Inspection on 18/10/05 for Prinsted

This inspection was carried out on 18th 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

Prinsted 02/11/06

Prinsted 20/06/05

Similar services:

Elizabeth House

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

CARE HOME ADULTS 18-65 Prinsted Oldfield Road Horley Surrey RH6 7EP Lead Inspector Kenneth Dunn Announced Inspection 18th October 2005 10:54 Prinsted DS0000063143.V258979.R01.S.doc Version 5.0 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 Prinsted DS0000063143.V258979.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 Adults 18-65. 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. Prinsted DS0000063143.V258979.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Prinsted Address Oldfield Road Horley Surrey RH6 7EP 01293 825400 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) Prinsted Ltd Mr Brian Ballantyne Care Home 15 Category(ies) of Past or present alcohol dependence (15), Past or registration, with number present drug dependence (15), Mental disorder, of places excluding learning disability or dementia (3) Prinsted DS0000063143.V258979.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th June 2005 Brief Description of the Service: Prinstead is a large and recently refurbished detached house situated in Horley Surrey. It has excellent transport links both locally and nationally. Prinstead has a homely atmosphere and was redesigned with the residents in mind. The service offers very flexible and appropriate accommodation. The home is registered to offer care for up to 15 residents in the category of Younger Adult. There are 5 twin bedded rooms and 5 single bedrooms. As part of the therapy process residents are encouraged to share rooms, especially in the initial stages of treatment. This is based on the therapeutic value of residents sharing experiences, strengths, hope and support with each other. In agreement between the inspector and the providers the term service users will not be used in the context of this report, as it has negative connotations in post addiction treatment. The word residents will therefore be substituted for this term. Prinsted DS0000063143.V258979.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit was the home’s second inspection for the year 2005/2006. This was an unannounced visit, which meant that staff and residents were unaware that it was due to happen. The home had a comprehensive statement of purpose, which accurately depicted the services provided by the home. The service plans in place were comprehensive and are reviewed on a regular basis to ensure that they accurately depict the needs of the individual residents. The home provided a high level of individualised support and therapy to the residents. This was a commendable part of the home’s operation. Links with service users friends and family were well developed and maintained by the operation of the home. The residents’ health needs were well met. The home has a robust complaints procedure. There have been no complaints received either by the service or by the CSCI in relation to this service. The home is very well maintained and is furnished to very good standard. What the service does well: What has improved since the last inspection? What they could do better: The manager must ensure that the medication policy is fully implemented and all residents’ medications are fully checked in when they are first admitted. The resident’s medications must be fully pharmacy ladled especially when they are brought in from over seas. Prinsted DS0000063143.V258979.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. Prinsted DS0000063143.V258979.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Prinsted DS0000063143.V258979.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 & 5 were assessed at the last inspection The service continues to meet all of the above standards please refer to the previous inspection report dated 20/06/05 EVIDENCE: Prinsted DS0000063143.V258979.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 9 & 10 The systems for Service User consultation are good with a variety of evidence that indicates Service Users views are both sought and acted upon within a confidential framework. EVIDENCE: The inspector audited individual residents files and reviewed the completed risk assessments these were found to be up to date and informative. The service has a strict policy of confidentiality and all the residents spoken to fully understand their rights and the information they shared with staff or other residents would be treated with the utmost of confidence. Prinsted DS0000063143.V258979.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 14 & 16 A good daily activity programme for each resident was seen as part of the inspection process. EVIDENCE: A highly developed activities programme is available to all residents this was seen to offer appropriate and very interesting options to all of them it is designed to be both therapeutic and for leisure. All of the residents living at Prinsted are encouraged and assisted to take part in a diverse and challenging programme of appropriate the activities. There is good strong evidence that they are all fully risk assessed by the manager and the staff prior to the residents taking part in them. The policies and procedures in operation at the service are continually updated and reviewed within these documents there is a commitment from the manager that all residents rights will be respected and guaranteed to be supported. There are exceptions and these are highlighted to all potential residents in their guidance documents. All anomalies within the policies and procedures that restrict residents are fully discussed with the individuals concerned prior to entry into the home. Included within these are restrictions on the use of mobile phones, bank accounts and contact with individuals from the primary treatment centre. Prinsted DS0000063143.V258979.R01.S.doc Version 5.0 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 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 & 20 The resident’s physical and emotional needs are fully supported and advanced. Service users are protected by the homes policies and procedures in respect of safely administering medication. EVIDENCE: Care plans reviewed clearly demonstrated that the physical and emotional needs of the residents being met by the home. The plans were detailed and they included information from doctor, dietician and other professional from the residents primary care centre. The manager has established a robust policy and set of procedures for the storage of all medication within the home. All medications are stored centrally and under the responsibility of the staff, at the time of this inspection no resident was self medicating. The inspector found two items of prescribed medication without any pharmacy labels on them, the manager explained that both items had arrived when a resident was admitted from an overseas primary care unit. The manager informed the inspector that the resident had only just arrived at the home and had not managed to be registered with the local medical surgery. The manager must ensure that residents arriving with prescribed medication must have a pharmacy label detailing the contents and the method of consumption. Prinsted DS0000063143.V258979.R01.S.doc Version 5.0 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The service continues to meet all of the above standards please refer to the previous inspection report dated 20/06/05. EVIDENCE: Prinsted DS0000063143.V258979.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 The location and layout of the home is suitable for it’s stated purpose. It is accessible, safe and well maintained. The home was found to meet the resident’s individual and collective needs in a comfortable and homely way. EVIDENCE: The home was toured and found to be in a very good state of repair. Furniture and furnishings were seen to be of good quality and very appropriate for the residents. The home was generally clean and hygienic. However the inspector found the disabled toilet to be unkempt and in need of attention the manger must ensure that the staff check the toilet and bathrooms on a regular bases to ensure that they remain at a good standard. Prinsted DS0000063143.V258979.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35 Resident’s benefit from the staff group being appropriately trained staff. EVIDENCE: The manager gave evidence of a professional and comprehensive induction period for new members of staff. Staff confirmed that they receive training on a regular basis. Records were examined and evidence was found of a very full and varied training programme. Prinsted DS0000063143.V258979.R01.S.doc Version 5.0 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 The service fully meets the standard. EVIDENCE: The manager and staff of the service are fully dedicated to soliciting the opinion of the residents and any visitors to the home. The inspector reviewed a comprehensive set of quality audits carried out at varying intervals over the duration of the residents stay at the home. On average the residents will complete a minimum of 3 quality audits the first one just after the resident has moved into the home, the second one at any point of the residents stay and finally they are asked to complete a questionnaire before leaving the service. The majority of questionnaires reviewed by the inspector indicated that the residents are on the whole very satisfied with the service they receive from the home. Prinsted DS0000063143.V258979.R01.S.doc Version 5.0 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 4 X X X X X 2 LIFESTYLES Standard No Score 11 X 12 3 13 X 14 3 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X X X X 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Prinsted Score X 3 3 X Standard No 37 38 39 40 41 42 43 Score X X 3 X X X X DS0000063143.V258979.R01.S.doc Version 5.0 Page 17 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 Ya30 Regulation 13(3) 16(2) 23(2,5) Requirement The manager must ensure that the toilets and bathrooms are kept clean at all times. Timescale for action 18/10/05 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 Prinsted DS0000063143.V258979.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Prinsted DS0000063143.V258979.R01.S.doc Version 5.0 Page 19 - 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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