Inspection on 13/06/07 for The Priory Rest Home

This inspection was carried out on 13th June 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 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

The Priory Rest Home 25/10/05

The Priory Rest Home 14/05/05

The Priory Rest Home 14/01/05

The Priory Rest Home 22/07/04

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 The Priory Rest Home South Street Tarring Worthing West Sussex BN14 7NH Lead Inspector Mr D Bannier Unannounced Inspection 09:00 13th June 2007 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 The Priory Rest Home DS0000014790.V338820.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. The Priory Rest Home DS0000014790.V338820.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Priory Rest Home Address South Street Tarring Worthing West Sussex BN14 7NH 01903 237027 01903 204253 priory@fieldlane.org.uk 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) Field Lane Foundation Mrs Allena Margaret Anne Edwards Care Home 42 Category(ies) of Dementia - over 65 years of age (41), Old age, registration, with number not falling within any other category (41), of places Physical disability over 65 years of age (1) The Priory Rest Home DS0000014790.V338820.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. Old age, not falling within any other category (OP) 41 Physical disability over 65 years of age (PD)(E)(1) Dementia-over 65 years of age (DE(E) 41 Nursing-over 65 years of age (N)(E) 20 A maximum of 20 service users can only be accommodated, who require nursing care, in the Primrose unit. 14th May 2005 Date of last inspection Brief Description of the Service: The Priory is a care home which is registered to accommodate up to forty one residents over the age of 65 years who also have dementia. It provides personal and nursing care for up to 20 residents. The Priory is a detached two storey property which provides accommodation in single bedrooms located on the ground and first floors. A vertical passenger lift provides access to all floors. Dining rooms and lounges are located on the ground floor. There are secluded gardens and a patio area surrounding the property which residents can enjoy. The property is located in the village of Tarring on the outskirts of Worthing. The fee levels range from £400 to £900 per week. Additional charges are made for the following services: chiropody, hairdressing, and some therapies provided by outside agencies. The registered provider is The Field Lane Foundation, who has appointed Mrs Jacky Owen to be the Responsible Individual and to supervise the overall management of the care home. The post of registered manager, who is responsible for the day to day running of the care home, is Mrs Allena Edwards. The Priory Rest Home DS0000014790.V338820.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection report has been written using methods introduced on 1st April 2006. Some evidence used to assess standards has been gathered before this visit took place, during the visit and afterwards. For example, information has been used from the previous inspection report; comments made by residents at the time of the visit have been noted; the registered manager has also supplied further information on request that has been considered after the visit took place. The registered provider has also completed an annual quality assurance assessment (AQAA) providing information about the way the home has been run. This has also been taken into consideration. This visit was unannounced and started at 9.00am. It took place over approximately eight hours. The inspector spoke to five of the thirty six residents who are currently being accommodated at this care home. The inspector also spoke to one person who lives in the local community and uses the day care centre. This enabled to inspector to form an opinion about how it was to live there. The inspector also spoke to five staff, including the relief manager, who were on duty. They told the inspector about their jobs within the care home and the training they had received in order carry out their duties. Some records were also examined. The inspector looked at those standards that are about how new residents are admitted to the care home; how residents are cared for; the daily life and social activities provided for residents; how the care home deals with complaints and how they protect residents from abuse; the environment in which residents live; how staff are recruited and trained; and how the care home is managed. The relief manager was present throughout the inspection and kindly assisted the inspector with his enquiries. What the service does well: The care needs of prospective residents have been assessed before admission. This means they will know that their needs will be met by this care home. Staff have been provided with information and guidance with regard to how each resident should be cared for. This will mean that residents’ needs will be The Priory Rest Home DS0000014790.V338820.R01.S.doc Version 5.2 Page 6 met in a consistent manner and in accordance with the wishes of individual residents. Staff have also been provided with a range of training. This will mean staff have the necessary knowledge and skills to understand residents’ needs and how they should be cared for. Residents have been provided with a range of activities and entertainment. This means that residents can choose what they wish to do during the course of the day. 