Inspection on 04/10/05 for Hawksyard Priory Care Home

This inspection was carried out on 4th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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.

Other inspections for this house

Hawksyard Priory Care Home 05/08/08

Hawksyard Priory Care Home 05/09/06

Hawksyard Priory Care Home 12/04/05

Hawksyard Priory Care Home 05/10/04

Hawksyard Priory Care Home 16/04/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Hawksyard Priory Care Home Armitage Lane Armitage Rugeley Staffordshire WS15 1PT Lead Inspector Announced Inspection 4th October 2005 09:30 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 Hawksyard Priory Care Home DS0000022334.V250445.R01.S.doc Version 5.0 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. Hawksyard Priory Care Home DS0000022334.V250445.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Hawksyard Priory Care Home Address Armitage Lane Armitage Rugeley Staffordshire WS15 1PT 01543 490012 01543 492546 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) Hawksyard Priory Nursing Home Limited Mrs Susan Haskett Care Home 76 Category(ies) of Dementia - over 65 years of age (27), Learning registration, with number disability (1), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (27), Physical disability (6), Physical disability over 65 years of age (49), Terminally ill (4) Hawksyard Priory Care Home DS0000022334.V250445.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. PD(E) Minimum age 60 years DE(E) - MD(E) Minimum age 60 years Conditions for Palliative Care 1. That at least one of the Nursing Staff have the recognised Qualification ENB931 or K260 within 9 months. 12/04/05 Date of last inspection Brief Description of the Service: Hawkesyard Priory is a privately owned care home situated on the outskirts of the Staffordshire village of Armitage. The home is a former Dominican Priory and is set in large grounds. The home is registered to provide both nursing and personal care, including mental health care, for up to a total of 74 elderly service users. Access to the home is via a long driveway. A regular bus service stops at the end of the drive and all shops and community facilities are available in the village. Accommodation is provided on three floors. The ground floor (22 beds) and second floor (26 beds) offer accommodation for service users with general personal care and nursing care needs. The top floor (26 beds) offers accommodation for service users with mental healthcare needs. Separate lounge and dining facilities are provided on each floor. Hairdressing and smoking facilities are also provided. A large church and a library are part of the buildings. Services and facilities including laundry, catering and hotel services facilities are good. Activities, hobbies and entertainment all take place and transport is provided when required. Families and friends are encouraged to take part in activities and trips out. Qualified nurses and teams of care assistants provide care. Community nurses and NHS facilities are accessed when required. A local GP practice and Pharmacy service the home. Hawksyard Priory Care Home DS0000022334.V250445.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This routine announced visit was made on the 04 October 2005 @ 09.30hrs. The inspection was undertaken using the National Minimum Standards for Older People as a reference. The total time spent for the inspection, including pre and fieldwork, amounted to 7hrs. The registered care manager, who is a first level nurse and a joint owner, was in charge of the home accompanied by three more registered nurses and fourteen care assistants. Ancillary staff on duty included; 2 cooks and a catering assistant, housekeeper, 7 domestic staff, laundry worker, 4 maintenance/ gardeners, and a business support worker. These staffing levels were adequate to meet the needs of current 72 residents in the home. The total of 72 elderly residents included; 67 receiving nursing care (43 having needs associated with physical disablement 24 having needs associated with a mental disorder or dementia related condition), and 5 people receiving personal care for needs associate with old age. The inspection included the following elements; a tour of the building, inspection of records relating to provision of care, discussions with several residents and relatives and also staff members, observation and sampling of other services provided such as catering and laundry, an inspection of the managerial aspects such as staffing, quality assurance and health & safety. Since the last inspection on 12 April 2005; there had been no changes to the management of the home. Two complaints had been received (one partly substantiated) and one additional visit had been necessitated. There had been 31 deaths in the home during the previous 12 months. During this period the home had nursed very poorly patients with terminal illness, and this was reflected in the total number of deaths recorded. Currently 10 people were being correctly treated for pressure areas (8 hospital acquired), and the clinical nurse specialist was being accessed by the home. Two minor incidents of theft had been dealt with in the correct manner with police involvement. It was evident that aspects of care had been addressed well, with residents able to choose the home following an assessment and