Care Home: Manor Farm

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What the care home does well The service provides a comfortable setting for the people living there, who appeared happy with the support they receive, commenting on how `at home` they feel in the home. The home was also referred to as a `hotel` The service arranges a variety of activities, although limited by time, and ensures that identified needs are recorded in the individual plans which show how these needs should be met. The building is a large old property, close to the Royal Estate at Sandringham, and provides a large environment for the number of people living there, with well equipped communal areas, including a large hall with a variety of seating and books to read. What has improved since the last inspection? Since our last visit, management and staff have undertaken a variety of training, and more is planned in the coming months. A new initiative has been introduced with their local GP, to provide some base information when a resident is unwell, and ensuring the GP is able to arrange to visit quickly if this appears necessary. What the care home could do better: The service needs to ensure that training is provided as soon as new staff commence their work, and kept updated. Although offering pleasant interior accommodation, the grounds are not utilised, and facilities should be available for people to spend time in the gardens if they wish. The home does not have its own transport which makes it more difficult to organise trips out for people living in the home, and although care staff do try to provide activities, this can be difficult at busy times. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Manor Farm Hill Road Ingoldsthorpe Kings Lynn Norfolk PE31 6NZ     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: Alan Buttery     Date: 1 1 0 9 2 0 0 8 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 Older People 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 Older People Page 2 of 25 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) 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.csci.org.uk Internet address Care Homes for Older People Page 3 of 25 Information about the care home Name of care home: Address: Manor Farm Hill Road Ingoldsthorpe Kings Lynn Norfolk PE31 6NZ 01485541977 01485544325 carl.harris@thedrivecarehomesltd.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): The Drive Care Homes Ltd Name of registered manager (if applicable) Carl Anthony Harris Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Manor Farm House is a large detached building situated on the edge of the small rural village of Ingoldisthorpe. There is parking to the front and side of the home with gardens to the rear of the Home. Ingoldisthorpe has few local facilities but the towns of Hunstanton and Kings Lynn are both a short drive away. The home provides care for up to seventeen elderly people. Information regarding this service is available in the entrance hall. The current fees charged by the home range between 358 and 700 pounds per week, depending on the needs of the individual. Care Homes for Older People Page 4 of 25 care home 17 Over 65 17 0 Care Homes for Older People Page 5 of 25 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 Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: As part of our inspection, we visited the home, and discussed the service provided with the registered manager. We spent four hours in the home, and in addition looked at correspondence and information that we had received during the past year, including the Annual Quality Assurance Assessment. During our visit to the home we looked at records held for both residents and staff, and toured the premises with the manager, talking to some of the residents that were in the home at the time. Care Homes for Older People Page 6 of 25 What the care home does well: What has improved since the last inspection? What they could do better: 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.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 7 of 25 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 8 of 25 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 and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. 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 them 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. People considering moving in the home all receive details of the services the home provides, and are seen by the manager of the home who ensures that the home have enough information to be sure that the needs of the person can be met by the home. Evidence: The process of any admissions to this home was discussed with the manager of the service, and would normally involve a visit from either the person thinking of moving to the home, or more often a member of their family. Initial enquiries come either directly from the family member, or from the local health or social care teams. Once the manager has the initial information, he would visit the prospective resident, and discuss their support needs with any health professionals involved, and once the Care Homes for Older People Page 9 of 25 Evidence: assessment was complete also discuss this with members of the care staff to ensure that as a service they are confident that the needs of the individual can be met. During our visit, the four care files we looked at all included the detailed assessment information, and clearly showed the identified needs of the person concerned. The service does not offer intermediate care. Care Homes for Older People Page 10 of 25 Health and personal care 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 health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they 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. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them 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. Individual plans are in place to ensure that the identified needs of the people living in the home are met in a manner suited to the individual, and in their best interests. Evidence: Once the initial assessment process has been completed, and it has been agreed that the identified needs of the person can be met by the home, arrangements are made for the person to move into the home. At this stage initial care plans are written. Evidence of the initial plans was seen on the four individual files examined during our visit. The four individual files that we examined included details of the persons background and history, although the manager of the service acknowledged that it is sometimes difficult to obtain this type of information, and they rely on close family to assist in preparing the profile of the person they are supporting. The individual plans showed detail of both the social and health care needs of the Care Homes for Older People Page 11 of 25 Evidence: person, and there was clear evidence of the monthly reviews that are held. The service has a good working relationship with their local GP practice, and local health professionals, and have been working particularly closely with the GP surgery. They have introduced a system where, supported by the doctors, the care staff are able to take some initial base recordings when a resident is unwell, giving the doctors a clearer picture of the nature of the problem ,and whether they should visit. The practice has provided training to staff in the home in undertaking this recording. One person living in the home is able to manager their own medication, and procedures are in place to support them in this, with a risk assessment ensuring it is safe for them to do so. This information was seen during our visit.. Care Homes for Older People Page 12 of 25 Daily life and social activities 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 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. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. 