Inspection on 22/06/06 for St Wilfred`s - Arundel Priory

This inspection was carried out on 22nd June 2006.

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

St Wilfred`s - Arundel Priory 25/02/09

St Wilfred`s - Arundel Priory 09/01/06

St Wilfred`s - Arundel Priory 31/05/05

St Wilfred`s - Arundel Priory 25/02/05

St Wilfred`s - Arundel Priory 22/06/04

St Wilfred`s - Arundel Priory 16/02/03

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 St Wilfred`s - Arundel Priory 2 London Road Arundel West Sussex BN18 9BZ Lead Inspector Mrs V Gay Key Unannounced Inspection 22nd June 2006 09:30 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 Wilfred`s - Arundel Priory DS0000014742.V297833.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. St Wilfred`s - Arundel Priory DS0000014742.V297833.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Wilfred`s - Arundel Priory Address 2 London Road Arundel West Sussex BN18 9BZ 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) 01903 882079 Order of Malta Homes Trust Ms Jean Houghton Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places St Wilfred`s - Arundel Priory DS0000014742.V297833.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Up to 20 persons male and/or female service users in the category of old age, not falling within any other category may be accommodated. No service users under 65 years of age may be admitted. Date of last inspection 9th January 2006 Brief Description of the Service: St Wilfreds is a care home registered to accommodate 20 residents in the category of older people (OP) over 65 years of age not falling within any other category. The fees range from £390 to £460 depending on the room and level of care required. The home is within the converted old priory building situated close to Arundel castle and is owned by the Orders of St.John Trust. Accommodation is provided over two floors with all rooms occupied on a single occupancy basis. A lift is installed to allow access to the first floor. Due to the age and layout of the building parts of the home are only accessible via short flights of steps. This is referred to in the home’s Statement Of Purpose. The home is set in attractive well-maintained gardens, which are only partially accessible to the residents. There is an attractive courtyard with seating areas for the residents use. St Wilfred`s - Arundel Priory DS0000014742.V297833.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection. At this inspection the Inspector looked at the core standards as well as any outstanding issues from the last report. Where there have been no changes the report remains the same. During this inspection the Inspector examined records of care being provided to residents, as well as records of any accidents, issues, concerns or complaints, to make sure that the residents St Wilfred’s Arundel Priory were being taken care of. Four residents were case tracked, three were new residents admitted since the previous inspection. In addition the Inspector toured the building, inspecting several of the rooms that the residents have access to, and joined the staff for a handover meeting. From the information available, the positive comments made by the residents and two visitors the inspector gained the impression that the home continues to provide a very good standard of care. No requirements were made and all standards assessed on this occasion were met or exceeded. The Inspector would like to thank everyone who cooperated with her on the day of this inspection. What the service does well: The majority of residents were spoken to, and all gave a very good account of the home saying it met their varying needs. Residents said that staff were helpful “nothing is too much trouble…always available during the night when I use my call bell… they are friendly”. Resident’s comments included the following: “ visitors are made welcome whenever they visit…food is excellent, good choice with several desserts…we care for each other here” They considered that “the home was a nice place to live”. Everyone said that they appreciated being able to lead their own lifestyle with one person saying that no restrictions were imposed on him”. St Wilfred`s - Arundel Priory DS0000014742.V297833.R01.S.doc Version 5.2 Page 6 A relative said the manager and staff had been extremely helpful, and the admission procedure in respect of his mother was very good. 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 Wilfred`s - Arundel Priory DS0000014742.V297833.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection St Wilfred`s - Arundel Priory DS0000014742.V297833.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2, 3,4,5,6 Prior to moving into St Wilfred’s Priory people are given sufficient information about what the home offers, to enable them to make a choice as to whether or not they want to live there. In addition before moving into the home, people are assessed, by a member of staff, in their own home or hospital whenever possible, to make sure they are suitable, and invited for a trial period. People know exactly what they can expect from ST Wilfred’s Priory and what is expected from them. Each resident has a written contract/ statement of terms and conditions with the home. St Wilfred’s Priory does not provide intermediate care. Quality in this area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: St Wilfred`s - Arundel Priory DS0000014742.V297833.R01.S.doc Version 5.2 Page 9 Case tracking confirmed good practice. Records showed a thorough assessment was undertaken prior to admission to ensure the home could meet individual needs. A relative told the inspector that prior to his mother being admitted he had visited the home and spent time with the manager and senior carer to discuss his mother’s needs. He said, “I particularly liked the honest and open manner in which the manager discussed the service”. He said, “ Because the building is listed some of its failings by modern standards adds to its charm”. Another resident said she had been admitted for a short stay. She said, “ Staff are wonderfully kind…I couldn’t fault the care in any way…because I was born in Arundel I feel at home” Residents confirmed that they had received a Statement of Purpose and Service Users Guide giving full details about the home and facilities available. Records inspected were up to date and care plans had been agreed and signed by the residents. Each resident receives a written contract and terms and conditions of residency indicating what is included in the fees. A monthly newsletter is distributed to ensure residents know what is happening in the home. St Wilfred`s - Arundel Priory DS0000014742.V297833.