Inspection on 13/04/07 for Priory Lodge

This inspection was carried out on 13th April 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 Lodge 23/02/06

Priory Lodge 15/12/04

Priory Lodge 18/03/04

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

CARE HOME ADULTS 18-65 Priory Lodge 62 Priory Street Colchester Essex CO1 2QE Lead Inspector Jane Greaves Key Unannounced Inspection 13th April 2007 11:08 Priory Lodge DS0000017913.V336316.R01.S.doc Version 5.2 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 Lodge DS0000017913.V336316.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 Adults 18-65. 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 Lodge DS0000017913.V336316.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Priory Lodge Address 62 Priory Street Colchester Essex CO1 2QE 01206 797243 01206 790756 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) Mr David Krishnalall Jangali Jeanette Irvine Care Home 20 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (20) of places Priory Lodge DS0000017913.V336316.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Persons of either sex, under the age of 65 years, who require care by reason of a mental disorder, excluding learning disability or dementia (not to exceed 20 persons) 23rd February 2006 Date of last inspection Brief Description of the Service: Priory Lodge is a purpose build residential unit for individuals who have mental health problems. There are 20 places for people aged 18-65 years old. Priory Lodge is based in a residential street in the centre of Colchester within walking distance of all amenities. The previous inspection reports produced by the Commission for Social Care Inspection were available in the entrance hall of the home. Fees charged for the accommodation and care provided at Priory Lodge ranged from £366.38 to £732. This information was supplied to the commission on 13th April 2007. Priory Lodge DS0000017913.V336316.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This routine unannounced inspection took place on 13th April 2007 over 6½ hours. A sample of records and important paperwork was looked at together with direct and indirect observation, a physical tour of the building and discussion with staff, residents and management. Survey forms were given to residents, some family members and stakeholders from the community. Some of their views have been quoted in this report. This report has been written using evidence gathered prior to and during the inspection. 22 of the 43 National Minimum Standards and the intended outcomes of these were assessed during this inspection process: • • 12 Standards were ‘met’. These are the things the home does well for residents. 10 Standards were ‘exceeded’. These are the things that the home does very well to make the residents’ lives happier. The staff, management and residents were very welcoming and their help and co-operation was greatly appreciated. What the service does well: Family members and healthcare professionals had many positive to say about the home: • “I am pleased and relaxed about the service provided at Priory Lodge. Totally professional and very dedicated staff. The standard of care provided exceeds our expectations. I have no qualms at all.” • “It is really good there, ever so friendly and the staff are so forthcoming. My relative likes it there and is very happy. The residents are all well cared for and looked after. The food is good. Staff are always so helpful, I often chat with the manager about my relative’s care.” “from what I see and hear on my visits they appear to listen to the residents and act accordingly. The staff seem very happy and relaxed at work and this is reflected in the mood of the residents who all appear likewise. There is also a lot of caring and understanding.” • Priory Lodge DS0000017913.V336316.R01.S.doc Version 5.2 Page 6 • “The home itself is always immaculate and the service appears to be 1st class. I have nothing but praise for Priory Lodge; it’s management and staff.” “Priory Lodge looks after the people very well. They are kind and patient and will always help with any problems that we have. Good food and a well looked after home.” • What has improved since the last inspection? What they could do better: One regular visitor to the home reported via a survey form • “I am sure there is always room for improvement but as far as my experience with Priory Lodge is concerned, I cannot think of any. If I had a friend or relative living at Priory Lodge I can honestly say I would be happy in the knowledge they were being looked after by the staff there at present.” The paintwork on the outside of the building needs to be re-decorated to make the home a more appealing residence to live in. The communal hall and stairways are ‘tired’ in appearance. The business plan for the forthcoming year states that these shortfalls are to be addressed. 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 Lodge DS0000017913.V336316.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Priory Lodge DS0000017913.V336316.