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 Rest Home DS0000014790.V338820.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 The Priory Rest Home DS0000014790.V338820.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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs have been assessed before they move into the care home. This care home does not provide intermediate care. EVIDENCE: The inspector examined the records of two residents who had been identified for case tracking purposes. Records confirmed that the manager had carried out an assessment of each resident’s needs prior to admission. Assessments were comprehensive and covered such as areas as physical and social needs and risk assessments. One resident told the inspector that they like living at The Priory. The Priory Rest Home DS0000014790.V338820.R01.S.doc Version 5.2 Page 9 The inspector spoke to care staff on duty. They were able to tell the inspector in some detail about the care needs of individual residents. Following observations of care practices the inspector concluded that staff were able to meet the identified needs of residents. The Priory Rest Home DS0000014790.V338820.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff have appropriate information to ensure they are able to meet residents’ needs. The registered provider has ensured residents’ health care needs have been fully met. Current care practices have ensured residents feel they are treated with respect and their right to privacy has been upheld. EVIDENCE: Care plans have been drawn up from the information gathered when residents’ needs were assessed. Care plans are informative and include appropriate The Priory Rest Home DS0000014790.V338820.R01.S.doc Version 5.2 Page 11 information and instructions which staff are expected to follow. This will ensure residents’ care is provided in a consistent and continuous manner. Records seen also demonstrated that care plans and assessments are reviewed on a regular basis to ensure they are up to date. However, the inspector noted occasions where residents’ care records were not up to date and did not always reflect the current care needs of residents. The inspector was advised that Mrs Edwards, the registered manager, has had to take extended leave. Mrs Jacky Owen, who represents the registered provider as the responsible individual, has informed the inspector she is aware of such shortfalls and is working with the relief manager to address them. Appointments are made on behalf of residents to see health care professionals from the community. As residents have difficulty in remembering the care home provides appointment cards. This includes appointments to see the GP, the optician, the dentist and also hospital appointments. It gives the resident important information such as the date and time, who they will be seeing and what the treatment is for. A record is also kept in residents’ folders to confirm that residents have been provided appropriate services to meet health care needs. The inspector observed medication being given to residents after breakfast. Residents are not considered to be capable of administering their own medication. A monitored dosage system is employed to ensure practices are safe. Practices were in line with guidance issued by the Royal Pharmaceutical Society of Great Britain (RPSGB). Information supplied by the registered provider confirmed that, “Our medication systems are strong and robust.” From direct observations, residents appeared to be relaxed when talking with staff and very well cared for. Staff were seen to speak to staff in a manner which respects their dignity. When providing care it was noted that staff ensure residents’ privacy and dignity has been maintained. One resident told the inspector, “The staff are very kind and helpful.” Another resident said they were very happy with the care and services provided.” The Priory Rest Home DS0000014790.V338820.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The registered provider has ensured the lifestyle residents experience in the care home matches their expectations and preferences, and satisfies their social, recreational interests and needs. Residents are able to maintain contact with family and friends as they wish. The registered provider has ensured residents receive a wholesome appealing and balanced diet. EVIDENCE: The inspector was informed that The Priory operates a system whereby the care records for each resident consist of six folders. One folder is dedicated to information about day care provided to each resident. Information about each The Priory Rest Home DS0000014790.V338820.R01.S.doc Version 5.2 Page 13 resident’s hobbies, interests and social needs are gathered once the resident has been admitted and settled into the care home. The inspector visited the area of the care home, which is dedicated to day care provision. It is located on the first floor, consists of a self contained flat and is accessible to all users of this service via a vertical lift. This provision is made available to all residents accommodated at The Priory as well providing a resource to elderly people in the local community. The