Inspection on 17/05/05 for Priors Mead Retirement Home

This inspection was carried out on 17th May 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 12/09/05

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 Vera Bulbeck Announced 17 May 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. Priors Mead Retirement Home H58 S13752 Priors Mead V219128 170505 Stage 4.doc Version 1.30 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 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 priorsmead@nightingale.co.uk Nightingale Retirement Care Limited 19 Sundridge Avenue, Bromley, Kent, BR1 2PU To Be Confirmed Care Home (CRH) 21 Category(ies) of Old age, not falling within any other category registration, with number (OP), 15 of places Dementia - over 65 years of age (DE(E)), 5 Physical disability over 65 years of age (PD(E)), 1 Sensory Impairment over 65 years of age (SI(E)), 2 Priors Mead Retirement Home H58 S13752 Priors Mead V219128 170505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The age/age range of the persons to be accommodated will be: OVER 65 Date of last inspection 09 August 2004 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 H58 S13752 Priors Mead V219128 170505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first 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 announced, which meant that visitors, staff and residents were aware of the inspection prior to it commencing. The inspector had the opportunity to speak with a number of residents who live at the home. They were all very complimentary about the home and spoke affectionately of the manager and staff. The staff were observed to be courteous and the atmosphere within the home was relaxed and friendly. The home was in good decorative order. The inspector wishes to thank the residents and staff for their co-operation and hospitality during the inspection. Ten residents were spoken with and four members of staff. This was a very positive inspection with the residents appearing well cared for. What the service does well: The home has a statement of purpose and service users guide which sets out the aims an objectives and facilities of the home. Service users are admitted to the home following a full assessment, which is undertaken by a qualified member of staff. The home has a stable and committed staff team. Staff commented they are supervised and supported and are able to speak with management at any time. The inspector spoke with ten residents who gave positive feedback with regards to the care they receive and stated that the staff are kind and helpful. One service user stated, “The home is first class”. Some residents were unable to communicate and the inspector observed the interaction between staff and service users to be good. Priors Mead Retirement Home H58 S13752 Priors Mead V219128 170505 Stage 4.doc Version 1.30 Page 6 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. Priors Mead Retirement Home H58 S13752 Priors Mead V219128 170505 Stage 4.doc Version 1.30 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 Priors Mead Retirement Home H58 S13752 Priors Mead V219128 170505 Stage 4.doc Version 1.30 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) 2,3 and 4. Residents are admitted to the home following a full assessment undertaken by staff trained to do so. The registered manager was able to demonstrate the homes capacity to meet the assessed needs. EVIDENCE: The home had a comprehensive statement of purpose, which accurately reflected the services provided by the home. residents were very complimentary about the care they received and stated the home meets all their needs. A full assessment is undertaken of all potentially new residents to the home, and risk assessments for individual residents were seen. A written contract and terms and conditions were observed on resident’s files, details of room numbers needs to be included. The manager and staff were able to demonstrate that the home had the capacity to meet the assessed needs of older people requiring personal care as stated in the statement of purpose. These include the provision of adaptations and equipment such as assisted baths, hoists and wheelchairs when necessary. Priors Mead Retirement Home H58 S13752 Priors Mead V219128 170505 Stage 4.doc Version 1.30 Page 9 Prospective resident’s are invited and encouraged to visit the home, stay for the day and talk with existing residents. The home provides trial periods of up to four weeks, and the period of time can be extended if requested. Priors Mead Retirement Home H58 S13752 Priors Mead V219128 170505 Stage 4.doc Version 1.30 Page 10 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 9. Health, personal care and social care needs are being met in the home. EVIDENCE: Care plans were found to be well documented but need updating, the plans indicated that resident’s health care needs are being met. Each resident has an individual care plan and the inspector advised that residents and family should be involved with the care plan. There are currently no residents who self medicate and the homes policies and procedures are regularly up dated. However it was noted that cream used on a resident was found unlocked in a resident’s bedroom. A number of residents commented on the home and staff being wonderful, caring and kind. Staff was observed to interact in a respectful manner with residents, particularly those with dementia. Priors Mead Retirement Home H58 S13752 Priors Mead V219128 170505 Stage 4.doc Version 1.30 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 standard(s) 12 and 15. There are systems in place to involve residents in their daily routine. Regular resident’s meetings take place and resident’s views are both sought and acted upon. EVIDENCE: One resident goes to church every Sunday by taxi, and another resident goes to church with a member of staff when she wishes to go. Every month a church service takes place in the home and all denominations are taken into consideration. Entertainment in the home is organised on a regular basis. However, activities need to be expanded. A number of residents commented they get bored with not enough to do. This was also identified on the survey undertaken by the home. The majority of resident’s have contact with family and friends and some have a care manager, including the privately funded resident’s. Reviews are undertaken on a six monthly basis. All resident’s are able to make choices and have control regarding their life style, for example what time they get up and go to bed, and choice of meals every day. Resident’s confirmed they could do what they like within reason. The mealtime arrangements were adequate: and the majority of the residents confirmed the food is good. However, one resident would like more choice, and Priors Mead Retirement Home H58 S13752 Priors Mead V219128 170505 Stage 4.doc Version 1.30 Page 12 another resident buys a lot of her own food from the Internet. She has a small fridge