Inspection on 25/11/05 for Primley Court Nursing Home

This inspection was carried out on 25th November 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

Primley Court Nursing Home 17/01/07

Primley Court Nursing Home 05/08/05

Primley Court Nursing Home 16/02/05

Primley Court Nursing Home 14/09/04

Primley Court Nursing Home 08/05/03

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Primley Court Nursing Home Optima Care Partnership 13 Primley Park Paignton Devon TQ3 3JP Lead Inspector Doug Endean Unannounced Inspection 25th November 2005 10:40 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 Primley Court Nursing Home DS0000028755.V251543.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. Primley Court Nursing Home DS0000028755.V251543.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Primley Court Nursing Home Address Optima Care Partnership 13 Primley Park Paignton Devon TQ3 3JP 01803 555988 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) Optima Care Partnership Mrs Monica Anne Gumus Care Home 24 Category(ies) of Dementia - over 65 years of age (24), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (24), Old age, not falling within any other category (6), Physical disability over 65 years of age (6) Primley Court Nursing Home DS0000028755.V251543.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 65 years and over Registered for maximum 6 OP Registered for maximum 6 PD(E) service users 65 years and over Registered for maximum 24 DE(E) service users 65 years and over Registered for maximum 24 MD(E) service users 65 years and over Date of last inspection 05/08/05 Brief Description of the Service: Primley Court is a 24-bedded care home providing personal and Nursing care to older people primarily with mental health problems who may also have physical frailties. The home is one of a group owned by Optima Care Partnership that are spread over the South West of England. The accommodation is arranged over four floors with a large lounge/dining area on ground floor and a large lounge on the first floor. The basement accommodates the Registered Manager’s office, kitchen and staff room and provides level entry to Service Users and their visitors who can then use the shaft lift to access the rest of the home. Being located on a high elevation and close to Paignton town centre there are some excellent views from some rooms over the town and the bay. The bedrooms are mainly single and a small number have en-suite facilities. As the home provides nursing care it always has a registered nurse in charge of each shift. The Registered Manager is a very experienced Registered Nurse with management skills and has achieved Register Managers Award at National Vocational Qualification level 4. The home has also been awarded the “Investors in People Award” in February 2004. The building work to extend the home and provide a further 26 beds plus communal spaces is due to be completed in February/March 2006. The home has just had a variation in their conditions of registration to enable them to admit up to five clients between the ages of 55 years to 65 years old who have a diagnosis of Young Onset Dementia. Primley Court Nursing Home DS0000028755.V251543.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report should be read along side of the previous report in order to establish the homes performance against the National Minimum Standards during this inspection year. This unannounced inspection took place on the 25th November 2005 commencing at 10.40 and lasting 3 hours and 20 minutes. In this time the inspector spoke at length with the Registered Manager about the service that is provided and the future plans for the service when the extension is completed early in the New Year. The inspector toured the home and also the extension with the Registered Manager and the Site Manager. During the tour of the home the inspector observed care being delivered to a number of the clients who are resident at the home. What the service does well: What has improved since the last inspection? What they could do better: The home is achieving the standards expected of them and continually strives to achieve more than is expected of them. Primley Court Nursing Home DS0000028755.V251543.R01.S.doc Version 5.0 Page 6 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. Primley Court Nursing Home DS0000028755.V251543.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 Primley Court Nursing Home DS0000028755.V251543.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&2 The home provides clear information in its Statement of Purpose and contract to inform the clients and their advocates of the service they can expect from the home once they are resident in it. EVIDENCE: The Statement of Purpose was seen to be an informative document that should provide any prospective client, or their advocate, with enough information to make an informed decision about being admitted to the home. The home is happy to have clients and their advocates visit before any decision on an admission is taken and all admissions are on the basis that the first month will be a trial admission. This is made clear in the Statement of Purpose and the homes contract that also gives details about the services offered i.e. and the way payments are to be managed. Primley Court Nursing Home DS0000028755.V251543.R01.S.doc Version 5.0 Page 9 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): 10 The staff approach the clients in a manner that shows a respect for them as individuals, and that makes them feel secure. EVIDENCE: The Manager told the inspector that the training that is given to the staff prepares them for the work that they will be involved in and how to complete it safely. She also provided evidence that the staff turnover is very little at this home and thus the continuity of care is good. The staff that was on duty during the inspection were seen to provide care in an unhurried, respectful way that did not cause anxiety to the clients who have complex needs due to their dementia. They were also being spoken to in a manner that seemed to encourage them to comply with the requests made of them with the least possible disturbance to them. The atmosphere in the home promotes affection that results in the wellbeing of the clients. Primley Court Nursing Home DS0000028755.V251543.R01.S.doc Version 5.0 Page 10 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): The home provides good food that is freshly prepared and presented in a manner that suits the needs of the individual clients. EVIDENCE: Meals are freshly prepared in the homes kitchen by the cook who has worked at the home for some time. She uses fresh produce that is stored correctly in the dry store, new fridge and freezer that are in the kitchen area. The kitchen was inspected and found to be satisfactory with good stocks of fresh vegetables and dry foods being available. The meals are produced from a rotating menu although there is some flexibility depending on availability of produce and the wishes of clients. Alternatives are provided from the main meals for those who it is known have a dislike to what is planned or due to a medical condition require something specially prepared. The meal that was produced was presented in suitable portions prepared in a manner that was acceptable to the clients. The clients who need assistance with feeding are given this in a respectful way by the care staff. Primley Court Nursing Home DS0000028755.V251543.R01.S.doc Version 5.0 Page 11 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 The home has taken more than adequate steps to provide the clients and their advocates with avenues to raise complaints or concerns. EVIDENCE: The home has a detailed complaints procedure, which, is made available to Service Users, staff and visitors to the home and includes how to