Inspection on 14/05/05 for The Priory Rest Home

This inspection was carried out on 14th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 13/06/07

The Priory Rest Home 25/10/05

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 West Sussex BN14 7NH Lead Inspector Diane Peel Unannounced 14th May 2005 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 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 H60-H11 S14790 The Priory V221683 140505 Stage 1.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service The Priory Rest Home Address South Street, Tarring, West Sussex, BN14 7NH Telephone number Fax number Email 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 237027 Field Lane Foundation, 16 Vine Hill, Clerkenwell Road, London, EC1R 5EA Mrs Allena Margaret Anne Edwards CRH 42 Category(ies) of DE (E) - 41, OP - 21, PD (E) registration, with number of places The Priory Rest Home H60-H11 S14790 The Priory V221683 140505 Stage 1.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1. All future admissions to the home are to be a service user in the category(DE(E)) 2. Up to 1 service user accomadated for respite care at any one time. Date of last inspection 14/1/05 Brief Description of the Service: The Priory is care home able to offer personal care and accommodation to, up to 41 residents with dementia over 65 years of age. The homes Registration also allows for the provision of care and accommodation for up to 21 residents in the category of Old Age and 1 resident with a physical disability over 65 years of age. All future admissions to the home are to be residents with dementia and 1 resident may be accomadated for a period of respite care . The home can accommodate a total of forty-two service users. The Priory is owned by The Field Lane Foundation. It is located in the village of Tarring on the outskirts of Worthing, close to shops and other community facilities. The property is a large extended detached building with secluded gardens and a patio area. Shared space consists of two large lounges, a number of quiet sitting rooms and two large dining areas. The home has an activities and therapy centre. Private accommodation consists of 39 single bedrooms and 1 double bedroom. All bedrooms are used for single occupancy. 1 single bedroom has en suite facilities. The Priory Rest Home H60-H11 S14790 The Priory V221683 140505 Stage 1.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 4.5 hours on the 14th May 2005 and was carried out by two inspectors. The inspectors arrived at 6.30 am to meet the three night staff who had cared for the residents on Friday night, and to find out from them if they felt that they are able to meet the needs of the residents. During the inspection four staff were spoken with to find out how residents needs are met at weekends. A full tour of the home took place and the majority of residents were spoken with. The care records of five residents were inspected. What the service does well: What has improved since the last inspection? Records of accidents to residents living at the home have been expanded to show what happened to the resident after the accident and what action was taken to limit the chance of a similar accident-taking place again. The Priory Rest Home H60-H11 S14790 The Priory V221683 140505 Stage 1.doc Version 1.20 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Priory Rest Home H60-H11 S14790 The Priory V221683 140505 Stage 1.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection The Priory Rest Home H60-H11 S14790 The Priory V221683 140505 Stage 1.doc Version 1.20 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 standard(s) 5 Prospective residents, their relatives and friends have an opportunity to visit the home to look at the facilities available and assess its suitability before moving in. EVIDENCE: A resident told the inspectors that he had lived at the Priory for a number of years. He had looked at a number of homes before visiting the Priory and deciding to move in. The information provided to prospective residents and their families prior to moving into the home in the Statement of Purpose, suggests that residents and families should visit the home to make sure that it will meet their needs. The Priory Rest Home H60-H11 S14790 The Priory V221683 140505 Stage 1.doc Version 1.20 Page 9 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 standard(s) 7, 8, 9, and 10 Care planning systems give clear information to assist with all aspects of health, personal and social care needs. Records are in place to monitor the health care needs of residents to make sure that any signs of residents being unwell are recognised. The medication at The Priory is well managed, promoting good health. Residents are treated with dignity and their right to privacy is respected. EVIDENCE: Care plans examined were clear and gave staff the information, which they need to meet the needs of the residents in all aspects of heath, personal and social care. They are reviewed regularly to show the changing needs of the residents. Discussion with staff confirmed that they are able to follow the care plans and that they have access to a copy in resident’s bedrooms. Care plans were observed to be available in some rooms visited by the inspectors. Care records showed that the physical