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Inspection on 28/01/10 for Priory Court Care Home

Also see our care home review for Priory Court Care Home for more information

This is the latest available inspection report for this service, carried out on 28th January 2010.

it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

Annual service review Name of Service: Priory Court Care Home The quality rating for this care home is: The rating was made on: two star good service 1 3 0 2 2 0 0 9 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: Suzanne Magnier Date of this annual service review: 2 2 1 2 2 0 0 9 Annual Service Review Page 1 of 8 Information about the service Address of service: Old Schools Lane Ewell Village Surrey KT17 1TJ 02083930137 02083941905 manager@priorycourtcare.plus.com Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Name of registered manager (if applicable) Miss Mary Patricia Ross Conditions of registration: Category(ies) : dementia old age, not falling within any other category Conditions of registration: St Cloud Care Plc Number of places (if applicable): Under 65 Over 65 60 0 0 60 The maximum number of service users who can be accommodated is: 60 The registered person may provide the following category/ies of service only: Care home with nursing (N) 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 (OP) Dementia - DE 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 Priory Court is a large detached, purpose built property which is built around a central courtyard garden. The home is situated very close to Ewell village which has a range of Annual Service Review Page 2 of 8 1 3 0 2 2 0 0 9 shops, pubs, restaurants and a library. Epsom town centre is a short drive away and has a more extensive range of shops and facilities. The service is registered for sixty older people and provides residential care on the ground floor and nursing care on the first floor. Up to seven of the people living at the home may have dementia. Two passenger lifts ensure that both of the two floors are accessible to those living at the home. Annual Service Review Page 3 of 8 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 key inspection or annual service review. This included: 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 and numerical information about the service. Surveys were sent to people using the service and to other people with an interest in the service. Eleven written surveys were received from residents or their representatives,two from staff and one from health care professional. The received comments have been included within this service review. Additional information is also about how the service has maintained standards, made improvements and plans for the future. Evidence has also been received about how the home manages any complaints and safeguarding concerns and what the service has told us about things that have happened in the home, these are called notifications and are a legal requirement. We looked at the previous key inspection details, the results of any other visits that we have made to the service in the last 12 months and any relevant information received from other organisations. What has this told us about the service? The home sent us their annual quality assurance assessment when we asked for it. It was clear and gave us all the information we asked for. We looked at the information in the AQAA and our judgement is that the home is still providing a good service. The AQAA advises the home provides a pleasant and welcoming atmosphere. Information about the services and facilities offered by the home are available for visitors and new enquirers in the form of a brochures and enclosures. Staff are supported and encouraged to take ownership of showing prospective new residents and their families around the home. The AQAA does not refer directly to the formation of residents care plans and risk assessments yet with knowledge of St Cloud Care PLC the commission are satisfied that the home has systems in place for the evaluation of prospective residents care and support needs, including appropriate risk assessments, and the formation of documented care plans to ensure that residents needs are met and their safety and security continues to be promoted. The AQAA advises that residents care plans are audited. Annual Service Review Page 4 of 8 Health care services remain available to all residents. The home have maintained their professional relationships with outside health care professionals including having a general practitioner retainer with the senior partner of a local surgery, which gives the home a dedicated weekly visit by the senior general practitioner and the home are able to access domiciliary services from local GP centre. Comments received from health care professionals regarding the home included In my experience the service users I have placed at Priory Court have always spoken highly of the care practises. What the service could do better is to make more beds at Social Service rates available, we have many families choosing Priory Court as a residence for their relatives but are unable to accommodate them due to Priory Courts funding criteria and levels. The AQAA states that the home has an ongoing professional working relationship with local chemist, who provides twice daily deliveries to the home for prescriptions. One staff members written comments advise that they have concerns regarding the medication administration and recording of medication in the home and it is requested that this matter be addressed as a matter of priority by the registered provider and manager and written feedback submitted to the commission following an investigation of the allegation. The AQAA advises that the home provide