Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 26/03/10 for Priscilla Wakefield House

Also see our care home review for Priscilla Wakefield House for more information

This inspection was carried out on 26th March 2010.

CQC found this care home to be providing an Good service.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

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

What the care home does well

The home is in a purpose built new building, with a high quality environment provided for residents.

What the care home could do better:

A requirement is given that the home review its GP services for residents to ensure that an appropriate and timely level of medical input is available as and when needed. This should include a review of access to prescribed food supplements.

Random inspection report Care homes for older people Name: Address: Priscilla Wakefield House Priscilla Wakefield House Rangemoor Road Tottenham London N15 4PL two star good service 19/03/2009 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Margaret Flaws Date: 2 6 0 3 2 0 1 0 Information about the care home Name of care home: Address: Priscilla Wakefield House Priscilla Wakefield House Rangemoor Road Tottenham London N15 4PL 02088087196 02088852481 reception@precious-homes.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Alexis Josephine Sally Wood Type of registration: Number of places registered: Conditions of registration: Category(ies) : Flagswan Two Ltd care home 112 Number of places (if applicable): Under 65 Over 65 39 80 0 24 24 8 0 dementia dementia learning disability old age, not falling within any other category old age, not falling within any other category physical disability physical disability Conditions of registration: 18 80 23 0 0 8 8 The maximum number of service users who can be accommodated is :112 The maximum number of service users who can be accommodated is :112 Care Homes for Older People Page 2 of 9 The registered person may provide the following category of service only: Care home with nursing - Code N to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Physical disability - Code PD (maximum number of places: 8) Dementia - Code DE (maximum number of places: 18) Dementia , over 65 years of age - Code DE(E) (maximum number of places: 39) Old Age, not falling within any other category - Code OP (maximum number of places: 24) Learning disability - Code LD (maximum number of places: 23) The registered person may provide the following category of service only: Care home with nursing - Code N to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Physical disability - Code PD, Dementia - Code DE, Old Age, not falling within any other category - Code OP Date of last inspection Brief description of the care home Priscilla Wakefield House is a large, newly built Nursing Home with 112 places for people with dementia (including early onset dementia) and physical disabilities. The majority of places are for Older People. There are three floors, which contain different specialist units. As the home is relatively new only two floors at present are occupied. The building and environment have been built to an excellent standard and all bedrooms have en-suite facilities. There are a number of lounges and dining areas in each unit as well as outside terraces and gardens. The home has been very well designed. Priscilla Wakefield House has the equipment and facilities required to meet the needs of the people using the service. The stated aims of the home are, To help service users remain in control of their lives as far as possible and thus, to maintain their personhood through Person Centred Care. The home is situated in Tottenham, North London and although there is limited parking the home is near to local bus services and the Victoria Line Underground station. The range of fees are between five hundred and one thousand and five hundred pounds per week. 0 5 1 0 2 0 0 9 Care Homes for Older People Page 3 of 9 What we found: This random inspection was carried out on 26 March 2010. The home is currently subject to a Serious Case Review following the death of a resident in February 2010. A Coroners Inquest will be held in August 2010. The London Boroughs of Haringey and Islington have suspended admissions to the home while investigations are taking place. The purpose of this random inspection was check on the safety of people in the home in relation to the availability of food and drink, fluid management and accessibility of the nurse call bells. These issues were identified as concerns by social workers from the London Borough of Haringey. A further key inspection was also planned to follow up on outstanding requirements from previous inspections. This random inspection took place over three and half hours. The Registered Manager was on leave at the time and the Deputy Nurse Manager assisted with the inspection. On this inspection, we toured two units, the first floor dementia unit, Dorrit and the second floor nursing care unit. We sampled care files, talked to seven residents, one relative and to three nursing staff members. We also spoke by telephone to the Registered Manager when she returned from leave. At the time of the inspection, there were 19 residents on Dorrit Unit, 13 residents on the nursing unit and a total of 67 residents in the home. We sampled three care files on Dorrit Unit and three files on Copperfield unit to check fluid and nutritional intake charts. These were in place and up to date. There were good risk assessments that identified steps to be taken for residents with hydration or nutritional concerns and steps taken were documented