Care Home: The Manor House

Similar services:

• Maple Lodge
• Heathlands
• Aston Court Nursing Home
• Breme
• Ravenhurst
• Bank House
• Inspirations
• Ashcroft Hollow Nursing Home

What the care home does well Each person who lives in this home can be assured their needs will be assessed in full before they move in. Staff are friendly and understand the needs of the people living here. People can feel confident they will be treated with respect and dignity at all times. We were told, " the staff are so kind and gentle, I would be lost without them". Food and drink are freely available and there is a good choice of meals on offer. People told us "the food is always lovely and if you don`t like it they will make you something else", "my only grumble would be that there is too much to eat sometimes". Complaints will be handled sensitively and people should feel assured their views, concerns would be listened to and acted on by the staff team.This home is managed well and is run in the best interests of the people living here. What has improved since the last inspection? The home has addressed all of the requirements we made during our last visit. This included an improvement in record keeping. This means that people`s care needs are now being recorded in a more comprehensive manner. Staff have clear guidance to show them how to meet people`s needs. Staff have undertaken accredited medication training, as a result medication practices are safer and reduce the risk of harm to the people living in the home. The home manager has also told us that improvements to the fire safety and prevention practices have been completed. This included the installation of more smoke detectors and door seals. These additions will also add to people`s protection in the event of fire breaking out. Since our last visit some areas of the home have been redecorated. This includes people`s bedrooms, two lounges on the ground floor and a new shower room on the first floor. People said "it is very nice, the home is always spotlessly clean". What the care home could do better: The home needs to make sure that it is keeping regular records of the hot water testing it is completing. There are some minor improvements to medication practices needed that will provide further safeguards for the people living in this home CARE HOMES FOR OLDER PEOPLE The Manor House, 37 Stafford Road Walton Stone Staffordshire ST15 0HG Lead Inspector Mandy Beck Key Unannounced Inspection 10:00 1 and 2nd August 2008 st X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Manor House, DS0000005017.V369197.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Manor House, DS0000005017.V369197.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Manor House, Address 37 Stafford Road Walton Stone Staffordshire ST15 0HG 01785 812885 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Richard Charles Britten Mrs Diane Isobel Britten Mrs Phyllis Jean Smith Care Home 33 Category(ies) of Dementia - over 65 years of age (6), Old age, registration, with number not falling within any other category (33) of places The Manor House, DS0000005017.V369197.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th September 2007 Brief Description of the Service: The Manor House is located on the periphery of the town of Stone, and is part of the complex known as Waverley Homes. The home is well located to provide good access to a local shop and post office and just a little further to the wide range of facilities available in the market town. It is registered to provide accommodation for thirty-three older people. The home was extended some years ago and provides comfortable and homely accommodation on three floors. Access is facilitated via a shaft lift. The majority of bedrooms are for single occupancy with just two used as shared bedrooms, one of which has an en suite. Within the past year the home has had an area to the back attractively landscaped, including a water feature, raised borders and seating for residents to enjoy. Car parking facilities are available. The current range of fees are not displayed in the Service User Guide. Readers of this report are asked to contact the home directly for this information. The Manor House, DS0000005017.V369197.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means that people who use this service experience good quality outcomes. We looked at all the information that we have received, or asked for, since the last key inspection. This included: • The annual quality assurance assessment (AQAA) 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. • 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 have made to the service in the last 12 months. • Relevant information from other organisations. • We spent time talking to the people who use the service and to the staff who support them. • We looked at the care of three people who use this service in depth. This is part of our case tracking process and helps us makes judgements about the home’s abilities to meet people’s needs. What the service does well: Each person who lives in this home can be assured their needs will be assessed in full before they move in. Staff are friendly and understand the needs of the people living here. People can feel confident they will be treated with respect and dignity at all times. We were told, “ the staff are so kind and gentle, I would be lost without them”. Food and drink are freely available and there is a good choice of meals on offer. People told us “the food is always lovely and if you don’t like it they will make you something else”, “my only grumble would be that there is too much to eat sometimes”. Complaints will be handled sensitively and people should feel assured their views, concerns would be listened to and acted on by the staff team. The Manor House, DS0000005017.V369197.R01.S.doc Version 5.2 Page 6 This home is managed well and is run in the best interests of the people living here. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. The Manor House, DS0000005017.V369197.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Manor House, DS0000005017.V369197.