meaningful activities and choice in residents daily lives. The home state they provide a good programme of activities which are led by the residents and are viewed as innovative and challenging. The home has a dedicated activity and craft room and a monthly newsletter called the Priory Court Chronicle. As part of the activities programme the home engage external entertainments, are involved in local community events and invite schools and church groups to visit the home. Special seasonal and family events are held at the home and regular use of the cinema room for showing of films, documentaries with discussions and presentations by staff and families for example films of family events, weddings and christenings. Written comments received from residents, their friends or relatives about the home included what the home does well are the activities, yet they should provide the correct food as requested on the menu. They could do with more staff at times. They cope well with difficult residents, they need to make sure the food is hot. Its all very good. The home staff let you relax and do not bother you but they are always there if needed. The carers are very good What the home could do better are the meals. There often isnt a cooked meal I can eat and I have cold meat and veg, no one seems to understand that I cant eat curry or slightly seasoned food and this becomes a problem at times. Soup is often left and we are not told which soup it is and this is a waste which we have to pay for. Staff are very friendly and helpful, the programme of activities are well set out and varied and the food is very enjoyable. The laundry could be improved as there have been a few items that have been lost despite being clearly marked and they also come back creased. Priory Court is home for me and is very satisfactory and enjoyable with a very nice room. They need more staff on duty. The laundry is very prompt, staff are very attentive and friendly, there is assistance when required, food is always well prepared and there is a friendly atmosphere. It would be better if staff did not touch the tops of glasses with their fingers and hold the base instead, they should serve food from the left not across the person please and more outings would be nice if possible. Annual Service Review Page 5 of 8 The home has a formal complaints procedure. The AQAA advises that twelve complaints have been received by the home within the last 12 months which have all been investigated using the homes complaints procedures and the home have been subject to five safeguarding vulnerable adult referrals. It is requested that the commission receive a written summary of the complaints following receipt of this annual service review. One staff member written comments advise that most staff would like to have their say maybe to CQC on their next visit. Staff are reminded that information can be received by the commissions representatives at any time including out of hours contact and any information concerning the welfare and well being of residents must be reported without delay using the homes whistle blowing and safeguarding procedures. The recruitment and selection of staff ensures that all appropriate checks are made to make sure that residents are protected and safeguarded from any harm or abuse. All new staff receive the Skills for Care Induction programme and the home have maintained a planned mandatory training programme. Specialist training in Dementia Awareness and Palliative Care have been attended by the majority of staff and senior staff have been trained as trainers in moving and handling and first aid. The AQAA advises that all permanent care workers have achieved their NVQ Level 2 or 3 award. Written comments received from staff included we give excellent care to the residents.What the home could do better is to be able to allocate the number of staff on how much care each resident needs rather than just the number of residents. The nursing section has a high number of high dependency residents but we are only allocated the same amount of staff if we had the same number of low dependency residents. The food is better quality now they have a new chef, the general care for the residents is done well by most staff and the deputy manager and administrative manager preform their roles well. The commission are aware, and the AQAA advises, that changes to the homes environment have included a new building project to extend premises to provide 21 nursing and residential beds for residents dementia care needs on three floors and unit of 5 rooms for residents with neurological conditions. The home have a new enlarged kitchen and there is an ongoing upgrade of lighting and new carpets have been fitted throughout the home. New tiling in bathrooms and some bedrooms have been decorated in tune with support for people with dementia for example colours and designs for furniture and fabrics. The home advise they have have maintained a Quality Assurance process in order to seek the views and opinions of residents and their representatives and others associated with the home and several of the changes in the home have been as a result of listening to residents and people associated with the home. The management of the home is stable and the home continues to let the commission know about things that have happened since the last key inspection and they have shown that they have managed issues well. They work well with us and have shown us that their service continues to provide good outcomes for the residents who use it. Annual Service Review Page 6 of 8 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 the 31st December 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 residents. 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