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Resident’s health, personal care and social care needs are set out in an individual care plan. Residents make decisions about their lives with assistance being available as needed. Medication is managed safely, and residents who wish to self medicate would be able to do so following a risk assessment. Quality in this area is good. This judgement has been made using available evidence including a visit to the service. EVIDENCE: Residents care plans were examined as part of the case tracking process. The inspector noted that entries made and information recorded complied with what the residents told the inspector during discussion. A dependency assessment tool and physical needs chart gave a clear indication of what assistance was needed and what residents could do for themselves. Residents were encouraged to remain as independent as possible within their own physical ability. St Wilfred`s - Arundel Priory DS0000014742.V297833.R01.S.doc Version 5.2 Page 11 One resident said “ The staff assist me in the morning, and fill my wash hand basin to enable me to wash at my own pace”. Another resident said no restrictions were imposed on him and that he was free to spend his time as he wished. Residents spoke highly of the attention given to them by the staff team, which at times was very busy. One resident said, “ The night staff are so kind they answer my call bells promptly and are always cheerful and helpful”. Residents have the opportunity to join in exercise classes and to go out with the care staff. Equipment is in place to promote independence and assist residents with their daily tasks of living. Medication was securely stored and suitable recorded. The medication record was up to date and the senior member of staff had duly completed and signed for the early morning drugs round. Residents who choose to manage their own medication are encouraged to do so following a risk assessment. Staff were seen to knock on residents doors and to wait before entering. One resident said she likes to lock her bedroom door at night, and this was possible because all doors have locks fitted to promote privacy. Residents care plans showed that GP’s visited by request and other health related services were provided. A visitor said his mother’s health had improved since entering the home. St Wilfred`s - Arundel Priory DS0000014742.V297833.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 People living at St Wilfred’s are able to make the day-to-day decisions about how they want to live their life. There is a range of activities for those who wish to participate, and residents are encouraged to maintain contact with all their old friends and family wherever possible. The food is of a high standard, and offers a choice of menu, with people able to eat either with other residents or in their own room should they prefer. Quality in this area is excellent. This judgement has been made using available evidence including a visit to the service. EVIDENCE: The last inspection report recommended that the social activities could be expanded to take into account the change of interest with some of the residents. There is now a wide range of activities and outings on offer to the residents. A senior carer, who has delegated responsibility, showed the inspector a record of the programme arranged for this year. St Wilfred`s - Arundel Priory DS0000014742.V297833.R01.S.doc Version 5.2 Page 13 The log recorded outings and events that had taken place. These included Coffee Mornings, Summer Fayre, Shows, Outings to the Wild Fowl trust and another outing to the Coast for coffee. There is a monthly newsletter that informs residents of forthcoming events, together with weekly programmes which are displayed on the notice boards. Good practice was observed, that staff also remind residents daily of what’s on in the home. On the day of this unannounced inspection residents attended a religious service, which they said they enjoyed. Residents said staff welcomed their families when they visited the home. A drinks bar has been installed for the residents to make their own drinks throughout the day. Residents said they could furnish and personalise their rooms. A newly admitted resident said she was in the process of trying to make here room more like home. Meal times are served in the dining room or in the residents own room. The menus were seen to be varied containing fresh produce. Likes and dislikes are noted on each residents care plan. Residents all said the food was very good. On the day of inspection an agency chef was on duty. He confirmed that he had sufficient produce and showed the inspector what he had cooked for the lunch. The meal was liver and bacon or turkey cutlets accompanied by a selection of fresh vegetables. There were a variety of choices for dessert and this was followed by tea or coffee. The meal was appetising and generous in quantity and residents enjoyed their meal. St Wilfred`s - Arundel Priory DS0000014742.V297833.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Residents are listened to and understand how to make a complaint should they wish to. Regular training sessions for staff, plus policies and procedures regarding abuse, ensure that, as far as is possible, the people who live at Wilfred’s Arundel Priory are protected from bad practice. Quality in this area is good. This judgement has been made using available evidence including a visit to the service. EVIDENCE: There is a complaints procedure included in the Statement of Purpose and Service Users Guide. Residents spoken with said they knew who to complain to should the need ever arise. Residents meetings and Quality Assurance surveys encourage residents and their families to comment on the standard of service. Examples seen showed that if a concern was raised then action was promptly taken. Staff members said that they had received training in Protection Of Vulnerable Adults as part of the National Vocational Qualification level 2 and 3, which several of the staff have obtained. St Wilfred`s - Arundel Priory DS0000014742.V297833.R01.S.doc Version 5.2 Page 15 The Registered Manager confirmed that any incident or allegations of abuse would be dealt with following the West Sussex County Council procedures in place. All staff have Criminal Records Bureau enhanced checks done before working in the home to ensure they are safe to work with vulnerable people. Staff told the inspector that training in specialist subjects such as Dementia was being arranged for them. St Wilfred`s - Arundel Priory DS0000014742.V297833.R01.S.doc Version 5.2 Page 16 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): 