Inspection on 30/04/07 for The Priory Grange Potters Bar

This inspection was carried out on 30th April 2007.

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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Priory Grange Potters Bar 09/06/06

The Priory Grange Potters Bar 22/09/05

The Priory Grange Potters Bar 25/05/05

The Priory Grange Potters Bar 20/12/04

Similar services:

Claremont House

Sun Court Nursing Home

Bramley Avenue (73)

15 Bramble Close

Dolphin Court

Fen Road

Wakes Hall

165 Putnoe Lane

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

CARE HOME ADULTS 18-65 The Priory Grange Potters Bar 190 Barnet Road Potters Bar Hertfordshire EN6 2SE Lead Inspector Marian Byrne Unannounced Inspection 30th April 2007 10:00 The Priory Grange Potters Bar DS0000062368.V335920.R01.S.doc Version 5.2 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 The Priory Grange Potters Bar DS0000062368.V335920.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 Adults 18-65. 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. The Priory Grange Potters Bar DS0000062368.V335920.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Priory Grange Potters Bar Address 190 Barnet Road Potters Bar Hertfordshire EN6 2SE 01707 858585 01707 858080 janetpannell@prioryhealthcars.com 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) Priory Group Limited Ms Janet Pannell Care Home 82 Category(ies) of Physical disability (82) registration, with number of places The Priory Grange Potters Bar DS0000062368.V335920.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered numbers are increased by one to enable two named service users to share a bedroom. The registered numbers will revert to 81 service users when either named service user leaves the home permanently for any reason or stops using the bedroom. There are currently 6 service users over the age of 65 who were admitted when the home was registered for Older People. This number must be reduced when a service user moves on with no further admission of a service user under the OP category. 9th June 2006 2. Date of last inspection Brief Description of the Service: Priory Grange is a care home providing nursing care for 82 people with a physical disability. It is owned and managed by the Priory Group. The home is located in Potters Bar, set back from the main Potters Bar to Barnet Road and is close to the High Street shops, pubs and other amenities. The home was opened in 1995 and consists of a three-storey building with a newer purpose build extension (Hadley Unit). All the homes bedrooms are single accommodation with en-suite facilities. There are passenger lifts in both Units. The grounds are easily accessible. The Priory Grange Potters Bar DS0000062368.V335920.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out by one inspector over one day. The Registered manager was present on the day of the inspection. There were 66 residents in the home at the time of the inspection. The inspector toured the home and spoke with visitors, staff and service users. Records relating to the care of service users, recruiting and training of staff and the administration of medication were inspected. The fees range from £1204 - £1554 per week. 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. The summary of this inspection report can be made available in other formats on request. The Priory Grange Potters Bar DS0000062368.V335920.R01.S.doc Version 5.2 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Priory Grange Potters Bar DS0000062368.V335920.R01.S.doc Version 5.2 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All service users have their needs assessed prior to admission. EVIDENCE: Four care plans were inspected and contained evidence to indicate that service users aspirations and needs are met. Service users spoken with also informed the inspectors that every effort is made to ensure needs and wishes are met. Service users placements are reviewed regularly. The Priory Grange Potters Bar DS0000062368.V335920.R01.S.doc Version 5.2 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All service users have care plans and those spoken with assured the inspector that they are involved in decisions relating to their lives. The home makes every effort to assist service users to live as independently as possible. EVIDENCE: Care plans are user friendly and give good detail on how service users wish to live their lives. Where possible the care plan is drawn up with the service users. On the day of the inspection the sun was shining all service users where possible had access to the garden to sit in the sunshine many were sitting in the garden in the afternoon enjoying the sunshine. The home has a bus that is there for the use of the service users to get out and enjoy local facilities. One service user who had been in the home for over a year has make progress to the degree that she is going to move into supported living in the near future. The Priory Grange Potters Bar DS0000062368.V335920.R01.S.doc Version 5.2 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,26,17. Quality in this outcome area is adequate. This would have been good if all the service users received the same attention to care. This judgement has been made using available evidence including a visit to this service. The lifestyle of the service users allows for development, being part of the local community, leisure activities, rights are respected. The food was good. EVIDENCE: Written evidence and conversations with service users indicated that service users were treated with respect and dignity. Staff were observed to