Inspection on 20/09/05 for Prideaux House

This inspection was carried out on 20th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Prideaux House 14/01/09

Prideaux House 08/01/07

Prideaux House 22/02/06

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

CARE HOMES FOR OLDER PEOPLE Prideaux House 21 Prideaux Road Eastbourne East Sussex BN21 2ND Lead Inspector Angela Gunning Announced Inspection 20th September 2005 9:00 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 Prideaux House DS0000064971.V249233.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. Prideaux House DS0000064971.V249233.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Prideaux House Address 21 Prideaux Road Eastbourne East Sussex BN21 2ND 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) 01323 726443 Prideaux House Care Limited Mrs Lynda Nichols Care Home 20 Category(ies) of Dementia (20) registration, with number of places Prideaux House DS0000064971.V249233.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. That service users are aged sixty-five (65) years or over on admission. A maximum of twenty (20) service users are accommodated. That only service users with a dementia type illness are accommodated. 27/1/05 Date of last inspection Brief Description of the Service: Prideaux House is a care home registered for 20 older people with a dementia type illness. The home is a large detached house situated in a residential area of Eastbourne, close to the town centre and the District General Hospital. There is a large lounge at the front of the house and a separate dining room that has access to a large rear garden. Accommodation is situated on three floors that are accessed by stairs, which has a grab rail to assist residents and staff. The home does not provide a passenger or stair-chair lift, although the new owner is obtaining advise and quotes to install this facility. The home liaises well with a variety of healthcare professionals who support the manager and staff to ensure that residents’ health and welfare needs are met. Prideaux House DS0000064971.V249233.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection, which was undertaken over four and half hours during the day. Parts of the environment were inspected, including the lounge, bathrooms, the kitchen and some bedrooms. Two care plans and two staff files were examined. Several people were spoken to on the day of the inspection, including the new owner, the manager, the deputy manage, three members of staff and three residents. Fifteen (15) relatives returned comment cards as part of the inspection process. Prideaux House has recently come under new ownership and satisfactory management arrangements have been put into place as part of the new ownership and registration of Prideaux House. One relative remarked that ‘the usual high standards have been maintained despite the changes in personnel’. What the service does well: What has improved since the last inspection? Six members of staff have commenced National Vocational Qualification (NVQ) training in Care and some staff recently received training in Dementia Care. A volunteer has recently been joined the team at Prideaux House to provide entertainment every Tuesday afternoon. New baths and toilets have recently been fitted in the ground and first floor bathrooms. Prideaux House DS0000064971.V249233.R01.S.doc Version 5.0 Page 6 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. Prideaux House DS0000064971.V249233.R01.S.doc Version 5.0 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 Prideaux House DS0000064971.V249233.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 4, 5 The homes’ Brochure, Statement of Purpose and Service User Guide enables people to make an informed choice about where to live and that the facilities and services provided will meet their health and welfare needs. EVIDENCE: A new Statement of Purpose and Service User Guide has been produced to reflect the change in ownership and the management arrangements for Prideaux House. Fifteen (15) comment cards were received from residents’ relatives, all confirming that they are satisfied with the overall care provided at Prideaux House. One relative wrote ‘I am more than satisfied, I am indebted and extremely grateful for all that has been done for my sister’. Where appropriate, prospective residents and their relatives or representatives can visit and stay for lunch or supper prior to moving into Prideaux House. One relative confirmed that they were ‘invited to stay for lunch and were very pleased with it all being home cooked and were very pleased with the home and thought it was excellent’. The new owner confirmed that Prideaux House Prideaux House DS0000064971.V249233.R01.S.doc Version 5.0 Page 9 offers a four-week trial period to ensure that the home can fully meet residents health and welfare needs. Prideaux House DS0000064971.V249233.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8 The health needs of residents are well met, with an effective care planning system that monitors each resident’s health care needs on a regular basis. EVIDENCE: Each resident has a care plan and a monthly reassessment of their care needs, although, it was noted that one resident’s plan needed to give clearer care instructions following the monthly review. Residents’ care plans contained evidence that various healthcare professionals are contacted as and when necessary. One relative wrote explaining how her sisters ill health had been managed recently: ‘the team at Prideaux House had endless patience, such kindness, such encouragement, thinking of ways to encourage her back to health and the will to live and this they did, to me it was a real miracle.’ Another relative said that since her mother moved into Prideaux House ‘she has improved enormously and gained much needed weight’. Prideaux House DS0000064971.V249233.R01.S.doc Version 5.0 Page 11 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): 12, 13 The arrangements for leisure and social activities inside and outside the home provide good opportunity for mental and physical stimulation and promote independence and choice. EVIDENCE: The home does not provide a set activities programme, but offers a variety of activities, such as music and singing sessions, trips to plays and concerts, as well as quizzes, board games and ball and beanbag exercises. A volunteer has recently been joined the team at Prideaux House to provide entertainment every Tuesday afternoon. It was noted that residents are encouraged and supported to maintain contact with their relatives and retain their independence. One resident is encouraged to continue to attend a music club every other week. Fifteen (15) relatives confirmed that they ‘can visit their relative in private’. One relative wrote that it has been a pleasure to visit my wife and have always been in her room with a pot of tea and biscuits on arrival and indeed have been invited to stay for lunch on occasions’. Prideaux House DS0000064971.V249233.R01.S.doc Version 5.0 Page 12 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): 16, 18 The homes’ policy and procedures for dealing with concerns or complaints ensures that residents and relatives are listened to and that complaints will be acted upon. The home is developing their arrangements for staff knowledge and understanding of Adult Protection issues to prevent residents being placed at possible risk of harm or abuse. EVIDENCE: Fifteen (15) relatives confirmed that ‘they are aware of the home’s complaint procedure and that they ‘have not had to ever make a complaint’. Five (5) residents confirmed that ‘they knew who to speak to if they were unhappy about their care.’ During the inspection there was some discussion around a recent incident that had caused a neighbour concern and this was reported to the CSCI. There was no record maintained about this incident or the action that was taken. This issue has now been addressed. A new in house training package that provides some knowledge and understanding of Adult protection issues has been purchased. However, this Adult Protection training needs to also reflect local multi-agency procedures to ensure that residents are not being placed at possible risk of harm or abuse. Prideaux House DS0000064971.V249233.R01.S.doc Version 5.0 Page 13 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): 19, 21, 22, 26 The environment provides residents with an attractive and homely place to live. Arrangements are being made to provide residents with easier access to the first and second floor accommodation. EVIDENCE: Prideaux House continues to be well maintained with ongoing redecoration and refurbishment. There are three bathrooms, which are fitted with a hydraulic bath seat. New baths and toilets have recently been fitted in the ground and first floor bathrooms. Four bedrooms have en-suite toilet and hand-washbasin facilities and the home provides five communal toilets. Prideaux House was seen to be clean and tidy, with all communal and private rooms decorated and furnished to a high standard. One relative considers that ‘the home is always kept very clean’ and another considers in his ‘opinion the cleaning is first class’. Prideaux House DS0000064971.V249233.R01.S.doc Version 5.0 Page 14 The new provider said that he is ‘obtaining opinions and quotes for installing a stair/chair or passenger lift into Prideaux House’. Prideaux House DS0000064971.V249233.R01.S.doc Version 5.0 Page 15 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): 27, 29, 30 The home has an effective staff team who ensure residents’ needs are well met. The recruitment, induction and training of staff offers protection to the residents living at the home. EVIDENCE: The staff rota indicated that there are four care staff and two senior care staff on duty during the day and two carers work a waking night duty. Fifteen (15) relatives confirmed that they consider ‘there are always sufficient numbers of staff on duty’. One member of staff spoken to said that ‘there is a good and supportive staff team’ at Prideaux House. One relative commented that ‘the carers are very patient and understanding with mum’ and another said she ‘couldn’t fault the staff’. An in-house training package has recently been purchased to provide staff with training in various aspects of care, to enable them to perform their job appropriately. New staff are currently working through an extensive induction programme and confirmed that they receive sufficient support and guidance during their induction period. External training such as National Vocational Qualification (NVQ) training in Care is also offered to staff, as well as other training opportunities such as Dementia Care. Recruitment files were checked and these were seen to contain the relevant information, including Criminal Records Bureau (CRB) checks. Prideaux House DS0000064971.V249233.R01.S.doc Version 5.0 Page 16 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): 31, 32, 36, 37, 38 There are clear lines of accountability within the home and the manager is supported by senior care staff to ensure that the home is managed appropriately. There are satisfactory arrangements in place to ensure that the health, safety and welfare of residents is maintained at all times. EVIDENCE: Satisfactory management arrangements have been put into place as part of the new ownership and registration of Prideaux House. A senior carer is currently training to become the registered manager and one member of staff said that ‘she is brilliant and is always around to help’. A relative remarked that ‘the usual high standards have been maintained despite the changes in personnel’. Prideaux House DS0000064971.V249233.R01.S.doc Version 5.0 Page 17 Staff are supervised on an informal basis and the need for formal supervision (one to one support sessions) was discussed during the inspection. Policies and procedures have been reviewed recently and records indicate that all the equipment within the home is serviced regularly, including the fire equipment, gas system and all electrical equipment is due to be checked soon. Prideaux House DS0000064971.V249233.R01.S.doc Version 5.0 Page 18 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 4 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 2 4 X 3 3 X X X 4 STAFFING Standard No Score 27 4 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X X X 2 3 3 Prideaux House DS0000064971.V249233.R01.S.doc Version 5.0 Page 19 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 3 Standard 36 16 18 Regulation 18(2) 17(20 13(6) Requirement That staff receive formal supervision (one to one support) sessions. That all incidents are recorded. Adult Protection training needs to also reflect local multi-agency procedures. Timescale for action 28/02/06 20/09/05 30/11/05 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 38 38 7 Good Practice Recommendations That the Inspector is informed when the call bell panel is in full working order. That the Inspector is informed when all equipment has had a PAT test. That care plans give clearer care instructions following the monthly review. Prideaux House DS0000064971.V249233.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Prideaux House DS0000064971.V249233.R01.S.doc Version 5.0 Page 21 - 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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