homes for Older People, National Minimum Standards. Accordingly the home has been established with a quality-orientated approach to the business and a high degree of quality awareness is developed through all levels of staff through appropriate training and leadership of management. Statement of Purpose Iden Manor Author Karen Pain Registered Manager 7/7/2010 4 Statement of Values (Philosophy of Care) Iden Manor aims to provide its service users with a secure, relaxed and homely environment in which their care, well-being and comfort is of prime importance. Carers will strive to preserve and maintain dignity, individuality and privacy of all service users within a warm and caring atmosphere, and in so doing will be sensitive to the service users’ ever-changing needs. Such needs may be medical / therapeutic (for physical and mental welfare), cultural, psychological, spiritual, emotional and social. Service users are encouraged to participate as able in the formulation and continual up-date of their individualised plan of care. The involvement of relatives’ family and friends may be appropriate and is greatly valued in ensuring we know what is meaningful and important in the service users life. This will be achieved through programmes of activities designed to encourage mental alertness, self-esteem, and social interaction with other service users and with the recognition of the following core values of care that are fundamental to the Philosophy of our home: • • • • • • • • • Privacy Dignity Respect Rights Independence Choice Security Fulfilment Equality All care staff within the home will be appropriately qualified to deliver the highest standards of care. A continuous staff-training programme is implemented to ensure that these high standards are maintained in line with the latest initiatives and developments in care practice. These will be in reference to ‘best practice guidance’ from professional and registrant bodies, such as CQC, Skills for Health, NMC, and NICE and other research based organisations. Statement of Purpose Iden Manor Author Karen Pain Registered Manager 7/7/2010 5 Statement of Aims and Objectives (Mission Statement) It is the objective of Iden Manor to provide care to all service users to a standard of excellence which embraces fundamental principles of good care and practice, and that this may be witnessed and evaluated through practice, conduct and control of quality care in the home. It is a fundamental ethos that those service users who live in the home should be able to do so in accordance with the homes values, as stated previously. It is the objective of the home that service users shall live in a clean, comfortable and safe environment, and be treated with respect and sensitivity to their individual needs and abilities. Staff will be responsive to the individual needs of service users and will provide the appropriate degree of care to assure the highest possible quality of life within the home. To meet these client needs the care service within the home is designed to achieve the following objectives: • • To deliver a service of the highest quality that will improve and sustain the service user’s overall quality of life. To ensure that the care service is delivered flexibly, attentively and in a non-discriminatory fashion while respecting each service user’s right to independence, privacy, dignity, fulfilment and the rights to make informed choices and to take risks. To ensure that each service user’s needs and values are respected in matters of religion, race, culture or ethnic origin, sexuality or sexual orientation, political affiliation, marital status, parenthood and disabilities or impairments. To ensure that the care service in whole is delivered in accordance with the statement of terms and conditions agreed at the point of moving into the home. To manage and implement a formal programme of staff planning, selection, recruitment, training and personal development to enable service user care needs to be met. To manage the care service efficiently and effectively to make the best use of resources and to maximise value for money for the service user. To ensure that all service users receive written information on the home’s procedures for handling complaints, comments and compliments, and how to use it. • • • • • Statement of Purpose Iden Manor Author Karen Pain Registered Manager 7/7/2010 6 Staffing and Staff Management Those Responsible for Care: The company has been providing health related care since 1986. The General Manager- Ms. Umbreen David. Ms.David has a Bachelor degree in Business Administration and a Minor in Psychology (December1995), from Richmond American University, London. Ms David has worked in private healthcare in senior management roles for the last five years. Responsible Individual- Doctor Peter David. Dr. David is a qualified medical practitioner with MB, BS (1965), Diploma for Care of the Mentally Ill London (2003). Dr. David is an accredited teacher at Imperial College London Medical School for Undergraduate teaching. The Registered Manager of Iden Manor Care Home is: Karen Pain RGN, RNT, Dip.Nurs. BSc (Hons), MA Nursing and Education Karen has worked in healthcare both NHS and private for 27 years specialising in Care of Older People. Karen has been a ward sister in an acute medical ward for 10 years then became a senior lecturer practitioner at Brighton University where she helped develop and