Inspection on 04/10/05 for Priory Mews Nursing Home

This inspection was carried out on 4th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Priory Mews Nursing Home 16/04/07

Priory Mews Nursing Home 24/10/06

Priory Mews Nursing Home 07/02/06

Priory Mews Nursing Home 12/10/04

Priory Mews Nursing Home 25/05/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Priory Mews Nursing Home Watling Street Dartford Kent DA2 6EG Lead Inspector Alison Spreadbridge Announced 4 October 2005 09:00 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 Mews Nursing Home H56-H06 S26199 Priory Mews V240623 041005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Priory Mews Nursing Home Address Watling Street Dartford Kent DA2 6EG 01322 292514 01322 281372 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) BUPA Care Homes Limited Mrs Clare Swan Care Home 150 Category(ies) of Older Age (90) registration, with number Dementia over 65 (60) of places Physical disability (5) Priory Mews Nursing Home H56-H06 S26199 Priory Mews V240623 041005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1) Patients detained under the Sections of the Mental Health Act may not be admitted to the home. 2) Of the 150 beds, 30 beds in one house are registered for Dementia Nursing Care. 3) Of the 150 beds, 30 beds in one house are registered for Dementia care. 4) Total number of bedspace must not exceed 150. Date of last inspection 12 October 2004 Brief Description of the Service: Priory Mews Nursing Home accommodates one hundred and fifty Older People, ninety of whom are provided with nursing care, thirty with nursing and dementia care and a further thirty with personal and dementia care. BUPA Care Homes Limited owns the home. Priory Mews is purpose built and was first registered in November 1993. The home comprises of five single storey houses, Cressenor, Marchall, Beaumont, Mountenay and Woodford. Accommodation in each house consists of thirty single bedrooms, a large communal day room/conservatory, an integrated dining area and kitchenette. A small quiet room is also available. All bedrooms have a television, telephone and staff call point. Each house is surrounded by a small garden. There is also a main building containing offices, the kitchen and laundry. Priory Mews is located near to the town centre of Dartford, close to the Bluewater shopping complex, and can be easily reached by public transport. Dartford is connected to main line train and motorway networks. The home has ample car parking facilities. Priory Mews Nursing Home H56-H06 S26199 Priory Mews V240623 041005 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Regulatory Inspectors Alison Spreadbridge and Helen Martin, undertook this announced inspection on 4th and 5th October 2005 between 09.00 and 17.15 and 14.45 and 18.00 respectively. The visit included talking with residents, members of staff and the manager. Some judgements about the quality of life within the home were taken from observations and conversation. Some records were also looked at. In addition, a tour of the home and gardens was undertaken. The home currently has one hundred and forty-four residents. What the service does well: What has improved since the last inspection? What they could do better: Priory Mews Nursing Home H56-H06 S26199 Priory Mews V240623 041005 Stage 4.doc Version 1.40 Page 6 Prospective residents could benefit from a more detailed assessment. Their needs would be better met by improvements to care planning and risk assessment. The variety of meals offered could be increased. Amendments to the complaints system would ensure that all concerns are acted upon. Residents’ comfort and safety would be enhanced by additional facilities, equipment and infection control procedures. They would benefit from improvements to the laundry system. Residents’ welfare would be enhanced by the provision of sufficient staff and additions to staff training and recruitment procedures. Their safety would be increased by additional repairs and records. 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 Mews Nursing Home H56-H06 S26199 Priory Mews V240623 041005 Stage 4.doc Version 1.40 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 Mews Nursing Home H56-H06 S26199 Priory Mews V240623 041005 Stage 4.doc Version 1.40 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) 1, 3, 4, 5, 6 Prospective residents have the information they need before they decide to move in, although they could benefit from a more detailed assessment. EVIDENCE: The home has a Statement of Purpose for prospective residents and their representatives. This has been amended since the last inspection and gives detailed information about the home and the service provided. Prospective residents’ are assessed by the manager, deputy manager and/or senior staff before being admitted to the home. Careful thought is given as to which house a new resident moves into, as all are different in character. Prospective residents and their representatives are able to visit the home before they decide to move in. In Cressenor House pre-admission assessments are sometimes undertaken on such a visit, as more information can be gained. Records seen were numerically scored. Subsequent to the inspection, the manager stated that more comprehensive written