Inspection on 22/05/07 for Priors Mead Retirement Home

This inspection was carried out on 22nd May 2007.

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 12/09/05

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 Mary Williamson Unannounced Inspection 22nd May 2007 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 Priors Mead Retirement Home DS0000013752.V335323.R01.S.doc Version 5.2 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.V335323.R01.S.doc Version 5.2 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 Mrs Lynette Marie Pearman 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.V335323.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The age/age range of the persons to be accommodated will be: OVER 65 YEARS 12th September 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 residents 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 residents 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 also has two cats. The cats are all well looked after, by staff and the residents. There are a number of car parking spaces at the front of the premises, as well as on street parking. The current charges range from £443 to £660 per week. Priors Mead Retirement Home DS0000013752.V335323.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first site visit of a key inspection and was unannounced. Mary Williamson Regulation Inspector carried out the inspection. The Registered Manager Mrs Lyn Pearman represented the establishment. A tour of the premises was undertaken and records relating to the care of the residents and the management of the home were examined. Discussions were held with several residents individually. There were positive comments forthcoming regarding the care received and the staff providing this. The home is currently undergoing major refurbishment and there was a lot of building work taking place. Both the manager and the builders were making every effort to keep the disruption and inconvenience caused by this work to a minimum, however the residents were still experiencing noise. Some residents were sitting in the lounge reading their daily newspapers. Others were watching television and talking with each other. Others were having their hair washed and set by the hairdresser. It was also possible to talk with staff on duty who confirmed some of the training they had undertaken including the abuse awareness procedure. The manager returned a completed pre inspection questionnaire to the inspector. Three resident comment cards, five relative comment cards and two GP comment cards were also returned to the inspector prior to the visit. The feedback received was generally good, however six people felt there was not enough stimulation and activities offered. The Commission for Social Care inspection would like to thank the residents, manager, and staff team for their help and hospitality during this inspection. What the service does well: The home provides a good standard of care and support for the residents living there. Comments received from the residents and relatives were most complementary about the care provided and the staff providing this. The arrangements in place to meet health care needs are good, and two GP’s gave positive feedback on the home. The catering arrangements are well organised by the cook who has worked in the home since it opened thirteen years ago. Priors Mead Retirement Home DS0000013752.V335323.R01.S.doc Version 5.2 Page 6 The home is well manager and the organisation is committed to the training and development of the staff. 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. The summary of this inspection report can be made available in other formats on request. Priors Mead Retirement Home DS0000013752.V335323.R01.S.doc Version 5.2 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.V335323.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents have sufficient information available to help them make a choice about living in the home. Contracts of occupancy and needs assessments are in place. EVIDENCE: There is a statement of purpose and service user guide in place and all residents and their relatives have a copy of this give to them prior to admission to the home. This provides sufficient information in order to make an informed decision about living in Priors Mead. A resident stated that she had a copy of this document in her bedroom. Contracts of occupancy were seen. These include the type of care provided, the standard of accommodation offered, and the room occupied. It also provides residents with information on charges and method of payment. Residents or their representative has signed these contracts. The manager stated that needs assessments are undertaken by her or a designated senior staff on all prospective residents. She also stated that these Priors Mead Retirement Home DS0000013752.V335323.R01.S.doc Version 5.2 Page 9 assessments provide her with the information necessary to determine the suitability of the placement. Three needs assessments were randomly sampled and these were informative and detailed. The home does not provide intermediate care. Priors Mead Retirement Home DS0000013752.V335323.