Latest Inspection
This is the latest available inspection report for this service, carried out on 3rd June 2010. CQC found this care home to be providing an Good service.
The inspector found no outstanding requirements from the previous inspection report,
but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.
For extracts, read the latest CQC inspection for Manor Park Care Home.
What the care home does well There is a good range of activities at the home for those people who want to be involved. It is very good that staff sit and have meals with residents to provide social role models for them to follow. It is also very good that all staff, including auxiliary, administrative and maintenance staff, have attended a two day training course in dementia awareness. The new dementia care unit has good colour-contrasting and signposting to help people find their own way around. Corridors also have lots of visual and tactile artifacts for people to be involved in. A visitor said that staff were "friendly and caring". Staff have good opportunities for training that supports them in their role. What the care home could do better: Care plans should be reviewed at least once a month to show if there is any change or progress in peoples` needs. There must be a new care plan whenever people have a new care need or goal, eg if they develop eating problems or lose a lot of weight, so that all staff know how to provide the right care in the same way.The home must make sure that the medication administration record is signed at the time that any medication is given. The home must have sufficient nursing staff on duty at all times to make sure that people receive sufficient support with their nursing needs, and that nursing staff have sufficient time to carry out all their duties. There should be relief staff arrangements in place for the home to cover any gaps to the staff rota. Random inspection report
Care homes for older people
Name: Address: Manor Park Care Home off Catcote Road Greenock Road Hartlepool TS25 4EU two star good service 28/10/2008 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. 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: Andrea Goodall Date: 0 3 0 6 2 0 1 0 Information about the care home
Name of care home: Address: Manor Park Care Home off Catcote Road Greenock Road Hartlepool TS25 4EU 01429274122 01429273472 manor.park.manager@fshc.co.uk None Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Four Seasons Healthcare (England) Limited (Wholly owned subsidiary of Four Seasons Health Care Ltd) Name of registered manager (if applicable) Mrs Jean Rhona Reaney Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Conditions of registration: The maximum number of users who can be accommodated is - 49 The registered person may provide the following category 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, maximum number of places: 49, Dementia - Code DE, maximum number of places: 49. Date of last inspection
Care Homes for Older People care home 49 Over 65 0 49 49 0 2 8 1 0 2 0 0 8 Page 2 of 11 Brief description of the care home Manor Park is a care home registered with the Care Quality Commission. It can provide up to 49 places for older people who have personal care or nursing needs, including dementia care needs. The home is situated close to local amenities and shops. It is a two storey purpose built home. Passenger lifts provide access to the first floor. The home offers a range of lounges and dining areas for service users and visitors. Care Homes for Older People Page 3 of 11 What we found:
Before the visit we looked at information we have received since the last key inspection visit on 28th October 2008. We looked at any changes to how the home is run. We asked the Provider for their view of how well they care for people in their AQAA (an annual quality assurance assessment). We looked at any complaints or concerns about the home and how the provider has dealt with these. Last year an independent investigation into a complaint about the service identified some shortfalls. These related to weight records, personal hygiene, and how complaints are handled. We looked at these areas during this visit. We made an unannounced visit to the home on 3rd June 2010. During the visit we talked with people who use the service, some visitors, the manager and staff. We looked at how staff support the people who live here. We looked at information about the people who use the service and how well their needs are met. We looked around parts of the accommodation. At the time of this visit there were 46 people living at Manor Park home. We received surveys from four residents (or their relatives). Overall their comments were generally positive, for example people described the home as welcoming and that meals and activities are usually good. People indicated that they usually received the care and support they require, but two people said that their main concern was more staff are needed. One person also commented that clothes often go missing from the laundry. During the inspection the manager described plans for a new laundry system that includes separate rails for each of the three units and a machine to safely mark clothes so that they can be easily identified. We received three surveys from staff. These were also generally positive and staff felt that the home provides good care where everyone is treated with respect. Staff indicated that they receive sufficient training to support them in their role. They felt that there were usually enough staff to support individual needs. Assessment records are used by all care services to find out what sort of help each person needs, and care plans show how staff will provide that care. The assessment records at Manor Park are very detailed and include lots of information about peoples needs, such as mobility, continence and hygiene. Care records were written in a respectful and sensitive way. However, there were some gaps in the care plans that were examined. For example, one resident had moved here on 25th March 2010. There was a detailed assessment of their needs and care plans had been set on 4th April 2010, but there has been no evaluation of their needs in the two months since then. Another person has had a significant change in needs around food intake and weight over the past few months. There was no care plan about this, even though staff had recorded their concerns in daily notes, had kept food intake charts, and had referred the person to specialist who had carried out tests. Conversely, one person did have a care plan about their nutritional needs, but their
