Inspection on 24/10/06 for Priory Gardens

This inspection was carried out on 24th October 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

Priory Gardens 26/10/05

Priory Gardens 15/09/04

Priory Gardens 09/06/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Priory Gardens Ladybalk Lane Pontefract West Yorks WF8 1LA Lead Inspector Stephen French Unannounced Inspection 24th October 2006 09:00 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 Priory Gardens DS0000006205.V311157.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. Priory Gardens DS0000006205.V311157.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Priory Gardens Address Ladybalk Lane Pontefract West Yorks WF8 1LA 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) 01977 602111 01977 602810 priorygardens@schealthcare.co.uk www.schealthcare.co.uk Southern Cross Healthcare Services Limited Mrs Joyce Blythe Care Home 72 Category(ies) of Dementia - over 65 years of age (11), Old age, registration, with number not falling within any other category (72), of places Terminally ill (5), Terminally ill over 65 years of age (10) Priory Gardens DS0000006205.V311157.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. One named service user under 65 years of age No more than ten service users who are terminally ill TI(E) No more than five service users in TI category, aged between 60 and 65 years of age 26th October 2005 Date of last inspection Brief Description of the Service: Priory Gardens provides personal and nursing Care to 72 older people, up to 10 of who may have been admitted with a diagnosis of a terminal illness. There is also an eleven-bed unit caring for people who have a dementia type illness. Set back in its own grounds there is a large lawn with a drive and car parking to the front and a smaller fenced garden to the sides and rear. All accommodation offered is single and all rooms are provided with en-suite facilities. There are a number of lounges, dining rooms and a smaller lounge for service users who wish to smoke. There are also assisted bathrooms, and a passenger lift, for those service users who require them. The home is close to the centre of Pontefract and all local services and amenities. It is on a main bus route and the bus and rail stations are close by. The provider informed the Commission for Social Care Inspection on 4/10/06 that fees range from £441.00 to £558.00 per week. Additional charges include hairdressing, private chiropody, newspapers and some selected activities. Information about the home and the services provided are available from the home in the statement of purpose and service user’s guide. Service users are able to obtain a copy of these by contacting the home. Priory Gardens DS0000006205.V311157.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit, which was carried out on the 24th October 2006. The inspector arrived at the home at 9:00 am and left 3:30pm. During this visit the inspector spoke to some of the service users, some of the staff and the home’s management. The inspector examined care records, audited a sample of medication, reviewed staff recruitment and training records and carried out a brief tour of the building. Prior to the inspection 20-service user questionnaires were sent to the home to obtain service users’ views about living at the home. Six completed questionnaires were returned and some positive comments included, “ I must say that I am happy and content to be in Priory Gardens”, The carers are exemplary, attitude is fantastic, they really do care, Some service users in the home are very frail and would not be able to complete a questionnaire. Two out of the Six questionnaires sent out to professionals gave some positive feedback about the home. Relative surveys were also sent out but on writing this report none had been returned. Other information used in the inspection process included notifications from the provider to the Commission for Social Care Inspection about deaths, illnesses, accidents and incidents at the home, copies of the monthly management visit reports produced by the provider and a pre inspection questionnaire completed by the manager. The inspector would like to thank the manager and staff for their hospitality during the inspection. Priory Gardens DS0000006205.V311157.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: The daily entries in the service users care plans should include more information about the service users social and psychological well being. Stock balances of medication must be recorded to enable medication to be audited and any shortfalls investigated. Priory Gardens DS0000006205.V311157.R01.S.doc Version 5.2 Page 7 The registered providers should put into place a redecoration programme, which includes an audit of furniture to ensure there are adequate numbers of lounge chairs available. The shower attachments to the baths should be renewed. Service users should have access to their personal monies out of office hours and at weekends. The registered provider should review the staffing within the home paying particular attention to the level of staffing at night. The manager should look into the complaints made by service users about the meals provided particularly the pastry and the meat sometimes being tough. 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. Priory Gardens DS0000006205.V311157.R01.S.doc Version 5.2 Page 8 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 Priory Gardens DS0000006205.V311157.