Care Home: The Manor House, Frenchay

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Annual service review Name of Service: The Manor House, Frenchay 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 4 0 3 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service Address of service: Beckspool Road Frenchay South Glos BS16 1NT 01179566424 01179566050 mclarke@themanorhouse.org Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : learning disability physical disability Conditions of registration: Mrs Marilyn Joan Clarke Number of places (if applicable): Under 65 Over 65 32 32 0 0 The maximum number of service users who can be accommodated is 32 The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Learning disability (Code LD) Physical disability (Code PD) 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 The Manor House is situated in a semi-rural location in Frenchay Village within close proximity to the M4 and Avon Ring Road. There are shops and facilities within a mile of the home. The Manor House is a large detached property that is divided into two units, Chestnut and Arandell, each with its own facilities including two lounges, a dining room and kitchenette. The home is registered to provide residential care and accommodation to 32 adults with a learning and physical disability. Presently the home has 18 people living there. Accommodation is on three floors. There is a lift, which is Annual Service Review Page 2 of 7 accessible for people with wheelchairs to access the first floor only. Over the last few years the home has been downsized to provide more single rooms with some having ensuite facilities. Several of the rooms have been modernised. The home provides some ground floor accommodation and a facility to enable four people to live as independently as possible. Equipment and beds to meet the needs of people with physical/mobility needs have also been provided. Manor House is one of three homes within the Manor House Organisation that provides for adults with learning disabilities and a further home is registered with OFSTED to provide respite care to children with a learning disability. There is also a day centre. Four of the services share the Manor House site. The registered manager is Mrs Sue Williams. Information about the fees are available upon request from the home. 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 that was completed by us on 17th March 2009. This included: The Annual Quality assurance Assessment (AQAA) that was sent to us by the service. We received this when we requested it in February 2010. The AQAA is a selfassessment 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 manages safeguarding issues and complaints in order to protect and support the people living at The Manor House. We also reviewed 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 re-visited and evaluated the the previous key inspection that was undertaken in March 2008. We also made a telephone call and spoke with the deputy manager to find out about any further improvements or issues since the AQAA was submitted. This Annual Service Review has been completed without the use of surveys or staff questionnaires. 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 of 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 House are known and responded to, these were recorded as follows; 6 Residents meetings are held per year, residents participate in choosing staff, annual resident questionnaire and also that reviews are completed in-house of individuals chosen goals. The AQAA told us of a number of improvements have been made in the last 12 months including: The home have obtained 1:1 funding for 2 clients who wanted a change in their day service which the in house service now provides. The service have introduced an apprentice role in the staff team to encourage 16 year olds to achieve Care Assistant status by 18 years old. Annual Service Review Page 4 of 7 The service has supported (and continues to do so) people who have made serious life choices. The service facilitated this and have continued to support individuals with decision making processes. The service have supported people in order that they may be able to manage their own medication safely. All staff have in place a continual professional development document in order that their roles, responsibilities and practice are monitored. Individuals are fully supported where required. Within the section of the AQAA where the service are able to tell us briefly what they believe their service does well, they informed us that they ; Support individualized care packages, Offers high quality personal care and health care for clients who have profound/complex disabilities and unpredictable epilepsy. And also that they deliver ongoing training and support for all employees. Our last key visit to the service which took place 7th March 2008 we reported that the service has appropriate procedures in place for management of complaints. The service has a complaints policy and procedure this document contains information about the Care Quality Commission to enable individuals to contact the Commission if they were not satisfied with the outcome of their complaint to the service. There is a copy of the local authority policy on The Protection of Vulnerable Adults from Abuse to ensure that the service is aware of the protocol to be followed if incidences of abuse occur. Within the management section of our last key report we recorded: Good management arrangements are in place and individuals benefit from a well-managed service. During our last key visit to the service on 17th March 2008 we reported that individuals have available to them a wide range of activities both in the home and the local community. We also reported that it was evident that individuals are not discriminated against due to their disability and opportunities for every day activities and leisure pursuits are open to them. At the Manor House there are good systems for monitoring the quality of the service provision. These include a structured business plan, ongoing monitoring, assessment and review of the needs, wishes and aspirations of the people who live at the home, professional staff development, supervision and appraisal. Good inter-professional relationships with other external agencies in order to provide a good quality service to those living at the home. During our last key visit to the service five requirements and no recommendations were made. On Tuesday 17th March 2009 we contacted the home, we spoke with the registered Manager who told us that all of the requirements had been met in full and gave examples and details of how these had been achieved. Within the last twelve months there has been two complaints raised to the service, both of which were resolved within the homes complaints procedure of 28 days. During the past twelve months there has been one safeguarding incident, this was involving individuals who live at the home. The home contacted the relevant local authority safeguarding adults team and The Commission to inform about the situation. The home has demonstrated to us when dealing with the safeguarding issue and the two Annual Service Review Page 5 of 7 complaints about the service 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 past twelve months the service have worked diligently to ensure that staff are aware of their role and responsibility in this area. The home have in their own safeguarding trainer and have also produced a Red Alert document to ensure staff are aware of issues of safeguarding. On 4th March 2010 we spoke to the deputy manager of the service who spoke with warmth and enthusiasm of the service that is delivered at the Manor House. The manager informed us of the current Annual Development Plan that is being undertaken at the service, this audit links to the National Minimum Standards and is a process of monitoring the service and levels of quality/satisfaction being provided at the home. As far as we know, 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. The service continues to operate well and has shown us that their service continues to provide good outcomes for the people who live there. What are we going to do as a result of this annual service review? We can inspect The Manor House at any time if we have any concerns about the care, welfare or safety of the people living there. There is nothing to currently indicate that an inspection is required in the immediate future. We are not going to change our inspection plan, and will do a key inspection as required in line with our inspection methodology. 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. 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