Inspection on 31/05/07 for Priory House

This inspection was carried out on 31st May 2007.

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 21/02/06

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 Hannington Unannounced Inspection 31st May 2007 11:00 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 House DS0000051680.V341195.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 House DS0000051680.V341195.R01.S.doc Version 5.2 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 www.southend.gov.uk Southend on Sea Borough Council Mrs Elizabeth Paterson Care Home 35 Category(ies) of Dementia - over 65 years of age (6), Old age, registration, with number not falling within any other category (35) of places Priory House DS0000051680.V341195.R01.S.doc Version 5.2 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 30. (Thirty). 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 6 (six) service users with dementia over the age of 65. 21st February 2006 Date of last inspection Brief Description of the Service: Priory House is a local authority home, which provides accommodation and care to thirty elderly people in single rooms on two floors, two 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.V341195.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over three and a half hours to complete. During the Inspection the team leader was present throughout the process. A tour of the home took place. Staff, relatives and residents were spoken with during this inspection. The visit mainly focused on all Key standards. There were no requirements or recommendations from the last inspection report. Random samples of records, policies and procedures were inspected. What the service does well: What has improved since the last inspection? A new lift has been installed. An activities coordinator has been employed. The first floor carpets and wallpaper has been decorated to a good standard. Priory House DS0000051680.V341195.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. Priory House DS0000051680.V341195.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 Priory House DS0000051680.V341195.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): Standards 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their relatives are given a service user guide which informs them of the services provided and they also are encouraged to visit the home prior to any admission. This allows prospective residents and their families make an informed choice as to whether or not the home will met their needs. EVIDENCE: The policies and procedures of the home provide evidence that it meets the requirements expected for the admission of any new residents. A statement of purpose and service users guide is available for residents and relatives before visiting the home. These documents enable potential residents to look at what facilities the home provides, information about the staff team, qualifications, experience and other useful information they need to know to make a Priory House DS0000051680.V341195.R01.S.doc Version 5.2 Page 9 judgement that the home is one they would wish to live in and that it can meet their needs. Residents and relatives spoken with confirmed they had been to visit Priory house before any admission was agreed and had been given documentation that allowed them to look at what Priory House offered them. One new resident confirmed that a six-week review had gone ahead since moving in. The team leader evidenced through discussion that good practice was in place around the admission procedure. They had a good understanding of the admission criteria, involvement of professional assessments and homes assessment procedure. Refusal at times had been given to potential new residents after their assessment clearly identified that the home was unable to cater fully for that particular individual. This is good practice. No intermediate care is provided. Priory House DS0000051680.V341195.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7,8,9 and 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Care Plans reflect and highlight all residents’ individuals’ needs. The care plans include all aspects of an individuals needs. The review of clients care plans is evident. A high standard of medication processes are in place. EVIDENCE: Observation showed that the staff interact well with residents and are clearly seen treating residents with dignity and respect. Residents and relatives spoken with confirmed this to be the case and the staff team are thought of highly. There is a care plan in place for each resident along side a good standard of risk assessments. Specialist services are catered for if necessary. Appropriate equipment is in place for those that need it. Priory House DS0000051680.V341195.R01.S.doc Version 5.2 Page 11 The monitoring of falls, pressure sores and other health issues are in place. All residents have access to a GP, chiropody, optician, audiologist and dental practice. Good paperwork was evidenced which shows strong links and good partnerships with the local PCT team. Recording of health care appointments, decisions and meeting were in place. A Monitored medication dosage system is in place for all residents. Medication is stored in a lockable cabinet within a designated medication room that is also kept locked. Controlled drugs were being maintained in accordance with agreed procedures. Record sheets had been correctly recorded and signed for. Staff who administer and stock check medication are all fully trained to do so and other staff who do not take direct responsibility are trained around medication awareness such as what medication is for, what maybe the side effects and who to report to if individual are observed to have any issues relating to this. Overall the homes system for checking, monitoring, ordering, disposal and booking in of and accounting for medication are all to a high standard. Priory House DS0000051680.V341195.