and signed off. Risk assessments were in place and subsequent risk management steps had been taken for a resident identified at risk of self harm. Weight charts were also in place for residents identified at risk of weight loss. We toured both units and observed hot and cold drinks being provided for the residents. We also saw some residents being assisted to drink. Staff told us that fluid charts are usually filled in by the carers who provide the drinks. We spoke to one resident and her relative. Both told us that they were generally happy with the quality of care in home, that food and drink was reasonable and that the staff were responsive. Another resident we spoke said that they were generally well cared for in the home, and that their needs were met. Other residents told us that staff understood and responded to their needs. We spoke to two other residents who told us that they were unhappy being in the home and that it wasnt where they wanted to be. We looked at the accessibility of the call bells to the residents on both floors. These were seen to be kept within reach of the residents. Residents told us that they knew how to call the staff and that they were responsive. In one case, an alternative bell was provided Care Homes for Older People Page 4 of 9 in response to a risk assessment. We looked at the records of communication with the GP surgery. These included faxes requesting visits and requests for prescriptions. The Registered Manager told us that the home has had difficulty finding a GP practice that will provide the level of input that the home needs. This led, over a period of nine days in late 2009, to the home being without GP cover.Following this period, the CQC Pharmacist Inspector did a random inspection to check on access to medication for residents. He found that cover had been appropriately restored. Staff told us that the home has good access to Camidoc out of hours doctors. The Registered Manager told us that the current contract with the GP surgery allows for one scheduled visit by the GP per week, to increase in frequency as the occupancy rate increases. She told us that she is meeting with the PCT to discuss increasing GP services in the coming week. The Registered Manager also expressed concern that prescribed nutritional supplement drinks, such as Ensure, were only available to residents who had a low Body Mass Index (BMI) of 18.5. A requirement is given that the home review its GP services for residents to ensure that an appropriate and timely level of medical input is available as and when needed. This review should include a review of access to prescribed food supplements. The Registered Manager told us that four new nurses had recently been recruited to the home which will enable the home to reduce agency use. The staffing level appeared reasonable for peoples needs on this inspection (covering several hours in the late afternoon and early evening). Following this inspection visit, further concerns have been raised concerning the care of residents, particularly in relation to medication arrangements. A full key inspection will be carried out soon. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 9 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 1 9 13 The registered person must ensure that medication policies and procedures are accurate and complete. This is to ensure that people who use the service are protected by the homes policies and procedures regarding medication. 19/06/2009 2 9 13 The registered person must ensure that medication records are complete and accurate. This is required to ensure to the auditable control of medication at the home. 06/04/2009 3 20 13 Medication with the expiry 26/10/2009 limited when in-use require record to indicate the expiry. To ensure the therapeutic viability when in use. 4 20 13 Medicine administration records are required to be accurate, complete and accountable with full information provided. To ensure that medicines are handled safely and administered to the homes 05/11/2009 Care Homes for Older People Page 6 of 9 Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action service users, as prescribed. 5 20 13 Medicines are required to be stored in accordance with labelled directions. To ensure the therapeutic viability. 6 35 13 The registered person must 01/05/2009 ensure there is a clear record for each resident of how they manage their personal finances and that where support is needed systems must be in place that have been agreed with the most appropriate care professional. Any risk management issues must be discussed with care professionals as needed and a plan agreed This is to ensure that residents at the home are protected from possible financial abuse 7 35 24 The registered person must 01/07/2009 ensure that formal quality monitoring reviews take place on a regular basis and residents and other stakeholders are asked about their views of the service. This is to ensure that residents and other stakeholders can see how well the home is doing to meet the aims and objectives of the service. 26/10/2009 Care Homes for Older People Page 7 of 9 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 8 13 The Registered Persons 31/05/2010 should ensure that the home review its GP services for residents to ensure that an appropriate and timely level of medical input is available as and when needed. This should include a review of access to prescribed food supplements. Access to medical care should be appropriate to peoples needs and available when required. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 9 of 9 - 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!