Inspection on 02/11/06 for Priorsmead

This inspection was carried out on 2nd November 2006.

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

Priorsmead 29/11/07

Priorsmead 01/11/05

Priorsmead 07/06/05

Priorsmead 15/03/05

Priorsmead 28/06/04

Priorsmead 18/03/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Priorsmead Priorsmead Canterbury Way Thetford Norfolk IP24 1EB Lead Inspector Mr Pearson Clarke Unannounced Inspection 2nd November 2006 10:20 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 Priorsmead DS0000034997.V318734.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. Priorsmead DS0000034997.V318734.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Priorsmead Address Priorsmead Canterbury Way Thetford Norfolk IP24 1EB 01842 752039 01842 750357 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) www.norfolk.gov.uk Norfolk County Council-Community Care position vacant Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places Priorsmead DS0000034997.V318734.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. It is recommended that the home be registered to accommodate 16 Older People only. People who need wheelchairs to assist with independent mobility at point of admission can only be accommodated in rooms numbered 5, 7, 17 and 20. All of the bedrooms are to be used for single occupancy only. 1st November 2005 Date of last inspection Brief Description of the Service: Priorsmead is a care home situated on the outskirts of the town of Thetford and offers ground floor accommodation for up to 16 elderly people. It is owned and operated by Norfolk County Council. Nursing care is not provided. There is one day-care placement, and some respite placements are made. All of the bedrooms are designed for single occupancy with a restriction for service users who require wheelchairs for mobility to four of the homes larger bedrooms. The home has a call bell system installed so that service users are able to summon assistance from their rooms, communal areas or bathing and toilet facilities. Service users meetings are held to discuss issues residents wish to raise, and there is a programme of activities, including craft, games and quizzes and music. Priorsmead DS0000034997.V318734.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Care services are judged against outcome groups which assess how well a provider delivers outcomes for people using the service. The key inspection of this service has been carried out by using information from previous inspections, information from the providers ,the residents and their relatives, as well as others who work in or visit the home. This has included a recent unannounced visit to the home and this report gives a brief overview of the service and current judgements for each outcome. What the service does well: What has improved since the last inspection? Since the last inspection of the service the permanent manager has left and temporary arrangements have been put in place. It is to the credit of all concerned that the home has continued to function in an effective manner which places the needs and wishes of those cared for at the centre of what happens. Given these circumstances it is accepted that the home has largely stood still, however requirements made last time have been met and the temporary manager is beginning to establish plans for further improvement. Priorsmead DS0000034997.V318734.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Priorsmead DS0000034997.V318734.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 Priorsmead DS0000034997.V318734.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): 1,3 Quality in this outcome area is ( good). This judgement has been made using available evidence including a visit to this service. EVIDENCE: The site visit allowed the inspector to explore the process of admission with the acting manager and a recent admission to the home was tracked. As such it was clear that the service makes appropriate admissions based on thorough assessments. The manager was clear about factors which would influence decisions about placements, particularly the registration category and ability to provide safe moving and handling in a service where the majority of rooms are on the small side. The service user guide and statement of purpose are displayed in the entrance hall as is the last inspection report. Some of the comment cards received from families indicated a lack of awareness of inspection reports and how to access them and whilst accepting that the service is making these available it would be beneficial for the management to Priorsmead DS0000034997.V318734.R01.S.doc Version 5.2 Page 9 consider how the reports can be given greater prominence. The service does not offer intermediate care. Priorsmead DS0000034997.V318734.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. EVIDENCE: Prior to the site visit the inspector received written feedback from the majority of service users, which indicated that they felt well cared for. During the visit the inspector spoke with five service users and spent time observing interaction in the home. As a result of this it was clear that service users are treated with warmth and respect and that there is a culture in the home which recognises the importance of protecting privacy and dignity. Service users spoken to were aware of their care plans and involved in their reviews. The inspector looked at a sample of five care plans and found them to be based on assessment to have a process of review and to contain risk assessments. The care plan folders contain a lot of information and in the inspectors opinion would benefit from some reorganising and streamlining to make them more accessible to staff and anyone else wishing to access them. It was noted that the plans did not always follow the same order and there appeared to be a Priorsmead DS0000034997.V318734.R01.S.doc Version 5.2 Page 11 deal of historic information which would be more usefully held elsewhere. (see recommendation) The feedback received indicated that people feel that their health care needs are appropriately met with staff responding quickly and positively to requests to see a doctor or nurse. The arrangements for the storage and management of medication were inspected including sample medication administration records. As such medicines are securely and appropriately managed and the records seen were accurately completed. Priorsmead DS0000034997.V318734.