19,20,21,22,23,26 Residents live in a well-maintained comfortable environment. It is recognised that due to the building being listed there are some limitations on use. The historic building has a number of small steps and stairways around the home. There are large attractively maintained gardens, however because these are assessed via steps, residents who are unable to manage stairs are unable to gain access. The registered providers are making improvements that will address some of these issues. Quality in this area is good. This judgement has been made using available evidence including a visit to the service. EVIDENCE: St Wilfred`s - Arundel Priory DS0000014742.V297833.R01.S.doc Version 5.2 Page 17 Since the previous inspection many improvements have been made to upgrade and modernise the building. A detailed list of which is stated in “improvements since the previous inspection” on page 7 There are of course restraints because the building is listed; however this adds to the charm of the home. The home is clean and fresh throughout and resident’s bedrooms were attractively presented. Residents said they thought they were fortunate to have such wonderful views of the South Downs and Arundel Castle. The home employs a housekeeper supported by domestic staff, handyperson and laundry assistant. Resident’s case tracked, showed that they had been involved in deciding what furniture to have in their bedrooms. A Fire officers report dated 2006 indicated that works required maintaining safety standards were being dealt with. On the day of this inspection three bedroom doors were wedged open which compromises fire safety standards in the building. The care leader on duty was able to demonstrate a clear understanding of the importance of following procedure, re the closing of doors. This was discussed with the Registered Manager, who confirmed that quotes had been received in respect of fitting suitable door closures following consultation with the Fire Officer. The Registered Manager had risk assessed the situation and was aware of the three residents who wanted their bedroom doors open. It was agreed that written confirmation to this effect would be sent to the Commission for Social Care Inspection with a date of when the closures will be fitted. This matter will be checked at the next inspection. The Registered Manager supplied a programme of routine maintenance and upgrading which confirmed that the Registered Providers were doing Their best to maintain the home to a good standard, in keeping with the type of building. St Wilfred`s - Arundel Priory DS0000014742.V297833.R01.S.doc Version 5.2 Page 18 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): 27,28,29 Residents are in safe hands at all times. A robust recruitment procedure is followed to ensure the right type of staff is employed to care for vulnerable people. Staff have the necessary skills and confidence to perform their role in a professional manner. Quality in this area is good. This judgement has been made using available evidence including a visit to the service. EVIDENCE: On arrival at the home the housekeeper answered the doors. She explained that the Registered Manager was at a meeting but said she would get the designated person in charge. The care leader was helpful and confirmed who was on duty that day and made available records requested by the inspector. Four new staff had been employed since the previous inspection and these files were examined. They were found to comply with Schedule 4 regulation 17 (2) of the Care Regulations 2000. St Wilfred`s - Arundel Priory DS0000014742.V297833.R01.S.doc Version 5.2 Page 19 The duty rota confirmed who was on duty and showed where cover had been arranged. The staffing arrangements of the home were discussed with the residents and a visiting relative. Comments received included the following; They are wonderful…nothing is too much trouble…they are very kind to me during the night…always answer call bells promptly in a respectful manner” A relative praised the home and staff team. New staff members receive induction training and have the opportunity to attend training in all mandatory subjects after a probationary period of employment. The inspector joined the staff for a handover at 2pm and it was evident that they had a sound knowledge of each resident’s needs. The staff were motivated and very open to discuss the daily happenings of the day with the inspector. Over 50 of the staff have obtained National Vocational Qualification level 2 or 3 and others are registered to commence training in September 2006. Several of the staff have worked at St Wilfred’s Arundel priory for many years therefore they know the residents and their families. A programme of staff training in specialised subjects has been arranged for this year within the homes budget. St Wilfred`s - Arundel Priory DS0000014742.V297833.R01.S.doc Version 5.2 Page 20 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): 31,33,35,38 Ms Houghton has a number of years experience and appropriate qualifications to fulfil the role of a Registered Manager. There are clear guidelines of accountability in the organisation. Records needed for the safe running of a care home are kept up to date. Resident’s financial interests are safeguarded. The home is run in the best interest of the residents. Quality in this area is good. This judgement has been made using available evidence including a visit to the service. EVIDENCE: St Wilfred`s - Arundel Priory DS0000014742.V297833.R01.S.doc Version 5.2 Page 21 The Registered Manager arrived at the home after attending a training morning in respect of Health and Safety procedures. The home has been accredited with BS EN 1SO 9001-2000 in Quality Assurance. Regular monitoring takes place with external auditors to ensure The Order of ST. John’s maintains these high standards. Staff members confirmed that they felt supported by the management. The administrator confirmed that any valuables held in safe keeping in respect of residents was receipted and audited. St Wilfred`s - Arundel Priory DS0000014742.V297833.R01.S.doc Version 5.2 Page 22 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 4 3 4 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 3 X X 3 St Wilfred`s - Arundel Priory DS0000014742.V297833.R01.S.doc Version 5.2 Page 23 NO 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. 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 Wilfred`s - Arundel Priory DS0000014742.V297833.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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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