assessments were undertaken and archived on the resident’s admission to the home. Priory Mews Nursing Home H56-H06 S26199 Priory Mews V240623 041005 Stage 4.doc Version 1.40 Page 9 Since the last inspection, the home no longer provides intermediate care. Priory Mews Nursing Home H56-H06 S26199 Priory Mews V240623 041005 Stage 4.doc Version 1.40 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9, 10, 11 Residents’ needs would be better met by improvements to care planning and risk assessment. Residents are treated with respect, although improvements to the laundry system would enhance this. EVIDENCE: Each resident has a care plan. This gives staff guidance about action to be taken to meet the health and welfare needs of residents. Some of the residents’ individual goals and preferences are included. Residents benefit from a keyworking system. Residents are not fully protected by the system for risk assessment, staff guidelines for the reduction of risk are not all recorded. Residents’ activities and their changing needs would be better reflected by detailed daily notes. In Cressenor House not all risk assessments are accurate; a recent incident was not included in sufficient detail in the care plan, risk assessment or daily notes; regular reviews take place, although not all are recorded in detail. One care plan in Mountenay House was not fully completed and contained no information regarding religious beliefs or social history. The promotion of residents’ health care needs is maintained and they have access to health care professionals. GPs and opticians visit the home on a Priory Mews Nursing Home H56-H06 S26199 Priory Mews V240623 041005 Stage 4.doc Version 1.40 Page 11 regular basis. Three residents in Marchall House receive input from a tissue viability nurse and specialist equipment for pressure sores is provided. Residents are offered gentle exercise to music. Residents are protected by the arrangements for the storage and administration of medication. Staff are qualified and/or trained and their competency is monitored. Records are completed adequately and since the last inspection, hand written entries have been confirmed by a GP signature. It was observed at the time of inspection that residents were treated with respect and their right to privacy was preserved. The manager said that the system for the laundry has been improved, although relatives and staff spoken with and comment cards received stated that some clothes continued to ‘disappear’, be damaged and were returned to the wrong individuals. Residents’ wishes and preferences regarding death and dying were not included in those care plans viewed. Priory Mews Nursing Home H56-H06 S26199 Priory Mews V240623 041005 Stage 4.doc Version 1.40 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, 15 Residents are able to make choices about their lives and enjoy a range of activities, although they could benefit from an increase in the variety of meals offered. EVIDENCE: The routines of daily living are made as flexible as possible within the constraints of group living. The activities provided are varied to suit residents’ expectations, preferences and capabilities. Residents are offered a range of activities in their own house and have the opportunity to socialise with other residents in different houses. Each house has their own activities co-ordinator. At the time of inspection, residents in Cressenor House were enjoying having their nails painted as part of a ‘Pink Day’ for Breast Cancer Awareness and another resident was knitting. Marchall House has a pet cat. Activities provided included games, arts and craft, music and massage. Garden parties and sports days take place and themed events such as: Easter, ‘Calamity Jane’, VE Day and Halloween. The activities coordinator could not evidence that they had consulted with residents prior to putting up symbols and pictures for Halloween, with the intention of them remaining up in the lounge throughout October. Trips out are organised for shopping, boat trips and to places of interest. Residents are able to attend Priory Mews Nursing Home H56-H06 S26199 Priory Mews V240623 041005 Stage 4.doc Version 1.40 Page 13 church services. One resident spoken with said that they enjoyed the activities and the flowers in the garden, which they could see from their room. They liked to go outside in the warmer weather. One resident plays a keyboard for the enjoyment of others. Residents are able to go to the hairdresser at the home’s salon three times a week. Residents are encouraged to keep contact with relatives and friends. One resident confirmed that they enjoyed regular visits from their friends and family. Relatives were visiting Cressenor House at the time of inspection. Some residents befriend other residents in different houses. This is a new scheme started by the activities staff. The range and quality of food provided for residents has been reviewed. Two new chefs have been employed. One resident spoken with said that they liked the food. The manager said that positive feedback had been received from residents’ meetings. Relatives spoken with and comment cards received expressed differing views. Residents are able to choose their meals and are offered snacks before breakfast and after supper. Menus were seen that offered