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. EVIDENCE: Recent feedback received by the inspector in pre-inspection survey’s and through the providers reports, has confirmed service users are very content with the service offered. Discussion on the day of the site visit reinforced this, with people confident that they are in control of their lives and able to exercise meaningful choice. Service users are able to freely entertain their visitors and it was noted from sample care plans that people are maintaining the ability to worship outside of the home. Many of those spoken to expressed the view that staff made time for them and were able to sit and chat as well as carrying out more practical tasks. Some of the feedback from relatives indicated that more could be done to provide activity and stimulation, however none of the service users talked to by the inspector saw this as an issue. Despite this the manager and staff feel this is an area for improvement, although it is proving hard to motivate those they care for. The inspector feels that continuing effort needs to be made and as such a recommendation to this effect is made. See recommendation. Priorsmead DS0000034997.V318734.R01.S.doc Version 5.2 Page 13 The general view of the standard of food was that it good or good enough. All the inspector did not take lunch, from observation it looked and smelt appetising and the homes menu offers people a good range of choice including vegetarian options. Priorsmead DS0000034997.V318734.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. EVIDENCE: The services complaints record showed no complaints received in the service since the last inspection and there is no significant history of complaints about the service. Staff continue to receive adult protection training and the provider has well established arrangements to ensure the protection of those cared for. Service users spoken to felt safe and that they could freely raise any areas of concern. Likewise staff on duty were clear about how they would raise any concerns and knew they would be supported in doing so. Priorsmead DS0000034997.V318734.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. EVIDENCE: The inspector undertook a tour of the premises and found all areas seen to be clean, fresh and homely. The home is comfortably furnished with a good choice of pleasant communal space and in fair decorative order. Bedrooms seen were personalised and service users told the inspector they liked their rooms. However the majority are on the small size making it potentially problematic for staff to provide safe moving and handling. This was discussed at the inspection and whilst not currently an issue, given the increasing needs of people in care homes the provider would be wise to keep this issue under review. The homes heating system is such that service users cannot individually control the temperature in their bedrooms which is far from ideal. Priorsmead DS0000034997.V318734.R01.S.doc Version 5.2 Page 16 Priorsmead DS0000034997.V318734.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 30Quality in this outcome area is ( good). This judgement has been made using available evidence including a visit to this service. EVIDENCE: Feedback received from service users, about the staff at Priorsmead is very positive. Staff were commended both for the care they give and also for finding time to spend with people as individuals. From the information supplied by the service the inspector judges the service to be satisfactorily staffed. A recent recruitment process was tracked and confirmed the home as having a robust and appropriate approach in this area. Staff training records were looked at and these demonstrate a proactive approach to staff training and it was noted that the service meets government targets for NVQ qualified care staff. Priorsmead DS0000034997.V318734.R01.S.doc Version 5.2 Page 18 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 (adequate). This judgement has been made using available evidence including a visit to this service. A good outcome would be indicated with a registered manager. EVIDENCE: Priorsmead DS0000034997.V318734.R01.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 x x x 2 x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 3 x 3 x x 3 Priorsmead DS0000034997.V318734.R01.S.doc Version 5.2 Page 20 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 OP31 Regulation 8 Requirement That the provider register a manager for the service Timescale for action 15/01/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP12 OP7 Good Practice Recommendations That the service management continue to develop opportunities for stimulation and activity for service users. That the service management review the structure and format of the homes service user plans to ensure that all plans are structured in a consistent way which makes them easily accessible to those needing to refer to them. Priorsmead DS0000034997.V318734.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF 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 Priorsmead DS0000034997.V318734.R01.S.doc Version 5.2 Page 22 - 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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