Care Home: Sandiway Manor

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What the care home does well The home is well maintained so that people live in safe comfortable surroundings. There is a low turnover in the staff so staff and residents get to know each other well. The home works hard to provide good quality, nutritious meals to ensure people stay fit and well. What the care home could do better: At this visit, we considered that Sandiway Manor continued to provide excellent outcomes for the people living there. We asked that action be taken to make sure that care plans were regularly updated so they were accurate and provided guidance to staff on how people`s changed needs should be met. We also asked that the safeguarding procedures were updated to make sure that staff had guidance on what to do to protect the people living at the home. We recommended that the circumstances in which `as required` medication was to be given should be clear so that staff would know when it was needed. Random inspection report Care homes for older people Name: Address: Sandiway Manor Norley Road Sandiway Northwich Cheshire CW8 2JW three star excellent 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 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: Julie Porter Date: 2 7 0 5 2 0 1 0 Information about the care home Name of care home: Address: Sandiway Manor Norley Road Sandiway Northwich Cheshire CW8 2JW 01606883008 01606301764 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Jacqueline Gregson Type of registration: Number of places registered: Conditions of registration: Category(ies) : Cheshire Residential Homes Trust care home 29 Number of places (if applicable): Under 65 Over 65 29 old age, not falling within any other category Conditions of registration: 0 The registered person may provide the following category of service only: Care home only - Code PC. 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. The maximum number of service users who can be accommodated is: 29. Date of last inspection Brief description of the care home Sandiway Manor is a care home owned by the Cheshire Residential Homes Trust, a charitable organisation that runs three care homes for older people. Each home is independently run by a committee. Information regarding the current fees for Care Homes for Older People Page 2 of 9 Brief description of the care home Sandiway Manor is available from the manager. The home is in the village of Sandiway, approximately three miles from Northwich. There are a number of shops, a church and other facilities located in the village. There are adequate car parking facilities available at the home. Sandiway Manor was formerly a private house that has been renovated and extended for use as a care home. Sandiway Manor is a threestorey building; residents are accommodated on the ground floor and first floors only. Access between floors is via a passenger lift or the stairs. There are 28 single bedrooms, for residents and all of these rooms have toilet facilities and washbasins fitted. A further bedroom is available as a guest room. This room does not have toilet facilities. Day space consists of 2 lounges and a dining room. There are sufficient numbers of toilets to meet the required standard. There are aids throughout the home to help residents remain independent, including bath hoists, grab rails and in an emergency call bell system. There are large enclosed mature and pleasant gardens with walkways and sitting areas available to people living at the home. Care Homes for Older People Page 3 of 9 What we found: Two inspectors visited Sandiway Manor on 27 May 2010 to check that the home continues to maintain standards in relation to Health and Personal Care and Complaints and Protection. We looked at three care plans of people living at the home and found that initial assessment plans had been completed. These covered mobility, sensory needs, sleeping, eating, hygiene, skin care, social and mental awareness, medicines and allergies. We saw that one plan for a person visiting the home for respite care on a number of occasions had concluded that the home was not a suitable environment for the person because of their needs. This showed us that the assessments being done were thorough and that appropriate decisions were being made about whether the persons needs could be met at Sandiway Manor. The two other plans we inspected showed that other professionals were involved with the persons care, this being the doctor and district nurse and, for one person, the continence adviser. We found that these peoples needs had changed and although information may have been recorded in daily notes, the care plans had not been updated to show how to manage these changed needs or what staff needed to do to meet them. During our visit we looked at how peoples medicines are managed in the home and found that keys to the medication trolleys had been left loose on top of the trolley. We reviewed a sample of the medication records and we found that ointment for one person had not be signed for and information regarding as required (PRN) medication needed to be clearer so staff know what signs to look for, so that they work consistently to support the person to manage their anxiety. We joined the residents for lunch, which was nicely presented. We saw that people were offered choice and portions appropriate to the size of their appetite. We saw that the people needing support with eating were encouraged and supported sensitively. The meal was unhurried and a pleasant, sociable occasion. We saw information in the home about advocacy services and what they could help with. The home has a formal process for people wanting to make complaints and the manager told us everyone has been provided with a copy of the complaints procedure. People we spoke with told us that they knew who to complain to and how. One person told us, anyone making complaints was doing it for no good reason as there was nothing to complain about in the home. We saw a record in the dining room completed by residents either independently or with help from staff that identified food they did and didnt like. The manager told us that as a result of this, meetings had been held with the chef and suppliers to improve standards, choice and quality of the products. No complaints have been made to the home manager or directly with the Care Quality Commission about Sandiway Manor. We discussed with staff their understanding of the adult safeguarding and asked them what they would do if they found or suspected abuse. Staff knew that they had to do something and said they would speak with the manager; in the managers absence they said they would look at the policy book in the office. We found that this gave information Care Homes for Older People Page 4 of 9 about key markers for identifying abuse but did not link to the Department of Health No Secrets documents and did not give staff clear guidance about what they should do if they suspected anybody living in the home was being abused. We saw that there was planned training for fire safety and prevention and moving and handling which would mean that all care staff would have completed this by September 2010. We could not find the date for specific adult protection training but the manager confirmed to us on 02 June 2010 that training had been more than two years ago and the administrator would organise for the staff to do refresher training. 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 5 of 9 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 6 of 9 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 The service user plan must 11/07/2010 be kept under review and updated if the persons needs have changed. This is to make sure that staff know of the individuals current needs and the person gets and understands the support need. 2 18 13 The homes policies on 11/08/2010 safeguarding adults must be updated with clear guidance on what staff must do if they suspect abuse has taken place. This is to make sure that staff have the guidance they need in order to protect hte people living at the home from abuse. Care Homes for Older People Page 7 of 9 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 7 The service users plans should be reviewed by the care staff at least once a month and updated to reflect the changing needs and current objectives for health and personal care so that all staff have up to date information and the person gets the support needed. Information should be available to staff describing the action they should take and the circumstances when individuals may need to be given as required (PRN) medication, so that staff work consistently and the matter is not left to individual interpretation. 2 9 Care Homes for Older People Page 8 of 9 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. 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