Inspection on 05/10/05 for Priestnall Court

This inspection was carried out on 5th 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

Priestnall Court 03/11/04

Priestnall Court 23/04/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Priestnall Court 14/16 Priestnall Road Heaton Mersey Stockport Cheshire SK4 3HR Lead Inspector Kathleen Mcall Announced Inspection 5th October 2005 10:15 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 Priestnall Court DS0000008578.V256414.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. Priestnall Court DS0000008578.V256414.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Priestnall Court Address 14/16 Priestnall Road Heaton Mersey Stockport Cheshire SK4 3HR 0161-432 1124 0161 947 9088 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) Mr. Michael Hugh Halliwell Mrs. Jennifer Mary Halliwell Mrs. Marilyn Garland Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Priestnall Court DS0000008578.V256414.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 24 OP. Date of last inspection 3rd November 2004 Brief Description of the Service: Priestnall Court is registered to provide care for up to 24 older people whose primary care need is due to old age. Mr and Mrs Halliwell have been the proprietors of the home since 21st March 1989 and Mrs Marilyn Garland is the registered manager who has responsibility for the day-to-day management of the home. The home is comfortably furnished and well maintained throughout, creating a homely atmosphere. There are two lounges one of which is a non-smoking lounge, a dining room, 22 single bedrooms, 18 of which have ensuite facilities and one double bedroom with ensuite facilities. The bedrooms on the ground floor have patio doors, which lead on to a patio area with pleasant gardens including a waterfall rockery area. There is also a raised patio area to the front of the house with garden furniture where service users can sit. The home has a passenger lift. There is a car park to the front of the house. Priestnall Court is situated in the Heaton Mersey area of Stockport. It is close to local shops, cinema, bank, library and park. Stockport town centre, motorway network and public transport are all easily accessible. Priestnall Court DS0000008578.V256414.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 took place over the course of a day. The registered manager and the deputy manager assisted the inspector throughout the inspection process. Care plans, assessment documentation, medication and its storage were examined. The inspector spoke with a number of residents in the home, a visiting relative and staff that were on duty at the time of the inspection. Ten service user comment cards were returned; eight cards indicated that residents like living at the home, two responded that sometimes they liked living at the home. Ten service users indicated that they liked the food that they felt safe living at the home and nine service users said they knew who to talk to if they had a problem. All indicated that they felt well cared for living at Priestnall Court and that the staff treated them well. One service user wrote, ‘I am very happy and comfortable’. There was a mixed response to the question; does the home provide suitable activities? Five service users responded yes, two said no, two said sometimes and one service user choose not to respond. Six relatives comment cards were returned; all six indicated that they were satisfied with the overall care provided and none of them had made a complaint. All six said that they were made welcome at the home at any time and that they were kept informed of important matters concerning their relatives. One relative comment card said ‘we are very impressed with the manner in which staff interact, support and care for our mother and also with their good communication with the medical services’. Six relative comment cards indicated that they felt there was always a sufficient number of staff on duty and one said ‘yes, but not for activities’. What the service does well: Priestnall Court is a fairly large home that offers comfortable and homely accommodation. A number of residents told the inspector that they liked living at Priestnall Court and that they felt well cared for. The atmosphere of the home is relaxed and friendly with a flexible routine based around the needs of residents. Residents spoke positively about the food and were pleased with the choice and variety on offer. Both residents and their relatives were pleased with the way the home met residents’ health care needs. One relative was particularly pleased that the home had close links with a local health centre and had good links with visiting Priestnall Court DS0000008578.V256414.R01.S.doc Version 5.0 Page 6 districts nurses and any concerns regarding a residents health were quickly picked up. There have been no complaints since the last inspection. Care staff had a relaxed and friendly approach towards residents, with over 50 of care staff having an NVQ Qualification in Care. What has improved since the last inspection? What they could do better: Staff would benefit from regular formalised supervision sessions and they would also benefit from undertaking training in adult protection. A visiting relative had expressed some concern regarding staff smoking in the residents’ lounge/dining room area whilst on their break. Care staff are not provided with separate staff room facilities, the registered manager was asked to look at and resolve this issue. The manager must use risk assessments to minimise identified risks. Risk assessments for those residents who use bed rails and for those residents who managed their medication had not been put in place. Priestnall Court DS0000008578.V256414.R01.S.doc Version 5.0 Page 7 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. Priestnall Court DS0000008578.V256414.