Inspection on 21/03/06 for Primley View Nursing Home

This inspection was carried out on 21st March 2006.

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 View Nursing Home 22/05/07

Primley View Nursing Home 13/09/06

Primley View Nursing Home 07/10/05

Primley View Nursing Home 26/11/04

Primley View Nursing Home 20/04/04

Primley View Nursing Home 12/11/03

Primley View Nursing Home 06/06/03

Primley View Nursing Home 28/05/02

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

CARE HOMES FOR OLDER PEOPLE Primley View Nursing Home Primley View 25 Primley Park Paignton Devon TQ3 3JW Lead Inspector Mandy Norton Unannounced Inspection 21st March 2006 11:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Primley View Nursing Home DS0000028756.V276040.R01.S.doc Version 5.1 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 View Nursing Home DS0000028756.V276040.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Primley View Nursing Home Address Primley View 25 Primley Park Paignton Devon TQ3 3JW 01803 559229 01803 559229 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 Susan Mary Wiltshire Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (3), Physical disability (30), Physical disability of places over 65 years of age (30) Primley View Nursing Home DS0000028756.V276040.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Registered for max PD 30 Registered for max PD(E) 30 service users over the age of 65 Registered for max OP 3 Date of last inspection 7th October 2005 Brief Description of the Service: Primley View Nursing Home is built in an elevated position overlooking the seaside town of Paignton. It offers panoramic views of Torbay from Thatcher Rock to Berry Head. It caters for elderly people who have a physical illness or disability that need respite or full time nursing care. There are three lounges and 27 bedrooms, two of which are double bedrooms and seven that have en suite facilities. Several of the bedrooms enjoy sea views. A shaft lift goes to each floor that the Service Users are accommodated on. The majority of the bedrooms are single occupancy and all contain a nurse call bell system and television point, some have their own telephone sockets. There is a small patio area with seating to the rear of the building that is accessible to wheelchair users. Individual and group activities are encouraged with the help of an activities provider. The services of a dentist, optician, chiropodist and hairdresser are available by appointment. Relatives and friends may visit at any reasonable time. Trained nurses are on duty 24 hours a day and are supported by carers, catering and domestic staff. The owner has several other home situated in the South West. Primley View Nursing Home DS0000028756.V276040.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced. It took place over 2 hours and 45 minutes and was conducted with the matron. The focus of the inspection was to assess the key standards that were not assessed at the last inspection and to discuss a recent complaint made. A variety of documents were examined and some patients were spoken with during a tour of the home. What the service does well: 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. Primley View Nursing Home DS0000028756.V276040.R01.S.doc Version 5.1 Page 6 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 View Nursing Home DS0000028756.V276040.R01.S.doc Version 5.1 Page 7 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): None of these standards were assessed during this inspection EVIDENCE: Primley View Nursing Home DS0000028756.V276040.R01.S.doc Version 5.1 Page 8 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): 8&9 The health care needs of the residents are identified and met. The medication at the home is well managed, promoting good health. EVIDENCE: During the inspection members of the CARRIE team (short term admissions to prevent admission to hospital) were assessing some patients. Their subsequent discussion with the matron confirmed the staffs’ commitment to delivering the best care possible tailored to meet individual need. Equipment for the treatment and prevention of pressure sores was seen during a tour of the home. The care plans examined had nutritional information and manual handling assessments included in them. During the inspection the communication between staff about the changing needs of patients was observes as being effective. The matron showed the inspector the systems in place for medicines administration. Due to the layout of the home the medicines are kept in locked boxes (one for each floor) these are stored in a locked treatment cupboard. The nurse takes the appropriate box with her to the patient to administer the Primley View Nursing Home DS0000028756.V276040.R01.S.doc Version 5.1 Page 9 medicines. The matron said that new boxes are on order as one currently in use has a broken lock. The local pharmacist delivers the medicines in a ‘Nomad’ system weekly and carries out 6 monthly inspections of the homes systems. The matron said the home has a good working relationship with the pharmacy. The matron has arranged an outside contractor to dispose of out of use medicines as recent legislation requires. At the time of the inspection one patient self administers inhalers only. The matron was heard discussing the review of medications of a patient with a member of the CARRIE team (respite admissions) in order to be able to meet his needs more appropriately. Primley View Nursing Home DS0000028756.V276040.R01.S.doc Version 5.1 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): 12,13,14 &15 The staff encourage patients to remain as independent as possible allowing them to make personal choices and maintaining some control over their life. The staff