interact positively with service users. Staff endeavour to meet needs in relation to interests and activities both in the home and in the local community. Service users use the local pubs and clubs. Food served to service users on the ‘middle’ floor was not kept hot. The food trolley was not plugged in to keep the heat and no attempt had been made to ensure that food to be taken to service users in their rooms was not kept warm/hot. The inspector noted that service users were looking well and that some had put on weight. One service user asked for a washing machine to be available to do personal laundry. The Priory Grange Potters Bar DS0000062368.V335920.R01.S.doc Version 5.2 Page 10 The Priory Grange Potters Bar DS0000062368.V335920.R01.S.doc Version 5.2 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported in an appropriate manner. Care is taken to ensure service users emotional and physical health needs are met. Medication was administered and stored appropriately. EVIDENCE: Care plans where inspected that service users have their physical and emotional health met. They are included in the drawing up of their care plans and are consulted on how they want their care administered. Service users spoken with assured the inspectors that they were consulted on all aspects of their care. The medication was administered and stored appropriately. The medication of one service user recently admitted was almost depleted. While it had not run out more care must be taken to avoid the risk this happening. The Priory Grange Potters Bar DS0000062368.V335920.R01.S.doc Version 5.2 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are listened to and their views are acted on. Service users are protected from abuse, neglect and self-harm. EVIDENCE: Service users now feel that they are listened to and evidence showed that they are protected from abuse. The home follows Hertfordshire Social Services’ Department guideline on the protection of vulnerable adults. Staff spoken with were aware of the whistle blowing policy. The home has followed the Adult Protection policy in the past. The Priory Grange Potters Bar DS0000062368.V335920.R01.S.doc Version 5.2 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: At the time of the inspection major construction work was under way. When completed there will be a new ground floor conservatory and extentions to the upstairs lounges. This will add much needed space to the middle floor especially. New lighting is being fitted to the corridors this is excellent, this lighting lifts and brightens the area. There is a refurbishment plan in place to ensure the home is in a good state of repair and decoration. On the day of the inspection the home was clean and hygienic. The Priory Grange Potters Bar DS0000062368.V335920.R01.S.doc Version 5.2 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are recruited appropriately. Staff are trained and supervised. Service users are supported by competent. EVIDENCE: Records inspected indicate that all the appropriate safeguards are in place when recruiting staff. These include two references and a Criminal Records Bureau check. Training is made available to all staff and they are given time scales to complete training. Training provided is appropriate to the staffing group to enable they to deliver the best possible care to service users. The home has undergone a programme of change in a very limited timeframe the result of this is that the staff are now more focused and the service now has the service users best interests at its core. The Priory Grange Potters Bar DS0000062368.V335920.R01.S.doc Version 5.2 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run in the best interests of the service users. The health and safety of the service users is promoted and protected. EVIDENCE: The Manager is now registered with this Commission. The home continues to improve under her management. Service users continue to be assisted and supported in all aspects of their lives including risk taking in the pursuit of meeting their wishes, desires and needs. It is now clearly run in best interests of the service users. The home has a happy relaxed atmosphere where both service users and staff can flourish. The staff and service users spoke very highly of the new manager and those spoken with were very supportive of the work she has done and the changes she has achieved. The Priory Grange Potters Bar DS0000062368.V335920.R01.S.doc Version 5.2 Page 16 The Priory Grange Potters Bar DS0000062368.V335920.R01.S.doc Version 5.2 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 3 x The Priory Grange Potters Bar DS0000062368.V335920.R01.S.doc Version 5.2 Page 18 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 YA17 Regulation 16(2)(i) Requirement That food is served to all service users at an appropriate temperature. Timescale for action 30/04/07 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 Refer to Standard YA12 Good Practice Recommendations That the Registered Manager makes a domestic style washing machine available to those service users who wish to wash their own clothes. The Priory Grange Potters Bar DS0000062368.V335920.R01.S.doc Version 5.2 Page 19 Commission for Social Care Inspection Hertfordshire Area Team CPC1 Capital Park Fulbourn Cambridge CB21 5XE National Enquiry Line: 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 © 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 The Priory Grange Potters Bar DS0000062368.V335920.R01.S.doc Version 5.2 Page 20 - 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. 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