taught the Gerontology Degree programme. From there Karen took senior posts in the NHS working at Nurse Director level for an acute trust and latterly a Mental Health Trust, before deciding to make a career path change that was more meaningful to her specialist field. Her further qualifications include: ENB 998 ENB 941 Cert Ed Adult and Further Education SEDA Accreditation as a University Lecturer Palliative Care Course Mandatory Training including: Infection Control, Risk Assessment Handling and Moving, Dementia Care, Health and Safety, Fire and POVA. Karen is currently undertaking her leadership and management course diploma with West Kent College to meet the CSCI requirements. Professional Body Registration and Membership: RGN Registered General Nurse Nursing and Midwifery Council 7 Statement of Purpose Iden Manor Author Karen Pain Registered Manager 7/7/2010 RNT RCN FRSM Registered Registered Registered Nurse Tutor Full Member Fellow Manager Mentor Nursing and Midwifery Council Royal College of Nursing Royal Society of Medicine CSCI Canterbury Christchurch University Senior Sister, Anne Cakebread RGN, Junior Sister Katarina Wiszka RGN, Christine Jeffery RGN, Night Sister Shalu Kumar RGN, Veronica Ajiola RGN The qualified team are supported by a full complement of Healthcare Assistants, Activities Co-ordinator, Hotel Services, and Administration department and Estates Department. Contact Details: All of the above key staff can be contacted at the address below: Whitepost Healthcare Group Iden Manor Nursing Home Cranbrook Road Staplehurst Kent TN12 0ER Telephone: 01580 891261 FAX: 01580 893323 Staffing Provision Staffing levels for the day to day management and care of residents is provided in accordance with the model developed by the Residential Forum “Care Staffing for Older People”, which is the standard used by CQC. We currently employ approximately 60 staff at Iden Manor. Healthcare Assistants are offered training to achieve their National Vocational Qualifications (NVQ) to level two and as appropriate level three, as part of their ongoing training and development. Other training and development is focussed according to the needs of the service users and staff identifying their individual needs through appraisal and supervision. Mandatory training is provided annually to ensure care standards and regulations can be met. Whitepost Healthcare group are accredited for Investors in People (IIP) and is a member of the Registered Nursing Homes association. At Iden Manor we are also accredited as a learning and practice environment for student nurses taking their diploma/ degree in nursing, at Canterbury Christchurch University. Statement of Purpose Iden Manor Author Karen Pain Registered Manager 7/7/2010 8 Services and Accommodation Our home provides 51 registered beds within 47 rooms, shared between The Good Shepherd (Dementia Care) Unit and Iden Unit (for Frail Elderly). This gives us the flexibility to accommodate couples if required and respond to the changing needs of our residents. Situated in 15 acres of landscaped grounds and woodland, the home is approached by a long drive from the Cranbrook Road, into our large car parking area, at the front of our beautiful Victorian mansion house. We are easily accessible by car from the surrounding areas of Maidstone (11 miles to the north), Tunbridge Wells (16 miles to the west), and Hastings (23 miles to the south); we are also reasonably close to Gatwick and Heathrow airports, approximately 65 minutes and 90 minutes respectively. The majority of bedrooms in Iden Unit have en-suite facilities with the final refurbishment planned for the end of 2010; all rooms in Good Shepherd are en-suite with several having wet rooms, having been purpose built. Each unit has further shower and bath facilities with ample toilets available. Both Units have large communal spaces, which are utilised well to accommodate different activities and provide differing environments to suite the mood and activity level of service users. The Good Shepherd Unit has access to two secure garden areas, and the Iden Unit has access to the wider grounds. The home prides itself in the provision of a stand-alone in –house laundry and housekeeping services, along with our catering service rated as 4* by environmental health. Both departments are situated on the basement level in a ‘clean cell’ in relation to the wider home. All levels of the home are accessible by passenger lifts and / or specialised wheelchair lifts. Admission Process and Placement Review Admission to our home is contingent on a thorough assessment process. Central to this process is choice for the service user, families and / or social support managers. Our individual approach is supportive of our client-centred assessment and planning for care. The assessment process commences before admission and clear criteria followed ensuring that the needs of the prospective service user can be met. Pending admission the responsible authority (either the service user themselves or their legal representative) will be provided with a contract detailing the agreement for placement in our care including the cost of that arrangement. (Appendix 2 Standard Example) Statement of Purpose Iden Manor Author Karen Pain Registered Manager 7/7/2010 9 The service user and the home have a period during which the decision to end the placement can be made if for whatever reasons the needs cannot be met. We