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Inspection on 03/07/05 for Priory House

Also see our care home review for Priory House for more information

This inspection was carried out on 3rd July 2005.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home is well run and provides a high standard of care and accommodation. The atmosphere of the home is friendly, the premises were clean, fresh and well maintained, it was pleasantly decorated and furnished providing a relaxed homely environment for the residents. Residents spoken to said that the home was comfortable and that the staff were friendly and helpful. The home makes sure that residents privacy and choices are upheld. The menu is flexible, well balanced and interesting and there is an excellent variety of foods offered to the residents. Staff training is a high priority of the home. The attitude of staff towards the residents was friendly, encouraging and caring.

What has improved since the last inspection?

A new patio area has been laid in the garden. Each resident`s bedroom has been fitted with a soap dispenser, hand towels and a bin is provides for used towels. A new system is in place for the disposal of waste, collection of waste takes place three times a week, bins have also been supplied to all the bathrooms, toilets and sluice room. The activities provided to residents have improved. Daily activities provided are varied and depend on the individual needs and choices of the residents.

What the care home could do better:

The home should introduce questionnaires for residents, their families, staff and visiting professionals to monitor the quality of care provided at the home, this information should be summarised and the results forwarded to the CSCI.

CARE HOMES FOR OLDER PEOPLE Priory House Prittlewell Chase Westcliff-on-Sea Essex SS0 0SR Lead Inspector Valerie Buckle Unannounced 3rd July 2005 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 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 I56 S51680 Priory House V228350 030705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Priory House Address Prittlewell Chase Westcliff-on-Sea Essex SS0 0SR 01702 344145 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Southend Borough Council Yvonne Petley-Guilfoyle CRH Care Home 35 Category(ies) of DE(E) Dementia-over 65 (5) registration, with number OP Old Age (35) of places Priory House I56 S51680 Priory House V228350 030705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Number of service users for whom personal care is to be provided must not exceed 35. 2. 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). 3. Personal care to be provide to no more than 5 service users with dementia over the age of 65. Registration number: 1060000308 Date first registered: 7th November 2003 Date of last inspection 29th December 2004 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 axccess 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 I56 S51680 Priory House V228350 030705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over three hours in the home. There was a tour of the premises and an inspection of some records and documentation. Three members of staff were spoken with and five residents spoke about their life at the home. A team leader assisted in the process of the inspection. The two requirements and three good practice recommendations from the last inspection were met. There were no requirements arising from its inspection. What the service does well: What has improved since the last inspection? What they could do better: The home should introduce questionnaires for residents, their families, staff and visiting professionals to monitor the quality of care provided at the home, this information should be summarised and the results forwarded to the CSCI. Priory House I56 S51680 Priory House V228350 030705 Stage 4.doc Version 1.30 Page 6 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 I56 S51680 Priory House V228350 030705 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Priory House I56 S51680 Priory House V228350 030705 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 5,6 A system is in place, which gives new residents and their families a chance to visit the home and make a choice. A separate unit at the home provides intermediate care for six residents. EVIDENCE: New residents and their family or advocate have the opportunity to visit the home and this helps them make a choice about living in the home. Following the visit, the new resident is admitted to the home, after a period of six weeks, the placement is reviewed to confirm that the residents needs can be met. The home provides intermediate care for six residents. A specialised unit is situated in a separate area of the home. Care provided to the residents is focused on maximising their independence so that they are able to return home within an agreed time, which could be two weeks or longer. A resident living in this unit who was seen relaxing on her bed and listening to the radio, said she was very satisfied with the home, although she was only there for a few weeks, she has found the staff very kind, caring and patient, she also said “they work very hard” this resident also commented on the good quality of the food. Priory House I56 S51680 Priory House V228350 030705 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,10,11 Resident’s health and personal care needs are appropriately met. Care plans in place at the home were detailed and covered all areas of residents needs. Service users are treated with respect. EVIDENCE: The initial assessment procedures detailed health and personal care and are recorded in residents care plans. Care plans are comprehensive and the information is easily accessible to staff. A visitor’s room is available for residents to use if they wish to speak to their families or visiting professionals in private. Resident’s last wishes are recorded in their care plan. Staff members were observed to be respectful to residents, and knocked on bedroom doors and bathrooms before entering. The home