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who may choose this service will be given enough information upon which to make a decision about it’s suitability for them. People can feel confident that their needs would be assessed in full before they move in. EVIDENCE: The home provides detailed information about the service it provides in the Statement of Purpose and Service User Guide. This document is available in the reception area of the home and each person is given their own individual copy when they move in. We have recommended that the current range of fees the home charges for residency be included in the Statement of Purpose. We looked at the care records for two people as part of our case tracking process. We saw that in both cases people had been involved the assessment of their needs prior to admission. The home also makes sure that it is in The Manor House, DS0000005017.V369197.R01.S.doc Version 5.2 Page 9 receipt of a care assessment by the placing local authority for each person, where applicable. This home does not provide intermediate care facilities. The Manor House, DS0000005017.V369197.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People can feel confident that their healthcare needs will be met and they will receive prompt medical attention. People who use this service will be treated with respect and dignity. EVIDENCE: People using this service have their care needs recorded in a care plan. The plan includes risk assessments of moving and handling, nutritional screening and potential for falling. Care plans and risk assessments are kept under review but this should be done on at least a monthly basis. When we last visited we said that there needed to be an improvement in daily record keeping. During this visit we saw that this has been done. One of the care plans we looked at showed one person needed specific help following recent surgery. Other records detailed Doctors visits and any actions taken as a result of those visits. Staff told us “we have worked hard to improve the record keeping to make sure everything is recorded”. We have recommended the home could be more specific when recording care in people’s plans so that they The Manor House, DS0000005017.V369197.R01.S.doc Version 5.2 Page 11 become more individualised to that person. For instance, one care plan we looked at told us that the assistance of one carer was required for personal cleansing. This could have been expanded to show whether the person preferred male or female carers and a description of they type of assistance that was needed. The home must also make sure that it records people’s weight on admission and regularly thereafter. People using this service said “the staff here are so gentle”, we asked if they got the help they needed, they said “oh yes all of the time”, and “they understand how I like things done and I never feel rushed”, another person told us “they help me with my exercises, I think they’re doing this so I can go home”. We saw evidence that showed us people are seen by doctors and other health care professionals such as district nurses, diabetes specialist nurses, physiotherapists and chiropody services. We have received some comments from some of the health care professionals who visit they home. They told us “All concerns are investigated and an appropriate action plan would be initiated by the care manager in the home”, “in my professional opinion the home offers excellent care to the residents living there”. The district nursing service supports the home in meeting people’s pressure area care. They will assess people’s needs and provide equipment for pressure relief when needed. Medication practices in this home are safe and protect the people living here. There are good systems in place for ordering, receipt and safe storage of medication. Staff who administer medication have all received accredited training and are expected to understand the home’s medication policy before they begin to administer medicines to the people living there. We have recommended the manager also include a competency assessment of each worker to the current system. This will give added assurances that staff have knowledge and understanding for safe systems of medication administration. We have made some recommendations that will also make improvements to the medication systems in the home. When recording handwritten entries on to the Medication Administration Record (MAR) sheet two members of staff should sign the entry to reduce the risk of error. The home should also record the temperature of the room where medication is stored. This should be done to make sure that it does not rise above 25oC. This will ensure that medication is stored as recommended by manufacturers. Throughout the two days of this inspection we have observed staff speaking politely to everyone living at the home, assisting them when needed with sensitivity and understanding of their needs and we noticed that staff knocked before entering people’s rooms. People told us “the staff are wonderful, they The Manor House, DS0000005017.V369197.R01.S.doc Version 5.2 Page 12 never rush me, I’d be lost without them”. “Jean (home manager) and the staff make sure that we have everything we need”. The Manor House, DS0000005017.V369197.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People using this service are supported to lead active lives. The home provides nutritionally balanced meals for people. EVIDENCE: The service offers activities for people to take part in. Some of the people living here also make use of the day care facilities on site. They said “we can go out whenever we want”, “we are hoping to go to Monkey Land soon”. Some of the activities on offer include bingo, painting and armchair keep fit sessions. The home has told us in their Annual Quality Assurance Assessment (AQAA) that there are also outings planned to Blackpool Illuminations, local pub lunches and the Gatehouse Theatre. Age concern also visit the home on a weekly basis and offer a trolley service, this is an opportunity for people to purchase their own snacks and sweets if they wish to. There are no restrictions on visiting and people have the opportunity to see their visitors in the privacy of their own rooms or in the communal areas. The Manor House, DS0000005017.V369197.R01.S.doc Version 5.2 Page 14 During our visit to the service we had to the opportunity to see people’s bedrooms. It was pleasing to see that people are encouraged to personalise their own rooms and their own space in the communal lounges. People have their tables with their belongings on. The home also offers