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individual care plans in place outline the personal and health care to be provided, including medication arrangements. EVIDENCE: Individual care plans are in place. Three of these were randomly sampled. They are written based on the pre admission needs assessments, input from the residents, information received from relatives, and any medical reports available on admission to the home. Two residents stated that they were aware of their care plan and had signed this. A relative or designated representative will sign on behalf of a resident when necessary. The care plans are reviewed on a regular basis, and updated according to changing needs. Residents are registered with GP’s in four nearby practices. There were three individual visits from GP’s during the inspection. The manager stated that there is also a good district nurse support service and that they visit the home to undertake dressings, take blood for various tests, and advise on best practice. Priors Mead Retirement Home DS0000013752.V335323.R01.S.doc Version 5.2 Page 11 Chiropody treatment is available privately, and there is a local dental surgery where residents can access treatment or can retain their own dentist by mutual consent. The home has a medication policy in placed and all staff that undertake medication administration are familiar with this policy. Medication is stored in the office securely. Woodhatch Pharmacy supplies all medication in the home. The pharmacist also undertakes audits of medication, and training for the staff. The medication recording charts were seen and are well maintained. Currently there are no residents in the home that self medicate. Generally residents are treated with dignity and respect. Resident’s rooms are fitted with locks and they have their own key. Staff knock on individual bedroom doors and wait to be invited in. Screens are provided in shared rooms. Staff were observed to address residents by their preferred name. Some residents like to be called by their first name while others prefer a more formal address for example Mr. or Mrs. The bedroom on the ground floor was being used as a hairdressing room during the inspection. A discussion was held with the manager and it was recommended that an alternative space be found for the hairdressing saloon rather than a resident’s bedroom in order to observe the privacy of that resident. Priors Mead Retirement Home DS0000013752.V335323.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The leisure activities programme in place needs to be revised and updated to provide more appropriate activities and choice. Family links are maintained and the nutritional needs of residents are met. EVIDENCE: The activities provided include bingo, old time music, film afternoons, reminiscence therapy and manicures. The activities programme in place also states that exercise to music and entertainment is provided, which has been discontinued. Following a discussion with several residents they felt that there was “not enough to do”. It was a requirement at the last inspection that a more varied leisure activities programme should be introduced and this will be carried over from this inspection as a requirement. Some residents have a daily newspaper and others were observed sitting in the lounge reading and watching television. Family links are maintained and relatives are welcome in the home at any reasonable time. Relatives and friends are also invited to functions organised in the home. Family and friends take out residents on occasions. Priors Mead Retirement Home DS0000013752.V335323.R01.S.doc Version 5.2 Page 13 Spiritual needs are supported and arrangements can be made for members of local clergy to visit the home on request. Residents can exercise choice over their daily lives. Residents stated that they have a choice of food, where they choose to eat, what time they get up and go to bed. If they wish to take breakfast in their bedrooms or come to the dining room. The daily paper they read and how they spend their leisure time. One resident has planned a trip to California next week, for six weeks to visit family. The cook plans the manus over a six-week period. These were seen and are varied, nutritional and cater for a wide range of choice and need. Lunch on the day of the inspection included a choice of beef stew and dumplings, a variety of vegetables and potatoes, or a burger. Desert was fruit flan and cream or a selection of fruit. The cook also provided egg and toast for a resident who felt unwell and did not feel like the food offered. A soft diet was also catered for. Snacks and drinks are served throughout the day. All staff who serve food have a current food hygiene certificate. The kitchen has just been refurbished and all the required documentation relating to food hygiene is recorded. The last Environmental Health Officers was in July 2006 and all was satisfactory. Priors Mead Retirement Home DS0000013752.V335323.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The complaints procedure and the abuse awareness procedures in place protect the residents living in the home. EVIDENCE: There is a complaints procedure in place and all the residents living in the home have a copy of this, which forms part of the service user guide. On discussion with the residents they said that if they had to complain they would do so the manager. There have been no complaints since the last inspection. There is an abuse awareness procedure in place and all staff undertake training in this procedure during induction training. Staff confirmed this during discussion. The home also has a copy of Surreys Multi-Agency’s policies and Procedures in Safeguarding Vulnerable Adults in place and the manager has attended training in these procedures. Evidence of this was seen on file. Priors Mead Retirement Home DS0000013752.V335323.