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 Priestnall Court DS0000008578.V256414.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): 3, 4 and 5. The home met service users care needs identified during assessment and arrangements were in place for them to visit the home prior to their admission. EVIDENCE: Service users were assessed prior to their admission to the home; no service users were admitted to the home without their care needs having been assessed. Assessments were obtained from social workers and health professionals if they had been involved in the admission. Those files of service users recently admitted to the care home were examined and contained up to date assessment documentation held in respect of each person. In addition to this Priestnall Court undertook their own assessment of a service users care needs and together this information was used to develop an appropriate plan of care. Service users told the inspector that they were very satisfied with the way in which the home met their care needs. Care staff demonstrated a good understanding of service users care needs. Priestnall Court DS0000008578.V256414.R01.S.doc Version 5.0 Page 10 Arrangements were in place for service users to visit the home prior to their admission. Service users could visit and stay for lunch or longer, over night stays would be arranged if a room were available. Priestnall Court DS0000008578.V256414.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): 7, 8, 9, and 10. Service users health and personal care needs were identified and met. EVIDENCE: All service users had a care plan. Care plans were drawn up with the service user, signed and dated. Care plans seen were individualised to each service users care needs with information held in one accessible document. Moving and handling assessments were undertaken as were weight charts, and daily records. Care plans were reviewed on a regular basis and any changes needed were included. Priestnall Court had its own link district nurse who called into the home 2-3 times per week to see service users who required dressings etc, care staff were also able to refer other service users who they were concerned about. Relatives told the inspector that they found this invaluable and were very pleased with the way in which the home met their cared for relatives care needs. Two service users beds had been fitted with bed rails, however this was not indicated on their care plans and neither was there a risk assessment or a Priestnall Court DS0000008578.V256414.R01.S.doc Version 5.0 Page 12 consent form for their use. Risks assessments must be signed by the service user, where possible giving agreement for the use of bed rails. Since the last inspection the registered manager had introduced a new medication system. Medication was now provided in the monitored dose system (MDS system), this was stored appropriately and medication records were accurately maintained. One service user partially managed their medication, which was stored in the service users bedroom. A risk assessment in respect of this had not been completed. The registered manager needs to ensure that all service users who manage their medication have had an assessment of their understanding and ability to manage their medication and any risks involved are identified and actioned. Service users told the inspector that staff treated them well and they were very satisfied with the care they received; they liked them and felt they could talk to them. Priestnall Court DS0000008578.V256414.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): 12, 13, 14 and 15. The day-to-day routine of the home including mealtime arrangements was relaxed and informal and met service users needs. EVIDENCE: The day-to-day routine of the home was relaxed and flexible with service users having the choice of spending their time in their rooms or using the communal areas of the home. Staff encouraged service users to make choices as to how they spent their time, whether they wished to join in activities or not, what they ate and what clothes they chose to wear. There was a mixed response to the activities presently on offer in the home. The majority of service users said they were satisfied with the activities provided, though some service users said they would like more variety and one service user said she would like more activities in the evening period as the majority of service users spent the evening in their bedrooms. One relative comment card said the activities on offer were not always suitable for those service users who were sight or hearing impaired. The inspector had a discussion with the manager about this feedback and she agreed to review the activities currently on offer at the home. Priestnall Court DS0000008578.V256414.R01.S.doc Version 5.0 Page 14 Meals were served at regular intervals and were usually taken in the main dining room area. Breakfast was flexible and was usually served in service users bedrooms. The lunchtime meal was the main meal of the day and tended to be three courses. The teatime meal was a lighter snack type meal with usually two options. Service users told the inspector that they had enjoyed their lunch and that the meals provided were very good and, that a wide choice was available. Priestnall Court DS0000008578.V256414.