Care Home: The Manor Cottage

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Annual service review Name of Service: The Manor Cottage 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: Odette Coveney Date of this annual service review: 0 1 0 3 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service Address of service: Beckspool Road Frenchay Bristol S. Gloucestershire BS16 1NT 01179560161 01179565336 manorcottagecare@btconnect.com Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category Manor Cottage Care Ltd Number of places (if applicable): Under 65 Over 65 0 26 Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: There is currently no Registered Manager in post. Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service The Manor Cottage is a listed building, parts of which date back to the 15th Century. It has been carefully restored, with a large extension added to the rear. It is situated in the village of Frenchay within walking distance of Frenchay church and common. There are shops and other community amenities within one mile of the home and the centre of Bristol is four miles away. The Home is registered to provide personal care for up to twenty-six older persons. The property is built on three floors with lift access to each floor and a stair lift to two rooms. All bedrooms have en-suite facilities. Parking is available on the side and rear of the premises and there is a garden and patio areas that can be accessed by residents via french doors in the sitting room. The fees for staying at the Home were not obtained for this Annual Service review, they are available from the home upon request. Annual Service Review Page 2 of 7 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? We looked at all the information that we have received, or asked for, since the last Annual Service Review of the service which was completed by us on 16th March 2009. This included; The Annual Quality Assurance Assessment (AQAA) that was sent to us by the service. We received this when we requested in February 2010. 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. We also reviewed information we have about how the service has managed the managed safeguarding issues and complaints in order to protect and support the people living at The Manor Cottage. We have also looked at what the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. We have evaluated the information we reported following the previous key inspection undertaken to the home in March 2008. We have also looked at relevant information we have received from other organisations. What has this told us about the service? The home sent us their Annual Quality Assurance Assessment (AQAA) when we asked for it. It was clear and gave us all the information we asked for. The manager and the business manager for the home completed the AQAA and returned it to us in February 2010. Within the AQAA the home reported to us about how they ensure that the needs and wishes of those who live at The Manor Cottage are known and responded to, they informed us; Quality assurance -questionnaires are sent to service users, families and friends, visiting professionals and staff questionnaires; these satisfaction surveys are given out at least annually and more often if significant changes have been made. The results are then collated and publicized to service users and the results are used to guide what we do. The service also told us; The Manager meets with individual service users, their relatives/friends and staff on a regular basis and has an open door policy so that she may be consulted at any time. Where service users are uncomfortable in or unable to join a group meeting, then their preferences and views are discussed with them in private. The service also informed us what they do to promote equality and diversity in all that they do and within the services that they provide at the home, they told us; We have a service users charter of rights and have a philosophy of promoting independence and choice as stated in our policies and procedures. We have an equal opportunity policy, so that all staff are treated with the same respect whoever they are and whatever their choice, as we would treat our service users. The service also informed us that; We undertake quality questionnaires and have procedures in place to ensure policies and procedures are adhered to and that there is no discrimination for anything. Annual Service Review Page 4 of 7 Furthermore, Service Users who wish to are encouraged to practice their religious beliefs and assisted to attend services and communion. Those who wish to have religious artefacts in their rooms. All the various religious celebrations are recognised and celebrated with service users who wish to celebrate them. The registered provider and management team keep up dated with new developments of legislation and best practice in all areas, including equality and diversity and disseminate this information to all staff. Through the supervision process and the open door management style, staff are also encouraged to bring developments and suggestions to management to be shared. Within the section of the AQAA where the provider can inform us what their service does well we were informed; The Home provides a supportive and caring service which meets a range of personal care needs. The service users feel well supported by staff who are well trained and supervised. The Home provides nutritious tasty meals with a well balanced diet. A good range of activities are provided to cater for the different interests of our service users. Good maintenance and housekeeping maintains the fabric of the building which results in a well kept home and lack of smells. During our last key visit to the service on March 2008 we recorded that the home is well managed and is run in the best interests of the residents. We reported that care plans are well written, that these are kept under review in order that staff can be aware of how people are to be supported in line with their needs and wishes. During our last visit to the service in March 2008 no requirements were made and only two recommendations were made, these were that the assessment records used to monitor residents skin should be reviewed each month. This was to demonstrate action is taken if needed, so that residents skin stays in good condition. The second recommendation was that all staff should do regular training on the subject of protection of vulnerable adults. This was in order to make sure staff are clear on what they must do to protect residents from the risk of harm or abuse. Both of these have been met by the home. On Tuesday 17th March 2009 we contacted the home, we spoke with the staff member on duty who told us that both recommendations had been met in full. Within our last Annual Review of the service we recorded that the home are very responsive to advice and recommendations from other people, and acts upon them immediately if that benefits the people in their care. The current manager of the home (who is not yet registered with us) is currently in the process of completing a National Vocational Qualification Assessors Award at level four. Within the homes completed AQAA they informed us: The new manager commenced in post at The Manor Cottage in January 2010 and had previously been Deputy Manager at a similar sized home for two and a half years. She has constantly undertaken periodic training to update her knowledge, skills and competence. The AQAA also informed us that The Group Operations Manager and the owners are available as a resource and provide clear lines of accountability and are reported to on a minimum weekly basis. The home has demonstrated to us when dealing with safeguarding issues that they are open and transparent, they work well with other agencies in order to ensure the wellbeing, safety and best interests of the people in their care. During the last twelve months the home have told us that they have dealt with two complaints about the service provided for those who live at The Manor Cottage, both of these were dealt Annual Service Review Page 5 of 7 with and responded to within the homes complaints procedure guidance of 28 days. Also within the last twelve months there have been two safeguarding incidents, the home have co operated with the local authority in order to provide information as needed and to respond in order to protect the people in their care. The home continues to let us know about things that have happened since our last key inspection and they have shown that they have managed issues well. They work well with us and others and have shown us that their service continues to provide good outcomes for the people who use it. 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 as required in line with our inspection methodology. 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 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial 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. 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