invitation to visit the home. Service user plans had been well written, based on the community care plans completed by social workers. Health, personal and social care needs had been met and well documented. Privacy, dignity and choice aspects for residents were being upheld. The home was fit for purpose, well maintained, and provided a safe environment for the registered client groups. A homely atmosphere had been Hawksyard Priory Care Home DS0000022334.V250445.R01.S.doc Version 5.0 Page 6 created, and the premised were clean warm and tidy. Adequate areas for residents were provided including; communal space, dining/activity space, bathing/toilet facilities, and bedrooms. Services and facilities including catering and laundry were adequately provided. Health and safety aspects had been given a high priority and no shortfalls were noted. Staffing levels and skill mix had been adequate to meet the assessed needs of the existing residents. Recruitment of staff aspects was good. Staff training was being given a high priority, with induction training being followed by NVQ training. The home has yet to achieve the 50 NVQ level2 target. Not all staff had received supervision. The home appeared to be managed well by a qualified and competent care manager at the helm. General management aspects were good with quality assurance taking place. Records had been correctly filed and stored. Assurances were given regarding the positive financial viability of the home, and that suitable accounting/business procedures are adopted. The future planned development of the home, including the result of planning applications, should be discussed further with CSCI, as agreed. Requirements and recommendations made during this inspection are identified at the end of this report. What the service does well: What has improved since the last inspection? Redecoration has continued throughout the building. Curtains, cushion covers and fabrics have been replaced. The car parking area has been enlarged. The recommendations of the Environmental Health Officer, relating to the redecoration of the main kitchen, have been complied with. The above was established during a discussion with staff and examination of the documentation within the home. Hawksyard Priory Care Home DS0000022334.V250445.R01.S.doc Version 5.0 Page 7 What they could do better: The following aspects were identified during the inspection; • • • • Completion of complaints register Completion of supervision sessions for all nursing/care staff. Installation of more suitable floor covering in 2 bedrooms Continuation of NVQ training for care staff Assurances were given that all of the above items would be addressed. It is understood that increased single bedroom occupancy is currently being proposed. 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. Hawksyard Priory Care Home DS0000022334.V250445.R01.S.doc Version 5.0 Page 8 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 Hawksyard Priory Care Home DS0000022334.V250445.R01.S.doc Version 5.0 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1,2,3,4,5 The statement of purpose and service user guide was available and also all residents had a contract. All had been given the opportunity to visit the home prior to admission. Individual health, personal and social care needs had been established and documented. All of the above had ensured that the home had the ability to meet the needs of residents within the registered category. EVIDENCE: The documentation seen, and a discussion with residents/representatives, evidenced that residents had been assessed prior to admission and they had been enabled to make a choice about the home. All involved had the opportunity to visit the home prior to choosing to stay. Two residents spoken to had visited the home, and had a meal prior to deciding to stay, and this was seen documented within the care plans. Hawksyard Priory Care Home DS0000022334.V250445.R01.S.doc Version 5.0 Page 10 A full assessment of each residents needs had taken place and this was seen documented. The community care plans provided by the social worker, as part of the individual needs assessment process, were seen within the service user plans. Residents asked confirmed that they had been fully involved and were in agreement with the assessments. The records seen and a discussion with the staff evidenced that care staff, individually and collectively, had the necessary experience and skills to meet the assessed needs of the current service users. Hawksyard Priory Care Home DS0000022334.V250445.R01.S.doc Version 5.0 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7,8,9,10,11 The assessed health and personal care needs of patients and residents had been well documented and were being met, with good standards of care being delivered. Signatures were required to evidence service users agreement with the plan of care. There was a safe system for the receipt, storage, administration and disposal of medicines. Residents were treated with respect, privacy and dignity, during the caring process. NHS health care facilities and professionals had been accessed when required. Death and dying had been dealt with in a sympathetic and correct manner. All of the above had contributed to the health and personal care needs of service users being well met. EVIDENCE: Ten service users, and eight relatives spoken to, all commented