contact the Commission for Social Care Inspection. The procedure is displayed at the entrance of the home, in the Statement of Purpose and Service Users Guide. The home has a book to record any complaints in along with the outcomes following an investigation. The Commission for Social Care Inspection has not investigated any complaints regarding this home for more than twelve months. The home has established a “Relatives Group” that is organised by an external facilitator and this provides an additional venue for the relatives and advocated to air any problems over the care of their relative or any other concern that they may have about the running of the home. Primley Court Nursing Home DS0000028755.V251543.R01.S.doc Version 5.0 Page 12 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): 20, 21, 22, 23 & 24. The environment is clean, warm, well maintained and made safe for the clients and the staff by regular maintenance. The building work is due to be complete in spring 2006 and is aimed to enhance the environment for all the clients. EVIDENCE: The home has a lounge and dining room on the ground floor and a further lounge on the first floor. Each are of a good size and reasonably decorated. The Manager told the inspector that when the building work has been completed these areas are to be refurbished. The arrangements for the maintenance of the home remain excellent with very good records of all the maintenance that has been carried out by the companies maintenance man or outside contractors. The outdoor space is presently not available to the clients due to extensive building work being undertaken to extend the home improving the overall facilities that will be available to all the clients when it is completed hopefully in the spring of 2006. Primley Court Nursing Home DS0000028755.V251543.R01.S.doc Version 5.0 Page 13 The home has suitable numbers of toilets with disable access for the clients to use and these are well placed around the building. The bathrooms provide modern bathing facilities with built in hoists thus improving the use of the available floor space. There is also a wheel in shower on the first floor level. There are also portable hoists, stand aids and a shaft lift to all floors of the home. The main entrance of the home is at the front and there are several steps up to the front door. To improve the access to the building there is access along the front drive to another door at the side of the building next to the managers office. This provides entry into the home and to the shaft lift avoiding the steps to the front door. Hand rails are provided on stair cases and where they have been assessed as being needed. The clients are mainly provided with there own single bedroom, three of which have en-suite facilities, although there are two double rooms that are used by clients who have made a decision to share, or, there advocate have agreed that they can share a room. The bedrooms are individually decorated and the clients have provided items to personalise them to their satisfaction. Primley Court Nursing Home DS0000028755.V251543.R01.S.doc Version 5.0 Page 14 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): 28 & 30. The home employs satisfactory numbers of staff to provide care each shift who are appropriately trained and supervised to meet the assessed needs of the clients. EVIDENCE: The home is Managed by a Registered Mental Health Nurse who has also achieved the NVQ level 4 in Management. She has several years experience in the management of this and other care homes that provide nursing to older people who have a mental health problem. She is supported by other registered nurses who are also experienced in this field of care and between them provide registered nurse cover over the 24 hour day. The care staff are also trained in both general care duties such as manual handling, the provision of personal care activities, etc, and they are also trained to understand the more complex needs of clients who have a mental health problem including dementia. The training records show that the home has made a consistent effort to keep the work force well informed and equip to meet the needs of the clients and their advocates. There is evidence available to show that of the 13 care staff employed at the home 6 have an NVQ in care at level 2 or above and there is a further two members of staff who have completed their NVQ at level 2 and are just awaiting their results. The home successfully achieved the “Investors in People Award” in February 2004. Primley Court Nursing Home DS0000028755.V251543.R01.S.doc Version 5.0 Page 15 The Registered Person makes weekly visits to the home and carries out his Regulation 26 visit on a monthly basis producing a report for the Commission for Social Care Inspection. The home employs satisfactory numbers of staff on duty at all times to meet the assessed needs of the clients and the rotas were available to the inspector to show that this is the case. Primley Court Nursing Home DS0000028755.V251543.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 & 35 The home is managed very well both internally and externally and does achieve its aims and objectives through the commitment of the staff. EVIDENCE: The Registered Manager is an experienced Registered Mental Health Nurse. She has a good deal of management experience in this field of care in the private health care sector having managed nursing homes for several years. The Registered Manager has also completed the “Registered Manager Award” and her certificate was seen to verify this achievement. In addition she has steered the home through the process of assessment to achieve the “Investors in People Award” in February 2004. The manager is a good advocate for the clients and can provide evidence through the good care records that her team achieve that which she expects of them through her good leadership qualities. The Statement of Purpose also directs the staff to the goals that they are expected in its aims and objectives. The level of communication between the Primley Court Nursing Home DS0000028755.V251543.R01.S.doc Version 5.0 Page 17 management, including the Registered Person and the care staff is good and the Registered Person carries out interviews with staff on a monthly basis for his Regulation 26 report. In addition there is evidence that staff are involved in supervision regularly and appraisal on an annual basis. The policies and procedures are readily available to the staff and there is evidence that they are updated by both the manager and the organisation to keep them accurate. The home does not involve itself in the management of any of the clients financial affairs. Where individual clients cannot manage their affairs for themselves someone has been appointed to do this for them, usually a family member. The home does manage small amounts of pocket money and has full accounting records for any transactions. There is short term secure facilities for valuables should this be necessary. The inspector has seen the records of how any money handled by the home is accounted for and audited by the company. Primley Court Nursing Home DS0000028755.V251543.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 3 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 X X 3 3 3 3 3 X X STAFFING Standard No Score 27 x 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 3 x x 3 x x x Primley Court Nursing Home DS0000028755.V251543.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. 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. Refer to Standard Good Practice Recommendations Primley Court Nursing Home DS0000028755.V251543.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Primley Court Nursing Home DS0000028755.V251543.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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!