Inspection on 24/03/06 for St Hilda`s Priory

This inspection was carried out on 24th March 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

St Hilda`s Priory 30/05/07

St Hilda`s Priory 11/01/06

St Hilda`s Priory 25/01/05

St Hilda`s Priory 06/09/04

St Hilda`s Priory 21/01/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE St Hilda`s Priory Sneaton Castle Whitby North Yorkshire YO21 3QN Lead Inspector Mavis Pickard Unannounced Inspection 24th March 2006 10:30 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 St Hilda`s Priory DS0000007736.V281914.R01.S.doc Version 5.1 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. St Hilda`s Priory DS0000007736.V281914.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service St Hilda`s Priory Address Sneaton Castle Whitby North Yorkshire YO21 3QN 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) 01947 602079 01947820854 Chapter of the Order of the Holy Paraclete Mrs Sybil Brown Care Home 10 Category(ies) of Old age, not falling within any other category registration, with number (10) of places St Hilda`s Priory DS0000007736.V281914.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Registered for 10 Elderly Residents some of whom may have Dementia and or Physical Disabilities All residents are of the Order of the Holy Paraclete. Date of last inspection 11 January 2006. Brief Description of the Service: The care home that is known within the religious community, as The Infirmary is a purpose built unit, which forms part of St Hilda’s Priory. It is designed to provide care for up to ten Sisters of the Order of the Holy Paraclete. Only Sisters of the Order are eligible for admission who with support of the care staff, continue with their chosen lifestyle. There are nine single rooms with en-suite facilities and one single room without en suite facilities. All the areas of the home are accessible via a passenger lift. The infirmary is situated within the Priory grounds and all the rooms have a countryside view. St Hilda`s Priory DS0000007736.V281914.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection completes the mandatory inspection schedule for 2005/6. The inspection was undertaken over a 3-hour period by 1 inspector and with the support of the home’s registered manager. The prioress of the religious order who are providers of the service also attended the inspection for a short time. In the main the inspection centred on speaking with the registered manager and with the Prioress, about the service provision to residents, about recruitment processes, the examination of some documents and with a tour of the home during which a number of residents were spoken with and/or informally observed. There were 9 people accommodated on the day of the visit. The home which is managed and in the main staffed by lay staff was running well. The service which is only accessible to Sisters of the Order of the Holy Paraclete is unusual in that it may not wholly ‘fit’ with the National Minimum Standards laid down for registered care homes but it does wholly meet the needs and requirements of the people accommodated. What the service does well: What has improved since the last inspection? 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. St Hilda`s Priory DS0000007736.V281914.R01.S.doc Version 5.1 Page 6 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 St Hilda`s Priory DS0000007736.V281914.R01.S.doc Version 5.1 Page 7 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 the following standard(s): 3 People returning to the home following hospitalisation are fully assessed in respect to the home being able to meet their continuing need. EVIDENCE: A resident is presently in hospital. It was discussed with the manager what systems are in place to ensure that their needs are met when the resident is ready to return home. The manager advised that either she or the resident’s care manager [social worker] would assess the situation prior to the resident’s release from hospital and that a resident would only be admitted back in to the home when and if the home’s staff are confident in being able to meet the resident’s continuing care needs. St Hilda`s Priory DS0000007736.V281914.R01.S.doc Version 5.1 Page 8 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 the following standard(s): 7 and 10 Resident’s health, personal and social care needs are set out in an appropriately recorded plan of care. Residents are treated with respect and their right to privacy is upheld. EVIDENCE: From previous inspection reports and from the examination of care plans and other documentation during this visit it is clear that the manager and staff ensure resident’s care needs are recorded and that any changes to their on going needs are reviewed regularly. Documents are maintained within the home that sets out how assessments are undertaken to consider the risk to the residents in all areas of daily living. The documents set out the actions to be taken should unreasonable risk be identified. From speaking with the provider and the regsitered manager and from direct observation during this visit it is clear that resident’s privacy is upheld and that all people accommodated are treated with respect. St Hilda`s Priory DS0000007736.V281914.R01.S.doc Version 5.1 Page 9 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 the following standard(s): 12,13 and 15 Residents find their lifestyle experience wholly matches their expectations