choice, although less repetition would increase the variety of meals available. Residents’ nutritional needs are monitored and special diets are provided where necessary. Priory Mews Nursing Home H56-H06 S26199 Priory Mews V240623 041005 Stage 4.doc Version 1.40 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 Residents and their representatives are encouraged to express their views, although amendments to the complaints system would ensure that all concerns are acted upon. EVIDENCE: Residents and their representatives are able to talk to staff about any concerns they have. Relatives spoken with said that staff are always helpful. A comment card received stated that suggestions are always followed through. Meetings are held for both residents and relatives and responses are given on an individual basis. Written information about how to complain is available. Any complaints can be looked into either within the House concerned or centrally by the manager. Central records showed the investigation of both formal and informal complaints from across the home. Within Cressenor House it was unclear whether all concerns of residents and their relatives were listened to and acted upon; some specific complaints were not recorded at the house or centrally. Records of complaints within Mountenay House could not be found. Priory Mews Nursing Home H56-H06 S26199 Priory Mews V240623 041005 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 21, 22, 23, 24, 25, 26 Residents benefit from living in a pleasant environment, although their comfort and safety would be enhanced by additional facilities, equipment and infection control procedures. EVIDENCE: The home has an ongoing refurbishment programme. Residents have benefited from the upgrading of the laundry, some redecoration, some new carpets and the replacement of a bath with a shower. Residents are involved in choosing their own colour schemes for their rooms. Since the last inspection the grounds have been improved. Residents now enjoy tidy and attractive gardens. A sensory garden has been provided for one house, whilst another has won the ‘best kept garden competition’. Residents are provided with adequate recreational, dining and individual accommodation. One resident spoken with said that they liked their room and Priory Mews Nursing Home H56-H06 S26199 Priory Mews V240623 041005 Stage 4.doc Version 1.40 Page 16 the outlook onto the garden. Residents’ rooms in Marchall House were not carpeted but provided with hard flooring. Residents are provided with four bathrooms in each house, as no rooms are provided with ensuite facilities. In Cressenor and Marchall Houses only three bathrooms are provided with an assisted bath. In Cressenor, Marchall and Woodford Houses, one bathroom is used as storage space for hoists and other items as no other designated storage area is available. A staff call system is available and in Cressenor House, some pressure pads are used to alert staff to any potential incidents of wandering; a system of colours and coloured doors helps residents with orientation. Residents are protected in Marchall House by a secure garden area. Some residents using bed rails are potentially at risk, as not enough safety fenders are available. Since the last inspection, wall thermometers have been provided in the lounge areas to ensure the comfort of residents. They are protected by the system for monitoring and recording hot water temperatures. Staff assured the Inspectors that thermostatic valves adequately controlled the surface temperature of radiators. All residents’ rooms seen were clean and tidy. There was an unpleasant odour in Cressenor, Marchall, Mountenay and Woodford Houses as well as in the sluice rooms of Cressenor, Marchall and Beaumont Houses. Comment cards received stated that some carpets in communal areas were not effectively cleaned. Infection control in Cressenor House is compromised by the system for soiled laundry, which is not bagged individually. Sheets are used instead of linen bags in some sluice rooms. There was a backlog of laundry waiting to be washed. One resident in Marchall House is potentially at some risk as there are missing tiles around their sink. Priory Mews Nursing Home H56-H06 S26199 Priory Mews V240623 041005 Stage 4.doc Version 1.40 Page 17 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) 27, 28 29, 30 Residents benefit from caring staff. Residents’ welfare would be enhanced by the provision of a sufficient number of staff on duty at all times and additions to staff training and recruitment procedures. EVIDENCE: The manager said that the home was now fully staffed and no longer relied heavily on agencies. All relatives and residents spoken with said that staff were very helpful and informative and that the quality of care provided was good. Relatives spoken with and five comment cards received, mentioned that there were not always enough staff on duty to meet residents’ needs. The manager explained that some staff go from house to house when residents need assistance at meal times. The manager stated that two staff are on duty at night in Cressenor House, which provides personal care for up to thirty residents with Dementia; recent staff rosters for Cressenor House show only one member of staff on two occasions. The manager