service is staffed separately and provides a range of activities including art and crafts, reminiscence sessions, trips to a local stables and musical entertainment. There are also facilities for residents who wish to cook for themselves and launder their own clothes. This means residents who have chosen to be admitted on the basis of a short stay can continue to care for themselves as far as they are able. A hairdressing salon is also provided. Residents are given an appointment card to help them remember when they should visit the hairdresser’s salon. A television and a music centre has been provided in the communal lounge. There is also equipment available for residents to play board games such as scrabble and dominoes. A bookshelf in the dining room was well stocked with library books, including large print, for residents’ use. A mobile library service visits regularly to change books and to take orders from residents for specific titles. A selection of magazines and daily newspapers are also made available. The inspector went to sit with a group of residents in the lounge. They were sitting around a television. One resident was asleep and clearly not interested in the TV. Two other residents were reading newspapers and were glancing at the TV from time to time. A daytime television chat show programme was on. The inspector did not speak to residents but simply sat and joined the small group to observe. From time to time staff came over to speak to residents. The overall impression was a very relaxed atmosphere in which residents were sitting in their own home doing what they wanted to do. Information supplied by the registered provider confirmed that, “Residents have a choice throughout the day to spend time in the way they choose. Appropriate activities that reflect their wishes are provided by a dedicated day care service. Individuals are encouraged to maintain daily living skills by doing their own laundry, taking care of their own room, cooking and baking and gardening.” Residents’ care plans include a record of residents’ families and the contact they have with them. Whilst the inspector did not speak to any visitors, several relatives and friends were visiting residents at the same time. Information supplied by the registered provider stated that, “Visitors are made welcome and have open access 24 hours with residents’ permission.” The Priory Rest Home DS0000014790.V338820.R01.S.doc Version 5.2 Page 14 There are two dining rooms in The Priory. The inspector observed in the part of the care home known as “Bluebell” there was a breakfast bar on which there was a selection of cereals, fruit juice, prunes, grapefruit, toast. The manager informed inspector that an option of cooked breakfast is available if a resident wants this. Breakfast had recently finished and some residents were still in the dining rooms chatting whilst getting ready to leave or whilst waiting for their medication. The area known as “Primrose” accommodates residents with high level of needs including severe dementia and/or nursing needs. The lounge/ dining room has been designed as open plan, which means it is easy to observe all residents. Each dining room was attractively presented in a homely and comfortable manner. There were sufficient staff on duty during the mealtime to ensure residents who need help with eating get the assistance they require. On the day of the inspection the main meal was a choice of either roast chicken, bacon and sausage or poached haddock with either broccoli, carrots, mashed potatoes or salad. Dessert was a choice of either ginger sponge with vanilla custard or fresh fruit salad. The inspector sampled the dishes of the first course and found they were attractively presented and very tasty. Menus seen demonstrated that residents are provided with a wholesome, varied and nutritious diet. The inspector also read a book in one dining room which contained comments made by residents about the food. The last entries included comments such as, “The duck was delicious,” and “”Thank you, it was lovely. (salmon fishcakes).” Residents told the inspector they enjoyed the food provided. Information supplied by the registered provider confirmed that, “ The catering service is excellent and always offers choice…” The Priory Rest Home DS0000014790.V338820.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives know that their complaints will be listened to, taken seriously and, where necessary, acted upon. The registered provider has ensured that residents are protected from abuse. EVIDENCE: A written complaint procedure is on display in the entrance hall of The Priory and provides clear guidance with regard to how a resident or their relative should make a complaint if they wish. This is also included in the home’s Service User Guide, which has been issued to each resident or their family. In recent weeks the Commission has received a complaint from someone who wished to remain anonymous. The provider investigated these concerns using the home’s own complaint procedure. The provider advised the Commission of the outcome of these investigations within 28 days. This included information regarding action to be taken to address any shortfalls identified. The Commission was satisfied with the provider’s investigations and has chosen to take no further action on this occasion. The Priory Rest Home DS0000014790.V338820.R01.S.doc Version 5.2 Page 16 Information supplied by the registered provider confirmed that, “A clear and accessible complaints procedure is in place.” According to records seen training provided to all staff includes training in Adult Protection procedures. It was also noted that the registered provider has a copy of the Adult Protection procedures published by West Sussex Local Authority. Staff on duty were able to tell the inspector about different types of abuse and to whom they should report any instance they may find. Information supplied by the registered provider confirmed that they have ensured, “a clear understanding within the staff team about Adult Protection procedures.” The Priory Rest Home DS0000014790.V338820.