also provide respite contracts for shorter placements by arrangement. Prices of accommodation are available on request from the manager. Placements and care plans are reviewed with the service user and legal guardians and/ or social managers at least 6 monthly, to ensure ongoing needs are being met. Consultation is an essential element of care provision and as such we encourage participation in our regular residents meetings, and individual discussions with care staff and manager. Appointments with the manager are available on a Wednesday afternoon. We actively encourage and welcome relatives and friends to maintain contact with our service users. Service users are encouraged to bring small pieces of furniture and personal possessions to enhance the personhood of their environment. New service users are reminded that all clothing needs to be labelled with their names and there is a dry cleaning service available for a nominal charge. Provision of Social Activities It is recognised that Social Care is an essential element of people’s ongoing well being and here at Iden Manor we provide comprehensive and varied activities programmes to meet the differing needs of our service users. Our activities programme includes therapeutic activity such as musical exercise and fitness (no extra charge), through to popular quizzes, games and planned outings. We also have planned themed days every month to celebrate significant calendar events, and seasonal special events. As well as the broad programme our activities personnel work closely with individuals to establish a more personal programme where hobbies and interests can be supported, reflecting the uniqueness of our individual residents. Participation in activities is recorded in the individual care records which can be viewed at any time by the next of kin / guardian. Activities personnel encourage families to help construct ‘life history’ books for service users where significant events and life memories can be recorded. This enables individual approaches to care and memory work with service users. Through this approach we are able to involve the wider community in arranging appropriate and meaningful activities for service users to participate in. To support ongoing communication and entertainment, remote control televisions are available in bedrooms, or you may bring in your own, (this must undergo an electrical test before use in the home, to comply with health and safety regulations). Statement of Purpose Iden Manor Author Karen Pain Registered Manager 7/7/2010 10 We also have a supply of large print books and a small library for service users use. If you require talking books please ask the activity personnel. Daily newspapers are available and are paid directly by invoice to the local newsagents, please ask your nurse to order your desired paper. Further Resources and Information • Nurse Call system is available in all rooms and communal areas, Service users and their families will be shown how to activate them on admission and are encouraged to ask again if not sure. • A comprehensive fire alarm system is in place within the home and alarm tests are carried out every Monday morning. Staff undergo regular certified fire training and are competent to deal any incidents should they occur. If an alarm should sound please stay in your room and staff will come to assist you. • Each service user will have access to a handbook located in their rooms. This gives comprehensive information regarding the services provided and how to raise issues of concern or compliment. Both The Iden Manor Nursing Unit and Good Shepherd Unit have notice boards on which key information, articles and advice numbers can be found. Each unit has an activities board where weekly activities are listed and special events advertised. Interdenominational (Free Church) services are held monthly as are traditional Church of England Christian services. These cater for the religious needs of our service user group, but special arrangements can be made for those of differing faiths; please discuss with the manager who will be pleased to accommodate and make arrangements to support your individual faith needs. We also produce a seasonal newsletter that informs service users and staff of happenings pertinent to the home, and actively encourage service users, relatives and staff participation in developing the content. Further facilities for hairdressing (in-house), Chiropody (in-house), private physiotherapy, complementary therapies can be arranged for an additional charge, prices on request. Appointments can be made to talk confidentially with the registered manager during the ‘open door’ session every Wednesday afternoon, and can of course be arranged outside of that time if more convenient. 