Care Home: Manor Court

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What the care home does well Manor Court provides a clean, pleasant and well-maintained home for people to live. Staffs work well together as a team to provide the people who use the service with a comfortable and homely environment, offering a good standard of care. There is a family atmosphere and people who live there feel part of that. The menu showed that a variety of food is offered with fresh local produce being used. Vegetables and fruit are home grown and the menu reflects the seasonal availability. On the day of the inspection following a main course people were enjoying a dessert of home grown plums served with custard. Alternatives to the main meals are available if people do not like the choices on the menu. Staffs ask people what they would like prior to the meal being served. What has improved since the last inspection? Refurbishment is ongoing and since the previous inspection several bedrooms had been re decorated and carpets replaced. More films had been purchased, which people enjoyed watching on some afternoons. What the care home could do better: Training in adult protection is required for some staff, which the deputy manager said she was arranging. Whilst there is a quality assurance system in place this need to be developed further and questionnaires should be sent out annually to people and their relatives to seek their views about life in the home. Following the completion of the survey an action plan would then be formulated for any areas required. CARE HOMES FOR OLDER PEOPLE Manor Court 8 - 8a High Street Moorsholm Saltburn-by-Sea TS12 3JH Lead Inspector Val Daly Key Unannounced Inspection 10th September 2008 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Manor Court DS0000000073.V371849.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Manor Court DS0000000073.V371849.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Manor Court Address 8 - 8a High Street Moorsholm Saltburn-by-Sea TS12 3JH Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01287 660747 Mrs Mary Elizabeth Wood Mr K Wood, Mr J Wood Mrs Mary Elizabeth (Molly) Wood Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Manor Court DS0000000073.V371849.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named individual under the age of 60 years be able to be admitted to the home. 24th August 2006 Date of last inspection Brief Description of the Service: Manor Court Residential Home is situated in the quiet village of Moorsholm on the North Yorkshire moors. Set back from the High Street, it is accessed via a private road. Its position in the centre of the village make for easy access to all community facilities: Church and Chapel; Memorial Hall; public house; shop. Accommodation is provided in fourteen single bedrooms (three with en-suite facilities) and three double bedrooms (one with en-suite facility). All bedrooms had been fitted with a washbasin and all met the spatial requirements of the National Minimum Standards. Communal facilities comprise dining room and two lounges, one of which is designated a smoking lounge. The home is registered to provide care for twenty persons. Fees in the home are £420 per week. Manor Court DS0000000073.V371849.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use the service experience good quality outcomes. This inspection was a key unannounced inspection and was completed by an inspector in two inspection days. As a key inspection, all of the key standards were examined. This was to check that the home meets the standards that the Commission for Social Care Inspection say are the most important for the people who use services, and that it does what the Care Standards regulations say it must. A number of records were looked at including assessments of people who use the service and plans of care, staff recruitment records, complaints and maintenance records along with the annual quality assurance assessment. Three people who use the service, two members of staff the manager, and deputy manager and senior were engaged in discussion about living at Manor Court. The manager had completed an Annual Quality Assurance Assessment prior to the inspection. The AQAA is the services self-assessment of how they think they are meeting the National Minimum Standards. This information is received prior to the inspection and it is then used as part of the inspection process. On the day of the visit the manager, deputy manager and senior provided the information and documentation required. The Commission for Social Care Inspection sent a number of surveys to the home for people who use the service and their relatives to complete. Nine were completed and returned. Comments received can be read within the report. This was a positive inspection; people were open and friendly and welcomed discussion about the home. What the service does well: Manor Court provides a clean, pleasant and well-maintained home for people to live. Staffs work well together as a team to provide the people who use the service with a comfortable and homely environment, offering a good standard of care. There is a family atmosphere and people who live there feel part of that. The menu showed that a variety of food is offered with fresh local produce being used. Vegetables and fruit are home grown and the menu reflects the seasonal availability. On the day of the inspection following a main course Manor Court DS0000000073.V371849.R01.S.doc Version 5.2 Page 6 people were enjoying a dessert of home grown plums served with custard. Alternatives to the main meals are available if people do not like the choices on the menu. Staffs ask people what they would like prior to the meal being served. What has improved since the last inspection? What they could do better: 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. The summary of this inspection report can be made available in other formats on request. Manor Court DS0000000073.V371849.