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The registered provider has taken appropriate steps to ensure residents live in a safe, well-maintained environment. The home is clean and pleasant but the state of cleanliness in the laundry and sluices does not promote good hygiene conditions EVIDENCE: The inspector went round the care home accompanied by the relief manager. It was noted the premises were clean, tidy and well maintained in a homely manner. The inspector viewed a number of bedrooms, the lounges and dining rooms. These were very clean and tidy, well maintained, furnished and decorated to a good standard. Residents have been able to personalise their The Priory Rest Home DS0000014790.V338820.R01.S.doc Version 5.2 Page 18 own rooms by bringing small items of furniture, pictures, ornaments and family photographs. Information supplied by the registered provider confirmed that, “We have a very clean, tidy and odour free environment that is made homely and age appropriate with the good use of furniture and providing lots of different kinds of space.” Information supplied by the registered provider prior to the visit indicated that the premises has been visited by the Fire Officer and Environmental Health officer to ensure it is safe and meets requirements in terms of fire safety and health and safety regulations. The registered provider has also confirmed that any shortfalls identified have been rectified. Equipment such as gas installations, electrical wiring and equipment have been regularly checked and maintained to ensure they are safe to use. Several bathrooms and WC’s seen were clean and maintained to a good standard of hygiene. Some bathrooms have been fitted with bathing aids to assist residents in getting in and out of baths. Toilets seen have also been equipped with appropriate aids such as toilet seats and grab rails to assist residents. There were two sluices, one on each floor. The inspector expressed concern regarding the general cleanliness of this area. The wall and floor surfaces were not readily cleanable. This is because they need making good and repainting. Other areas such as the tops of pipework under work surfaces all need to be thoroughly cleaned. Commode pots were stacked on the floor. There was no stainless steel racking on which to allow sterilized pots to drain. The shelving was made of wood and provided a porous surface. This meant that shelving was not easily cleaned. Shelving and work surfaces included items which should not be in a sluice area. For example a razor belonging to resident was present along with a variety of bedside lamps. The overall impression was that the areas were very dirty and untidy. The relief manager was advised that sluices should be scrupulously clean to reduce risk of cross infections. The inspector was advised that the provider is currently in the process of replacing existing sluices with electronic machines. An improvement to the overall decoration of these areas is also planned. The laundry room was also seen. The laundry room has been equipped with washing machines, which have a sluice facility to wash soiled linen and clothing and appropriate temperatures to prevent cross infections. As with the sluices, wall and floor finishes were in a poor state of repair, which meant they were no longer easily cleaned to reduce the risk of cross infections. A wash hand basin, stocked with anti bactericidal soap and paper towels was also available. This means that staff can wash their hands immediately after handling soiled clothes or bed linen. The Priory Rest Home DS0000014790.V338820.R01.S.doc Version 5.2 Page 19 Mrs Owen, the responsible individual confirmed that she will ensure immediate action is taken to address the poor state of hygiene in these areas straight away. The Priory Rest Home DS0000014790.V338820.