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People who may use the service have the all the information needed to choose a home that will meet their needs. EVIDENCE: The home had developed a comprehensive statement of purpose detailing residents’ rights as citizens and explaining to prospective residents how their individual needs would be met. This document was summarised into a Service User Guide that could be made available in large print, Braille or audio listening on request. For residents being admitted to the home as Local Authority placements an initial assessment of the individual’s needs was undertaken as part of the care management process. The care documentation sampled at this inspection site visit contained evidence to confirm that competent staff undertook further detailed assessments to be able to assure themselves, and the prospective resident, that the home was appropriate to meet their needs. Where residents approached the home directly appropriately trained staff undertook a full assessment of the individual’s needs incorporating advice from Healthcare Professionals where necessary. The Service user plan or ‘care package’ as it is called at Priory Lodge was developed from these assessments and included information on all aspects of daily life in order that support staff could deliver care tailored to the needs of the individual. Any potential restrictions on Priory Lodge DS0000017913.V336316.R01.S.doc Version 5.2 Page 9 choice, freedom, services or facilities likely to become part of the prospective resident’s individual plan of care was discussed and agreed with the prospective resident and their family/representatives during assessment. A care package sampled as part of this inspection process included detail of next of kin, a potted history of the individual’s life before entering Priory Lodge, support required to maintain personal hygiene and appropriate behaviour patterns. The registered manager reported that prospective residents were actively encouraged to ‘test drive’ the home by joining current residents for meals, visit the home at different times and moving in on a trial basis before making the decision to move in permanently. One resident’s file sampled contained a questionnaire completed by a resident subsequent to entering the home permanently. This survey explored individuals’ experiences of moving into the home to identify any areas for service improvement. Priory Lodge DS0000017913.V336316.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals are involved in making decisions about their lives and are supported to play an active role in planning the care and support they receive. EVIDENCE: The care package was developed from the pre admission assessments, discussion with the resident and their family/representatives and was a continually evolving document subject to monthly reviews involving the resident. The care packages set out clear objectives for the care and what actions had to be taken by the staff and the resident to achieve these. Some residents had been supported to write in their own care plans whatever they felt about the care provided. The registered manager explained that this helped residents to feel ownership of these documents and to make them more relevant to individuals. Residents at the home have two key workers allocated to them. Key workers are responsible for purchasing individual’s toiletries etc; take residents out to lunch and spending 1:1 time with them. Priory Lodge DS0000017913.V336316.R01.S.doc Version 5.2 Page 11 Family members spoken with as part of this inspection process praised the staff team for the way residents were supported and encouraged to be as independent as possible. The registered manager reported that changes in the way individual’s personal allowances were paid had served to reduce the financial independence that the service users at priory Lodge had previously enjoyed. Allowance books had been discontinued and monies were now paid directly into the registered provider’s bank account. This meant that individuals’ allowances had to be handed out weekly by the manager instead of being cashed independently by individuals at the Post Office. There were stringent systems in place to double check all transactions and all allowances were documented appropriately ensuring the safety of the resident. Risk assessments were available for accessing the community, wheelchair use, behavioural matters amongst other things. Discussion was held with the registered manager regarding some residents being encouraged to take part in more physical activities supported by the risk management framework. Priory Lodge DS0000017913.V336316.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living at Priory Lodge were actively supported to be independent and involved in all areas of daily living within the home. EVIDENCE: The registered manager was able to report that residents’ attendance at educational facilities had increased since the previous inspection visit despite encountering considerable difficulties in obtaining these placements for individuals and appropriate funding was not always available. The home is situated in the heart of Colchester therefore many local amenities are available to the residents such as pubs and restaurants. A survey undertaken by the management provided evidence that the people living at Priory Lodge were not interested in sing-a-longs and such like but much preferred going out into the community for lunches and dinners. Records confirmed that their wishes were taken into account. Residents were supported to chair their own house meetings where regular topics of discussion were the menu and activities they had planned. It was reported that one meal Priory Lodge DS0000017913.V336316.R01.S.doc Version 5.2 Page 13 chosen was fish and chips from the chip shop but the important part was that it had to be eaten out of the paper. All residents spoken with and surveyed as part of this inspection praised the food and the varied menu provided. The registered manager was not happy that the menu looked so unsightly as it was covered in alterations however it was agreed that this was a positive thing as it indicated that the menu was a ‘working’ document. Residents were able to access the kitchen to make drinks and snacks during the course of the day excepting during peak hours of cooking, corresponding risk assessments were in place. Some residents enjoyed preparing their own teatime meal. Minutes of a residents’ meeting confirmed this and that this was to take place before the kitchen was needed by support staff to prepare tea for the remaining residents. Residents spoken with reported that staff members always knocked on doors before entering their rooms and protected their dignity and privacy at all times. Whilst the inspector was with one resident in their own room a staff member entered without knocking however the resident repeated that this was not commonplace. Some of the outings recorded were to an ABBA tribute concert, a Jam factory, Newmarket and fetes and churches. The home holds an annual summer fete; the residents have decided that the proceeds from this year’s event will fund a camcorder so that future activities may be recorded. Photographs of residents’ activities were displayed in the communal areas of the home. The registered manager reported that family members were welcomed into the home; relatives spoken with as part of this inspection process confirmed this. Residents confirmed that family members were able to join their loved ones for meals in the home, preferably with notice. Priory Lodge DS0000017913.V336316.