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Manor Court DS0000000073.V371849.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3&6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service have their needs assessed. EVIDENCE: Care managers carry out assessments prior to a person moving into the home to ensure their needs can be met. The home manager also carries out her own assessment, meeting with the prospective person, either in his or her own home or in hospital. This information was viewed in the files of three people who use the service. A life history of the person is taken, which is very informative and can assist with the social care plan. Relative comment cards stated that they had enough information before deciding if the home was right for their family member. The home does not provide intermediate care. Manor Court DS0000000073.V371849.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: Three care files were examined and they each contained an individual plan of care. The plans were evaluated and reviewed regularly. They were person centred, detailed to the individual and showed particular needs, likes and dislikes. The plans contained a good personal history of the person detailing life events and information about their family. Daily communication was also in place stating how the person was and how they spent their day. Healthcare professional visits were recorded, which showed that the person’s health care needs were being met. Risk assessments were in place where needed, for one person, mobility needs, for another safety in daily living tasks. The plans of care are agreed and signed by either the person who uses the service or their relative. Manor Court DS0000000073.V371849.R01.S.doc Version 5.2 Page 10 Policies and procedures are in place for the ordering, receipt, storage, disposal and administration of medication. For people wishing to manage their own medication a risk assessment and management process was in place. Staffs who administer medication had received safe handling of medication training and in the medication file there was a list of those staff. Comment cards from relatives and people who use the service stated ‘The staff are very helpful and willing’. The staff are always pleasant and helpful, they will do anything for you’. ‘I am very happy here’. Manor Court DS0000000073.V371849.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use services are able to make choices about their lifestyle. A variety of food is offered. EVIDENCE: The home has an activities programme and people who use the service enjoy a variety of activities on a daily basis. A volunteer attends the home on a weekend and at the time of the inspection was in the process of making a collage with people using their photographs. Other activities include, dominoes quizzes, bingo, sing a longs, knitting, reading watching films on DVD and listening to music. There are newspapers and weekly and monthly magazines delivered to the home. Three people spoken to during the inspection said they enjoyed an afternoon film and also bingo and dominoes. Following an activity a written evaluation is completed, stating who participated and if they enjoyed it. The home is very involved in the community and where possible people who use the service take part in events, which take place in the Community Centre. A comment card from a person who uses the service stated ‘Activities are arranged, I can join in if I want to’. Manor Court DS0000000073.V371849.R01.S.doc Version 5.2 Page 12 Communion takes place in the home regularly along with a Chapel and Pentecostal service every month. People who use the service said their relatives were able to visit at any time and were always made to feel welcome. One relative interviewed said she thought the home and staff were excellent and could not praise them highly enough. The menu showed that a variety of food is offered with fresh local produce being used. Vegetables and fruit are home grown and the menu reflects the seasonal availability. On the day of the inspection following a main course people were enjoying a dessert of home grown plums served with custard. Alternatives to the main meals are available if people do not like the choices on the menu. Staffs ask people what they would like prior to the meal being served. The majority of people in the home eat their meals in the dining area but they are able to eat in their rooms if they wish. Comment card for people and relatives stated ‘The meals are always good’. ‘The puddings are jolly good’. Manor Court DS0000000073.V371849.