Inspection on 05/10/05 for Primley House

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

Primley House 20/12/07

Primley House 21/09/06

Primley House 10/05/05

Primley House 23/08/04

Primley House 07/04/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Primley Housing Association Ltd Primley House Totnes Road Paignton Devon TQ3 3SB Lead Inspector Peter Wood Unannounced 5 October 2005 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 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 Housing Association Ltd D54-D07 S18413 Primley House V243809 051005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Primley Housing Association Ltd Address Primley House, Totnes Road, Paignton, Devon. TQ3 3SB Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01803 558867 01803 558867 Primley Housing Association Limited Mrs Gail Collings Care Home 38 Category(ies) of Old age, not falling within any other category registration, with number (38) of places Primley Housing Association Ltd D54-D07 S18413 Primley House V243809 051005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10/05/05 Brief Description of the Service: Primley House provides care for up to thirty-eight (soon to be thirty-nine) older people. It is a beautiful old house set in its own well-maintained grounds, which are frequented by peacocks, near Paignton Zoo. Indeed, the house was the original zoo, latterly the home of the original owner. Entrance to the house is by shallow steps or a disabled ramp to the side. The front door leads into a very large hall that has seating areas. The ground floor comprises a large library, large lounge that can be separated into two rooms, a long sun lounge, and a large dining room. There is also an office, treatment room, kitchen with numerous store rooms, separate staff, men’s, women’s and disabled residents toilets and a shower room. There are 8 single en-suite bedrooms on the ground floor, 3 of which have en-suite baths. There are stairs with a shaft lift to the first floor which has a further twenty-two single ensuite bedrooms, 7 of which have en-suite baths. There are 3 double bedrooms, all with en-suite baths, and a flat which has a double bedroom, lounge and bathroom. There are a further 2 communal assisted bathrooms, both with toilets, and a further separate toilet. There is also a flat on the second floor where previous managers used to live. That has recently been converted into the managers office and staff room with kitchen. The previous managers office and staff room has recently been converted into a residents ensuite bedroom. Primley Housing Association Ltd D54-D07 S18413 Primley House V243809 051005 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over one day in October 2005. The main focus of this unannounced inspection was to ascertain the genuine views of the residents of their experience of living in this care home. Virtually all thirty-eight residents were consulted, most in the privacy of their own room. Some relatives who happened to be visiting at the time were also consulted, as were staff while they were undertaking their duties. This involved a tour of most of the home. The inspection also included a lengthy discussion with the relatively new registered manager. On this occasion virtually no documentation was examined, as this was examined in some detail at the previous inspection. The report of that previous inspection needs to be read in conjunction with this report for a fuller description of the inspection findings this year. What the service does well: What has improved since the last inspection? What they could do better: The home continues to improve, managed by a skilled manager very well supported by an active and able committee. The home is commended for its quality and encouraged to continue the progress. One resident told me: “you are wasting your time here because there is nothing to fault.” Primley Housing Association Ltd D54-D07 S18413 Primley House V243809 051005 Stage 4.doc Version 1.40 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 Housing Association Ltd D54-D07 S18413 Primley House V243809 051005 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Primley Housing Association Ltd D54-D07 S18413 Primley House V243809 051005 Stage 4.doc Version 1.40 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 standard(s) 4, 5 Thorough and comprehensive systems for admission allow prospective residents and their relatives to be confident that their needs can be met. Prospective residents and their relatives are encouraged to visit before deciding on this home. EVIDENCE: Documentation to evidence all standards above was examined on the previous occasion. On this occasion residents and some relatives consulted during this inspection confirmed that they and their families had been able to visit the home before making a decision to move in. Indeed, this is the norm for this home. Many current residents had been to visit, stay for lunch or over a day before making application to move to this home. Primley Housing Association Ltd D54-D07 S18413 Primley House V243809 051005 Stage 4.doc Version 1.40 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 standard(s) 10 Residents are treated with respect and their right to privacy is upheld. EVIDENCE: This home tries very hard indeed to involve all staff, relatives but especially residents in as many areas of running the home as possible, as well as allowing individual residents as much choice as possible. Residents confirmed this was the case. Residents’ meeting are regularly held. Staff were seen to respect residents’ privacy and dignity in the way they addressed and spoke about residents, they knocked and waited for a response prior to entering residents’ bedrooms, and sought their permission before going into their rooms on other occasions. An old complaint recorded in the complaint book exemplifies resident’s expectations regarding privacy. The complaint was that a tradesman had gone into a room to fix the sink when the resident was downstairs without asking the resident’s permission. This was seen as a legitimate complaint, the resident received an apology, and a procedure