in her bedroom. There are meals available for special diets; diabetic, low fat and multi cultural meals are also provided for when requested. The meals being served on the day of inspection were observed to be wholesome and nutritious. Priors Mead Retirement Home H58 S13752 Priors Mead V219128 170505 Stage 4.doc Version 1.30 Page 13 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 and 18. The home has a well-documented complaints system, which was working well, and made available to all residents and staff EVIDENCE: Resident’s confirmed they know how to make a complaint and would feel happy to tell the manager or a member of staff if necessary. Some residents stated that they would tell their family first. Management of the home has received one complaint since the last inspection. The complaint has been dealt with appropriately and records were observed to be well documented. The majority of staff has received protection of vulnerable adults (POVA) training. The manager needs to attend this training. Priors Mead Retirement Home H58 S13752 Priors Mead V219128 170505 Stage 4.doc Version 1.30 Page 14 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) 19,24 25 and 26. The home was found to be homely, nicely furnished and decorated. The standard of cleanliness around the home was good. Staff are to be congratulated on this achievement. EVIDENCE: There were a few areas around the home that require attention. One of the resident’s bedrooms it was noted that the commode was too small for the resident to use comfortably and consequently caused an odour. The inspector advised the management to consider wardrobes to be secured to the wall where necessary. A plug was missing from a washbasin in a resident’s bedroom. There are a number of radiators that require a cover; the inspector was informed that these would be completed within six months. The home was found to be clean and comfortable for the resident’s. There is a daily cleaning programme in place. Bedrooms were personalised and each bedroom door had the residents name on. A number of bedrooms had been partly furnished with residents own belongings. Priors Mead Retirement Home H58 S13752 Priors Mead V219128 170505 Stage 4.doc Version 1.30 Page 15 A number of areas have been decorated with new carpets and furniture, bedrooms have been refurbished with curtains, chairs and bed covers to match. The home has a rolling maintenance programme. Priors Mead Retirement Home H58 S13752 Priors Mead V219128 170505 Stage 4.doc Version 1.30 Page 16 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) 27,29 and 30. There were competent and trained staff employed to support residents and who were aware of the changing needs of each individual person. EVIDENCE: There is sufficient staff on duty during each shift, these include three care staff, domestic staff and the chef. A maintenance person visits the home on a regular basis and carries out all the jobs required. Full recruitment procedures are being followed. All staff has been checked against the Criminal Records Bureau (CRB) before working in the home. Staff records were observed and found to be well documented, including contracts and terms and conditions. Training has been ongoing and the majority of staff has attended a number of training courses. However, the training plan needs to be kept up to date. All new staff receives a three to four day induction training programme. And all staff has received (POVA) protection of vulnerable adults training. Eight members of staff are in the process of completing NVQ Level 2. Priors Mead Retirement Home H58 S13752 Priors Mead V219128 170505 Stage 4.doc Version 1.30 Page 17 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, 33, 36, 37 and 38. Staff confirmed that the manager has clear and consistent leadership skills, and all staff illustrated an awareness of their roles and responsibilities EVIDENCE: The manager is in the process of applying for registration, and is currently completing the Registered Managers Award. All staff are supervised on a regular basis. However, this area needs to be expanded and goals need to be set for staff including training needs and identifying how the home can improve the care provided. There are also regular monthly visits by a designated person to undertake a quality audit of the home in line with statutory requirements. Priors Mead Retirement Home H58 S13752 Priors Mead V219128 170505 Stage 4.doc Version 1.30 Page 18 A number of records were observed and found to be well documented these include the accident book, fire records, training, residents and staff meetings; as well as health and safety records. It was noted that a fire risk assessment needs to be completed on the whole premises of the home as advised by the Fire Safety officer and minutes need to be taken of staff meetings. All significant events must be notified to the Commission for Social Care Inspection under Regulation 37 with 24 hours. The area outside the kitchen door is currently used as a smoking area, including a plant container on the wall used as an ashtray. The kitchen is used as a walk through to and from the garden; it is extremely dangerous for staff to be walking in and out of the kitchen when food is being served and also not hygienic in accordance with the Environmental Health Officer recommendations. Priors Mead Retirement Home H58 S13752 Priors Mead V219128 170505 Stage 4.doc Version 1.30 Page 19 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 3 3 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 x x x 3 x 2 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x 3 x x 3 2 2 Priors Mead Retirement Home H58 S13752 Priors Mead V219128 170505 Stage 4.doc Version 1.30 Page 20 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. 2. 3. Standard 9 25 38 Regulation 13 13 16 Requirement All medication must be stored in a lockable facility. All radiators must have guards fitted. The kitchen must not be used as a walk through from the garden or the doorway used as a smoking area. Wardrobes to be secured where necessary. The (CSCI) to be notified of all significant events. Timescale for action 17/05/05 24/10/05 24/05/05 4. 5. 38 37 13 37 27/05/05 17/05/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 5. 6. 7. Refer to Standard 7 12 24 38 36 37 24 Good Practice Recommendations Care plans need to be updated and residents or relatives need to be involved. Activities need to be expanded. A commode needs to be changed for a larger size. A fire risk assessment to be completed on the whole premises. Supervision needs to be expanded. Minutes to be taken of staff meetings. Room 12 needs a wash basin plug. H58 S13752 Priors Mead V219128 170505 Stage 4.doc Version 1.30 Page 21 Priors Mead Retirement Home 8. 9. Priors Mead Retirement Home H58 S13752 Priors Mead V219128 170505 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection 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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