Inspection on 12/09/05 for Priors Mead Retirement Home

This inspection was carried out on 12th September 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

Priors Mead Retirement Home 22/05/07

Priors Mead Retirement Home 17/05/05

Priors Mead Retirement Home 09/08/04

Priors Mead Retirement Home 15/06/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Priors Mead Retirement Home 26 Blanford Road Reigate Surrey RH2 7DR Lead Inspector Peter Benthom Unannounced Inspection 12th September 2005 10:00 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 Priors Mead Retirement Home DS0000013752.V249303.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. Priors Mead Retirement Home DS0000013752.V249303.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Priors Mead Retirement Home Address 26 Blanford Road Reigate Surrey RH2 7DR 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) 01737 224334 01737 224334 admin@nightingales.co.uk Nightingale Retirement Care Limited To Be Confirmed Care Home 21 Category(ies) of Dementia - over 65 years of age (5), Old age, registration, with number not falling within any other category (15), of places Physical disability over 65 years of age (1), Sensory Impairment over 65 years of age (2) Priors Mead Retirement Home DS0000013752.V249303.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The age/age range of the persons to be accommodated will be: OVER 65 YEARS 17 May 2005 Date of last inspection Brief Description of the Service: Priors Mead Retirement Home is a large detached house, providing accommodation and care. It is owned by Nightingale Retirement Care Ltd., which has another home in Kent, as well as domiciliary care provision in that county. The home is registered for up to 21 service users who fall within the category of older people. The home is located in a quiet, residential area on the outskirts of Reigate within a short distance of the town centre. The accommodation is situated on three levels. The bedrooms are of a good size; there are fifteen single bedrooms, another two singles with an en-suite toilet facility, and two double bedrooms. All floors are accessible by a passenger lift. The premises are generally in a good state of repair and are well appointed. The environment is relaxing and homely. The home has a number of communal areas for the service users to enjoy, including a pleasantly furnished conservatory, which leads onto a large, decked patio area. The grounds and garden of the home are well maintained, and are accessible to the service users. The home has also two birds belonging to a service user. The birds are all well looked after, by staff and service users. There are a number of car parking spaces at the front of the premises, as well as on street parking. Priors Mead Retirement Home DS0000013752.V249303.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second inspection to be undertaken by the Commission for Social Care Inspection for the year April 2005 to March 2006. For details of how each standard was met please refer to the main body of the report. It will be necessary to review both inspection reports for 2005-06 to obtain a full understanding of the extent to which the home meets The National Minimum Standards for Older People. The inspection was unannounced, which meant that visitors, staff and service users were unaware of the inspection prior to it commencing. The inspector had the opportunity to speak with a number of service users who live at the home. Some service users were complimentary about the home and spoke affectionately of the manager and staff. However several commented that there was little to do in the way of stimulation and entertainment .The staff were observed to be courteous and the atmosphere within the home was relaxed and friendly. The home was in good decorative order, but two bedrooms were observed to smell strongly of incontinence despite efforts to keep carpets clean by staff. The inspector wishes to thank the service users and staff for their co-operation and hospitality during the inspection. What the service does well: What has improved since the last inspection? A number of improvements to the environment of the home have been undertaken; these include decoration of a number of areas in the home, new carpets and furniture. Several bedrooms have been redecorated including new curtains, bedcovers and chairs to match. Priors Mead Retirement Home DS0000013752.V249303.R01.S.doc Version 5.0 Page 6 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. Priors Mead Retirement Home DS0000013752.V249303.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 Priors Mead Retirement Home DS0000013752.V249303.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, 3, 4, 5 and 6 Service users are admitted to the home following a full assessment undertaken by staff trained to do so. Service users are able to visit the service for trial periods. The registered manager was able to demonstrate the homes capacity to meet the assessed needs. EVIDENCE: The manager is able to carry out full assessments on service users prior to admission. Relatives and/or representatives are involved in this process when service users have problems expressing themselves. All potential service users are assessed prior to admission. It was reported that the service only admits new service users based on an assessment of needs, and appropriateness of placement. Service users visit the home prior to moving in and that visits are made to potential service users at their homes or in hospital. Prospective resident’s are invited and encouraged to visit the home, stay for the day and talk with existing service users. The home provides trial periods of up to four weeks, and the period of time can be extended if requested. Priors Mead Retirement Home DS0000013752.V249303.