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 24, and 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is currently undergoing major refurbishment, and therefore has all the signs of “building in progress”, causing wear on tear in some areas of the home. The communal space and bedrooms meet individual and collective needs of the residents. EVIDENCE: The home is in the process of a major refurbishment to reduce the amount of double rooms and create more en-suite facilities. Some of the rooms on the first and second floors are currently vacant until the building work is complete. The manager and builders have made every effort to reduce the inconvenience and noise caused to the residents to a minimum. The corridor carpets on the first and second floors show all the signs that building is in progress, and the manager stated that these would be replaced on the completion of the building work. A requirement has not been made, as this is part of the refurbishment. The communal areas of the home include a large lounge leading into a smaller lounge area, which is comfortably furnished. There is a conservatory, which Priors Mead Retirement Home DS0000013752.V335323.R01.S.doc Version 5.2 Page 16 leads to a decked garden area and well-maintained garden. The residents spoken to all stated that they enjoy the garden. The dining room is bright and cheerful and provides good dining facilities in a relaxed atmosphere. It was good to observe the use of white tablecloths, condiments, and well-laid tables. Bedrooms are personalised with personal possessions and are furnished to a good standard. All the residents have keys for their bedrooms. The standard of cleanliness is good and the domestic staff must be commended for this during all the disruption caused by the building. The mal odour referred to at the last inspection has been eradicated by replacing a bedroom carpet. The laundry is located in the basement and is adequate to meet the needs of the home. There is a control of infection policy in place. Priors Mead Retirement Home DS0000013752.V335323.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are supported by a competent staff team in sufficient numbers to meet their current assessed needs. EVIDENCE: The staff duty rota was discussed with the manager and confirmed that there are three care staff on duty during the morning shift. There is also a cleaner and a cook. Two care staff are employed to cover the afternoon shift and two night staff support residents. Training and development of staff is ongoing and all staff undertake induction followed by foundation training. COMMTL Limited provides the training in the home. Training provided includes, manual handling, food hygiene, administration of medication, dementia care, managing aggressive behaviour, and abuse awareness and fire safety. There are currently eight staff with NVQ Level 2 in care. The staff spoken to stated that they enjoyed doing this. The recruitment procedure in the home was explored. The manager is responsible for the recruitment of staff and three staff employment files were sampled. These are well maintained and included an application form, two written references, an employment history and a CRB (Criminal Records Priors Mead Retirement Home DS0000013752.V335323.R01.S.doc Version 5.2 Page 18 Bureau) disclosure. The manager stated that she is currently recruiting staff for the care team. Priors Mead Retirement Home DS0000013752.V335323.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed in the best interests of the residents. The health, safety, and welfare of the residents are promoted. EVIDENCE: A competent manager manages the home efficiently. She has undertaken and achieved her RMA (Registered Managers Award) and NVQ Level 4 in management. She has the support of four senior carers “acting managers” and the company managing director. It was good to observe positive interaction between the manager residents and staff on duty. The residents spoken to confirmed that they are satisfied with the management structure within the home and said that it was always possible to speak with a senior staff member when they wanted to. Priors Mead Retirement Home DS0000013752.V335323.R01.S.doc Version 5.2 Page 20 The manager stated that quality assurance is monitored through residents meetings when ideas and suggestions are acted upon. Quality assurance questionnaires are sent to residents and relatives. Feedback is coordinated at head office in Bromley and retained on file. The home does not handle personal finances on behalf of residents. The home has a wide range of health and safety policies and procedures in place, some of which were seen throughout the inspection. All staff undertake health and safety training as part of their induction. The COSHH procedures are observed. Risk assessments are in place for all identified risks and safe working practice. The fire safety procedures in the home protect the residents living there. The manager demonstrated that fire alarms are tested and recorded weekly. There is a contract in place with Honeywell for the maintenance of the fire alarms, emergency lighting, and fire fighting equipment. Certificated of safety were seen for the hoist and the lift. The procedure for recording accidents and incidents in the home is satisfactory. Priors Mead Retirement Home DS0000013752.V335323.R01.S.doc Version 5.2 Page 21 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 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 X X X 3 X 3 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 X 3 X 3 X X 3 Priors Mead Retirement Home DS0000013752.V335323.R01.S.doc Version 5.2 Page 22 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 OP10 Regulation 12(4)(a) Requirement The registered person must respect the privacy of residents living in the home, and therefore ensure that fellow residents do not use the bedroom on the ground floor, which is currently occupied, as a hairdressing salon. The registered person must provide a programme of activities suitable for the assessed needs of the residents living in the home. Timescale for action 22/06/07 2 OP12 16(2)(n) 22/06/07 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.V335323.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Priors Mead Retirement Home DS0000013752.V335323.R01.S.doc Version 5.2 Page 24 - 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. 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