11 • • • • • • Statement of Purpose Iden Manor Author Karen Pain Registered Manager 7/7/2010 • The Registered Manager and Deputy are here to meet your needs and will be more than pleased to help and assist in anyway possible to make the transition into care as seamless and trouble free as possible. Our reception staff are happy to take any queries, to problem solve and solution find for you at any time. All of our staff are approachable and happy to help where they can or guide you in the right direction. If however, you feel that you need to raise serious issues via a complaint process, we will ensure that you are able to by instituting our complaints procedure. (Full copy available from the manager and a summary in the service user handbook, and at Appendix 1 of this document.) As per policy if you feel that a complaint needs immediate reporting to the care standards authorities, and that initial / informal methods have not resolved your concerns, you are able to contact CQC at the following address: • • • Care Quality Commission (CQC) The Oast Hermitage Court, Hermitage Lane, MAIDSTONE Kent ME16 9NY Telephone: • 01622 724950 The home tries to work in a collaborative and transparent way, being inclusive and positive. In this way we encourage comments and suggestions from our service users, families, friends and representatives. We use all criticism constructively to move care and services forward and learn lessons for improvement. We are very happy that you are choosing to stay with us and look forward to making this a comfortable, peaceful, happy and safe home for you. Karen Pain RGN, Dip.Nurs, BSc(Hons), MA, RNT, SEDA Registered Manager Statement of Purpose Iden Manor Author Karen Pain Registered Manager 7/7/2010 12 APPENDIX 1 Statement of Purpose Iden Manor Author Karen Pain Registered Manager 7/7/2010 13 COMPLAINTS POLICY Iden Manor Nursing Home Statement of Purpose Iden Manor Author Karen Pain Registered Manager 7/7/2010 14 Reviewed: April 2009 To be Reviewed: April 2012 Authorised by: Signature of Manager: ………………………….. Whitepost Healthcare is committed to ensuring transparency and action on any complaint / concern raised by the client, family member and/or friend, visitors. In following this philosophy the following procedure will come into play on the receipt of an official complaint from any of the above-mentioned parties. Any of the above parties wishing to make a formal complaint should ask a member of staff to take them to the person in charge of the home at the time, in order to facilitate the process. The person in charge of the home at the time of receiving the complaint will follow the steps in the below procedure: 1 If a verbal complaint is being made, the person in charge will discuss this in private, summarizing the complaint with the complainant. At this point, the person in charge, on the complaints procedure form, will document the complaint. 2 The complainant will then be asked to sign and verify the summary. If not willing to do so the person in charge will record any verbal verification that has occurred. 3 The person in charge will follow the necessary steps to remedy the complaint to the complainants’ satisfaction. Statement of Purpose Iden Manor Author Karen Pain Registered Manager 7/7/2010 15 4 If the person in charge is not able to deliver a satisfactory resolution, the complaint will be forwarded to the Unit Manager/ Head of Department. 5 The Home Manager will acknowledge receipt of the complaint in writing within two working days of receiving the complaint form the person in charge. 6 The manager of the home will ensure that the complaint is investigated liaising with personnel as appropriate. 7 If the manager of the home believes that the complaint is of a serious nature, or may become the subject of disciplinary action, the manager will liaise with their senior manager. 8 The home manager will ensure that a written response is made to the complainant within 15 working days of the date when the complaint was initially made. 9 The response will detail any steps taken to prevent recurrence of any events, and an apology where appropriate. 10 If in exceptional circumstances the investigation is incomplete within the 15 working day period the manager of the home will send an interim response outlining the progress of the investigations. 11 The administration department of the group will ensure a record of the complaint is held for a minimum of 5 years. 12 If the complainant finds the response of the home manager unacceptable, the manager will inform the complainant that they may request a meeting with Ms. Umbreen David – General Manager to resolve the complaint to the complainants’ satisfaction. 13 We aim to provide a full investigation and resolution to complaints within 28 days of receipt of the initial complaint. 14 In the event that corrective action taken by Whitepost Healthcare Group remains an unresolved issue for the complainant, the complainant may contact: Care Quality Commission (CQC) The Oast Hermitage Court Hermitage Lane MAIDSTONE Kent ME16 9NY Telephone: 01622 724950 Statement of Purpose Iden Manor Author Karen Pain Registered Manager 7/7/2010 16 As a supplement to the complaints procedure the group provides a complaint, comments and compliment box at the entrance of Iden Manor Nursing home. Those people who chose to put their names on the slips will be dealt with in the same timescale as detailed in the complaints procedure. The Group takes serious note of all complains, comments and compliments to improve the quality of care for clients and improve the working environment for all its’ employees. MAKING A COMPLAINT
Please feel free to speak to a member of staff who will take you to the person in charge Discuss complaint with person in charge who will try and resolve the issue NO
Person in charge will document your complaint and pass to the home manager Resolved? YES S Your complaint will be acknowledged within two days of the Home Manager receiving the complaint from the person in charge The home manager will fully investigate and endeavour to respond in writing within 15 Resolved? working days. If there are any YES Statement of Purpose Iden Manor Author Karen reasons why this cannot be Pain Registered Manager 17 achieved, the home manager will 7/7/2010 inform you in writing as to the progress of the investigation. NO