positively about the care being provided. Visitors told the inspector of the high standards being delivered compared to NHS facilities recently accessed by their relatives. A visiting social worker told the inspector of the good standards that she had observed. The service user plans and associated documentation seen was well written, meaningful and reflected the current condition of residents. The Hawksyard Priory Care Home DS0000022334.V250445.R01.S.doc Version 5.0 Page 12 documentation seen and a discussion with both residents and staff members evidenced that health and personal care needs were being well met. The signature of residents and or representatives should be seen to indicate their agreement with the plan of care. A revised form is being introduced on the EMI floor to re-assess a resident’s mental state. A total of 10 care plans were examined in depth. NHS facilities and professionals including community nurses, medical consultants and clinical nurse specialists had all been accessed when required, and these events were seen recorded. A local GP practice and pharmacy service the home, and there is a good working relationship with them. Records of their visits and outcomes were seen documented. Currently 10 people were being correctly treated for pressure areas (8 hospital acquired), and the clinical nurse specialist was being accessed by the home. The medicines within the home, medication administration records, controlled drugs book and drugs returned book, were all checked and no errors were noted. It was observed that a safe system was in place, and that the comprehensive medicines policy documentation seen was being complied with. The documentation seen evidenced that only trained nurses administered medicines. No resident was ‘self medicating’, but locked facilities were available. Controlled drugs were checked and the stock reconciled with the accurate records seen. The new system of drug disposal was being introduced on the day of the inspection. During the inspection it was observed that privacy and dignity were being afforded to residents, and there was very good interaction with staff. Care staff were seen knocking on doors before entering. Four residents told the inspector that they were treated with respect, and that the staff were very kind. One resident in the company of her social worker made very positive remarks to the inspector about the home and how they had increased her quality of life. The records and policy documentation seen, along with a discussion with the staff, evidenced that death and dying aspects had been dealt with correctly and in a sympathetic manner. There had been 31 deaths in the home during the previous 12 months. During this period the home had nursed very poorly patients with terminal illness, and this had reflected in the total number of deaths recorded. Hawksyard Priory Care Home DS0000022334.V250445.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,14,15 Residents were satisfied with their lifestyle in the home, and they had been able to exercise choice and influence decisions affecting them. Contact had been maintained with relatives and friends of residents. Opportunities to access the local community had been made available. Catering aspects were good with balanced nutritious meals being served, along with resident consultation and choice. EVIDENCE: Several residents told the inspector that their views had been listened to, and that they had been able to influence some aspects of the running of the home e.g. mealtimes, menus, beverage facilities for visitors. These comments had been documented along with the feed back from the resident/relatives questionnaires, and they had been acted upon. Contacts had been maintained, where possible, with relatives and friends and this was seen documented. Residents spoke of their visitors and their involvement with the home. Visitors attending the home during this inspection, told the inspector of the good links and communication with them. Trips out to the community had been well organised and transport provided. The activities organiser showed the inspector the activities folder, which evidenced the activities both inside and outside the home. The activities were organised by two designated members of staff and residents spoke of the good Hawksyard Priory Care Home DS0000022334.V250445.R01.S.doc Version 5.0 Page 14 work that they had done. The residents spoken to confirmed that information had been circulated regarding future events and activities and they could choose about participation. Several residents spoke of their satisfaction with the meals and choices offered. The menus and catering records were examined and evidenced that the dietary requirements of residents were met. The records evidenced that residents’ needs with diabetes, and special diets, had been met. The two cooks when asked said that fresh good quality food from local suppliers was delivered on a weekly basis, the records seen confirmed this. Adequate supplies of fresh vegetables and fruit were also seen. The mid day meal seen was well presented and met all nutritional requirements. The care staff spoke with each resident on a daily basis to establish his or her choice of food for the day, and this was seen documented. The inspector sampled the mid day meal and it was very good, meeting all requirements. Several residents were