Inspection on 29/11/07 for Priorsmead

This inspection was carried out on 29th November 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

Priorsmead 02/11/06

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 Canterbury Way Thetford Norfolk IP24 1EB Lead Inspector Mr Pearson Clarke Unannounced Inspection 29th November 2007 10:35 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.V355920.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.V355920.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Priorsmead Address Canterbury Way Thetford Norfolk IP24 1EB 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) 01842 752039 01842 750357 Chris.baker-Jallow@norfolk.gov.uk www.norfolk.gov.uk Norfolk County Council-Community Care Sylvia Baker-Jallow Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places Priorsmead DS0000034997.V355920.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. 2nd November 2006 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. At the time of this inspection the services maximum fee was £368.72 with each service users fee individually assessed according to individual circumstance. Priorsmead DS0000034997.V355920.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. During the site visit the inspector spent time with service users both in a group and on an individual basis and views expressed have helped shape the judgements made. In addition time was spent observing life in the home and staff on duty were spoken to as was the service manager. A tour of the premises was undertaken and relevant records were inspected. What the service does well: What has improved since the last inspection? A permanent managers appointment has been made giving stability and greater consistency to the service. Care plans have been improved and are now more effective tools to ensure the delivery of care. Some redecoration has taken place although a more extensive programme is needed. Priorsmead DS0000034997.V355920.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.V355920.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.V355920.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 and 3 Quality in this outcome area is ( good). Prospective users of the home can be confident that their needs and wishes will have been assessed and that they will have the necessary information about the home available to them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During the site visit the inspector spent time tracking recent admissions to the service and discussing the process of admission with the homes manager. It was clear from this that the home continues to operate a satisfactory assessment process as part of every potential admission. Files seen contained assessments completed by social workers, which were supported by the homes own assessment format. Given that the service has small bedrooms which can make moving and handling problematic it is important that this informs the assessment of suitability and from discussions on the day the inspector is satisfied that this is the case. The manager confirmed that new residents are given a copy of the service user guide and this and the last inspection report are displayed in the entrance hall. Priorsmead DS0000034997.V355920.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is ( good). People living at Priorsmead benefit from good care plans, a sound approach to medication and health, with staff who respect their dignity and privacy. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Six care plans were looked at by the inspector during the site visit. All of these were in good order with evidence of review, risk assessment and nutritional care plans in place where necessary. Residents are encouraged to sign to indicate acceptance of the plan and in most cases this has happened. From the plans seen it was possible to track medical interventions and the approach to health care adopted by the home. As such the inspector was happy that the home is promoting and protecting the healthcare needs of the residents. Discussion with residents on the day indicated that they felt that they receive good care in all areas and that the approach of staff helps protect their dignity Priorsmead DS0000034997.V355920.R01.S.doc Version 5.2 Page 10 and privacy. The homes medication management arrangements were looked at including observation of part of the lunchtime drug round which was appropriately carried out. The home has secure storage and sample administration records were seen and found to be accurately completed. The service has an internal medication audit process which is generally successful in identifying errors and shows that where errors occur action is taken to try and ensure that there is no reoccurrence. Priorsmead DS0000034997.V355920.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome area is ( good). That residents benefit from a relaxed and open home where they can exercise freedom of choice on a daily basis. People are offered a reasonable range of activity and enjoy catering of a good standard. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Once again the inspector found a relaxed home with residents who expressed very positive views about their care. Written feedback received also supported this picture. People told the inspector that they lived in a good home where they were able to exercise choice and control over their daily routine. Inspection of the homes records showed that there is regular activity and during the site visit the inspector observed discussion about new opportunities for stimulation. Discussion with residents reflected the fact that they felt satisfied with the range and frequency of activity, although some of the written comment received suggested that more could be done in this area.. The inspector observed lunch being taken and residents told the inspector that they were generally happy with the food served. The mealtime was relaxed and unhurried and staff took time to help feed those who needed it. Priorsmead DS0000034997.V355920.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is ( good). That people benefit from a service where there is a robust approach to complaints and to safeguarding, which helps ensure their overall protection. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The inspector looked at the services record of complaints, which indicated that complaints are taken seriously and action is taken in response to issues raised. In addition to this training records were looked at and the views of residents were sought. The provider has a robust approach to complaints and to safeguarding and in respect of the latter, policy and procedure are supported by training for staff. Priorsmead DS0000034997.V355920.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is (adequate ). That residents benefit from a clean and hygienic home which is well maintained and comfortably furnished, but which would benefit from a programme of redecoration. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During the site visit the inspector toured the building in the company of the manager. All areas seen were clean and fresh with no unwanted odour. The home is comfortably furnished, but in many areas the décor is looking tired and some carpets are showing signs of the heavy usage that they have.. The home was purpose built some time ago and as such suffers in comparison to modern provision. In particular bedrooms are small which can cause problems in relation to safe moving and handling and the homes heating system does not allow for residents to control the temperature in their rooms. Priorsmead DS0000034997.V355920.R01.S.doc Version 5.2 Page 14 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). People using the home benefit from staff who are good at their jobs, well trained and available in sufficient numbers to meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Information extracted from the services annual quality assurance assessment indicated that the home continues to have a well trained staff team, safely recruited and available in sufficient numbers to meet the needs of residents. During the site visit the inspector spent time observing staff at work, talking to residents, visitors, the staff on duty and the homes manager. In addition records relating to employment and training were inspected. All of the above confirmed the picture found in the annual quality assurance assessment. The home exceeds government targets for NVQ trained staff and there is a good range of other training provided. Staff confirmed that they enjoy their jobs and that they worked in a good home which they would recommend. Priorsmead DS0000034997.V355920.R01.S.doc Version 5.2 Page 15 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). The home is effectively managed and operates in the best interests of those living there. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the last inspection of the service the acting manager has been confirmed as permanent and at the time of the site visit was near to completion of the process of becoming registered. As at the last visit residents and staff told the inspector that they felt the home was well managed and that it operated in the best interests of those living there. The service has a quality process based on survey and at the time of the visit the results of the latest survey were being collated. The provider has robust systems for the management of residents finances and a thorough approach to health and safety. Priorsmead DS0000034997.V355920.R01.S.doc Version 5.2 Page 16 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 2 x x x x x 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 Priorsmead DS0000034997.V355920.R01.S.doc Version 5.2 Page 17 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 OP19 Regulation 23 Requirement It is required that the provider devise and enact a general programme of redecoration for the service Timescale for action 31/03/08 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 Priorsmead DS0000034997.V355920.R01.S.doc Version 5.2 Page 18 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.V355920.R01.S.doc Version 5.2 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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