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People know how to complain and the home has an appropriate procedure in place. Staffs know the procedure to follow in the case of suspected abuse. EVIDENCE: People using the service said that they would be comfortable speaking to a member of staff if they had any concerns. Comment cards from relatives and people who use the service stated, I would go to the manager if I had a complaint but I have never needed to’. The home has a complaints policy and procedure in place with timescales. There had not been any complaints made to the home since the previous inspection. The home has a whistle blowing policy and an adult protection policy in place. This included ‘No Secrets’ guidance and contacts for reporting suspected abuse. During interviews with staff they were able to describe the procedure to follow in the case of suspected abuse. However training in adult protection is required for some staff, which the deputy manager said she was arranging. Manor Court DS0000000073.V371849.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Manor Court is comfortable, homely and well maintained EVIDENCE: A tour of the home was carried out. People’s bedrooms contained personal possessions and were comfortable and homely. All the bedrooms were individual with different decor and furnishings. Many of the rooms faced on to the open moorland, giving lovely views. Refurbishment is ongoing and since the previous inspection several bedrooms had been re decorated and carpets replaced. Both the lounges were very homely, three people spoken to said they had their favourite chairs, which they liked to sit in and chat together. The home was very clean and tidy without any odours. Manor Court DS0000000073.V371849.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Vetting and recruitment practices are robust. Staffs is trained and qualified and relevant information that safeguards people who use the service is in place. EVIDENCE: The home has a rota in place, which is flexible for the needs of the people who use the service. There is a policy and procedure in place for the recruitment of staff. Staff records showed that the required information, references and CRB checks were in place prior to staff commencing work in the home. New staffs receive induction training using the Skills for Care Induction Standards, which may take up to six months. The home has a very low turnover of staff and the two people interviewed had both been employed for several years. They both enjoyed working at the home, caring for the people and also assisting with domestic tasks. Since the previous inspection staff had undertaken training in many areas such as NVQ levels 2, Adult Protection, Fire Safety, Moving and Handling, Safe Handling of Medication and COSHH. At the time of the inspection 11 out of the 19 carers employed had achieved NVQ level 2 in care. One member of senior staff had also completed the Registered managers Award. Manor Court DS0000000073.V371849.R01.S.doc Version 5.2 Page 16 Comment cards from people who use the service stated ‘The staff are wonderful and are there when you want them’. Staff are available, I try to do as much as I can’. Manor Court DS0000000073.V371849.R01.S.doc Version 5.2 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has policies and systems in place to protect the people who live there, The views are sought, of people who use the service and relatives. EVIDENCE: The manager of the home has many years experience of working with older people and is competent to run the home. However she should hold appropriate qualifications in care and management in order to meet the National Minimum Standards. There is also a deputy manager and senior who assist and support the manager. Staff and people who use the service interviewed spoke very highly of the manager and how the home was run. There are monthly audits carried out looking at care documentation, health and safety, the building, both internal and external and the garden area. Whilst there is a quality assurance system in place this needs to be developed Manor Court DS0000000073.V371849.R01.S.doc Version 5.2 Page 18 further and questionnaires should be sent out annually to people and their relatives to seek their views about life in the home. Following the completion of the survey an action plan would then be formulated for any areas required. Formal meetings for people who use the service are not held, however discussions take place regularly. Meetings for staff are held two to three monthly, which are well attended and minutes are taken. Maintenance records were examined which showed that all testing of equipment was up to date. Documentation showed that water temperatures are taken regularly and was within the recommended range. The home has health and safety policies and procedures in place. Staff records showed that training in health and safety had been carried out. Manor Court DS0000000073.V371849.R01.S.doc Version 5.2 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Manor Court DS0000000073.V371849.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? No 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 18 (c) Requirement Training in adult protection is required for some of the staff. This will keep the people who use the service safeguarded. Timescale for action 30/11/08 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. 2. Refer to Standard OP31 OP33 Good Practice Recommendations The Registered Manager should have a qualification at NVQ level 4 or equivalent in care and management. The quality assurance system needs to be developed further and questionnaires should be sent out annually to people and their relatives to seek their views about life in the home. Manor Court DS0000000073.V371849.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Manor Court DS0000000073.V371849.R01.S.doc Version 5.2 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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