heath of residents is regularly monitored. All visits by Doctors and other heath care professionals are recorded and outcomes to visits detailed. The Priory Rest Home H60-H11 S14790 The Priory V221683 140505 Stage 1.doc Version 1.20 Page 10 Accidents records inspected were detailed and showed what preventative action had been taken to avoid similar accidents happening again. Medication procedures are in place to protect residents from the mishandling of medicines. Records viewed were well kept and up to date. Medicines were being stored in a safe lockable trolley and controlled drugs were being stored in a locked cupboard. Staff members spoke to residents in a respectful, sensitive and meaningful way. This was not always easy when residents were confused but the staffs approach is committed to promoting choice, dignity and privacy. The Priory Rest Home H60-H11 S14790 The Priory V221683 140505 Stage 1.doc Version 1.20 Page 11 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 standard(s) 12 ,14 and 15 The home provides a lifestyle that respects privacy, dignity and choice, matching resident’s expectations and individual preferences. Meals are well managed and provide choice and variation. EVIDENCE: The inspectors arrived at 6.30 am and was greeted by a member of the night staff who was in one of the two lounges with a resident. There was one resident in the other lounge who was soon joined by a second resident. Staff said that these residents choose to get up early. Night records viewed showed that many residents have disturbed sleeping patterns, getting up at night, sitting in the lounge, staying up late and getting up early. Breakfast is served in both dining rooms by care staff who arrive at 7.45am. The inspectors joined residents for breakfast. The tables were laid with clean linen and co-ordinated crockery and serviettes. Individual portions of butter, marmalade, jam and marmite were on the table to allow for choice with toast. The Priory Rest Home H60-H11 S14790 The Priory V221683 140505 Stage 1.doc Version 1.20 Page 12 Individual portion boxes of cereal were available for residents to choose from and residents were observed to be encouraged to make a choice. Residents were asked what they would like to drink from a selection of tea, coffee or juices. Staff waited for responses, prompting only when necessary. Jugs of milk were on the tables to allow residents to help themselves to milk for their cereals and hot drinks. A resident able to discuss her care at the Priory confirmed that the home provides a life style which she likes, respecting the need for privacy, only joining others residents when she chooses to. The five care plans viewed recorded resident’s own individual preferences and detailed how staff could maximise residents independence. Staff spoken with were able to show their understanding of how encouraging choices maintains respect and dignity. One member of staff said that “ they treat residents as you would want to be treated yourself”. The Priory Rest Home H60-H11 S14790 The Priory V221683 140505 Stage 1.doc Version 1.20 Page 13 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 standard(s) 16 The clear complaints procedure enables those using the service to have the confidence that their compliant will be responded to within a maximum of 28 days. EVIDENCE: There is a clear complaints procedure on display in the entrance hall at The Priory, which assures residents, relatives and visitors that all complaints will be taken seriously and acted upon. The results of a recent user consultation questionnaire carried out by the organisation shows that residents and relatives feel comfortable talking to a member of staff if they have any concerns that need to be raised. The questionnaire reports that on the whole concerns raised have been dealt with quickly. Field Lane Foundation has investigated previous complaints made to the Commission for Social Care Inspection (CSCI) about The Priory and the CSCI are satisfied that the investigations were carried out appropriately. The Priory Rest Home H60-H11 S14790 The Priory V221683 140505 Stage 1.doc Version 1.20 Page 14 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 standard(s) 19,20,21,22,23,24,25 and 26 The home is exceptionally clean and residents have a comfortable, homely environment to live in. Bedrooms are comfortable and meet the needs of the residents. Residents are encouraged to contribute to making their bedrooms their own by having their own personal possessions around them. The home is well maintained and provides a reasonably safe environment for residents to freely move around in. EVIDENCE: The inspectors looked around the home visiting all the accommodation with the exception of the bedrooms of residents who had chosen to have a lie in. The home was observed to be very clean and had a fresh appearance. It was well maintained and has many homely touches to encourage residents to feel comfortable. The Priory Rest Home H60-H11 S14790 The Priory V221683 140505 Stage 1.doc Version 1.20 Page 15 Residents visited in their rooms commented upon the personal items, which they had been able to bring to the home and have in their bedrooms. One lady told the inspectors that she had been to look at another care home but it was “not as nice as The Priory.” The bathrooms