Care Home: Manon House

What the care home does well The home has a good record of supporting people in a way that reduces the incidence of relapse and also has a good record for rehabilitating service users and moving them on to independent living. The latter was also supported by comments from the people using the service. Supervision sessions exceed the six sessions required under the Standards by almost double. In addition to normal staff supervision records, additional brief supervision sessions also occur and are recorded. Bedrooms were assessed as exceeding the minimum size standard at the last inspection. Reviews occur on a 3 monthly basis as well as the 6- monthly basis required under the Standards What has improved since the last inspection? Two en-suites have been added and 2 bedrooms decorated. Since the last inspection, Criminal Record Bureau checks are now available for all staff, and are specific to the setting. Water testing has now occurred and there are no identified problems. A risk assessment has been produced to identify the required frequency of future testing. This will protect residents from many infections for example legionella and e-coli.. As a result of listening to people the service has installed a telephone line for internet use. To improve care planning, care plans now have more detailed information within them. To promote more stimulation, new activities have been introduced. These include activities outside the Borough, gardening and IT courses. To promote consultation, people who use the service were consulted regarding changes to furniture and decor. To provide better IT support for the service users the computer system has been upgraded. The service has incorporated the Mental Capacity Act into their policies. To promote awarness, the service has also made staff and service users aware of the Mental Capacity Act, and staff have also had training in the Act. What the care home could do better: There were no shortfalls identified at this inspection.Providing evidence at future inspections and in the services AQAA , of how the service exceeds standards, may help to evidence that some areas are exceeded at the next inspection. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Manon House 82 Mayfield Road Sanderstead Surrey CR2 0BF     The quality rating for this care home is:   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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Barry Khabbazi     Date: 2 8 0 9 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 24 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2010) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 24 Information about the care home Name of care home: Address: Manon House 82 Mayfield Road Sanderstead Surrey CR2 0BF 02086579202 02086570313 kishnama@hotmail.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Kishnama Shunmoogum care home 5 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Additional conditions: 5 The maximum number of service users who can be accommodated is: 5 The registered person may provide the following category of service only: Care Home Only (CRH - PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Mental Disorder, excluding learning disability or dementia - Code MD Date of last inspection Brief description of the care home Manon House is situated in a residential area of Sanderstead. It is approximately one point five miles from Croydon Town Centre. Mayfield Road is served by one bus that leads directly to the centre of Croydon. The home is currently registered to provide accommodation and personal care to five younger adults with a mental health needs. The home offers five single rooms. The kitchen and dining area link directly onto the second lounge that serves as a smoking area for those service users that smoke. There is also a communal lounge. Manon House is described by the owner(s) as being a Rehabilitation Unit where service users are supported and encouraged to develop/redevelop the necessary skills to move on to more independent living. Two care staff are Care Homes for Adults (18-65 years) Page 4 of 24 Brief description of the care home on shift during the day time hours. At night one of the owners undertake a sleep-in shift at the home. The fees are currently range from #750 depending on need. Care Homes for Adults (18-65 years) Page 5 of 24 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating of the service is 2 star. This means the people who use this service experience good outcomes The key Standards identified throughout this report were assessed at this inspection. This inspection also focused on following up on previous requirements and recommendations, and any new issues arising. This inspection was unannounced and started early in the day to allow the people to be met, before they went to their day activities. The manager was not available on this day, so a further day was arranged to meet them. Care Homes for Adults (18-65 years) Page 6 of 24 During this inspection the manager was interviewed. Records, policies and care plans and the building were examined. All previous requirements were met and no new requirements were needed at this inspection. Although the people using the service made few comments, most of these were positive comments about the home. The recent survey state that the people who use the service feel that the home is bright and clean, good help is provided, there is a choice of fresh nutritious food, the staff are friendly and approachable, and that their wishes are respected and followed. One person using the service recorded that they had made enormous progress since they came to the home. What the care home does well: What has improved since the last inspection? What they could do better: There were no shortfalls identified at this inspection. Care Homes for Adults (18-65 years) Page 8 of 24 Providing evidence at future inspections and in the services AQAA , of how the service exceeds standards, may help to evidence that some areas are exceeded at the next inspection. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 24 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 24 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Standard 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Evidence: Prospective new placements needs are assessed before they start at the home to ensure that all needs are known. Care Homes for Adults (18-65 years) Page 11 of 24 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Standards 6, 7, and, 9: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Evidence: Assessed needs, changing needs and how the home meets these needs are fully recorded. This supports the homes ability to meet and show how it has met all a persons known needs. People make decisions about their lives with support where needed. People who use the service are generally well and safely supported to take risks as a part of independent living. Care Homes for Adults (18-65 years) Page 12 of 24 Care Homes for Adults (18-65 years) Page 13 of 24 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Standards 11, 13, 15, 16, and 17. Quality in this outcome area good. This judgement has been made using available evidence including a visit to this service. Evidence: People who use the service have the opportunity for self-development, are part of the local community and are able to take part in appropriate activities. People well supported in maintaining appropriate relationships, so that their social lives are maximised within chosen boundaries. The food provided is sufficient in quantity, and it is sufficiently nutritious. This is Care Homes for Adults (18-65 years) Page 14 of 24 Evidence: important to ensure good health. Care Homes for Adults (18-65 years) Page 15 of 24 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Standards 18, 19, and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Evidence: Personal support needs and emotional health needs are met well by this home. This ensures that emotional health is well maintained and therefore the quality of life experienced is also maximised. Medication is also well managed to ensure maximised good health. Care Homes for Adults (18-65 years) Page 16 of 24 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Standards 22 and 23: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Evidence: Complaints are generally managed well so that people usually feel their views are listened to. The homes policies and procedures relevant to this Standard facilitate protecting residents from abuse, neglect and self harm. Care Homes for Adults (18-65 years) Page 17 of 24 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Standards 24, 26, and 30: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Evidence: The environment is homely, comfortable and safe and the environment does promote peoples well being. Bedrooms sizes exceed the minimum size standard. This provides additional space for the residents. The home is hygienic and clean. This environment therefore facilitates health and emotional well-being. Care Homes for Adults (18-65 years) Page 18 of 24 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Standards 32, 34, 35 and 36: Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Evidence: People are supported by suitably qualified staff. The homes recruitment procedures protect the residents through vigorous staff vetting. Induction and foundation training programme are within Sector Skills Council training specifications and timescales. This facilitates the staffs ability to meet all needs and raises the quality of staff and their practices. Staff are well supervised to ensure that they receive appropriate training and perform in a manner conducive to peoples well being. The supervission standard is exceeded. Care Homes for Adults (18-65 years) Page 19 of 24 Care Homes for Adults (18-65 years) Page 20 of 24 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Standards 37, 39, and 42: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Evidence: People who use this service benefit from a well run home. There is a quality assurance system which involves people and provides a way for them to measure improvements in quality for themselves. The health and safety, and welfare of people are generally well promoted and protected. Care Homes for Adults (18-65 years) Page 21 of 24 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 22 of 24 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 23 of 24 Helpline: Telephone: 03000 616161 or Textphone: or 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 summary in a different format or language please contact our helpline or go to our website. Copyright © (2010) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 24 of 24 - 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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