Inspection on 21/02/06 for Priory House

This inspection was carried out on 21st February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 House 31/05/07

Priory House 03/07/05

Priory House 29/12/04

Priory House 10/08/04

Priory House 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 Priory House Prittlewell Chase Westcliff on Sea Essex SS0 0SR Lead Inspector Sarah Axam Unannounced Inspection 21st February 2006 12:15 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 House DS0000051680.V264776.R01.S.doc Version 5.0 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 House DS0000051680.V264776.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Priory House Address Prittlewell Chase Westcliff on Sea Essex SS0 0SR 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) 01702 344145 Southend Borough Council Mrs Elizabeth Paterson Care Home 35 Category(ies) of Dementia - over 65 years of age (5), Old age, registration, with number not falling within any other category (35) of places Priory House DS0000051680.V264776.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Number of service users for whom personal care is to be provided must not exceed 35. (Thirty Five). Personal care to be provided to not more than 35 older people over the age of 65 (no one to be admitted under the age of 65 (sixty five)). Personal care to be provided to no more than 5 (five) service users with dementia over the age of 65. 3rd July 2005 Date of last inspection Brief Description of the Service: Priory House is a local authority home which provides accommodation and care to thirty-five elderly people in twenty three single and six shared rooms on two floors, six of the available places within the home are used to accommodate respite care residents. Six communal lounges are available for residents throughout the building; the homes dining room is located on the ground floor. A passenger lift provides access between floors. There are large attractive gardens to the front and rear of the property. Priory House is situated close to bus routes and is a short distance from local shops. Visitor car parking is available to the front of the building. Priory House DS0000051680.V264776.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspection was unannounced and took 3 and half-hours. During the inspection 10 service users and 6 staff were spoken with. There was a tour of the building and 2 Team Leaders and one clerical staff assisted during this inspection. What the service does well: 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. Priory House DS0000051680.V264776.R01.S.doc Version 5.0 Page 6 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 House DS0000051680.V264776.R01.S.doc Version 5.0 Page 7 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&4 Priory house has a system in place assessments to be carried out prior to any new resident moving in. Those ‘potential’ residents and their families have access to information about Priory House before moving in so that they can make an informed choice. EVIDENCE: Service users information included an initial professional assessment, as well as the homes assessment of the individuals needs. Before a ‘move in’ date is agreed prospective residents and their families can visit the home and receive a service users guide, statement of purpose and information from the homes computer to access relevant information. Within the service users guide and statement of purpose it covers areas such as staff qualifications held, staff cover and shift times, what a care plan consists of, key worker system, facilities, quality assurance and other useful information needed to give potential residents and their families require to know if the home will meet their needs. Following a new resident being admitted into the home, after a period of six weeks, the placement is reviewed to confirm that an individuals needs can be met. Priory House DS0000051680.V264776.R01.S.doc Version 5.0 Page 8 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): 8 Priory House has a thorough health care plan and assessments in place and they are reviewed for all residents. EVIDENCE: Resident’s health care plans are detailed, clear and well written. All residents have access to various health care services that may be necessary and relevant to their individual care needs. Reviews of health care needs via professional and the homes ‘risk’ assessments are evidenced in paperwork. All residents care needs such as eye sight, oral hygiene, dental, GP visits, continence, nutrition, falls, pressure sores, hospital and any specialist medical services are recorded and a review of that care is evidenced. Appropriate equipment for individual needs is in place. The home is using a new electronic device at night to prevent falls to residents who may be vulnerable. This device works by means of early alert to staff if movement is detected and staff being able to intervene before a fall occurs. Priory House DS0000051680.V264776.R01.S.doc Version 5.0 Page 9 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): 15 That Priory House has a menu that is well balanced, flexible and reflects resident’s choice. EVIDENCE: Residents spoken with commented on how the food was of a good standard. Within the resident’s meetings food is often on the agenda with the view of obtaining ideas for future menus and to check with residents that food provided is up to a good standard. Resident’s views are taken on board through these meetings as the food and meals requested are evidenced within the menu and the minutes of the residents meeting. The menus themselves are nutritional, varied and offer plenty of choice. On the day of inspection lunch was served, the food smelt good, looked appealing and was home cooked. A menu board with choices was displayed. The dinning room looked clean and homely. Lunch was unrushed giving residents time to eat at their own pace. Staff were courteous, friendly and around to give assistance if needed. Priory House DS0000051680.V264776.R01.S.doc Version 5.0 Page 10 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 Priory House have a complaints procedure in place and residents and families have knowledge of this. That Priory House has a procedure to ensure all residents are protected from abuse. EVIDENCE: Priory House have a good complaints procedure in place. Information on this procedure is included within the service user guide and statement of purpose. The complaints folder inspected contained any complaints received and responses given to those complaints. The home has not received any recent complaints, however they have received many compliments from residents, families and other professionals. Residents spoken with are aware of the complaints procedure and minutes of the residents meetings highlighted that the complaints procedure had been discussed and used as a reminder to residents it was there if it needed to be used. All staff have received training on the protection of vulnerable adults. Additionally there is the homes policy and procedure in place, as well as the boroughs protection of adult’s protocols. Staff spoken with at the time of this inspection are aware of actions to take if any abuse was reported or came to light. Priory House DS0000051680.V264776.R01.S.doc Version 5.0 Page 11 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): 26 The home has good procedures in place for hygiene and infection control within the home. EVIDENCE: The home is pleasantly decorated, maintained and furnished to a good standard. The home is Clean and fresh, with no odours. There is plenty of ‘natural’ light within the home and hygiene through out the home is to a high standard. Priory House DS0000051680.V264776.R01.S.doc Version 5.0 Page 12 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 & 29 Staff Numbers are sufficient to meet resident need during day or night shift. A thorough recruitment process is in place. EVIDENCE: The home provides a rota which evidences that sufficient staff cover is provided for the assessed needs of the residents. Apart from the duty rota there is a resident’s rota board that informs them of what staff are on for that particular day or night shift and who is leading that team. Care staff ratios are arranged around residents social, activity, leisure and health needs. To maintain the hygiene of the home and to ensure that food and fluids are supplied at ‘peak times’ sufficient domestic and catering staff are provided. Waking night staff, including a ‘team leader’ is provided for the night-time period. The home has a thorough recruitment procedure in place and all staff are sufficiently checked before being employed. A good standard of induction and training schedule is in place. Appraisals, supervisions and staff meeting are regular and to a good standard. Priory House DS0000051680.V264776.R01.S.doc Version 5.0 Page 13 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): 33 Priory House has a good Quality Assurance Package in place EVIDENCE: Quality monitoring forms were of a high standard and reflected good practice. Residents meetings reflect that residents are consulted with on a regular basis and responses on any issues or concerns raised are actioned. The home had a number of compliments by relatives, service users and other professional who are in contact with the home through this quality assurance system and the compliments and complaints procedure. Priory House DS0000051680.V264776.R01.S.doc Version 5.0 Page 14 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 4 X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 N/A 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X X X X X 4 STAFFING Standard No Score 27 3 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 4 X X X X X Priory House DS0000051680.V264776.R01.S.doc Version 5.0 Page 15 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. Standard Regulation Requirement Timescale for action 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 Priory House DS0000051680.V264776.R01.S.doc Version 5.0 Page 16 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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