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3,6 Service users needs are assessed prior to their admission. Quality in the outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: The manager stated that she or one of the unit managers visits each prospective service user prior to them being admitted to the home. The purpose of the visit is to complete a pre-admission assessment to ensure the home is able to meet the needs of the service user. The assessment consists of a scoring system, which is based on the twelve activities of daily living, such as eating and drinking, hygiene, elimination and communication. Each activity is scored and the service users dependency level is determined. Following the assessment the service user is informed by letter of the date of their admission and which room they are to occupy. Completed pre-admission assessments were seen for three recently admitted service users, and they conformed to the homes process. Intermediate care is not provided by the home. Priory Gardens DS0000006205.V311157.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Service users health, personal and social care needs are set out in an individual plan of care. Suitable risk assessments are carried out and are being monitored. Service users are able to make decisions about their lives with the support of staff. Although medications are managed safely there are areas, which need to be improved. Service users are treated with respect and their privacy and dignity is maintained. Quality in the outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Each service user has a care plan, which has been compiled from information gathered from the preadmission assessment, community care assessment and service users and their relatives. As part of the inspection five-service users care plans were examined. Within the care files there are assessments for such things as nutrition, moving and handling, skin assessments and falls risk assessments. Care plans are in place for problems identified within the risk Priory Gardens DS0000006205.V311157.R01.S.doc Version 5.2 Page 11 assessments, and give clear instruction to staff of what they need to do in order to maintain the service users health care needs Evidence was seen that the service users and their relatives had been involved in reviewing their care plans. Daily entries in the care files need to be more descriptive of the service users psychological and social wellbeing. Evidence was seen in the care files inspected that the staff have accessed members of the multidisciplinary team such as dieticians, chiropodists, opticians and members of the mental health care team. Service users spoken to said that their privacy was respected and staff were very kind towards them. Two service users stated that they were aware that they had a care plan, which staff follow. Medication seen on the day of inspection was stored correctly. Policies and procedures are in place to ensure the ordering, storage, administration and disposal of medication is done safely. The stock balances of five service users medication was examined, it was difficult to audit the balances of some of these medications as the staff had not recorded the amount of medication which had been carried forward from the previous month. On further investigation it was confirmed that although the stock of previous medication had not been recorded the total stock balances tallied, therefore it was confirmed that no medication errors had been made. In order to ensure that the administration and recording of medication is carried out appropriately staff must record the stock balances of the service users medication, which is held by the home. If any medication is carried forward from the previous month these amounts must be added to the stock held by the home and recorded on the medication administration record. Priory Gardens DS0000006205.V311157.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Service users find the lifestyles experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Meals are varied and nutritious. Quality in the outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: The home employs two activity coordinators, one who works thirty hours per week and another who works sixteen hours per week. On the day of the visit both were on sick leave. Service users spoken to during the visit and comment cards received, confirmed that they were happy with the activities on offer, which included fish and chip suppers, visits to the local club and bingo. Staff also assist with arranging and supervising activities during the week. Monthly church services take place within the home and a number of service user attend church with the support of staff. During the inspection relatives were observed entering the home and the manager said that there were no restrictions on visiting times. The home operates a four-week menu and service users are asked the day before for their choice of main lunch menu. Priory Gardens DS0000006205.V311157.R01.S.doc Version 5.2 Page 13 On the day of inspection the lunch consisted of braised sausage in onion gravy or Cod in a parsley sauce. Meals can be taken in the dining room or in the service users own room if they wished. Staff were observed assisting those service users who required help during meal times in a sensitive manner. A number of the service users spoken to said how nice the meals were and that there was always a choice available. Two service users stated that they did not like the pastry, which was made by the home and that the meat was sometimes tough. The manager said she would look into this as it had not previously been brought to her attention. Priory Gardens DS0000006205.V311157.