Care Homes for Older People Page 4 of 11 nutritional assessment had not been completed eg it had no name, no date, no BMI score, and only one weight recorded in 3 months. The manager explained that weight records are recorded in a separate hardbacked book by care staff. However these records are not being transferred into the care plans for nursing or senior staff to refer to when updating or reviewing care plans. The inspector was concerned that shortfalls still exist in nutritional assessments and care plans at Manor Park, even though an independent complaints investigation last year identified similar shortfalls to these records. The inspector was very concerned that on the day of this inspection there were several gaps where the medication administration record (MARs) had not been signed. In this way the MARs record indicated that people had not had their medication in the morning nor at lunchtime. The nurse stated that people had received their medication, but that she simply had not had time to complete the records. This is unacceptable as the MARs must be signed at the time that medication is given. Some medication records did not contain a photograph of the resident, so new or agency staff may not have been able to identify who the medication was for. Some people are prescribed as and when medication for agitation, but there were no written guidelines for staff about when to give people this medication. This means that different staff may not be supporting people with this medication in a consistent way. Some visiting relatives made positive comments about the attitude of care staff. They said, They are very friendly and caring. They always spend time with my parent and have a chat, even if just in passing. They seem to know how people are, and if there is anything wrong with them. Overall most people living here were well-presented and several ladies were having their hair done on the day of this visit. In discussions staff respected peoples individual choices about what they wear, and balanced this with gentle persuasion when someone needed support with their appearance. Some people commented positively on the activities. The home employs an enthusiastic activity co-ordinator who organises several in-house and community-based events. For example on the day of this visit some people went on an outing to another home to see a street dance show. There are weekly outings to a local social club. There are regular inhouse activities such as bingo, manicure sessions, painting, gardening, and crafts. It is good practice that the administrative staff is now a trained trainer in customer services. She is to train all staff in this so that staff will have a better understanding of recognising, acknowledging and dealing with complaints. The complaints procedure is in information packs for people and is on display in corridors for visitors to see. However in surveys some people said that they did not know how to make a complaint, so they may need the information promoted in a different way. The home has recently achieved a bronze award from Four Seasons Health Care (the provider) for its improved environment and engagement with residents, particularly those with dementia care needs. For example there are written menus on the dining tables. Also the home has colour contrasting, picture signposts and photographs, and tactile walls to support people in their environment. It is very good practice that staff sit and have meals with residents to provide social role models for them to follow. It is also very good practice that all staff, including auxiliary, administrative and maintenance staff,
Care Homes for Older People Page 5 of 11 have attended a two day dementia awareness course. The home has recently been divided into three smaller units. On the ground floor there are 18 places for people with dementia care needs. On the first floor there is also a 12 place unit for people with dementia care needs, and a separate 19 place unit for people who have general nursing or personal care needs. There are teams of care staff who work on specific units so that they can become familiar with people, and vice versa. There are 2-3 care staff on each unit during the day. However on the day of this visit there was only one nurse on duty from 8am to 8pm who was designated to manage medication as well as lead the shifts and attend to peoples nursing needs. She said she was run off her feet. The senior staff was on sick leave but no relief arrangements had been made. There were at least 14 people in the 2 units of the first floor that have nursing or dementia nursing needs. It was apparent that having only one nurse on duty is insufficient to attend to all the nursing duties eg medication and care records were incomplete. Potentially it also means that peoples nursing needs may not be fully met. The manager stated that another nurse is being appointed (subject to satisfactory clearances) so that, in future, there should be two nurses and a senior on duty. However there appear to be no clear relief arrangements to cover holiday or sick leave. In this way the home cannot demonstrate that it plans for sufficient nursing or senior staff on duty. What the care home does well: What they could do better:
Care plans should be reviewed at least once a month to show if there is any change or progress in peoples needs. There must be a new care plan whenever people have a new care need or goal, eg if they develop eating problems or lose a lot of weight, so that all staff know how to provide the right care in the same way. Care Homes for Older People Page 6 of 11 The home must make sure that the medication administration record is signed at the time that any medication is given. The home must have sufficient nursing staff on duty at all times to make sure that people receive sufficient support with their nursing needs, and that nursing staff have sufficient time to carry out all their duties. There should be relief staff arrangements in place for the home to cover any gaps to the staff rota. 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 7 of 11 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, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 8 of 11 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, 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 1 7 15 There must be a new care 01/08/2010 plan whenever people have a new care need or goal, eg nutritional needs. This is to ensure that all staff know how to provide the right care in the same way. 2 9 13 The home must make sure that the medication administration record is signed at the time that any medication is given. This is to demonstrate whether a residents has received their medication. 01/08/2010 3 28 18 The home must have sufficient nursing staff on duty at all times. This is to ensure that people receive sufficient support with their nursing needs, and that nursing staff have sufficient time to carry out all their duties. 01/09/2010 Care Homes for Older People Page 9 of 11 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 7 8 9 Care plans should be reviewed at least once a month to show if there is any change or progress in peoples needs. Nutritional assessments should be fully completed including the name of resident, the date, and the current BMI score. There should be photographs of each resident within their medication administration records so that they are easily identifiable. There should written guidelines for each person about their PRN medication so staff know when to administer these. The home should consider how it can promote the complaints procedure in different ways to help people make their comments about the service. The home should continue with plans to systemise the laundry service so that the risk of missing clothes is minimised. There should be relief staff arrangements in place so that the home can cover planned and unplanned gaps to the staff rota. 4 5 9 16 6 26 7 28 Care Homes for Older People Page 10 of 11 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (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. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 11 of 11 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