have a good understanding of the patients cultural, social and recreational needs and the importance of maintaining contact with family and friends and engage the patients in a variety of ways. The meals in the home offer both choice and variety and cater for special dietary needs. EVIDENCE: It was clear, during the inspection, that the matron and other staff know their patients very well and encourage them to spend their time as they wish lending support and care as required. Information about activities in the home is circulated to patients on the day of the activity and they are given an opportunity to join in if they wish. The matron said that some patients go out with relatives or friends sometimes. Relatives were seen coming and going freely during the inspection. The staff were heard being friendly and welcoming to visitors and the matron said they have a good relationship with the current relatives that visit. Primley View Nursing Home DS0000028756.V276040.R01.S.doc Version 5.1 Page 11 A tour of the home confirmed that patients have personalised their rooms with their own possessions and style. The matron and cook said that the cook sees new patients following admission to discuss their likes and dislikes and any special needs. The choices that the patients had made for their meals on the day of the inspection was seen, and included a variety of things not just items that were on the menu. The tea time list is destroyed after being used, the matron was advised to keep a copy of the list for future reference when carrying out quality assurance activity. Primley View Nursing Home DS0000028756.V276040.R01.S.doc Version 5.1 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 The home has a satisfactory complaints system. Staff have a knowledge and understanding of adult protection issues which protects residents from abuse. EVIDENCE: A recent complaint investigated by the matron confirms that the homes laid down complaints procedure and policies were followed as required. Details of the investigation were recorded as necessary and the outcome forwarded to the CSCI for review. The complaints procedure is displayed in the entrance hall and is included in information given to patients admitted to the home. The policies and procedures file contains up to date policies concerning adult protection procedures. The matron is confident that the staff have an awareness of what abuse is and was able to show the inspector the information staff are given as part of their induction and ongoing training. Staff have to sign to say they have received the information. A copy of all the information is also kept in the office accessible to staff at all times. Primley View Nursing Home DS0000028756.V276040.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were assessed during this inspection EVIDENCE: Primley View Nursing Home DS0000028756.V276040.R01.S.doc Version 5.1 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): 29 & 30 Patients needs are met by a satisfactory mix of nurses, carers and ancillary staff who are trained and competent to do their job. The homes recruitment policy and practice protect the residents. EVIDENCE: The matron said that before advertising a vacant post she looks at the current skill mix to decide what grade of staff is required. She said she uses a standard recruitment procedure which includes getting 2 written references, one of which must be from the last employer, and a CRB check. She carries out the interviews herself at the home. Once in post the induction process depends on the individual and their previous experience. There is a checklist that all staff have to complete before being allowed to work unsupervised. They have a three month probationary period before being issued with a permanent contract. Over 50 of carers have an NVQ level 2 or 3. Some overseas staff are employed at the home. The matron confirmed that she is confident that the home has all of the correct documentation for these people and sees their paperwork before their appointment. Primley View Nursing Home DS0000028756.V276040.R01.S.doc Version 5.1 Page 15 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): 33 & 35 The home reviews aspects of its performance through a programme of self review and consultation, which includes seeking the views of the residents, relatives and staff. The systems in place in the home promote and protect the welfare of the patients and staff. EVIDENCE: A representative of the company carries out Regulation 26 visits (when the owner is not in day to day charge of the home). The report is forwarded to the CSCI as required. Questionnaires are sent to relatives and patients periodically to get their views on the service provided. The matron said that people see her on a daily basis and often informally talk to her about issues or concerns. Primley View Nursing Home DS0000028756.V276040.R01.S.doc Version 5.1 Page 16 The matron said that the home does not deal with any patients personal finances or keep any valuables in the home. The persons who manage patients money for them are billed individually for things such as hairdressing and chiropody or newspapers. Primley View Nursing Home DS0000028756.V276040.R01.S.doc Version 5.1 Page 17 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 4 9 3 10 X 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 3 X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X X Primley View Nursing Home DS0000028756.V276040.R01.S.doc Version 5.1 Page 18 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. 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 View Nursing Home DS0000028756.V276040.R01.S.doc Version 5.1 Page 19 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. 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