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Service users and their relatives are confident that complaints will be handled appropriately. Service users are protected from abuse. Quality in the outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: The pre-inspection questionnaire and the complaints records show that seven complaints had been made to the home’s manager since the October 05 inspection. These were about the company changing the use of the lounges, which were originally lounge-dining areas without consulting the service users or their relatives. These had been dealt with in a timely manner and were substantiated. The complaints policy was displayed in the reception area and a copy is also contained within the service users guide. All residents and relatives who responded to the survey said they knew how to make a complaint. Staff receive training in adult protection as part of their induction training as well as periodically. A requirement made following the last inspection that staff should have an understanding of the homes procedures with regard to the protection of vulnerable adults and how to refer such matters using Wakefield councils procedures has been actioned, and training records examined confirmed that staff had recently undertaken this training and further training Priory Gardens DS0000006205.V311157.R01.S.doc Version 5.2 Page 15 sessions had been arranged for October. One staff member spoken to by the inspector gave good responses to questions asked on this subject. Priory Gardens DS0000006205.V311157.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25,26 Communal areas are comfortable. There are sufficient toilets and bathrooms to meet the needs of the service users living in the home. The corridors and a number of doors to service users bedrooms are in need of minor redecoration. Quality in the outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: As part of the inspection visit a tour of the building was conducted, this included a number of service users’ bedrooms and communal lounges and dining rooms. Since the last inspection the lounges have been redecorated and new furniture purchased. An eleven-bed unit for service users who have a dementia type illness has been opened since the last inspection and this had been recently redecorated to a good standard. Each service users bedroom door had been painted in pastel colours and door furniture such as a letterbox, doorknocker and room number had been added to help the service user identify their own room. It was noted that the lounge on the first floor did not appear to have enough lounge chairs and was not very homely in appearance. There is some wheel chair damage to walls and doors to communal areas and Priory Gardens DS0000006205.V311157.R01.S.doc Version 5.2 Page 17 service users bedroom’s, which needs to be addressed; the majority of the home was decorated to a satisfactory standard. Service users’ bedrooms were personalised with their own belongings such as ornaments, pictures and small pieces of furniture. Two service users who were visited in their room by the inspector stated that they were very happy with their accommodation. There are a number of communal toilets and bathrooms in close proximity to the lounges and bedrooms. Bathrooms contain assisted baths for service users who have mobility problems. It was noted that the shower attachments to the mixer taps on most of the baths on the first floor were in need of replacement. Showers are also available for service users who prefer to shower. There is a large laundry were service users personal clothing is laundered and when visited was very tidy and clothes were hung up ready to be taken back to the service users rooms. The standard of cleanliness throughout the home was satisfactory and there were no unpleasant odours detected. Priory Gardens DS0000006205.V311157.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 There does not appear to be adequate numbers of staff on duty at night to be able to care for the psychological, physical and social wellbeing of the service users living in the home. The homes recruitment procedures are robust and protect the service users from harm. Staff receive adequate training in order for them to be able to care for the service users. Quality in the outcome area is poor. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: The home has three units consisting of a nursing unit, residential unit and an eleven-bed unit for people who have a dementia type illness. Each unit is staffed separately. The staff duty rota was checked for the month of October and consisted of the following staff. Nursing Unit( 21 service users) AM; 1 qualified nurse and four care staff, PM; 1 Qualified Nurse and four care staff, and on night duty there is 1 Qualified Nurse and 1 carer. Residential Unit (39 service users) AM; Six care staff, PM; six care staff and on night duty there are three care staff. E.M.I unit (11 service users) AM; 2 care staff throughout the day and 1 carer at night. Priory Gardens DS0000006205.V311157.R01.S.doc Version 5.2 Page 19 The inspector was concerned that there did not appear to be adequate numbers of staff on duty at night, particularly on the EMI and nursing unit to meet the needs of the service users and to ensure continuity of care The manager said that should the staff in the EMI unit need assistance then one of the carers from the residential unit would help, this would then leave the residential unit understaffed. Two comment cards received, stated that there were not enough staff around to care for their relatives. Service users spoken to said that there where staff available to assist them should they require it. The manager is responsible for the recruitment and selection of staff. The records for five staff recently employed by the home were examined. These contained application forms, interview assessments, references and confirmation that checks with the criminal records bureau had been undertaken. New staff complete an induction program which consists of completing five units of training, which includes, amongst other things, the needs of the service users and the role and responsibilities of staff, as well as training in moving and handling, fire awareness, the philosophy of care of the home as well as abuse training. Senior staff supervises new employees until they feel confident and competent in their role. One staff member spoken to by the inspector had recently commenced employment and confirmed that she had received appropriate training and support in order for her to function in her role as a carer. At the moment 48 of the care staff employed by the home has an N.V.Q level 2 qualification, a further seven staff are working towards the award. Priory Gardens DS0000006205.V311157.