Inspection on 07/10/05 for Primley View Nursing Home

This inspection was carried out on 7th 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 View Nursing Home 22/05/07

Primley View Nursing Home 13/09/06

Primley View Nursing Home 21/03/06

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 25 Primley Park Paignton Devon TQ3 3JW Lead Inspector Mandy Norton Unannounced 7 October 2005 th 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 View D54-D07 S28756 Primley View V216136 071005 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Primley View Nursing Home Address Primley View, 25 Primley Park, Paignton, Devon, TQ3 3JW 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 559229 01803 559229 Optima Care Partnership Mrs Susan Mary Wiltshire Care Home with Nursing 30 Category(ies) of Old age, not falling within any other category registration, with number (3), Physical disability (30) of places Primley View D54-D07 S28756 Primley View V216136 071005 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26.11.04 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. This recently refurbished and extended home is comfortably furnished throughout creating a warm, friendly and relaxed environment. 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 garden 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. A library is maintained with a regular change of books and cassettes. The services of a dentist, optician, chiropodist and hairdresser are available by appointment. Relatives and friends may visit at any reasonable time. Primley View D54-D07 S28756 Primley View V216136 071005 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced. It took place over one and a half hours (12.30 – 2 pm) and was conducted with the matron. The focus of the inspection was to look at the environment the clients live in and to assess a number of the key standards. 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 D54-D07 S28756 Primley View V216136 071005 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Primley View D54-D07 S28756 Primley View V216136 071005 Stage 4.doc Version 1.30 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 standard(s) 1,3 and 5. Comprehensive pre admission assessments are carried out and therefore people are admitted to the home appropriately. Clear information and opportunities to visit the home are given to people to help them to decide if they want to live at Primley View. EVIDENCE: The matron said that pre admission assessments are carried out by herself and/or the deputy matron. The information gathered helps them to make a decision as to whether the home can meet a persons needs and helps to inform the initial care plan should they move in. The home also receives an initial care plan from the placing authority if a client is publicly funded. The information given to relatives and prospective clients prior to admission is very informative, written in plain English. The matron said that people are encouraged to visit the home prior to admission. They can visit without an appointment but if they want to meet the matron or deputy matron it is wise to make an appointment. Primley View D54-D07 S28756 Primley View V216136 071005 Stage 4.doc Version 1.30 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 standard(s) 7,8 and 10. The health care needs of the residents are identified and met. Interactions between staff and residents promotes and protects patients privacy and dignity. EVIDENCE: The care plans examined had been regularly reviewed, contained appropriate risk assessments and sets out in sufficient detail the actions to be taken by staff to ensure the needs of the patients are met. There was no daily statement made about the patients condition and welfare. The patients are all registered with a GP and have eye tests and dental checks as necessary. A tour of the home confirmed that equipment necessary for the promotion of tissue viability and prevention or treatment of pressure sores is available throughout the home and is in good condition. The ‘extension’ has a new assisted bath which is very popular. A tour of the home overheard staff treating the patients with respect and dignity and interacting with them appropriately. Primley View D54-D07 S28756 Primley View V216136 071005 Stage 4.doc Version 1.30 Page 9 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) None of these standards were assessed during this inspection EVIDENCE: Primley View D54-D07 S28756 Primley View V216136 071005 Stage 4.doc Version 1.30 Page 10 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 The home has a satisfactory complaints system. EVIDENCE: The home has a complaints procedure displayed that includes time scales and the contact details of the Commission for Social Care Inspection office. The commission have not received any complaints since the last inspection. A record of any complaints made to the home is maintained. Primley View D54-D07 S28756 Primley View V216136 071005 Stage 4.doc Version 1.30 Page 11 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, 23 and 26. The standard of the environment within the home is good providing clients with attractive and homely place to live. The overall quality of the furniture and fittings is good providing a safe environment. The home is clean and hygienic. EVIDENCE: A tour of the home confirmed that all of the lounges and outdoor space are accessible to clients. The furniture and decoration in the communal areas is of good quality and domestic in character. Communal activities take place in the lounges. Individual rooms were decorated appropriately making them light and comfortable. Patients rooms seen were clean and contained many of their own possessions. Primley View D54-D07 S28756 Primley View V216136 071005 Stage 4.doc Version 1.30 Page 12 There are a variety of bathrooms and toilets throughout the home adapted to meet the needs of the clients. Seven rooms have en-suite facilities. The home was tidy, clean and hygienic. Sluicing facilities are provided within the home. The laundry has suitable equipment to manage the laundry the home produces. Sheets are laundered by an outside contractor. Primley View D54-D07 S28756 Primley View V216136 071005 Stage 4.doc Version 1.30 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. Patients needs are met by a satisfactory mix of nurses, carers and ancillary staff who are trained and competent to do their job. EVIDENCE: The homes duty rota shows that the staffing levels are sufficient to meet the assessed needs of the patients in the home. Optima (the company that owns the home) provide training for manual handling and all staff attend other statutory training as required. There are domestic and catering staff employed to support the carers in meeting the needs of the patients in the home. Primley View D54-D07 S28756 Primley View V216136 071005 Stage 4.doc Version 1.30 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, 37 and 38. There is good leadership and guidance for staff to ensure patients receive consistent quality care. The systems in place in the home generally promote and protect the health and safety and welfare of the clients and staff. EVIDENCE: The matron is an experienced 1st level nurse who has also achieved a registered managers award. There are clear lines of accountability within the home and with external management. Records seen during the inspection were in good order and up to date. The plans of care and other commonly used documents are kept in the main office so staff can have access to them at all times. Staff files and some patient information is stored securely in the matrons office. Primley View D54-D07 S28756 Primley View V216136 071005 Stage 4.doc Version 1.30 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 3 x 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION 3 3 3 x 3 x x 3 STAFFING Standard No Score 27 3 28 x 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 x x 3 x x x x x 3 3 Primley View D54-D07 S28756 Primley View V216136 071005 Stage 4.doc Version 1.30 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 Good Practice Recommendations Primley View D54-D07 S28756 Primley View V216136 071005 Stage 4.doc Version 1.30 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 View D54-D07 S28756 Primley View V216136 071005 Stage 4.doc Version 1.30 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. 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!