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): 16 and 18. Service users felt confident that their complaints would be taken seriously and acted upon. Staff had not undertaken appropriate training in adult protection. EVIDENCE: The home had a detailed complaints policy and procedure; there had been no complaints since the last inspection. Service users with whom the inspector spoke said that they knew who to complain to if they had a problem and all felt confident that the problem would be resolved in a satisfactory manner. The home had a procedure for responding to allegations of abuse. Staff had not undertaken specific training in adult protection. Care staff with whom the inspector spoke demonstrated a good understanding of the issues around adult protection and were clear about their responsibility with regard to reporting abuse and poor practice. Whilst a number of care staff had completed or were undertaking National Vocation Qualification training which looked at issues around adult protection and abusive care practices in residential care homes a large number of staff had not completed specific training in adult protection. Priestnall Court DS0000008578.V256414.R01.S.doc Version 5.0 Page 16 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, 24 and 26 Service users live in a safe and well-maintained environment. EVIDENCE: The home was comfortably maintained throughout. A number of service users rooms were seen, these were also furnished and equipped to a comfortable standard, many had been personalised by the occupants. The grounds of the home were well kept and attractive and were regularly used by the residents with many enjoying a daily walk around the grounds. The home met fire safety regulations. The home was clean, tidy, bright and airy and was free from any unpleasant odours. Priestnall Court DS0000008578.V256414.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28 and 29 The home was sufficiently staffed with a staff group that was trained to undertake their duties, and recruitment procedure ensured that service users were protected. EVIDENCE: At the time of the inspection the home was sufficiently staffed to meet the needs of service users. A staff rota showing which staff was on duty and in what capacity was kept at the home. Staff appeared to have a positive relationship with the service users and several service users spoke fondly about members of staff. Four new members of staff had commenced employment at the home since the last inspection; the registered manager had followed appropriate recruitment procedures with regard to newly appointed staff. Care staff on duty at the time of the inspection confirmed that they had undertaken further training to assist them in their role as carers. Over 50 of care staff held an NVQ level 2 qualification in care. One relative’s comment card expressed concern about staff smoking in the residents’ lounge/dining room area whilst on their break. Care staff were not provided with separate staff room facilities in which to take a break, staff should be enabled to take a break of 20 minutes minimum in separate facilities away from their work. Priestnall Court DS0000008578.V256414.R01.S.doc Version 5.0 Page 18 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, 36 and 38. A competent and suitably qualified manager ran the home. Arrangements for the formal supervision of staff were not in place. Health and safety issues at the home were addressed. EVIDENCE: The registered manager has been at Preistnall Court for approximately 16 years, she holds the Registered Managers Award. Since the last inspection staff had not had regular supervision sessions. The manager explained that this was due to the home having experienced staffing problems and staff were covering extra shifts and she was taking a more hands on approach. However informal supervision was in place on a day-today basis. Observations made at the time of the inspection and discussions with staff confirmed this was the practice. Priestnall Court DS0000008578.V256414.R01.S.doc Version 5.0 Page 19 Staff had updated their training in safe moving and handling procedures, food hygiene, first aid and health and safety. The home maintained records in respect of fire safety at the home. Certificates confirming the maintenance of the bath hoist, electrical and gas supplies to the home were seen on inspection. The home records information in respect of falls and accidents to service users. Priestnall Court DS0000008578.V256414.R01.S.doc Version 5.0 Page 20 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 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X 3 X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X X 2 X 3 Priestnall Court DS0000008578.V256414.R01.S.doc Version 5.0 Page 21 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. Standard OP7 Regulation Requirement Timescale for action 05/11/05 2. OP9 3 OP18 4 OP27 5 OP36 13(4)(b)(c The registered person must ) ensure that risk assessments are put in place for those service users who use bed rails and these are signed by the service user, where possible to confirm their agreement. 13(2) The registered manager must ensure that service users who wish to manage their own medication are assessed as to their ability to do so, before medication is provided to them. Assessments must then be repeated on a regular basis. 13(6) The registered manager must access or provide training in adult protection to all care staff employed by the home. 23(3)(a) The registered manager must provide separate facilities for staff and staff must not be allowed to smoke in areas of the home used by residents. 18(2) The registered manager must ensure that staff receive regular formal supervision and an annual appraisal. 05/10/05 31/03/06 05/11/05 05/12/05 Priestnall Court DS0000008578.V256414.R01.S.doc Version 5.0 Page 22 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Priestnall Court DS0000008578.V256414.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD 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 Priestnall Court DS0000008578.V256414.R01.S.doc Version 5.0 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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