said they were currently in the process of recruitment for an administrator. A procedure is in place to ensure that the home appoints suitable staff who can support the needs of residents. Records confirmed that appropriate checks are undertaken prior to appointment and include the Protection of Vulnerable Adults list and the Criminal Records Bureau. Additional amendments to the staff recruitment procedure, to include a recent photograph and a full employment history, would enhance the protection of residents. Priory Mews Nursing Home H56-H06 S26199 Priory Mews V240623 041005 Stage 4.doc Version 1.40 Page 18 One member of staff detailed numerous courses they had attended that were appropriate to meet the health, safety and welfare needs of residents. Staff records and certificates were seen. The home provides induction and foundation courses for new staff. Ongoing training includes fire safety awareness, moving and handling, health and safety, Dementia awareness and first aid. Adult protection training is planned for the future. Staff are not specifically trained to meet the needs of partially sighted residents. The preinspection questionnaire states that 57 of the staff team are qualified to NVQ level 2 or above. Priory Mews Nursing Home H56-H06 S26199 Priory Mews V240623 041005 Stage 4.doc Version 1.40 Page 19 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) 33, 35, 36, 37, 38 The interests of residents are safeguarded, although their safety would be increased by additional repairs and record keeping. EVIDENCE: Relatives are able to attend organised meetings to discuss issues within the home; the manager reported a good response. A newsletter is published every six months by the home. BUPA publications are produced centrally. The manager said that Investors In People is in place within the company and is due to be reviewed this year. Comment cards have been received by the Commission from residents, their representatives and social and healthcare professionals. Other aspects of quality assurance were not inspected on this occasion. Priory Mews Nursing Home H56-H06 S26199 Priory Mews V240623 041005 Stage 4.doc Version 1.40 Page 20 Some residents’ personal allowances are held on their behalf by the home, within a building society account. This is subdivided for each resident, who receives their own interest. Account statements were seen. Other aspects of residents’ finances were not inspected on this occasion. Residents are protected by the home’s staff appraisal and supervision process; staff training needs are identified, monitored and recorded. The manager supervises the Heads of Department and House Managers supervise staff; a combination of staff meetings, one to one sessions and direct supervision is used. Not all staff in Beaumont House received 1 to 1 supervision regularly. Not all records are completed with sufficient detail and some required by Regulations are not present. Many notices giving information to staff are displayed openly. Records seen indicated regular maintenance and testing of equipment and systems within the home. Residents are protected by the home’s fire precautions, although centrally held fire training records have not been updated within Cressenor and Marchall Houses’ fire logbooks. Adequate arrangements are in place for the maintenance of food hygiene. The system for transporting meals from the kitchen includes the monitoring of hot food temperatures. Cleaning chemicals are stored in locked cupboards. Residents in Marchall House are put at some risk by an external door that does not close securely. Priory Mews Nursing Home H56-H06 S26199 Priory Mews V240623 041005 Stage 4.doc Version 1.40 Page 21 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 3 x 2 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 2 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION 3 3 2 2 3 2 3 2 STAFFING Standard No Score 27 2 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x x x x 3 x 3 2 2 2 Priory Mews Nursing Home H56-H06 S26199 Priory Mews V240623 041005 Stage 4.doc Version 1.40 Page 22 Yes 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 OP7 Regulation 15 (2)(b)(c) Requirement The registered person shall keep the service user’s plan under review and where appropriate and, unless it is impracticable to carry out such consultation, after consultation with the service user or a representative of his, revise the service user’s plan. In that, residents’ care plans must be kept updated and recorded in sufficient detail to reflect any changing needs. (This requirement has been repeated from inspection dated 12th October 2004.) The registered person shall ensure that unnecessary risks to the health or safety of service users are identified and so far as possible eliminated. In that, all staff guidelines for the reduction of risk must be identified and recorded. In that, an external door in Marchall House must be repaired in order to close securely. Priory Mews Nursing Home H56-H06 S26199 Priory Mews V240623 041005 Stage 4.doc Version 1.40 Page 23 Timescale for action 31/12/05 2. OP7 OP22 OP37 OP38 13(4)(c) 31/12/05 In that, fenders must be provided for all bed rails. (Issues regarding risk assessment and bedrail fenders have been identified during previous inspection dated 12th October 2004) The