Care Home: Manor Farm Care Home

What the care home does well The service was aware of the need to evidence actions to improve the quality of its care for people at risk of developing pressure sores. We noted that staff had wound care training and trained nursing levels had been raised in accordance to a requirement in the previous inspection report. Due to the limited focus of this inspection, we did not gather evidence on this occasion relating to areas of practice that the service has previously achieved good outcomes for, such as coments from residents (and their supporters) that they have developed positive relationships with staff, enjoyed activities and entertainments, received support to maintain links with the wider community ,and benefitted from the relaxed and homely atmosphere. In the course of this inspection, people living at the home informed us of the forthcoming Christmas parties and spoke warmly about current and former staff. However, the findings of this inspection indicated that continued improvement for the prevention and management of pressure sores was needed. What the care home could do better: We found that the service was benefitting from the input of the PCT liaison nurses; there were no concerns regarding the documentation for the residents known to have pressure sores or leg ulcers. Other issues of concern detected at this inspection identified that staff were not consistently applying principles of good care; for example, we met a resident with sores between their toes that did not have a care plan for their health care problem although they were receiving medically directed treatment. We noted that staff needed to be more vigilant, since we found a discontinued prescribed cream in a bedroom and hazardous cleaning fluids (owned by a resident) were not kept in a lockable facility. Inspecting for better lives Random inspection report Care homes for older people Name: Address: Manor Farm Care Home 211-219 High Street South East Ham London E6 3PD one star adequate service The quality rating for this care home is: The rating was made on: 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. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Sarah Greaves Date: 2 3 1 2 2 0 0 8 Information about the care home Name of care home: Address: Manor Farm Care Home 211-219 High Street South East Ham London E6 3PD 02085488686 02085489929 jackiec@abbeyhealthcare.org.uk 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) : Trees Park (East Ham) Limited care home 81 Number of places (if applicable): Under 65 Over 65 0 81 dementia old age, not falling within any other category Conditions of registration: 81 0 The registered person may provide the following categories of service only: Care home with nursing - Code N To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age not falling within any other category - Code OP Dementia - Code DE The maximum number of service users who can be accommodated is 81. Date of last inspection Brief description of the care home Manor Farm is one of a group of care homes run by Trees Park (East Ham) Ltd. It is a purpose built dual registered residential and nursing home. It is registered to take 81 residents over the age of 65 years with dementia care needs, general residential and general nursing care needs. The home is divided into three units. The top floor is residential while the ground and first floor units are for residents with nursing needs. There are single and double rooms, all with en-suite facilities. The home is situated in Care Homes for Older People Page 2 of 7 Brief description of the care home East Ham, close to shops and local amenities with good access by public transport. Parking facilities are available in the front of the building. Care Homes for Older People Page 3 of 7 What we found: This unannounced random inspection was conducted due to concerns identified regarding how this service addressed health care needs of the residents, with particular reference to the prevention and management of pressure sores. These concerns have been subject to investigations and strategy meetings by the Newham Safeguarding Adults Team in recent months. The aim of this inspection was to review the care for any residents identified to have a pressure sore at the time of our visit. The nursing staff within the care home receive very regular support by the Newham Primary Care Trust (PCT) liaison nurses; therefore, we reviewed our findings with a member of this team during the course of this inspection. The inspection has been focused upon the reading of six care plans, checking staffing levels and skills mix for the nursing units, and checking upon training arrangements. What the care home does well: 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 2. Care Homes for Older People Page 4 of 7 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set. No. Standard Regulation Requirement Timescale for action 1 30 18 The Registered Manager 31/12/2008 must ensure that staff receive the training that they needs for their roles and responsibilities. This includes an appropriate level of training for dementia. Care Homes for Older People Page 5 of 7 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 1 30 18 The registered person must ensure that trained staff receive externally sourced professional training for wound care. To improve quality of care for people at risk of pressure sores, or people with pressure sores. 30/04/2009 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 Older People Page 6 of 7 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 03000 616161 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. 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