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,36,38 The home is well managed and the views of the service users are sought and any shortfalls are addressed. Systems are in place to protect the health and safety of service users and staff. Quality in the outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: The manager of the home is a qualified nurse who has had many years of experience in working with older people, unit managers supports her in her role. There is an expectation that all managers of a care home complete a recognised management course such as the registered managers award, which this manager completed in October 2005. The manager completes monthly audits of the home and the services they offer the last full audit conducted in September 2006 scored over 90 . Areas Priory Gardens DS0000006205.V311157.R01.S.doc Version 5.2 Page 21 audited included, presentation of the home and exterior grounds, enquiries made by new service users, medication, care documentation, complaints and accidents finance and maintenance. The manager also completes monthly statistics and is responsible for ensuring staff receive the training they require in order for them to be competent at the job they are performing. Evidence was seen that most of the staff have received training in moving and handling, fire prevention and health and safety training. The home also seeks the views of the service users and relatives about the care that they receive by sending out service users questionnaires annually; the results of which are sent out to service users and relatives. Service users are also able to air their views on the way the home is run through meetings, which are held every month. The inspector saw the minutes of the last meeting held on the 29/9/06. It is expected that all staff receive at least six formal supervisory sessions per year during these sessions staff discuss future training needs as well as the philosophy and aims and objectives of the home. Records examined confirmed that staff have received regular supervision. Service users personal monies are kept in a central account held by the providers, this is a non-interest account and individual records of all transactions are kept for each service user. Should a service user wish to purchase small items of clothing or pay for hairdressing then this is taken out of the account and a receipt is issued. A copy of transactions undertaken is available to the service user or relative. Four amounts of service users monies were checked and the balances tallied with records held. The manager and the administrator are the only staff who have access to the service users monies held within the home. If a service user wished to withdraw any money after office hours or at weekends then they would have to give notice so that their money could be made available, the restriction this could place on the service users was discussed with the manager. The fire alarm system is checked weekly and certification in relation to gas, electricity and water is in place and up to date. Electrical equipment such as hoists and the passenger lifts are serviced regularly. Priory Gardens DS0000006205.V311157.R01.S.doc Version 5.2 Page 22 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 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 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 3 3 3 3 3 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 2 3 X 3 Priory Gardens DS0000006205.V311157.R01.S.doc Version 5.2 Page 23 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 OP9 Regulation 13(2) Requirement Stock balances of medication carried forward from the previous month must be recorded on the medication administration record. The registered provider must ensure that the home has adequate numbers of staff on duty to care for the health and welfare of service users. (Particullarly at night) Timescale for action 30/11/06 2 OP27 18(1) 30/11/06 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. Refer to Standard OP7 OP15 OP19 Good Practice Recommendations Daily entries in the service users care plan should reflect their psychological and social well-being. The manager should look into issues raised by the service users about the quality of pastry provided and the meat being tough. The badly marked walls, including in resident’s rooms and doorways should be addressed. DS0000006205.V311157.R01.S.doc Version 5.2 Page 24 Priory Gardens 5 6. 7. OP20 OP21 OP35 An audit of chairs should be undertaken to ensure there is enough seating for service users who wish to use the lounge. The lounge should be made more welcoming. The shower attachments on the baths identified should be replaced. Service users should be able to access their personal moneys out of office hours and at weekends if they wish Priory Gardens DS0000006205.V311157.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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. Extracts may not be used or reproduced without the express permission of CSCI Priory Gardens DS0000006205.V311157.R01.S.doc Version 5.2 Page 26 - 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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