put in place to prevent a reoccurrence. Primley Housing Association Ltd D54-D07 S18413 Primley House V243809 051005 Stage 4.doc Version 1.40 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 standard(s) 12, 13, 14, 15 Social activities are managed well and provide daily interest for the residents. Meals are nutritious and varied. EVIDENCE: The home engages the services of an Activity Co-ordinator who arranges some sort of activity every day. Most of these are planned in advance with the residents. Residents commented that they can chose which activities they wish to participate in and how much they enjoy these and that their relatives and friends are invited as well if they wish to go. (“You are not trapped here”). A record is kept of the trips out of the home to local places of interest. A notice board provides information about the activities offered and other matters of interest to residents. Most residents choose to take their meals in the very attractive dining room, which resembles a five star hotel (“the dining room is really, really nice”), though they can have meals in their own room if they prefer, as some do at least sometimes. Virtually all Residents said that the food was very good. Drinks and snacks were available at all times to residents and their visitors: water fountains provide excellent cool water whilst a coffee percolator in the front hall is well used. Primley Housing Association Ltd D54-D07 S18413 Primley House V243809 051005 Stage 4.doc Version 1.40 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 standard(s) 16, 17, 18 Complaints and suggestions from residents, relatives or other visitors to the home are treated seriously. Residents are listened to and issues resolved promptly. EVIDENCE: Residents said that the staff, manager and committee members were very approachable and they were confident that any issues of concern would be listened to and dealt with. Photographs of the committee displayed on a board in the entrance hall assist residents recognise members of the committee who visit regularly while the chair visits several times each week. Photographs of all staff members are kept in a book in the hall to refresh residents’ memories of the names of staff. The home has received no complaints since the last inspection. The complaints register details the action taken to resolve issues promptly. A copy of the complaints procedure is available to all residents and visitors to the home and detailed in the home’s Service User Guide. Staff have received training in issues relating to abuse and the protection of vulnerable adults and described the actions they would take should an issue of abuse be suspected. Primley Housing Association Ltd D54-D07 S18413 Primley House V243809 051005 Stage 4.doc Version 1.40 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 standard(s) 19, 20, 21, 22, 23, 24, 25, 26 The residents live in a pleasant, well-maintained comfortable home that provides sufficient facilities to meet their needs. EVIDENCE: Residents said that they found the home spacious and comfortable, warm in the winter and as cool as possible in summer heat. The home is a superior property in extensive gardens, is clean and well maintained. Over the past year about £75k has been spent on improvements, most notably the complete renewal of the space-age kitchen. The home has sufficient toilet, washing and bathing facilities to meet the needs of residents. Unfortunately, the passenger lift was out of action throughout the day of the inspection. Since the removal of the chair lift from the rather grand main staircase some time ago residents who cannot negotiate the stairs have come to rely on the lift, which has lately proved unreliable, despite a very expensive overhaul only last year. Primley Housing Association Ltd D54-D07 S18413 Primley House V243809 051005 Stage 4.doc Version 1.40 Page 13 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, Residents are well cared for by competent and caring staff. EVIDENCE: No documentation was examined on this occasion to evidence this standard, but rather comments of residents, virtually all of whom were consulted. Statements such as: “The staff are very kind; nothing is too much trouble”, “Staff cannot do too much for you here” were repeated several times by residents. Primley Housing Association Ltd D54-D07 S18413 Primley House V243809 051005 Stage 4.doc Version 1.40 Page 14 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, This is a good, well-managed home. Residents benefit from the management approach of the home, which is run in the best interests of the residents. EVIDENCE: The manager is well qualified and is well supported by the deputy and the chair of the management committee, and the rest of the particularly able committee. Considerable work has been undertaken over the past year or so to enhance the fabric of the building and enhance the facilities for residents, latterly the creation of a new en-suite bedroom on the ground floor. Primley Housing Association Ltd D54-D07 S18413 Primley House V243809 051005 Stage 4.doc Version 1.40 Page 15 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x 3 3 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 4 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 3 3 x x x x x Primley Housing Association Ltd D54-D07 S18413 Primley House V243809 051005 Stage 4.doc Version 1.40 Page 16 NO Are there any outstanding requirements from the last inspection? 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 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. Refer to Standard 19 Good Practice Recommendations It is recommended that the home gives consideration to replacement of the passenger lift which has repeatedly broken down recently. Primley Housing Association Ltd D54-D07 S18413 Primley House V243809 051005 Stage 4.doc Version 1.40 Page 17 Commission for Social Care Inspection 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 Housing Association Ltd D54-D07 S18413 Primley House V243809 051005 Stage 4.doc Version 1.40 Page 18 - 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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