Inspection on 16/05/07 for Priestley Care Home

This inspection was carried out on 16th May 2007.

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

Priestley Care Home 18/05/06

Priestley Care Home 10/10/05

Priestley Care Home 18/05/05

Priestley Care Home 03/02/05

Priestley Care Home 02/08/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Priestley Care Home Market Street Birstall West Yorkshire WF17 9EN Lead Inspector Tony Railton Key Unannounced Inspection 16th May 2007 08:30 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 Priestley Care Home DS0000029924.V339995.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. Priestley Care Home DS0000029924.V339995.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Priestley Care Home Address Market Street Birstall West Yorkshire WF17 9EN 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) 01924 440266 01924 440268 Tri-Care Limited Mrs Joanne Louise Davy Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Priestley Care Home DS0000029924.V339995.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th May 2006 Brief Description of the Service: Priestley Care Home provides accommodation and personal care for up to 40 older people. It is owned by Tri-Care Ltd, a company which has a small number of care homes in the area. The home is situated in the centre of Birstall, close to local shops and amenities. The home was purpose built and registered almost four years ago. Accommodation is provided over two floors and there is a passenger lift. Both floors have a lounge and dining area and all bedrooms have en-suite facilities. There is a garden on two sides of the home, to which residents have access. There is adequate car parking at the front of the building. The provider informed the Commission for Social Care Inspection on 16/05/07 that fees range from £450 to £500 per week. Additional charges include hairdressing, private chiropody, newspapers and some selected activities. Information about the home and the services provided, and the CSCI, are available from the home in the Statement of Purpose and Service User Guide. Priestley Care Home DS0000029924.V339995.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The visit to the service commenced at 08.30 hours and ended at 13.00 hours. During this visit there was the opportunity to speak to people using the service, the registered manager, deputy manager, care, domestic, kitchen and laundry staff. There was also the opportunity to speak to a visiting relative and a District Nurse. A sample of records of those using the service were seen and included assessments, care plans, reviews, medical and daily records. A sample of staff records was seen and included staff selection and recruitment, staff training and supervision records. Other information considered included the minutes of the Carers’ and Relatives’ Association meetings and the results of the Residents’ and Relatives’ Quality Assurance Survey carried out in January 2007. A tour of the premises was also undertaken. The inspector would like to take the opportunity to thank the people using the service, the registered manager and her staff team for their hospitality and cooperation throughout this visit to the service. What the service does well: One person using the service said that living in the home is like living in a five star hotel. Another said that the home is excellent, and that the staff are great. People were observed relaxing in the dining room after breakfast and talking to their friends, others were in their bedrooms and some sitting in the lounges listening to the morning news. People enjoy a relaxed and comfortable atmosphere and there is enough staff on duty to meet their care needs in a relaxed and unhurried manner. One person said that their bedroom is ‘beautiful’ and that she has everything she needs. Another was pleased with the view from her bedroom window and said that she is pleased that they had ‘chosen to live in this home’. Another said that they had tried another home but that it was not as good as this one. People enjoy a range of activities that are organised on a regular basis. One person using the service said that they could join in the activities if they Priestley Care Home DS0000029924.V339995.R01.S.doc Version 5.2 Page 6 wanted to. tonight. Another said that they are going to the local pub as it is Jazz night One person said that the meals are very good and that they can choose their own menu. A tour of the home found it to be well decorated and well maintained and all areas of the home are clean and free from any unpleasant odours. The minutes of the Relatives’ and Residents’ meetings and quality assurance report shows that people using the service and their relatives are consulted about the quality of care provided. They also show that people are happy with the home and the service provided. 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. Priestley Care Home DS0000029924.V339995.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 Priestley Care Home DS0000029924.V339995.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): 3 and 6 People and their relatives have the information they need to make an informed choice about the home and the services provided. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. EVIDENCE: The Statement of Purpose and Service User Guide show that they contain all the information people need to make a choice about the home and the services provided. One person using the service said that they had been to other homes to have a look but that they had chosen this one as it was the best. Another person using the service said that it is like living in a five star hotel. The Statement of Purpose shows that the home does not provide any specialist re-habilitation services or intermediate care facilities. Priestley Care Home DS0000029924.V339995.R01.S.doc Version 5.2 Page 9 Priestley Care Home DS0000029924.V339995.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 and 10 People using the service feel that their personal care and healthcare needs are met. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. EVIDENCE: The quality assurance survey report shows that people using the service and their relatives are happy with the care provided. One relative said that they are more than happy with the home and that there relative was happy and comfortable. A visiting District Nurse said that there have never been any issues regarding the home; indeed the manager and staff are very good and people living in the home seem happy and content. A sample of six people records show that their personal and health care needs are assessed and their care plans are looked at on a regular basis to make sure their needs are being met. Priestley Care Home DS0000029924.V339995.R01.S.doc Version 5.2 Page 11 People using the service are protected by the robust medicine administration policy, procedures and practices. The medication administration systems were checked and found to be safe. A sample of four people’s medicines were found to be correct and appropriately administered and recorded. Staff training records found that, for the safety of people using the service, staff administering medicines are trained to do so properly and safely. The manager said that the philosophy of the home is based on treating people with dignity and respecting their wishes. Staff were observed throughout the visit treating people with dignity and respecting their privacy. Priestley Care Home DS0000029924.V339995.R01.S.doc Version 5.2 Page 12 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 and 15 People using the service find that the lifestyle experienced matches their expectation. