Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: The Priory Springhill Wellington Telford Shropshire TF1 3NA one star adequate service 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. 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: Joy Hoelzel Date: 2 1 1 0 2 0 0 8 Information about the care home
Name of care home: Address: The Priory Springhill Wellington Telford Shropshire TF1 3NA 01952242535 01952641577 thepriory.home@yahoo.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Wellcare Management Ltd care home 37 Number of places (if applicable): Under 65 Over 65 37 old age, not falling within any other category Conditions of registration: 0 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: Old age, not falling within any other category (OP) 37 The maximum number of service users who can be accommodated is: 37 Date of last inspection Brief description of the care home The Priory is a privately owned Care Home registered to provide accommodation, personal and nursing care for a maximum of thirty seven older people. Situated on the eastern edge of the Shropshire town of Wellington, with local amenities available a short walk away the home is set in its own grounds, with a car park to the front. The building comprises a large converted town house with a purpose built extension added in recent years. Single and twin bedrooms are available, some benefit from an en suite Care Homes for Older People
Page 2 of 8 Brief description of the care home facility. The home has a selection of sitting and dining areas; some areas within the home have benefited from redecoration and refurbishment. Other areas still require attention. Information of the home and the provision of the service are available in a service user guide and statement of purpose and are available on request at the home. The service user guide specifies the weekly fees for the service, from £400:00 to £ 650:00 per week, and what is and what is not included in the fee. Commission for Social Care Inspection reports for this service are available from the provider or can be obtained from www.csci.org.uk Care Homes for Older People Page 3 of 8 What we found:
The last key inspection for this service was on 8th July 2008. This unannounced inspection was carried out to check compliance with the statutory requirements made following the unannounced key inspection. We selected care plans and staff personnel files to look at. A tour of the premises was conducted and we had discussions with people living, working and visiting the home. Ms Lyn Honey the acting manager was in charge of the home supported by one registered nurse , six care staff, domestic and catering staff. All people living at the home have a care plan based on an assessment of need. Four case files were selected for inspection and generally contained the information required to ensure staff have the specific details for successfully meeting a persons needs. However, in the selection viewed there appeared to be omissions of information and some discrepancies and inconsistencies when discussing care needs with individuals and observing staff working practice. The acting manager discussed the ongoing work to review, amend and update the care plans of everyone living at the home. The acting manager was unable to determine a completion date. During the tour of the premises we found that some improvements have been made to the environment, some areas benefiting from redecoration and replacement of some fabric and furnishings. We looked at ten personnel files and found a number of omissions of information to ensure that people are supported and protected by a robust recruitment policy and practice. Files indicated that people had been working at the home for a considerable period of time without references, criminal record bureau disclosures or protection of vulnerable adults first check being obtained. The duty rota and time sheets evidenced that the people without essential checks are working at the home. The acting manager discussed the training opportunities for staff and is currently completing and updating a training matrix. Staff discussed the training they have received this year. One person discussed the induction programme which consisted of one day working with another staff member. The acting manager has plans to introduce an in depth induction programme but again was unable to determine a timescale for this. The requirement for the service to have a sufficiently robust recruitment procedure has been outstanding since July 2008. At this inspection it was still outstanding, this resulted in the serving of a Code B notice, which is used whenever we are involved in an investigation, which may result in a criminal prosecution-in this instance The Priory care home had breached Regulation 19, (Fitness of workers), of the Care Homes Regulations 2001, which is an offence under the Care Standards Act 2000. Action will now be considered to ensure compliance in this area and to ensure that people suitable to work with vulnerable adults, care for people living at the home. What the care home does well:
People living at the home stated that staff look after us very well, the food is good. A visitor to the home commented that they had no concerns and was satisfied with the Care Homes for Older People
Page 4 of 8 care offered to their relative. 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 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 8 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, Care Homes 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 29 19 The recruitment procedures 08/01/2009 must be sufficiently robust with checks carried out prior to offering employment. This will ensure that service users are being cared for by people suitable to work with vulnerable adults. 2 31 18 All staff must receive induction training This will ensure that staff are trained and competent to do their jobs. 08/01/2009 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 1 2 8 19 All care plans should be in sufficient detail to ensure that care can be provided in an effective and consistent way. The planned maintenance programme for 2008/09 should continue to be followed to ensure that people are provided with a good standard of living in a clean comfortable and safe environment. Care Homes for Older People Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI 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: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk 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. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 8 of 8 - 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!