unable to make a decision regarding choice of meal, due to their current condition, and the inspector saw them being assisted by staff who were knowledgeable of their likes and dislikes. Hawksyard Priory Care Home DS0000022334.V250445.R01.S.doc Version 5.0 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16,17,18 Complaints or grumbles are listened to and resolved. The register of complaints was incomplete, though most of the information was available. The home policies, procedures and staff training, protected residents from aspects of abuse. Service users legal rights were protected. Cards and letters from appreciative relatives/representatives containing compliments on the home evidenced their satisfaction. EVIDENCE: An examination of the complaints record, the relevant policy and procedure documentation, and a discussion with staff and residents, evidenced that complaints and grumbles were listened to and dealt with. However not all had been entered into the complaints register. A record/register must be kept of all complaints made, as agreed. Since the last inspection two complaints had been recorded or brought to the attention of this commission. One was unsubstantiated and the other relating to serving of meals and crockery had been partly upheld. This matter has been dealt with well to the satisfaction of all service users and complainant. Many ‘thank you’ and complimentary cards were seen from appreciative relatives. No incidents of neglect or abuse of any kind has been reported. Two minor incidents of theft had been dealt with in the correct manner with police involvement. The policy documentation seen, and a discussion with staff confirmed that residents are protected from all forms of abuse. Hawksyard Priory Care Home DS0000022334.V250445.R01.S.doc Version 5.0 Page 16 Documentation seen evidenced that the above issues had been discussed at length during staff induction, training and on-going supervision. A discussion with the staff and residents evidenced that all residents had been afforded the opportunity to exercise their vote in past elections. The manager confirmed that an advocate would be facilitated if required by a resident. Hawksyard Priory Care Home DS0000022334.V250445.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 19,23,26 The home is fit for purpose and provides a safe environment for residents. The home was clean, warm and tidy, and had a very comfortable atmosphere, with one exception. The buildings and grounds and gardens were well maintained. Increased single bedroom occupancy is being considered. The above has contributed to the satisfaction of the premises as expressed by the residents and their relatives. EVIDENCE: A tour of the building, and a check on the maintenance documentation, verified that the premises were fit for purpose, clean warm and tidy, and were being well maintained. Consideration should be given to the fitting of a more suitable floor covering in the two bedrooms identified. It is understood that plans are currently being drawn up and submitted for alterations and extensions to the home that will provide more single bedroom accommodation. Currently 24 beds out of the total 76 beds (37 ) are in single bedrooms. CSCI will be kept informed of planning decisions, and resultant proposals. Hawksyard Priory Care Home DS0000022334.V250445.R01.S.doc Version 5.0 Page 18 The duty rosters evidenced that adequate ancillary staff were employed. Staff when asked told the inspector of their knowledge on infection control, and showed him the relevant documentation. Adequate hand washing facilities, including hand gel, were available throughout the home. The laundry and sluice facilities were seen to be fully compliant. The records evidence that maintenance of the premises was being given a high priority. The extensive grounds and gardens were seen to be well maintained and were much appreciated by residents, visitors and staff spoken to. Hot water temperature checks, and emergency lighting/fire alarm tests were seen up to date and correct. There are no outstanding issues known from the Fire Prevention or Environmental Health departments. The EHO previously reported item of repainting in the main kitchen had been addressed. Hawksyard Priory Care Home DS0000022334.V250445.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27,28,29,30 The assessed needs of service users had been met by an adequate number of suitably trained staff. Training should continue to enable a minimum of 50 care staff achieve NVQ level2, as agreed. Recruitment procedures had been correctly addressed which had contributed to the protection of service users. It was adjudged that staff had sufficient knowledge and skills to protect service users, and meet their needs in the correct manner. EVIDENCE: On the day of the inspection an adequate number of staff were observed on duty to meet the assessed needs of the patients and residents. The duty rosters seen, and a discussion with the care manager and the staff, evidenced that adequate numbers of staff had been on duty to meet the needs of the existing service users. The rosters seen evidenced that the following care staff had been on duty or exceeded for the 72 residents; a.m. 2RGN/RMN 14 Care assistants ( Care manager RGN for 5 days), p.m. 2RGN/RMN 11 Care assistants, nights 2RGN/RMN 6 Care assistants. Adequate ancillary staff had been