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. EVIDENCE: One person said that they can participate in activities if they chose to, and went onto say that she enjoyed playing bingo and making things. Photographs displayed around the home show people enjoying trips and outings to the garden centre and seaside. Other photographs show people celebrating Easter with the bonnets they have made. Paintings were observed displayed around the lounges and dining rooms. The manager said that people using the service were pleased with their paintings and are proud to have them displayed. One person said that they will be going to the local public house tonight, as it was Jazz night, they went onto say that they might enjoy a pint of beer as well. Priestley Care Home DS0000029924.V339995.R01.S.doc Version 5.2 Page 13 One visitor said that their relative enjoys living in the home and has many new friends. The record of activities shows that there is a variety of activities organised on a regular basis, the manager said that these are well attended and enjoyed. The daily records confirmed this. People were observed throughout the visit making choices about their lives; however, the daily records do not reflect this. The manager said that more descriptive words used in the daily records should reflect and show people’s choices and preferences. One person using the service said that the meals are very good and that they have a choice of menu. Another said that it’s like living in a five star hotel and that staff ask what you would like to eat. The menus show that people are offered a wholesome, varied and balanced diet. The home’s returned users’ and relatives’ surveys show that they are generally happy with the meals provided. A sample of the lunchtime meal found it to be well presented and tasty. Priestley Care Home DS0000029924.V339995.R01.S.doc Version 5.2 Page 14 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 and 18 There is a robust and effective complaints policy which is accessible to people using the service and their relatives, and people using the service are protected from abuse. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. EVIDENCE: The home’s returned quality assurance survey report shows that people know how to make a complaint. The service history found that the home has not received any complaints or had any safeguarding referrals since the previous inspection visit. The manager confirmed this. For the protection of those using the service, the staff training records show that all staff have received POVA (Protection of Vulnerable Adults) training. One person using the service said that they know how to complain but never had any reason to. One member of staff said that they have had training as part of their induction on the complaints policy and procedure. Priestley Care Home DS0000029924.V339995.R01.S.doc Version 5.2 Page 15 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 and 26 People live in a comfortable, safe and well-maintained environment. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. EVIDENCE: A tour of the premises found it to be well decorated, well maintained and homely. One person using the service said that it is like living in a five star hotel. Another said that they liked their bedroom and that they had everything they needed. People’s bedrooms suit their lifestyles and promote their independence as it was noted a number have their own telephones and refrigerators. Priestley Care Home DS0000029924.V339995.R01.S.doc Version 5.2 Page 16 One person was very pleased with their room and, in particular, the view of the surrounding area; they went onto say that they had never had a view before and that they enjoy sitting and watching the world go by. Discussion with the domestic cleaner found that they had everything they needed to do their work effectively, all areas of the premises were found to be clean and free from any unpleasant odours. For the safety and protection of people using the service, staff training records show that the domestic staff have received COSHH training. Priestley Care Home DS0000029924.V339995.R01.S.doc Version 5.2 Page 17 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 and 30 An effective, trained and qualified staff team meets the personal needs of people using the service. People are also protected by a robust staff selection and recruitment policy. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. EVIDENCE: A sample of six staff records including police, POVA, references and health checks show that people are protected and safeguarded by the staff selection policy and practices. People using the service benefit by being looked after by staff that are qualified to do so. The manager said that nine care staff have just completed the National Vocational Qualification Level 2 in Care and that there are only two staff remaining that are not NVQ trained. The staff training records confirmed this. The staff rotas showed that staff are available in sufficient numbers to meet the needs of people living in the home. On the day of the visit, there were enough staff on duty to meet the needs of the people using the service in a relaxed and unhurried manner. Priestley Care Home DS0000029924.V339995.R01.S.doc Version 5.2 Page 18 A visiting District Nurse said that the manager and staff are always very polite and helpful. The quality assurance monitoring survey report shows that people and their relatives are generally pleased with the staff team and the services provided. One person using the service said that the staff are ‘wonderful’ and are very helpful. Another said that the carers are very good and, in particular, the manager because she keeps a ‘tight check’ on them. One staff member said that she enjoyed coming to work. Another said that the people using the service make the job a good one as they are all different characters and are good to be with. Positive relationships were observed being fostered between people using the service and those caring for them. One visitor said that the staff are very patient and caring. Priestley Care Home DS0000029924.V339995.R01.S.doc Version 5.2 Page 19 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 and 38 People using the service benefit from living in a well managed home which is run in their best interests. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. EVIDENCE: The minutes of the relatives’ and residents’ meetings show that they have the opportunity to participate and comment on the services provided. The returned residents’ and relatives’ quality assurance surveys and the quality assurance report shows that people have the opportunity to comment on the quality of the services provided by the home. One visiting District Nurse said that this is one of her ‘better’ well run homes and has never had any problems with the manager or her staff team. Priestley Care Home DS0000029924.V339995.R01.S.doc Version 5.2 Page 20 People using the service benefit from the robust financial procedures and practices. The financial process was checked and found to be administered correctly. The health, safety and welfare of those using the service is protected by the health and safety monitoring systems, including fire alarm testing, emergency lighting checks and servicing of the passenger lift and bathroom hoists. Priestley Care Home DS0000029924.V339995.R01.S.doc Version 5.2 Page 21 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 X 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 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X 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 3 X 3 X 3 X X 3 Priestley Care Home DS0000029924.V339995.R01.S.doc Version 5.2 Page 22 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. Standard Regulation Requirement Timescale for action 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 Refer to Standard OP7 OP14 Good Practice Recommendations Evidence should be recorded that the service user and/or their representative has been given the opportunity to be involved in the monthly review of their care. The daily records would benefit from an increase in the use of descriptive words to reflect and show the choices and preferences of those using the service. Priestley Care Home DS0000029924.V339995.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 Priestley Care Home DS0000029924.V339995.R01.S.doc Version 5.2 Page 24 - 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. 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