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): 7, 8, 9 and 10 Health, personal and social care needs are effectively met in this home. Service users’ health needs were well met and medication administration was accomplished satisfactorily. The service plans in place were comprehensive and are reviewed on a regular basis to ensure that they accurately depict service users’ needs. EVIDENCE: The care plan is preceded by the full assessment of health and personal care needs, which is undertaken by the manager. The assessment is carried out in full co-operation with the care manager and/or the referring agency. The assessment is ongoing when the Service User is admitted to the home. Service Users’ care plans are drawn up from the perspective of the Service User and showed their individual preferences, likes and dislikes. Service users are also well supported by the district nursing service who undertake responsibility for dressings, wound care, blood tests, flu vaccines and any other nursing tasks. Medication is stored in a locked cupboard and all senior staff are trained in the administration of medication. Priors Mead Retirement Home DS0000013752.V249303.R01.S.doc Version 5.0 Page 10 During the inspection the staff cared for Service Users in a respectful manner. Those Service Users requiring any assistance were helped sensitively. All Service Users have their own bedroom, thus providing the opportunity for privacy when visitors arrive, whether family or professionals. Priors Mead Retirement Home DS0000013752.V249303.R01.S.doc Version 5.0 Page 11 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 and 15 There was room for improvement in respect of social activities. Discussion with several service users indicated that there is little in the way of stimulation in the day-to-day life of the home. EVIDENCE: Lunch was observed during the inspection, the food offered was appetising, wholesome, and nutritious. Service users were able to give positive feedback to the inspector regarding the standard and quality of the food. There is a choice of menu but this is not displayed to service users. There are meals available for special diets; diabetic, low fat and multi cultural meals are also provided for when requested. However some service users stated that there is little to do in terms of regular stimulation and that days are often long and boring. Therefore activities need to be expanded and improved. Priors Mead Retirement Home DS0000013752.V249303.R01.S.doc Version 5.0 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, 17 and 18 There is a complaints procedure in place and all service users and their relatives have access to a copy of this on admission to the home. Arrangements were in place to ensure the protection of vulnerable adults including a staf training porgramme. EVIDENCE: There have been no complaints since the last inspection. The majority of staff have received protection of vulnerable adults (POVA) training. All Service Users and their relatives and representatives have access to the complaints procedure. Priors Mead Retirement Home DS0000013752.V249303.R01.S.doc Version 5.0 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): 19, 20, 21, 22, 23, 24, 25 and 26 In general, the environment was suitbale to meet service users needs with appopriate equipment and adaptations in place. However, the condition of the carpets in some parts of this home is of a very poor standard with no satisfactory evidence of improvement through maintenance and refurbishment. EVIDENCE: The Home is situated in a large garden and is close to Reigate town centre. The Home has been operating for over twenty years and has been adapted to meet the needs of older people. There are ample dining and lounge areas. This Home’s facilities for washing and toileting meets the minimum standards expected. All rooms were accessible to Service Users. The home has grab rails and adaptations in place to support Service Users to maintain their independence. However some of the carpets in bedrooms are of an unacceptably poor standard and have a strong odour of incontinence. The Commission recognises that the high vacancy rate has meant that resources have been stretched over recent months and as such some refurbishment has been put on hold. Priors Mead Retirement Home DS0000013752.V249303.R01.S.doc Version 5.0 Page 14 However issues that must be addressed immediately are outlined on the requirements section on Page 21. Priors Mead Retirement Home DS0000013752.V249303.R01.S.doc Version 5.0 Page 15 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): 27, 28, 29 and 30 The staff had a good understanding of Service Users need. This was evident from the positive relationships that have been formed between staff and Service Users. Appropriate recruitment practices were taking place at the time of the inspection. Adequate staffing levels were evident and a staff training programme was available. EVIDENCE: The Home has a policy whereby all gaps in the staff rota are met by existing staff. The home has a recruitment policy in place. Employment records seen on the day of the inspection were well maintained and included the relevant documentation required. Staff files contain a photograph of the staff member. The Home has a continual programme of NVQ training for all staff and is committed to staff training. All staff have completed induction and foundation training and there is a good training package for all staff. Staffing levels comply with National Minimum Standards. Priors Mead Retirement Home DS0000013752.V249303.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, 33, 36, 37 and 38 The manager is supported by the proprietor in providing clear and consistent leadership in the home with staff on duty demonstrating an awareness of their roles and responsibilities. The health and safety of service users was promoted in the home’s policies and procedures. EVIDENCE: The manager is in the process of applying for registration, and is currently completing the Registered Managers Award. There was a positive and relaxed atmosphere at the home during the inspection. Staff spoken to stated that the manager was approachable and supportive. Records required for the protection of service users and sampled on the day of the inspection were well maintained, accurate, and up to date. The stafftraining programme includes training in first aid, manual handling, infection control, fire safety, health and safety and basic food hygiene. Systems were in place to safeguard the health and safety and welfare of the service users. Priors Mead Retirement Home DS0000013752.V249303.R01.S.doc Version 5.0 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 3 3 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 2 3 3 3 3 3 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X X 3 3 3 Priors Mead Retirement Home DS0000013752.V249303.R01.S.doc Version 5.0 Page 18 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. 1 Standard OP26.1 Regulation 16 (1) (2) (k) 16 (1) (2) (k) 16 (2)(i) Requirement It is required that the carpet in Room 18 is replaced with more suitable flooring before the room is occupied It is required that the carpet in Room 18 is replaced with more suitable flooring on account of the strong odour of incontinence It is required that a choice of menu is displayed on a daily basis and is made available to all service users. It is required that a more varied and regular activity programme is made available to service users Timescale for action 31/11/05 2 OP26.1 31/11/05 3 OP15.8 31/11/05 4 OP12.2 16 (2) (n) 31/11/05 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 Priors Mead Retirement Home DS0000013752.V249303.R01.S.doc Version 5.0 Page 19 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. 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