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13,14 and 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Activity plans for each individual are in place. Relatives and friends are encouraged to have regular contact with the home. A variety of regular nutritious meals are being provided. EVIDENCE: The home has also recently employed an activities coordinator that allows residents greater interaction with each other and has quality time dedicated to them. Two residents spoken with around this commented that ‘since an activity coordinator has been in post they have struck up friendships with other residents which they normally would not been inclined to do if that time hadn’t been spent together’ this had supported them in settling in priory house which they had not long moved into. And another commented that having this facility allowed them quality time to carry out an activity without staff being called away in the middle of it to carry out tasks with other residents’. This new post allows the care staff time to interact with those residents who prefer 1-1 quality time in their own private rooms and frees staff up to carry out the many busy tasks they have, such as hoisting and general routines of the home. This is good practice in terms of implementing diversity and equalityPriory House DS0000051680.V341195.R01.S.doc Version 5.2 Page 13 ensuring individuals regardless of their abilities have meaningful interaction via activities and access to staff. The team regardless of their role within the home all appear to be proactive in improving the quality of care and are creative in their approaches to achieve this. This is evident by a member of staff whose duties largely consist of creating and organising the documentation within the home, but who is also creating a memorabilia room for the residents and has been proactive in finding appropriate materials to achieve this. A number of relatives and residents were spoken with on this inspection, they gave high praise to the staff team, the care and the service received. Some of the residents expressed that the staff are not just carrying out daily routines but often have unplanned ‘ sing songs, activities or just have a general laugh with them, which brightens their day’. Observation showed that interaction between staff and residents is good. This good practice was evident through quality surveys sent out by the home and the many compliments the home has received. Alongside this the relatives commented that there were no restrictions on visiting times and that they were always made very welcome. There is a visitor’s room on the ground floor and another room on the first floor, which can also be used for this purpose. Within the visitor’s room on the ground floor are facilities to make drinks and there is also a table and chairs so visitors could sit and have meals together with their relative if they wish to do so. The meals offered to residents are appealing home cooked meals, of high quality, nutritional, reflecting individuals tastes, dietary needs and were praised by all residents spoken with. The dining room is set out and presented nicely. Priory House DS0000051680.V341195.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home has a complaints procedure and each service users and relative has a service users guide that highlights the complaints procedure. The homes policy and procedures and training of staff protect residents from abuse. EVIDENCE: There have been no complaints received on the last or since the last inspection. Staff spoken with had adequate understanding and knowledge of Protection Of Vulnerable Adults reporting procedures. All staff have attended P.O.V.A. (Protection Of Vulnerable Adults) training. Priory House DS0000051680.V341195.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 and 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home environment provides a clean, comfortable and safe environment in which to live in. The home and layout is developed for the specific client group at the home. EVIDENCE: The inside environment of Priory House is odour free, well organised, clean, homely and hygienic. Communal areas and private rooms were very clean. Additionally a comment was made by a residents that ‘it was like living in a four star hotel but very homely’ and another expressed that their laundry was never long in coming back and clothes were returned ‘like they would of taken care of them’. The outside environment is pleasant, attractive and provides appropriate and practical usage for the residents of home. Priory House DS0000051680.V341195.R01.S.doc Version 5.2 Page 16 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): Standards 27,28,29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The number of staff on duty, their experience and skill is able to meet the needs of residents. Recruitment records are in place and to a good standard. Staff have had mandatory and specific client related training. EVIDENCE: Staff receive good support through induction, handover’s, staff meetings, supervision, training, appraisals and general documentation within the home. On previous inspections recruitment was looked at and this proved to be a thorough procedure and that all staff are sufficiently checked being offered a post. Induction for staff is also is to a good standard. A rota is in place which evidences that there is sufficient staff on duty at all times. Priory House DS0000051680.V341195.R01.S.doc Version 5.2 Page 17 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): Standards 31,33,35 and 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Management systems are good and the home is run in the best interests of residents. Evidence to show that teamwork have developed the service and improved the standards of care. The management does respond robustly & rectify matters of health & safety when identified. There is a quality Assurance monitoring process implemented. EVIDENCE: Staff spoken with commented that the management structure within the home and support the home receives from senior management encouraged them to participate in and support them in being able to improve the standards of care for the residents of priory house. Priory House DS0000051680.V341195.R01.S.doc Version 5.2 Page 18 Quality assurance survey looked at the last inspection and again at this inspection are to a high standard and praises the staff and care received, this includes relatives, residents and professionals. Residents meetings also reflect that residents are consulted with on a regular basis about issues relating to the home. Priory House DS0000051680.V341195.R01.S.doc Version 5.2 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 4 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 4 3 X X X X X X 4 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 4 X 3 X X 4 Priory House DS0000051680.V341195.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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.V341195.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Priory House DS0000051680.V341195.R01.S.doc Version 5.2 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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