Latest Inspection
This is the latest available inspection report for this service, carried out on 7th January 2010. 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 Little Manor Nursing Home.
Annual service review
Name of Service: Little Manor Nursing Home The quality rating for this care home is: The rating was made on: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full 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: Sally Walker Date of this annual service review: 2 0 1 1 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: Manor Farm Road Salisbury Wiltshire SP1 2RS 01722333114 01722337347 wessexcarepp@hotmail.co.uk Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: Wessex Care Ltd Number of places (if applicable): Under 65 Over 65 0 26 Only the one, named service user in the application dated 20/03/06 currently in residence in the home may be under 65 years of age. The maximum number of service users who may be accommodated at any one time is 26 The staffing levels set out in the Notice of decision dated 20th July 2004 must be met at all times. 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 Little Manor Nursing Home is a large town house, which has been converted for use as a care home. The home is situated approximately a mile from the centre of the city of Salisbury, Wiltshire. The home is registered to provide nursing care for 26 older people. Little Manor has been extended several times. Accommodation is provided over a
Annual Service Review Page 2 of 7 range of floors, connected by a passenger lift. There are two double rooms and the rest are single. Most rooms vary in shape and size. The front of the building is an older property, this has been extended and a bungalow incorporated to the rear. The bungalow is fully assessable from the main building and there is a separate entrance through the garden, for wheelchair users. Little Manor offers a homely environment for people to live in. The home provides two sitting/dining rooms, one in each part of the home with wheelchair accessible garden areas outside. Little Manor Nursing Home is one of 5 care homes owned by Wessex Care Ltd. The Registered Manager of the home is Asha Tonse, who is a registered nurse. She is supported by registered nurses, care assistants, activities and ancillary staff. Wessex Healthcare provides central services for administration and maintenance. Fees range from 596.30 to 860.30 pounds per week. Additional charges are made for hairdressing, newspapers, chiropody, toiletries, taxis and escort charges. All prospective residents or their supporters are given a copy of the service users guide. 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? We looked at all the information that we have received and asked for, since the last key inspection of 3rd & 7th December 2007 and the Annual Service Review of 26th November 2008. We looked at their annual quality assurance assessment (AQAA); this is their own assessment of how they are doing, that focuses on how well outcomes are being met for people using the service. We looked at surveys returned to us by people using the service and from other people with an interest in the service. We looked at how the service has managed any complaints. We looked at what the service has told us about things that have happened in the service; notifications that are a legal requirement. We also looked at our last report on the service, relevant information from other organisations and what other people have told us about the service. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and gave us all the information we asked for in great detail. We looked at the information in the AQAA and our judgement is that the home is still providing a good service and that they know what further improvements they need to make. In the AQAA senior managers told us how they had changed the quality audit questionnaires and held quarterly meetings with people who use the service and their relatives. This meant that people could express their views and any concerns could be addressed by the management team. Senior managers told us that an action plan would be posted on the notice boards. The home told us about changes they had made as a result of listening to people: put a comments book and suggestion box in the front hall, regular audit of activity provision and meals, improved the variety of the menus particularly the breakfast menu, increased those meals which people wanted more often and provided more activities in the locality. People living in the home always tell us that they are happy there. In the surveys we asked people what they thought the home did well. One comment was range of activities and events. My room is cleaned daily. Staff are friendly. Another comment was feeds me. Looks after me. Looks after my finances. Annual garden party. Other comments were They do the correct job of a nursing home. I am always offered the chance to take part in activities but prefer my own company, and Make you welcome. Home is alright. Two staff members told us that more staff were needed. One comment was to have two care assistants at night instead of one. Manual handling to be done practically, to demonstrate physically to nursing staff, not to watch the video only. Mr Airey from Wessex Care has since told us that the trainer provided physical demonstrations as part of the first full moving and handling course. He told us that refresher courses are video based unless the instructors own refresher training indicated changes. He said that this difference had been explained to all staff members. One staff member thought things could be improved with a public telephone and a Annual Service Review Page 4 of 7 snack making area in the bungalow. In the AQAA senior managers told that these areas were under consideration. Mr Airey told us that this has been postponed due to the extension proposal in order to move to all single room occupancy. This development has been previously discussed with staff and we will ensure they are updated again as to progress. Another staff member told us I think we do need more than one cleaner and one laundry staff, because here is such a big nursing home. Cleaning is very important. Also we need cleaner every day not only Mondays to Friday. In the AQAA senior managers told us that they ensure that the home is appropriately staffed at all times of the day and night in order to meet the needs of residents. Increased staffing hours to maintenance, cleaning, welfare/activity and administration. We recognise the importance of social well being and stimulation and employ staff above the numbers in order to facilitate this i.e. welfare assistant and junior carer weekend support. Mr Airey told us that weekend cleaners were clearly indicated on the roster. Staff members also told us Continually looks for ways to improve the environment in order to meet residents needs and well being. Good working environment for staff. Another comment was Purchases and provides specialist nursing equipment as necessary. Continued professional training and development of staff. Wessex Care Limited has a history of investing in their properties. Lighting had been improved and doorways widened to improve wheelchair access. The gardens had been landscaped to improve access. The home told us about plans for the future which included: further upgrading of the building, furniture and equipment replacement, regular newsletters and computer access. The home told us about other things that they had improved in the last twelve months: maintaining good skin condition with regular monitoring, a lead nurse for palliative care, improved records of managing care of people with diabetes, monitoring use of equipment, for example, bed rails, lifting equipment; nutritional monitoring and more staff training. The home told us that all activities were age appropriate and any negative attitudes to age by visiting entertainers were not tolerated. They also told us that promoting peoples self expression and how the diversity of the staff members was seen as a huge strength. The home celebrated different cultural and seasonal events and intended to have themed food nights from different cultures. A computerised language translation system was available if needed. Equality and diversity were part of the training provided. One of the health care professionals told us Asha the manager always makes time to discuss the work I do at the home and is keen to implement any changes I suggest. Everything does seem to be run with the best interests of the client at heart. One of the GPs told us Excellently run with compassion. The manager held the Registered Managers Award. The home continues to let us know about things that have happened since our last key inspection and they have shown that they have managed issues well. They work well with us in an open manner and have shown us that their service continues to provide
Annual Service Review Page 5 of 7 good outcomes for the people who use it. What are we going to do as a result of this annual service review? Subject to any changes in registration and inspection practice following implementation of the Health and Social Care Act 2008, our current plan is to do a key inspection by 2nd December 2010. However we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 6 of 7 Reader Information
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