secure facilities for keeping people’s money safe but if people choose to look after their valuables themselves there are lockable facilities in most bedrooms. The manager told us that if people wanted the lockable facility this would be provided. We joined the people using this service for lunch on the first day of the inspection. Lunch was a three course meal that consisted of soup, fried or poached fish with chips or mash potato and mushy peas, fried eggs were also available. Dessert was either plums and custard or yoghurt. The meal was hot and very tasty. People said, “the food is always good, and there is a choice”, “sometimes there is just too much”, “we get sandwiches for tea and there is always a milky drink with biscuits before bedtime”. People are given a nutritionally balanced meal and the home consults with dieticians to make sure that people who may be under or over weight are given the best diet for their needs. This is done by working together and producing a diet and individual meal plan for people. One person told us “I have lost 5lbs through health eating”. There are two dining rooms in the home, both rooms offer a relaxing place to eat your meal, tables are laid with cutlery and condiments and look inviting. The manager has told us that her plan for the coming year is to have the dining room on the top floor redecorated. We saw this room and agree that the décor is dated and is in need of redecoration and refurbishment. The Manor House, DS0000005017.V369197.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in this home can feel confident their views will be listened to and acted upon. Staff have received safeguarding adults training and have a good understanding of how to protect the people living here from harm. EVIDENCE: The home displays the complaints procedure on the notice board by the front door. A copy of this is also included in the statement of purpose which each person has in their bedrooms. Since our last visit the home has received no complaints. We, the commission have not been alerted to any concerns or complaints about this service. The manager told us that complaints would be received positively and handled within agreed timescales. The home also has “suggestion slips” by the signing in book to encourage people to write down their thoughts and suggestions. We looked at the systems in place for Safeguarding vulnerable adults. We spoke to staff about the training they have had. They all demonstrated a very good understanding of what abuse is, who they would report it to and how they would keep people safe. Staff were aware of the home’s whistleblowing policy, they said, “you can report bad practice anonymously”. We also spoke to people living in the home and asked them if they felt safe here, they said The Manor House, DS0000005017.V369197.R01.S.doc Version 5.2 Page 16 “oh yes, in fact this is the fourth home I have been in and the best by far”, “I don’t worry about anything I do feel very safe”. The home takes steps in preventing unsuitable people from working with vulnerable adults by making sure checks against the Protection of Vulnerable Adults (PoVA) list and Criminal Records Bureau (CRB) disclosures are completed when recruiting staff. At this present time there are no forms of restraint being used in this home, such as wheelchair lap belts or bed rails. The Manor House, DS0000005017.V369197.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is clean and well maintained and offers a homely and welcoming place for people to live. EVIDENCE: The home is well maintained and offers a relaxing and welcoming home for people to live in. Recently two of the lounges on the ground floor have been redecorated to a good standard and people are happy with them. They said, “it is very nice isn’t it”. The manager also showed us the newly refurbished shower room on the first floor, this will add to people’s choices for bathing once the perching stool has been supplied. The garden/patio area has adequate seating for each person to use. The area is block paved and there is access for people using walking aids and The Manor House, DS0000005017.V369197.R01.S.doc Version 5.2 Page 18 wheelchairs. People who choose to smoke can have their cigarettes outside in this area. The home has a no smoking policy. Mobility aids such as hoists, standaids and turntables have been purchased to enable staff to move people safely, for example from chair to wheelchair. Safety checks are completed throughout the building but there must be a record of hot water checks completed. We were told that hot water temperatures are tested on a regular basis but these checks were not recorded. We have recommended that this be done. There are systems in place to reduce the risks of cross infection to people. There is liquid soap and paper towels in all toilets and bathrooms for hand washing purposes. Laundry facilities are located in the sister home that is on the same site. Laundry is washed at disinfection temperatures to reduce the risk of cross infection. Staff have also received training and were able to demonstrate a good understanding of the need for effective hand washing. Recently the home had an outbreak of diarrhoea and vomiting and took appropriate steps to manage this by consulting with the Health Protection Agency to ensure that this was contained and treated promptly. The Manor House, DS0000005017.V369197.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at this home have confidence in the staff who care for them. Staff are recruited safely and this prevents unsuitable workers from working with vulnerable adults. EVIDENCE: We looked at the staff rotas and saw that since our last visit there has been an increase in numbers of staff available to meet people’s needs. Rotas showed that there is frequently 5 staff on duty in the morning and 4 in the afternoons. During the night shift there are mostly 3 staff on duty, there were occasions when this has dropped to 2 staff. We have discussed this with the manager and the home’s owner. We have recommended that staffing levels are kept under regular review and are changed in response to people’s needs. The number of staff that has completed their National Vocational Qualification (NVQ) level 2 has increased since our last visit and there are more staff currently in the process of completing their training. The home offers other