Care Home: Manor View Nursing Home

Annual service review Name of Service: Manor View Nursing Home The quality rating for this care home is: The rating was made on: 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 review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Valerie Hoyle Date of this annual service review: 2 7 0 7 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 19 Manor Rd Hatfield Doncaster South Yorkshire DN7 6BH 01302350877 01302843807 manor.view@fshc.co.uk www.fshc.co.uk Four Seasons Health Care (England) Limited (wholly owned subsidiary of Four Seasons Health Care Ltd) Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : dementia mental disorder, excluding learning disability or dementia Conditions of registration: One specific service user under the age of 65, named on variation application dated 16th March 2004, may reside at the home. One specific service user under the age of 65, named on variation application dated 23rd June 2004, may reside at the home. One specific service user under the age of 65, named on variation application dated 5th June 2006, may reside at the home. Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Manor View is situated in the village of Hatfield, nearby is shops and a public library. There is easy access to the bus service into the centre of Doncaster, which is a few Annual Service Review Page 2 of 7 Number of places (if applicable): Under 65 Over 65 0 40 54 0 miles away. The home is divided into two separate units. The main unit (Manor View) provides nursing/residential care for older people with dementia and can accommodate 40 people. Manor View is a two-storey building with bedrooms on both the ground and first floor. The second unit, (formerly known, as Church View) is a purpose built small care home providing accommodation for fourteen older people with dementia. Secure gardens are provided for both units with easy access for residents. The home provides information to people and their relatives prior to admission into the home. Service Users Guides are available in all bedrooms or on request from the manager. The last published inspection report was available on request and a copy is available in the entrance for visitors to read. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review: What did we do for this annual service review? Date of this Annual Service Review 27th July 2009. The quality rating for this home is 2 Stars, Good. The rating was made on 8th August 2008 We looked at all the information that we have received, or asked for, since the last key inspection or annual service review. This included: The Annual Quality Assurance Assessment that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Surveys returned to us from people using the service. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and the results of any other visits that we may have made to the service in the last 12 months. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? We received the AQAA before the date the manager had to send it to us. This demonstrates cooperation and responsiveness. The information was comprehensive and provided evidence that they value the views of people who use the service. As a result of listening to people they have purchased new lounge chairs, carpets and redecorated both units. They told us that they have increased opportunities for people to join in activities. The tell us that they obtain the views of people by undertaking yearly quality audits and they hold regular relative meetings. The registered providers have responsibility to collate the data received and the manager actions any areas needing improvement. The AQAA told us that the organisation has placed the home on an accredited programme (Positively Enhancing Residents Lives) which has been developed with the University of Bradfords dementia Care Department. If the home is successful they will be able to advertise the home as providing a specialist dementia service. Comments from surveys returned from people included: Staff have a positive attitude towards providing a good service. The environment is kept clean, and staff organise Annual Service Review Page 4 of 7 trips to get people out of the home. Majority of staff are caring and show genuine interest in people. Surveys say they could do better by: enabling people to access the garden, and improve the staffing levels. Sometimes staffing in the lounges could be better, especially during meal breaks. Sometimes they could improve communication with relatives, especially about appointments. Professional surveys returned confirmed that staff have the right skills and knowledge to care for people, although they could improve information provided to the GP prior to admission to the home. Staff surveys confirmed that they always receive the training they need to do their job. They told us that they get the support they need and they have opportunities to share information with colleagues and managers. Notifications received told us that the home provides information to us about incidents that occur in the home. The AQAA confirms that the home follows safeguarding procedures, by informing other agencies about concerns. They work well with us and have shown us that their service continues to provide good outcomes for the people who use it. The AQAA confirmed that there has been six safeguarding referrals since the last inspection, which confirms they actively refer incidents that fall into the safeguarding category. All surveys received confirmed people know who to talk to if they want to raise concerns about the care provided. The AQAA told us that there have been one complaint made in the last 12 months, they told us that complaints are investigated with the timescales stated in their complaints procedure. The AQAA confirms that they continue to have robust recruitment and selection procedures, which ensures the right staff were employed and trained. It told us that 18 members of staff had left organistion in the last 12 months. A total of 42 staff work at the home in full/part time capacity. They employ a number of registered nurses who lead the team of care staff and they have responsibility to update their knowledge and competencies. The AQAA told us there are seven members of staff who have now completed NVQ level 2. Eight members of staff continue to work towards their NVQ qualification and 100 of staff have completed training in prevention and control of infection. We looked at the information in the AQAA and our judgment is that the home is still providing an good service and that they know what further improvements they need to make. What are we going to do as a result of this annual service review? We are not going to change our inspection plan, and will do a key inspection by 7th August 2010. However we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service Annual Service Review Page 5 of 7 Annual Service Review Page 6 of 7 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. 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 copy of the findings in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). 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. 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