and they are enabled as far as is possible to continue to maintain contact with family and other people dear to them. The home provides a wholesome diet that can be served wherever the resident wishes. EVIDENCE: People accommodated are all women who have lived in this religious community most of their adult life. The way that the home is designed to function is to ensure that the religious lifestyle, which the Sisters have embraced of all of this time, is maintained. From direct observation and from speaking with The Prioress [provider] and registered manager it is clear that this is the case. People accommodated live their lives in the care home to a great extent much as they did when able to fully take part in the life they have chosen. This is commendable. St Hilda`s Priory DS0000007736.V281914.R01.S.doc Version 5.1 Page 10 During this visit a group of sisters were noted to be taking lunch in the dining room, others had their lunch delivered by staff to their private room. The meals provided are cooked in the priory kitchen and delivered into the care home where they are maintained in a warming facility until ready to be served. The menus were examined and found to be appropriate. St Hilda`s Priory DS0000007736.V281914.R01.S.doc Version 5.1 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not examined during this visit. EVIDENCE: St Hilda`s Priory DS0000007736.V281914.R01.S.doc Version 5.1 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24 and 26 Residents live in a safe well maintained home that forms part of the Priory. The premises afford good quality accommodation that is fitted with appropriate facilities and equipment to meet the needs of those people accommodated. The premises are clean and both the communal and private areas suit the needs of residents. EVIDENCE: The home presented as being clean, comfortable and in keeping with the needs of the people for whom it is designed. A tour of the home was undertaken with the registered manager. There is appropriate provision of bathing, showering and toilet facilities. All residents are accommodated in single bedrooms, which are in keeping with the ethos of the religious lives of people accommodated. It was noted that rooms have been personalised with photographs and with religious artefacts. St Hilda`s Priory DS0000007736.V281914.R01.S.doc Version 5.1 Page 13 The communal areas of the home are well furnished and comfortable. There is a small chapel where Sisters can take part in services or visit to undertake contemplation. All rooms private and communal have views across the open countryside towards the sea and overlooking the farm attached to Sneaton Castle in whose grounds the Priory sits. The manager said that there are sometimes lambs or cattle to see and that the order has 2 donkeys which residents who are able to, visit regularly. St Hilda`s Priory DS0000007736.V281914.R01.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 and 29 There are sufficient experienced and competent staff to meet the needs of people accommodated and residents are protected by the home’s robust recruitment practices. EVIDENCE: There was 3 staff on duty at the inspection including a domestic, plus the registered manager. The manager said that at all times during the waking day from 07.30 to 21.00 there is a minimum of 2 care staff. When the manager is not in the building there is a senior person in charge. During the night there is 1 waking staff and when necessary a second person who sleeps in to give support. In any case should night staff require assistance they can contact the registered manager and/or the Prioress who is accessible at all times. The home’s recruitment processes were discussed. It is clear that these policies and practices are robust and wholly meet the current legislation. The home does not recruit often as they have a number of longstanding staff and a number of in house ‘bank staff who can be called on if the necessity should arise. St Hilda`s Priory DS0000007736.V281914.R01.S.doc Version 5.1 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32 and 38 Residents live in a home, which is run by a qualified, competent and experienced manager who ensures that the atmosphere in the home is open and positive. Records show that all aspects of the Health and Safety of residents and staff is maintained. EVIDENCE: The manager has made it clear that she does not intend to undertake National Vocational Qualifications[NVQ] or the Registered Manager Award [RMA] she is a competent, qualified first level nurse who has many years experience of managing care homes some of which provide nursing care. The manager is well known in the local community of Whitby, it is clear that she ensures a warm and comfortable atmosphere and that residents, staff and the community in which she practices hold her in high regard. St Hilda`s Priory DS0000007736.V281914.R01.S.doc Version 5.1 Page 16 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 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 3 3 3 3 3 X 3 STAFFING Standard No Score 27 3 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 4 X X X X X 3 St Hilda`s Priory DS0000007736.V281914.R01.S.doc Version 5.1 Page 17 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 St Hilda`s Priory DS0000007736.V281914.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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. 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