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care that people receive is based on their individual needs. The principles of respect and dignity are put into practice. EVIDENCE: Healthcare professionals surveyed as part of this inspection process gave positive feedback regarding the care provided for the people living at Priory Lodge. “The home provides care tailored for the individual” and “the home does everything well, I am full of praise” were some of the comments received. The registered manager reported that a person centred approach was central to the care provided at Priory Lodge to meet the very diverse and constantly changing needs of the people living there. Care packages reflected this ethos providing good detail of the care provided and the external healthcare support accessed for the residents with support from staff. Care packages contained evidence of regular reviews being planned and taking place to ensure that the care regime is up to date and relevant to the individual. The registered manager reported that each resident has a quarterly psychiatric review and individuals were supported and encouraged to question the healthcare professional facilitating the reviews about any aspects of their treatment including prescribed medications and side effects of these. Residents were able to access their care package whenever they wished to. Physical Priory Lodge DS0000017913.V336316.R01.S.doc Version 5.2 Page 15 conditions such as diabetes were closely monitored and recorded. Family members reported how comforting this was and what confidence and peace of mind they enjoyed knowing their loved one was being cared for so well. The people living at Priory Lodge received personal support that was responsive to their varied needs and preferences. The delivery of personal care was individual, flexible and person centred. The service listened and responded to individuals’ choices and decisions about who delivered their personal care and same gender care was always provided. The home had an efficient medication policy supported by robust procedures and practice. Staff had been provided with medication training and each staff member responsible for the administration of medication had been assessed to ensure competency to handle, record and administer medication properly. There had been some instances of medication being administered to people covertly under instruction from healthcare professionals; care packages contained a policy outlining the homes and the residents’ rights and responsibilities regarding covert medication administration. Priory Lodge DS0000017913.V336316.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are protected from abuse and are supported to express any concerns EVIDENCE: The home has a comprehensive complaints policy and procedure that is available in appropriate format according to the wishes and needs of individual residents. Three complaints had been registered at the home since the previous inspection and these had been responded to in a timely manner. The Commission had received no complaints relating to Priory Lodge since the last inspection. All staff had received training in the Protection of Vulnerable Adults and the home’s budgeted training plan for the forthcoming year had provision for annual refresher training in this area. There were no instances where restraint had been used in the home. Residents had refused to have locks on their bedroom doors, some residents told the inspector that they felt safe and that their belongings were safe so they did not need to lock their doors. It was reported that many of the residents had previously lived in environments where doors were locked as a matter of practice. The registered manager reported that the fire authority had recommended that door locks should not be fitted. Priory Lodge DS0000017913.V336316.R01.S.doc Version 5.2 Page 17 All residents spoken with were aware of whom to speak to if they had any concerns. Family members spoken with praised the home highly for the way they are listened to and taken seriously about any concerns they had and one person said, “Any queries we have are dealt with very promptly, the communication is very good.” Priory Lodge DS0000017913.V336316.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents live in a safe, well-maintained and comfortable environment that supports their independence. EVIDENCE: A physical tour of the premises provided visual evidence that the home was bright, clean, comfortable and free from offensive odours. The majority of the communal areas were in good decorative order; the registered manager reported plans to redecorate the hall, stairs and landing this year. The outside of the property was in keeping with the locality however required some routine maintenance, specifically the woodwork; this was discussed with the registered provider subsequent to this inspection visit. There were plans to further develop the rear gardens and to install a fountain. Previously the residents had requested a snooker table for the conservatory, this had been provided however interest had waned and this room had now been made into a ‘quiet’ lounge and was a very pleasant place to sit. Staff handovers took place in this room, which meant that residents were not able to use the room at these times of the day. Priory Lodge DS0000017913.V336316.R01.S.doc Version 5.2 Page 19 Infection control training has been provided for all staff and a refresher course has been planned and budgeted for. All residents spoken with reported being very happy with the environment they lived in. Priory Lodge DS0000017913.V336316.