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. A range of activities is available to people living in the home, and they are supported to maintain Independence where appropriate. The home serves range of home cooked foods, but plans to offer more choice in the coming months. Evidence: As mentioned earlier in this report, the home gets a detailed social history of the person wherever possible,to ensure that the person living in the home has access to a range of activities they enjoy. the manager did acknowledge that it can be difficult due cater for all the residents at the same time because of the range in age. A monthly entertainment programme is in place together with regular craft sessions, reminiscence sessions, and beauty treatments , aimed at the female residents. The home has a 96 year old living there who still enjoys regular games of golf and snooker and is encouraged and supported in continuing these activities. The individual plans examined during our visit showed some detail of the activities and events which are supported by care staff, but it was acknowledged that time Care Homes for Older People Page 13 of 25 Evidence: constraints can restrict the carers abilities to support residents in activities they enjoy, especially in the morning. Two of the homes care staff take a lead role in organising and arranging events and activities. Visitors are welcome in the home at all times, and can spend time with the resident in their own room or in the lounge. A range of home cooked and locally sourced food is available, and the dining room provides a comfortable area for the residents to eat in. The menu choice is still limited, and the manager agreed this is something that the service need to improve, and is working on this. Care Homes for Older People Page 14 of 25 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. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. 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. Procedures are in place to ensure that any concerns, complaints or allegations are investigated effectively, and people living in the home are aware of who to speak to if they have concerns, although training must be provided to staff as soon as they join the company. Evidence: Everyone moving into the home has a copy of the complaints procedure that the service has written, which details the way the service investigate concerns, and who the residents should speak with if they have concerns. The policy currently has out of date contact information for the commission, and this should be updated. There has only been one complaint in the past year and this was dealt with quickly, in accordance with the policy. The service also has a policy to deal with safeguarding issues, and there have been no issues reported in the past year. Although, staff do not receive any formal safeguarding training until they have completed their probationary period, training is included within the induction period, giving a broad overview of sfaeguarding, followed by more formal training. Care Homes for Older People Page 15 of 25 Care Homes for Older People Page 16 of 25 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, 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. 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. The home is clean and has a good range of facilities, but the gardens are not currently suited to the people living in the home. Evidence: The home is well decorated and provides a comfortable and homely environment for the people living there. Communal space is good, with two large lounges and a dining area with attached conservatory. Individual rooms are well equipped, and four of these have en-suite facilities, and during a tour round the home, it was clear that people are encouraged to bring in personal items and possessions. Suitable toilet and bathing facilities are available. Some electrical work is required in the home, which is in hand, and the floor in one room needs to be replaced, which the manager confirmed is in progress. The exterior of the home fails to provide a safe and suitable area for the residents to enjoy and use in better weather. The gardens are of a good size, but there is no patio area available, and the lawns are not regularly cut, meaning that the residents in the home with any mobility issues would find it hard to walk. Care Homes for Older People Page 17 of 25 Evidence: Access to the front of the home is also difficult for anyone with mobility issues, and should be improved. The home does not have any transport of its own, and relies on local taxi and dial a ride schemes and family support. Care Homes for Older People Page 18 of 25 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 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 to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. 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. Recruitment procedures are in place to ensure that all the required checks are made before new employees join the service, and in general staff are well trained although some area for improvemeny were identified Evidence: On the day of our visit, there were clearly sufficient staff in evidence to meet the needs of the people living in the home, although as mentioned earlier in the report, care staff have in sufficient time at busy periods to also assist residents with activities. There are normally at least two care staff available and in addition the manger and domestic and catering staff are in the home. The service has a detailed recruitment procedure in place, and although this meets the requirements of the standards, it does appear quite cumbersome and has at times affected the ability of the service to recruit good quality new staff. It was therefore recommended to the manager that the policy be reviewed to ensure that where new staff are required, that can be recruited more quickly and the process be managed more efficiently. Care Homes for Older People Page 19 of 25 Evidence: During our visit we looked at three staff files, which all contained the required information, in accordance with the regulation, and included details of the training staff have undertaken. As mentioned previously, this training must include safeguarding as soon as they commence their work with the service, and in addition other mandatory training should be provided as required. The manager of the service is a qualified moving and handling trainer, and is therefore able to support staff in this area. The service must also ensure that its policies do not deter staff from undertaking vocational training, as for example current practice is for care staff to initially partly fund their own NVQ training, which is refunded on completion, but may prevent or deter some staff from undertaking the award. The service must also ensure that its employment practice does not deter staff from undertaking necessary training, for example the care staff are required to partly fund their NVQ training up front, which is refunded on completion, and this may prevent staff from starting the award Care Homes for Older People Page 20 of 25 Management and administration 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 led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate 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. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. 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. The home is well managed and procedures are in place to ensure that people living and working in the home are safe. Evidence: The manager of the home is experienced and well qualified, and provides a consistent level of support to the home. This is one of four homes owned by the same provider, although the present owners do not any major input to the service. The manager is well supported by the companys head of care, and in turn ensures that all staff working in the home receive regular training and supervision, in accordance with the standards, although the previous comments on the timing of training should be noted. People who live in the home commented favourably on the atmosphere and facilities, and how at home they feel living there, and from our observations, the manager Care Homes for Older People Page 21 of 25 Evidence: clearly has a good relationship with the residents. A quality assurance process has been introduced to ensure that the views of the people living in the home are taken into account when any changes and plans are being made, and the process also includes family members. Health and safety procedures are in place together with staff training. Care Homes for Older People Page 22 of 25 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 Older People Page 23 of 25 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 1 2 3 15 19 28 More choices should be available on the menu for people living in the home. The service should ensure that the gardens are accessible to everyone living in the home. The service should ensure that staff are not deterred from undertaking vocational training by its poliices and procedures. Care Homes for Older People Page 24 of 25 Helpline: 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 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 © (2009) 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 Older People Page 25 of 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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