provided each week. Six residents asked stated that staff were available when they wanted them, and that the staff were capable. Hawksyard Priory Care Home DS0000022334.V250445.R01.S.doc Version 5.0 Page 20 The records seen evidenced that in addition to the registered nurses the home employed 59 care assistants, of which 20 (34 ) were trained to NVQ level 2 or above. A further 16 were currently studying and it was anticipated that the target of 50 trained to level 2 would be achieved in the coming months. The homes recruitment policy, procedures and documentation were examined and recruitment issues had been handled correctly. Staff had been subject to POVA/CRB comprehensive checks, and these were seen recorded. Staff asked stated that they had job descriptions and contracts of employment. General training had been given a high priority and the training records of individuals were seen. The records evidenced that care assistants had benefited from ‘in house’ and external training, which had covered the needs of the registered client group. Staff told the inspector that they had been afforded the time off and encouraged to study. Hawksyard Priory Care Home DS0000022334.V250445.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31,33,35,38 The home appeared to be well managed by a well-experienced and qualified manager. An open positive and inclusive atmosphere was evident within the home. Quality assurance was in place, but not all staff had received regular supervision sessions. Financial aspects were correctly addressed and recorded, with safeguards to residents. Health and safety issues had been given a high priority and managed well. All of the above had contributed to the home being run in the best interest of service users. EVIDENCE: The registered care manager is well experienced and is well qualified including the Registered Managers Award. An open, positive and inclusive atmosphere was observed during the visit and confirmed to the inspector by service users, staff and relatives. Staff when asked also said the manager portrayed a clear sense of leadership and direction which enabled them to relate to the aims and objectives of the home. Hawksyard Priory Care Home DS0000022334.V250445.R01.S.doc Version 5.0 Page 22 From observations made, discussions with service users and staff, it was evident that the home was being run in the interests of service users. Quality assurance, including feedback from residents and their representatives, was seen documented. Documentation seen evidenced that the views of visiting professionals had also been established, and included in the review process. All nursing and care staff must have supervision sessions six times per year, as agreed. A check on the records and a discussion with both residents and representatives evidenced that all service users had the opportunity to handle their own finances and residents and families had chosen to do so. Day to day monies of residents were checked and money held reconciled with the ledger. Inventories of valuables and belongings brought into the home were seen recorded. No health and safety issues were noted during this inspection, including a tour of the home. The documentation seen for checks and examination of plant and equipment was all correct and up to date and included; fire precautions, fire equipment, gas testing, boiler servicing, wheelchairs, equipment, hoists, lifting equipment, shaft lift servicing and tests, electrical installation tests, portable electrical appliances, water treatment, water temperatures. The maintenance person and other staff spoken to confirmed that health and safety issues are given a high priority. Assurances were given by the care manager/owner that the home was viable and that the company adopted suitable accountancy and budgeting procedures. The current public liability insurance certificate was seen up to date and correct. Hawksyard Priory Care Home DS0000022334.V250445.R01.S.doc Version 5.0 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 3 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 3 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 3 18 3 3 x x x 3 x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 x 3 x 3 2 x 3 Hawksyard Priory Care Home DS0000022334.V250445.R01.S.doc Version 5.0 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 2 Standard OP16 OP36 Regulation 17(2) Sched. 4 18(2) Timescale for action A record/register must be kept of 11/10/05 all complaints made, as agreed. All nursing and care staff must 08/11/05 have supervision sessions six times per year, as agreed. Requirement 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 OP28 OP19 OP7 Good Practice Recommendations Training should continue to enable 50 care staff achieve level2 NVQ standard (currently underway). Consideration should be given to the fitting of a more suitable floor covering in the two bedrooms identified. The signature of residents and/or representatives should be seen to indicate their agreement with the plan of care. Hawksyard Priory Care Home DS0000022334.V250445.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: 0845 015 0120 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 Hawksyard Priory Care Home DS0000022334.V250445.R01.S.doc Version 5.0 Page 26 - 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. 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