and toilets seen by the inspectors were clean and had grab rails to assist in the use of toilets. User satisfaction questionnaires comment upon “the clean, happy and warm environment”. The Priory Rest Home H60-H11 S14790 The Priory V221683 140505 Stage 1.doc Version 1.20 Page 16 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 There is insufficient staff on duty at night to ensure that residents are supported and fully protected from risks of accidents and any other untoward incidents. Staffing levels during the mornings at weekends are not sufficient to give residents individual quality time without staff being rushed. EVIDENCE: When the inspectors arrived at the home at 6.30 am on Saturday morning there had been three staff looking after 39 residents during Friday night. A recommendation had been made at the last inspection that staffing levels at night should be reviewed due to the increasing numbers of residents who are awake at night who require attention and due to the number of falls which are reported at night. This recommendation had been based on there being four staff on duty at night. Discussion with night staff confirmed that residents have disturbed sleep patterns, which results in some residents needing close supervision. Detailed records kept by the night carers showed that almost every night residents are getting up, some stay up and others choose to go to bed late. Accidents records show that there is a significant number of accidents happening at night and there are records of other untoward incidents which are of concern. The Priory Rest Home H60-H11 S14790 The Priory V221683 140505 Stage 1.doc Version 1.20 Page 17 The duty rota examined by the inspectors showed that a fourth person who should have been on duty on Friday night, had not worked due to sickness. This person had not been replaced. Five carers and a senior carer were on duty after the night staff left the home on Saturday the 14th May. The duty rota showed that during the week there were at least seven carers and sometimes up to nine carers on the morning duty for the same number of residents. Staff confirmed that it was difficult to spend time with individual residents when staffing levels are so low. Residents were observed to have to wait for attention whilst other residents were attended to resulting in them becoming frustrated. The Priory Rest Home H60-H11 S14790 The Priory V221683 140505 Stage 1.doc Version 1.20 Page 18 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33,37and 38 The home is well managed providing leadership and guidance for staff. The views of residents, their families and friends are sought to measure how successful the home is at meeting its aims and objectives and the statement of purpose of the home. Records required are constructed and maintained so that up to date information is available about residents to safeguard their best interests. Some practices do not promote and safeguard the health and safety of residents living at the home. The Priory Rest Home H60-H11 S14790 The Priory V221683 140505 Stage 1.doc Version 1.20 Page 19 EVIDENCE: Customer consultation questionnaires show that residents and their families have been consulted about their views of the home. Records viewed at this visit to the home were clear and showed that staff understand the importance of keeping records up to date. Staff spoke of the importance of informing their colleagues though daily/nightly records of information, which effected the wellbeing of residents. Procedures for protecting residents against the spread of a fire are not being adhered to, putting residents at risk. At 6.45 am a number of bedroom doors were being wedged open. Staff said “it is customer practice to wedge some peoples doors open at night until they go to sleep, because they get distressed if the door is shut.” At 10 am when the inspectors were visiting residents in their bedrooms at least six bedroom doors were still being wedged open. One window on the upper floor was found to not have a window restrictor in place, this could place residents at risk of falling. The Priory Rest Home H60-H11 S14790 The Priory V221683 140505 Stage 1.doc Version 1.20 Page 20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 1 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x 3 x x x 3 1 The Priory Rest Home H60-H11 S14790 The Priory V221683 140505 Stage 1.doc Version 1.20 Page 21 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. 2. 3. Standard 27 38 38 Regulation 18 23.4 13.4 Requirement Staffing levels at night and weekend mornings must meet the needs of residents The Fire Officer must be consulted about the practice of wedging beroom doors open All upper floor windows accessible to residents must have working restrictors fitted Timescale for action 16/5/05 1/6/05 16/5/05 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 Good Practice Recommendations The Priory Rest Home H60-H11 S14790 The Priory V221683 140505 Stage 1.doc Version 1.20 Page 22 Commission for Social Care Inspection 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. Extracts may not be used or reproduced without the express permission of CSCI The Priory Rest Home H60-H11 S14790 The Priory V221683 140505 Stage 1.doc Version 1.20 Page 23 - 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!