training for staff and recently this has included, safe handling of medication, dementia awareness, depression awareness and infection control. The number of staff that have completed food hygiene training has also increased. The Manor House, DS0000005017.V369197.R01.S.doc Version 5.2 Page 20 The home has recruited new staff since our last visit and now has a full compliment of staff. There are both male and female carers but the staff group is predominately female. We looked at the recruitment files of three new workers and found them to be in order. Improvements requested at the last inspection had been met, two written references were available for all workers, Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (PoVA) list checks had been completed. All new staff are supported through a comprehensive Skills for Care induction. Staff are given a brief introduction to the home and this is then followed up with training and support during their induction. Staff receive a handbook about the home and the services they provide. The Manor House, DS0000005017.V369197.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run in the best interests of the people who live here. The home benefits from an experienced manager who has a clear understanding of the service and its plans for improvement. EVIDENCE: The manager of this home is Jean Smith, she has worked here for many years and clearly understands the key principles and focus of this service. People told us “Jean and her staff are wonderful”, “if you had a niggle I know that she would sort it out for me”. Staff told us “the manager is very good and gives us support”. The Manor House, DS0000005017.V369197.R01.S.doc Version 5.2 Page 22 There is a good quality assurance system in place. This means that regular audits are undertaken and the views of people using the service are obtained. Recent audits have included a review of accidents, medication, the environment and infection control. The manager has identified areas for improvement and is acting upon them. For instance the recent infection control audits highlighted some areas for improvement, such as replacing worn carpets in bathrooms, repainting and removal of rust on a raised toilet seat and plans for a new bath hoist in the coming year. People using the service are consulted on an annual basis to give their views and thoughts on improvement. There are also residents meetings that give people a forum to discuss their thoughts. The completed Annual Quality Assurance Assessment (AQAA) the home sent to us contains clear, relevant information and we were able to evidence this through inspection. We were made aware of the improvements the service has made and of those it intends to make. There are good systems in place for supporting people to manage their money. At present people are keeping their personal allowance with the home for safekeeping, we looked at monies for three people and found them to be in order. Should people wish to manage their money they have lockable facilities in their bedrooms to keep it safe. The health and safety of people is managed well. We saw that equipment is regularly serviced and maintained. The home has records for all required safety checks such as Gas landlords safety certificate, fire safety and fire drills, fire fighting equipment is up to date and tested weekly. The only exception to this was the five electrical certificate. This could not be located during the inspection but assurances were given that this has been completed and a copy would be forwarded to us for confirmation. There are gaps in the staff training in relation to first aid that must be addressed. At present only one member of the current staff group has an up to date certificate. The manager told us that this would be addressed in September 2008 because more first aid training had been arranged for staff to participate in. This must be completed so that people using the service are not placed at increased risk during a first aid emergency. The Manor House, DS0000005017.V369197.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 2 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 The Manor House, DS0000005017.V369197.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP8 Regulation 13 Requirement People’s weight must be recorded on admission and regularly thereafter. This will make sure that weight loss/gain can be effectively monitored and they are not placed at risk. The home must make sure that greater numbers of staff have first aid training. This will mean that people will not be placed at risk. Timescale for action 01/09/08 2 OP38 13(4) 01/10/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard OP1 OP7 OP7 Good Practice Recommendations The home should include the range of fees that it charges for residency. This will give added clarity to prospective residents. Care plans should be more person centred in their approach so that individual needs are reflected. People’s care plans should be reviewed at least on a monthly basis, but more frequently if their needs have DS0000005017.V369197.R01.S.doc Version 5.2 Page 25 The Manor House, changed. 4 OP9 Two staff should sign all handwritten entries on the MAR sheets. This will reduce the margin for error and reduce the risk maladministration to the people living there. In order to make sure medication is stored in line with manufacturers guidance it is recommended that the temperature of the medication storage room be recorded on daily basis to make sure it does not exceed 25oC. The manager should include a competency assessment of each worker in relation to safe handling and administration of medication. A record should be maintained of the food served in the home and any alternative choice on each day. The record should identify which service users eat what food. Consideration should be given to refitting the carpets along corridors where these are wrinkled. This was particularly noticeable on the 2nd floor corridor. This will reduce any trip hazards for service users and staff. Staffing levels should be kept under review and reflect the changing needs of people using the service. 5 OP9 6 OP9 7 OP15 8 OP19 9 OP27 The Manor House, DS0000005017.V369197.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Manor House, DS0000005017.V369197.R01.S.doc Version 5.2 Page 27 - 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!