If the complaint is not resolved, the complainant can arrange to speak with the General Manager Resolved? YES
The complainant should contact the Care Quality Commission to discuss their concerns (CQC) 01622 724950 NO APPENDIX 2 Statement of Purpose Iden Manor Author Karen Pain Registered Manager 7/7/2010 18 Whitepost Healthcare Group Admission Agreement - Private Clients
An agreement between Whitepost Healthcare Group (WPHG) and .....................................................................(the Client) in respect of accommodation at Iden Manor, Staplehurst, Kent, TN12 0ER. Introduction
This document sets out the respective rights and responsibilities of the staff and management of Iden Manor Care Home, a member of The Whitepost Health Care Group, and the Client relating to residence in the home. The home aims at all times to reach, and indeed exceed, the National Minimum Standards for Care Homes for Older People published by the Department of Health. A copy is kept in the home and may be seen on request. We try to provide a comfortable and happy home and hope that Clients will enjoy living here. We will do everything possible to respect the rights of people in this home, particularly by observing the values of privacy, dignity, independence, choice, civil rights and fulfilment which can be threatened by living in a communal environment and having to cope with disabilities. We recognise that providing good care is a co-operative process and we will attempt to consult Clients and, where appropriate, their relatives, friends and representatives at all times and as fully as possible. This document should be read and interpreted in the light of these principles. RESIDENCE Trial period Statement of Purpose Iden Manor Author Karen Pain Registered Manager 7/7/2010 19 Residence in the home for the first twelve weeks of a permanent placement will be on a trial basis. If during or at the end of the period either the Client or the home’s management regards the arrangement as unlikely to be satisfactory for the long term, residence can be terminated with reasonable notice from either side and the service user will vacate the home at a time agreed. Permanent residence The staff and management of the home will make every effort to provide the Client with a permanent place of residence including wherever possible through periods of sickness. Advice will be taken from the appropriate health professionals in situations where it is considered that the home is temporarily or permanently unable to provide for the Client’s medical or nursing needs. Financial Matters
1. In return for the payment of a Weekly Charge, WPHG undertakes to provide and maintain a high standard of nursing care which covers the provision of accommodation, food, heat, light and laundry as required by the Client. The Weekly Charge shall cover the provision of all services as identified in 1 above. The charge reflects the current level of assessed nursing care, and this may be amended if the there is an increased level of nursing care required. 2. 3. The Weekly Charge has been agreed as follows: Total Weekly Charge £ …………………………………………………………………………………………… ….(in words) and will be paid by ………………………………………………………………………………………………………….. …………………………………………………………………………………………………………… ………………………….. 4. Weekly Charges are invoiced on a monthly basis (except in the case of the first invoice) and collected in advance by Standing Order, or by Cheque with the prior approval of WPHG. Fees are due to WPHG without any right of set-off. Fees are not currently subject to VAT but may be in the future. A deposit, equivalent to four weeks’ charge is required prior to the Client coming into the Home if payment by cheque has been agreed. This deposit, less any monies owing, will be refunded at the end of the Client’s stay. Where payment has been arranged by Standing Order, the first payment must have been made prior to admission. Invoices, where payment has been agreed can be paid by Cheque, must be paid within two weeks of the date of issue. For any sums outstanding at that date WPHG reserves the right to charge interest at the rate of 2 above WPHG’s Banker’s Base Rate. Increases in the Weekly Charge will be reviewed periodically, but any change will only take place after four weeks’ notice has been given by WPHG in writing (except in the case where a Client’s clinical condition determines a change in fees – see below); in consequence of which this agreement will be deemed to have been amended to take account of such notice. If a change in the type and/or level of care provision is determined by WPHG then the Weekly Charge shall be amended to reflect that change without the need for WPHG to give a specified period of notice. Should a Client at any time require hospital treatment, WPHG undertakes to retain the accommodation for the Client. During the Client’s stay in hospital WPHG will maintain contact with the Client to ensure that they receives appropriate advice, guidance and support as to their future and for other care 5. 6. 7. 8. 9. Statement of Purpose Iden Manor Author Karen Pain Registered Manager 7/7/2010 20 requirements. Their room will be reserved for their return and will not be occupied whilst they are in hospital. 10. The Client shall from her/his own resources and/or personal allowance provide medical requisites (other than medication by prescription), hairdressing, chiropody, television set (if required), newspapers and periodicals, private outgoing telephone calls, private physiotherapy, treatment by dentists or opticians, dry cleaning, clothing and items of a luxury or personal nature as they require. 11. Should the Client cause any malicious damage in the Home the Client or advocate will be liable for the replacement or repair costs. Leaving the Home