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The staff employed to work in the home are trained and skilled to support the people living there. EVIDENCE: The management prioritised training and personal development for staff members and supported individuals to undertake qualifications beyond the basic requirements. The roles and responsibilities of staff were clearly defined and understood and all residents and their representatives reported that the staff members were very skilled and competent in their role. Of the 16 staff whose duties involve direct care, 14 are trained to NVQ level 2 or above. The deputy manager achieved the registered manager’s award this year and there are three care staff trained to NVQ level 3 with others working towards the level 3 award. The service has achieved 2 awards for it’s training provision since the previous inspection visit and has been accredited with the Investor in People Award. Priory Lodge DS0000017913.V336316.R01.S.doc Version 5.2 Page 21 Priory Lodge had a robust recruitment procedure that was selective with the employment of the right person for the job being more important than just filling a vacancy. No staff member started to work at the home until all relevant pre employment checks had been completed satisfactorily. All new staff employed at the home undertook a structured induction programme including the principles of care and safe working practices. Each member of staff had individual training and development assessments and these were linked to the home’s service aims and to the residents’ assessed needs. The registered manager produced an annual training and development plan detailing the training and refresher training to be provided for the staff team during the forthcoming year, the projected date for the training and the budgeted costs. Priory Lodge DS0000017913.V336316.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The management and administration of the home is based on openness and respect. EVIDENCE: Mrs. Irvine achieved the Registered manager’s Award and the MCMI5 (Member of the Chartered Management Institute grade 5) Diploma in business coaching since the previous inspection visit and continued to take periodic training and development to maintain her knowledge and skills. The registered manager demonstrated effective financial planning and budgetary control skills. The manager was able to clearly describe a clear vision of the home’s values and ethos. The staff team and residents’ family members spoken with confirmed that the registered manager communicated a clear sense of direction and leadership. Quality assurance systems in place in the home contributed to the drive for continuous improvement and positive outcomes for the people living Priory Lodge DS0000017913.V336316.R01.S.doc Version 5.2 Page 23 in the home. Documentary evidence was available to confirm that residents were regularly consulted about the way the home is run. Residents have regular 1:1 supervision sessions with the registered manager ensuring they have the opportunity to discuss anything that may concern them in a structured and private manner. Observation on the day of this visit showed that the residents were totally at ease with the registered manager and eager to engage with her. Residents’ meetings took place regularly and the minutes of these confirmed that the subjects discussed were completely at the residents will. Complete comprehensive environmental risk assessments took place fortnightly. One staff member had embraced this task enthusiastically and had involved the remaining staff team to recognise risks and hazards. One staff member discussed efforts made to obtain information relevant to the Control Of Substances Hazardous to Health (COSHH) the day previous to this inspection site visit. Required Health and safety records all present and were maintained in a clear and accessible manner. The home had appointed 1st Aiders on the staff team and all staff had received training in basic Food Hygiene and Infection Control, Manual Handling, Health and Safety, Medications, the Protection of Vulnerable Adults and Fire Safety. Evidence was available to confirm regular visits from the Fire department and the Health and Safety Executive. The day before this inspection visit the fire alarms had sounded resulting in a full evacuation of the premises, which had taken place smoothly and efficiently. The registered manager was able to demonstrate that all annual safety checks had taken place. A list of portable electrical appliances owned by individual residents was available including evidence of regular checks. If an appliance had been condemned this was recorded clearly. Any accidents, injuries or incidents of illness or death were recorded appropriately and the Commission for Social Care Inspection was informed under regulation 37. Priory Lodge DS0000017913.V336316.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 4 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 4 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 4 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 X 4 X 4 X X 3 X Priory Lodge DS0000017913.V336316.R01.S.doc Version 5.2 Page 25 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 Lodge DS0000017913.V336316.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Lodge DS0000017913.V336316.R01.S.doc Version 5.2 Page 27 - 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!