offers support to families of a resident who is unwell or dying, staff provide care with kindness, dignity and respect. Priory House I56 S51680 Priory House V228350 030705 Stage 4.doc Version 1.30 Page 10 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 standard(s) 12,13,14 Visitors are made very welcome to the home. Residents are encouraged to make choices about daily living. Daily activities are varied and depend on the individual needs a choice of residents. EVIDENCE: The home has a policy of open visiting, family and friends can visit at any time, and refreshments are provided. Residents are asked daily which foods they would like to eat. Mealtimes are flexible to meet resident’s needs. If they wish to they can have breakfast in bed, or take their tea into the lounge if there is a particular TV programme they are watching. Residents are able to choose which activities they would like to be involved in. Daily activities include sitting in the garden, going for walks, socialising, bingo, going out for an ice cream, manicures, go out to the market, quizzes, planting pots for the patio, all residents daily activities are recorded in their care plan. Priory House I56 S51680 Priory House V228350 030705 Stage 4.doc Version 1.30 Page 11 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 standard(s) 17 Resident’s legal rights are protected. EVIDENCE: Residents who are able to have a postal vote, and there is an advocacy service which is used when required to support residents. Priory House I56 S51680 Priory House V228350 030705 Stage 4.doc Version 1.30 Page 12 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 standard(s) 19,20,21,24 Priory House provides care and accommodation to residents in a homely comfortable environment; there are large well maintained gardens to the front and rear of the home. There are sufficient and suitable bathrooms, toilets and washing facilities for the residents. EVIDENCE: The home is decorated, furnished and maintained to a high standard. It is clean and bright, there are a number of communal areas including a visitor’s room and hairdressing salon. Resident’s rooms were personalised to the choice of individual residents, each room has been fitted with a soap dispenser and disposable paper towels. Bathrooms were clean, fresh and pleasantly decorated, the windows had been fitted with restrictors for the safety of residents. Priory House I56 S51680 Priory House V228350 030705 Stage 4.doc Version 1.30 Page 13 During the course of the inspection residents were seen seated in the dining room, tea was being served, the dining tables were attractively laid with cutlery and napkins. Staff were talking to the residents asking them what they would like to eat, and were seen choosing a selection of foods from a teatrolley, the meal provided was a buffet tea, with a wide selection of wholesome inviting foods. Five residents spoken to in the dining room commented that they were very happy living at the home, and that the staff were very kind and caring. Staff were observed to be very involved in their work, supporting and talking to residents in a friendly respectful way. Residents were also talking amongst themselves, the atmosphere was very relaxed. Priory House I56 S51680 Priory House V228350 030705 Stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 28,30 Staff at the home are well trained and experienced to do their job. They are supported and employed in sufficient numbers to meet the residents needs. EVIDENCE: At the time of the inspection there were adequate staff on duty to meet the needs of residents, the rota showed that there is a mix of staff skills on duty at all times. All new staff complete T.O.P.P.S. training and then complete NVQ Level 2. at least 50 of the current staff group are NVQ trained. Training is well planned and supports staff in meeting the varied needs of residents. Priory House I56 S51680 Priory House V228350 030705 Stage 4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,34,35,36,37, 38 The home is well managed, the registered manager and the staff team are omitted to providing a good service to the residents. The home has procedures in place to safeguard residents monies. Regular staff supervision takes place and staff appraisals. Systems are in place to protect the health and safety of the residents and staff. EVIDENCE: Staff members spoken to said that the manager is confident and approachable, she is available for them and maintains confidentiality. There is an induction booklet for new staff, which the manager uses in supervision. Staff supervision takes place monthly, and staff have appraisals every six months. Priory House I56 S51680 Priory House V228350 030705 Stage 4.doc Version 1.30 Page 16 A sample of records were seen, these were appropriately recorded and kept safe. Most residents monies are kept in the safe, some of the resident’s families take responsibility for their money. Regular training takes place for staff in areas of health and safety and there is a health and safety manual as well as appropriate risk assessments for the home. Priory House I56 S51680 Priory House V228350 030705 Stage 4.doc Version 1.30 Page 17 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x x 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 x 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION 3 3 3 x x 3 x x STAFFING Standard No Score 27 x 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x 3 x 3 x x 3 3 3 3 3 Priory House I56 S51680 Priory House V228350 030705 Stage 4.doc Version 1.30 Page 18 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 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. 1. Refer to Standard Good Practice Recommendations Priory House I56 S51680 Priory House V228350 030705 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection 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. Extracts may not be used or reproduced without the express permission of CSCI Priory House I56 S51680 Priory House V228350 030705 Stage 4.doc Version 1.30 Page 20 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!