12. This agreement shall continue in force until terminated by written notice given by either party of a minimum of four weeks before the date of termination, except where termination is within the ‘trial period’ where only reasonable notice is required. 13. WPHG may give notice to the Client to leave the Home under such circumstances as: a) Non-payment of fees b) If, in the opinion of WPHG, it is unable to provide the degree of care and attention required by the Client. c) Any circumstances or behaviour of the Client which WPHG feels may be seriously detrimental to the Home or the welfare of other Clients. 14. In the event of death of the Client the Weekly Charge shall be levied for the period to seven days after the death of the Client. The personal effects of the Client should be removed within this period, otherwise the Weekly Charge will be applied until these items are removed. However, if after three weeks of the date of death of the Client, personal possessions remain in the Home, these will be deemed to become the property of WPHG, and no further charges will be incurred. 15. Where a Client elects to leave the Home, a period of four weeks notice in writing to the Home Manager must be given. When the Client leaves the Home, all of their personal possessions must also be removed, or the Weekly Charge will be applied until these are removed. However, if after three weeks of the date of vacating the Home these have not been removed they will be deemed to become the property of WPHG, and no further charges will be incurred. 16. Force Majeure Neither party shall be liable for any failure or delay to the performance of the terms of this Agreement if this should result from circumstances that are beyond the reasonable control of the parties. This will include, but not be limited to, acts of God, explosion, civil commotion, Governmental Act or Direction or national industrial dispute. In these circumstances, the Provider reserves the right to make alternative arrangements and to vary the Agreement accordingly. 17. Law The Agreement shall be governed by and construed in accordance with English law and any dispute between the parties concerning this Agreement shall be referred to the English courts. 18. Third Party Rights Save as expressly provided, none of the provisions of this Agreement are intended to or will operate to confer any benefit (pursuant to the Contracts (Rights of Third Parties) Act 1999) on a person who is not named as a party to this Named Patient Agreement. 19. Limitation of Liability Statement of Purpose Iden Manor Author Karen Pain Registered Manager 7/7/2010 21 Nothing in this Agreement excludes or limits the liability of the Provider for death or personal injury caused by the Provider’s negligence or fraudulent misrepresentation. Subject to the above, the Provider’s total liability in contract, tort (including negligence or breach of statutory duty), misrepresentation or otherwise, arising in connection with the performance or contemplated performance of this Agreement shall be limited to the total insurance cover at the time of the occurrence giving rise to liability in respect of such occurrence. The Provider shall not be liable for any consequential or indirect loss or loss of profits or contract whatsoever (whether arising by the Provider’s negligence or otherwise). 20. Waiver If any of these terms and conditions are held by any competent authority to be invalid or unenforceable in whole or in part, the validity of the other terms and conditions and the remainder of the terms and conditions of this Agreement in question shall not be affected This Agreement must be signed either by the patient or by the person who is responsible for payment of the Home’s fees before the admission of the Client. Accommodation Charter
1. 2. 3. The facilities of the Home shall include the use of lounges and other communal rooms, bathrooms, toilets, visitors’ rooms, light refreshment facilities, dining room, grounds and gardens. WPHG undertakes to respect the individual cultural and/or religious beliefs of the Client and to provide reasonable facilities for the Client to continue to follow such beliefs. The following operational details are accepted by the Client: a) Meals can be taken in the designated dining areas or in their own rooms. b) It is hoped that all Clients will respect each other’s need for privacy. Clients have the right to refuse admission to their rooms of any person with the exception of the other occupant if it is a shared room or in an emergency. c) Clients may entertain guests at all times in their own single rooms (or with the agreement of the other occupant in double rooms), or at reasonable times in the communal areas of the Home. Guests may not, however, be accommodated overnight other than with the express permission of the Home