registered person shall 31/12/05 maintain in the care home a record of all complaints made by service users or representatives or relatives of service users or by persons working at the care home about the operation of the care home, and the action taken by the registered person in respect of any such complaint. In that, a record of all complaints made and their investigations must be kept. (Issues regarding the recording of complaints have been identified in previous inspection dated 12th October 2004.). The registered person shall 31/12/05 having regard to the number and needs of the service users ensure suitable provision is made for storage for the purposes of the care home. In that, bathrooms must not be used for the storage of mobile hoists and other items. (This requirement has been repeated from inspection dated 12th October 2004.) The registered person shall having regard to the size of the care home and the number and needs of service users keep the care home free from offensive odours and make suitable arrangements for maintaining satisfactory standards of hygiene 3. OP16 OP37 17(2) Schedule 4:11 4. OP22 23(2)(l) 5. OP26 16(2)(k) 31/12/05 Priory Mews Nursing Home H56-H06 S26199 Priory Mews V240623 041005 Stage 4.doc Version 1.40 Page 24 in the care home. In that, some Houses and their sluice rooms contained an unpleasant odour. In that, repairs to tiling surrounding one resident’s sink in Marchall House must be undertaken. (Issues regarding unpleasant odours have been repeated from inspection dated 25th May and 12th October 2004.) The registered person shall make 31/12/05 suitable arrangements to prevent infection, toxic conditions and the spread of infection at the care home. In that, infection control in Cressenor House must not be compromised by the system for soiled laundry; this must be bagged individually. Sufficient linen bags must be provided; sheets must not be used instead. There is a backlog of laundry waiting to be washed. The registered person shall 31/12/05 having regard to the size of the care home, the statement of purpose and the number and needs of service users ensure that at all times suitably qualified, competent and experienced persons are working at the care home in such numbers as are appropriate for the health and welfare of service users. In that, sufficient staff on duty must be provided at all times and in all houses in order to meet the needs of residents. Priory Mews Nursing Home H56-H06 S26199 Priory Mews V240623 041005 Stage 4.doc Version 1.40 Page 25 6. OP26 13(3) 7. OP27 18(1)(a) In that, staff are not specifically trained to meet the needs of partially sighted residents. (Issues regarding staffing numbers and staff training for visually impaired residents have been identified during previous inspection dated 12th October 2004.) The registered person shall not employ a person unless they are fit to work in the home and they have obtained all of the required information and documents in respect of that person as specified in Schedule 2. In that, applicants for employment must provide proof of identity, including a recent photograph and a full employment history. 8. OP29 OP37 19 Schedule 2: 1, 6 31/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 5. 6. Refer to Standard OP7 OP7 OP11 OP10 OP12 OP15 Good Practice Recommendations It is strongly recommended that residents’ daily notes be recorded in greater detail and include residents’ responses to activities offered and all accidents and incidents. It is strongly recommended that residents’ wishes and preferences regarding death and dying be included in care plans. It is strongly recommended that a review of the laundry system be undertaken to ensure that residents receive their own clothes back from the laundry in good condition. It is recommended that a review should be undertaken to ensure that residents are consulted regarding all aspects of themed activities.. It is recommended that menus should be reviewed and contain less repetition. H56-H06 S26199 Priory Mews V240623 041005 Stage 4.doc Version 1.40 Page 26 Priory Mews Nursing Home 7. 8. 9. 10. 11. OP21 OP22 OP24 OP36 OP37 OP37 It is recommended that a review should be undertaken to ensure that sufficient assisted bathing facilities are provided for residents. It is strongly recommended that a review and risk assessment should be undertaken regarding the provision of carpeting for all residents’ rooms. It is recommended that a review should be undertaken to ensure that all staff are supervised regularly on a 1 to 1 basis. It is strongly recommended that records of staff fire training held centrally should be updated within individual Houses’ fire logbooks. It is recommended that staff notices throughout the home should be reviewed to ensure that they are appropriately located and do not breach any confidentiality issues. Priory Mews Nursing Home H56-H06 S26199 Priory Mews V240623 041005 Stage 4.doc Version 1.40 Page 27 Commission for Social Care Inspection The Oast Hermitage Court Hermitage Lane Maidstone Kent ME16 9NT 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 Mews Nursing Home H56-H06 S26199 Priory Mews V240623 041005 Stage 4.doc Version 1.40 Page 28 - 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. 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