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered provider has ensured there are adequate staffing levels to ensure residents’ needs are met by the numbers and skills mix of staff. The registered provider has ensured residents are supported and protected by the home’s recruitment policy and practices. The registered provider has ensured staff are trained and competent to do their jobs. EVIDENCE: On the day of the inspection, the inspector noted that the acting manager was on duty supported by a team of the deputy manager and four care assistants. Since September 2006, The Priory has been registered to provide nursing care for up to 20 residents. However, as there have been difficulties in recruiting appropriately trained and experienced staff the registered provider has chosen not to admit residents requiring nursing care. In addition there were house keeping and catering staff to ensure the premises are kept clean and residents The Priory Rest Home DS0000014790.V338820.R01.S.doc Version 5.2 Page 21 are provided with cooked meals, snacks and drinks throughout the day. Following an examination of care records, observations of care practices and discussions with staff and residents, the inspector concluded there are sufficient staff on duty to provide care to residents currently accommodated. The inspector examined the records of two staff recruited since the last inspection. Records seen were well maintained and were up to date. The information seen included references, criminal records checks and evidence which confirmed the identity of the member of staff. The inspector concluded that the manner in which staff are recruited ensures appropriate checks are carried out to confirm the applicant is appropriate to work with vulnerable residents. Information supplied by the registered provider confirmed that, “ We have a very robust recruitment process that protects Service Users.” Records of training provided were also examined and demonstrated that training for all staff has included mandatory training such as fire safety, food hygiene, adult protection and health and safety. It also demonstrated that some staff have received additional training with regard to understanding dementia, dealing with challenging behaviour, infection control and person centred care planning. According to information provided by the registered provider it has been confirmed that 80 of staff hold the National Vocational Qualification (NVQ) in Care at Level 2 or 3 and NVQ 4 for senior staff. It was also confirmed that, “Each staff member has a training and development log.” The Priory Rest Home DS0000014790.V338820.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered provider has taken appropriate action to ensure The Priory is being appropriately managed. The registered provider handles the financial affairs for residents in a manner that ensures their safety. The registered provider has taken appropriate action to ensure the health, safety and welfare of residents and of staff. EVIDENCE: The Priory Rest Home DS0000014790.V338820.R01.S.doc Version 5.2 Page 23 The post of registered manager is currently held by Mrs Allena Edwards. Due to sickness Mrs Edwards has recently been unable to carry out her duties. In the meantime the registered provider has appointed a relief manager in her place to be responsible for the day to day ruining of the care home. This inspection has highlighted some areas where standards have fallen. This may be as a result of the enforced absence of the manager. For example care plans do not provide staff with information and guidance with regard to the action expected of them to provide the care required. In addition, care plans do not appear to have been reviewed as frequently as necessary to ensure if any treatment provided is effective and is meeting the need identified. Mrs Jacky Owen, who represents the registered provider as the responsible individual, has informed the inspector she is aware of such shortfalls and is working with the relief manager to address them. Whilst records were not examined on this occasion, information supplied by the registered provider before this visit took place indicated that an annual development plan for quality assurance is in place. Information supplied by the registered provider confirmed that, “The Priory is under continuous review and the service is developed in line with changes to social care and best practice.” Records of monies deposited at The Priory by residents and their relatives for safe keeping were examined. They were in good order and up to date. They included till receipts and information confirming that money has been spent on behalf of residents. Residents’ money has been kept securely as required. Information supplied by the registered provider confirmed that, “service users’ finances are safeguarded and well managed.” The inspector expressed some concern regarding the current state of sluices and the laundry room. The overall decoration and cleanliness in these areas needs significant improvement. This will ensure these areas can be maintained to a high standard of hygiene to improve infection control measures. It is understood that plans are underway to refurbish and to re equip these areas including the purchase and fitting of electronic sluice machines. Mrs Owen confirmed that she will ensure work starts on addressing identified shortfalls straight away. The Priory Rest Home DS0000014790.V338820.R01.S.doc Version 5.2 Page 24 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 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 1 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 The Priory Rest Home DS0000014790.V338820.R01.S.doc Version 5.2 Page 25 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 The Priory Rest Home DS0000014790.V338820.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Rest Home DS0000014790.V338820.R01.S.doc Version 5.2 Page 27 - 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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