Manager. d) Clients may leave or return to the Home as they would their own Home during the course of a 24 hour period but they are required to notify staff of their likely times of absence and where they may be contacted, thus avoiding unnecessary preparation of meals and concern by staff. e) For the comfort of all Clients and Staff a strict no-smoking policy is applied inside the Home. 4. Clients are required to insure any personal effects and valuables they bring into the home, including but not restricted to, jewellery, watches, hearing aids, etc. WPHG will not be responsible for the loss of, or damage to personal possessions, unless proved to be negligent. No right of ‘set-off’ against the charges made in respect of weekly fees is allowed. WPHG can only accept responsibility for money whilst in the custody of WPHG and will not accept responsibility for items unless a list of such items with suitable evidenced professional valuation has been compiled. The list must be signed by the Registered Nurse and the Client and the item(s) handed to the Registered Nurse for safe keeping. WPHG reserves the right to refuse acceptance of any valuables into safe keeping. 5. Before taking up residence Clients will be required to provide information to WPHG on the state of their health, any treatment required, details of medicines currently prescribed and/or being taken, and if requested to pass these over to the medical staff, the name of their medical advisor, their next-of-kin or person to be contacted in the event of any emergency. Statement of Purpose Iden Manor Author Karen Pain Registered Manager 7/7/2010 22 6. Should the Client at any time be unable to exercise or defend her/his rights as a citizen, WPHG will endeavour to arrange for the provision of an independent Citizen Advocate; a selected and trained volunteer who will work solely for and on behalf of the Client concerned. The Citizens Advocate will not be an employee of WPHG. Clients will be required to arrange an Enduring Power of Attorney which will give the person(s) nominated as Attorney(s), an authority to carry out any transactions / affairs on the Client’s behalf, should the Client become mentally incapable of managing her / his affairs. The nominated Attorney will not be an employee of WPHG. Whilst WPHG will not request Clients or their representatives to demonstrate that they have sufficient funds to pay for their long term care, it is a specific condition that in signing this Agreement you are indicating that sufficient funds are available to pay for a minimum of two years care. Clients are advised of WPHG’s Complaints Procedure which is included within the Clients Welcome Pack. Alternatively, Clients may wish to contact their appropriate Registration officer at: The Inspection and Registration Unit of the Commission for Social Care Inspectors Hermitage Court Hermitage Lane MAIDSTONE Kent, ME15 9NT 7. 8. 9. We trust your time at Iden Manor in bedroom number………will be enjoyable and problem free. Should you wish to make any comment on the Agreement/Charter you should feel free to do so. I warrant that all information given herein is accurate and that all relevant information has been provided to WPHG. I further warrant that any changes or additional information will be provided to the WPHG in writing without delay and the terms therein shall constitute acceptance by WPHG. All notices required to be delivered to WPHG pursuant to these conditions shall be delivered in writing to the Home Manager of WPHG. All notices to be delivered to the Client shall be delivered by handing a copy to the Client (and sending a copy to the applicant by prepaid recorded delivery post at his or her last known address and shall be deemed to be delivered 24 hours after posting). Signed ..................................... Home Manager, on behalf of WPHG. Signed ..................................... Client / Advocate Name ..................................... Client / Advocate Relationship to Client ........................................ (if not the Client signing) Witnessed by: ......................................................... (Signature)
Witness (name in block capital letters) ……………………………………….. Date ........................................ Address ............................................................................................. ...........................................................................................................
1 copy to be given to Client, 1 copy to Client’s Personal File August 2006 If signing as Power of Attorney, a copy of this Authority is required at the time of signing the contract Statement of Purpose Iden Manor Author Karen Pain Registered Manager 7/7/2010 23 APPENDIX 3 Statement of Purpose Iden Manor Author Karen Pain Registered Manager 7/7/2010 24 Organizational Structure Chief Executive Officer Whitepost Healthcare Group General Manager Whitepost Healthcare Group The Elms Nursing Home (Redhill) Registered Manager Shrewsbury Court Independent Mental Health Hospital (Redhill) Hospital Manager Iden Manor Nursing Home (Staplehurst) Registered Manager Statement of Purpose Iden Manor Author Karen Pain Registered Manager 7/7/2010 25 Head of Care / Deputy Iden Unit Registered Nurses HCAs Senior Sister Good Shepherd Unit Registered Nurses HCAs Catering Reception Activities Maintenance Housekeeping Statement of Purpose Iden Manor Author Karen Pain Registered Manager 7/7/2010 26