Inspection on 25/10/05 for The Priory Rest Home

This inspection was carried out on 25th October 2005.

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 13/06/07

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 Diane Peel Announced Tuesday, 25 October 2005, 09.30am, V248116 th 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 V248116 251005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The Priory Rest Home Address South Street, Tarring, Worthing, 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 The Field Lane Foundation Mrs Allena Margaret Anne Edwards CRH 42 Category(ies) of DE(E)-41, OP-21, PD(E)-1 registration, with number of places The Priory Rest Home H60-H11 S14790 The Priory V248116 251005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: All future admissions to the home are to be service users in the category (DE(E)). Up to 1 service user accommodated for respite care at any one time. Up to 1 service user may be accomadated between 60 and 65 years of age who has dementia and who may also have learning difficulties. Date of last inspection 14/05/05 Brief Description of the Service: The Priory is care home able to offer personal care and accommodation to, up to forty one residents with dementia over 65 years of age. The homes Registration also allows for the provision of care and accommodation for up to twenty one residents in the category of Old Age. One resident can be accomadated who may have a physical disability and be over 65 years of age and one resident may be accomadated who has dementia and a learning disability and who is aged between 60 and 65 years old. All future admissions to the home are to be residents with dementia and one 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 thirty nine single bedrooms and one double bedroom. All bedrooms are used for single occupancy. one single bedroom has en suite facilities. The Priory Rest Home H60-H11 S14790 The Priory V248116 251005 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over 6.5 hours on the 25th October 2005 and was carried out by a regulatory inspector and a pharmacist inspector. This was the second visit to the home this year and it was carried out to complete The Priory’s annual inspection programme for the year 2005 required by the Care Standards Act 2000. The inspectors arrived at 9.30 am and were welcomed by the manager, residents and staff on duty at the home. Other representatives from Field Lane Foundation took the time to visit the home during the course of the day to provide additional information and assistance in the inspection process. During the visit a partial tour of the home took place with all communal areas, and a proportion of private accommodation being visited. An inspector joined residents for lunch and took the opportunity to meet with residents informally throughout the day. The inspectors spoke to one visitor to the home during the visit and received six relative/visitors comment cards prior to the visit. All feedback from relatives and visitors praised the standards of care at the home and the dedication of the manager and staff. The care records of six residents were inspected during the visit along with other records, which showed how care needs are being met. The records of four staff were also inspected and staff were spoken with informally. What the service does well: The Priory is an excellent care home providing good standards of care. The home is exceptionally clean and well maintained, providing a comfortable homely atmosphere for residents to enjoy. The care staff take the time to ensure that residents are treated as individuals, respecting their right to make choices and maintain individual levels of independence. Staff speak to residents in a respectful manner, taking time to explain things when they are confused. Visitors are welcomed into the home and are encouraged to continue to be involved in the care of their relative or friend living at the home. Meals are varied, nicely presented, offer choice and are served in pleasant surroundings. Residents who were able to speak with the inspector and staff spoken with all had confidence in the managers approach to running the home. The skill sharing approach with the staff team offers development opportunities for all individuals. The Priory Rest Home H60-H11 S14790 The Priory V248116 251005 Stage 4.doc Version 1.40 Page 6 The organisation offers good training opportunities to ensure that staff have the combined skills to meet the needs of the residents. The organisation has a good support system for its managers and consults with residents, relatives and staff to look at ways of maintaining and improving its service and facilities. 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 Priory Rest Home H60-H11 S14790 The Priory V248116 251005 Stage 4.doc Version 1.40 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 V248116 251005 Stage 4.doc Version 1.40 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) 1, 2, 3, 4, 5 and 6 Prospective residents and their families are provided with the information they need to make an informed choice about the home. Residents are assessed prior to moving into the home to make sure that the home can provide a care plan which residents or their families know will meet their needs. 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 for a trial period. EVIDENCE: Information is available about the service in the Statement of Purpose and Service User Guide available to all prospective residents and their families and friends. This information is due to be revised in December 2005. A visitor to the home explained that they had been given a list of prospective homes by Social Workers and then they had visited a selection on behalf of their relative needing the accommodation. The Priory was the first home that they visited and they commented “they knew as soon as they walked through the door that this was going to be ok and suit their relative”. The Priory Rest Home H60-H11 S14790 The Priory V248116 251005 Stage 4.doc Version 1.40 Page 9 A resident spoken with explained that they had lived at the home prior to its changes to accommodate residents with dementia. A relative had visited a number of homes on their behalf before suggesting that they came to visit the home themselves. Since the changes had been made this resident had decided to stay at the home because “the location is convenient and the management of the home is excellent and the home is lovely”. A resident who recently moved into the home had been attending the day care centre at The Priory and had become familiar with the home and staff. There had been an opportunity for staff to be assured that they would be able to meet this persons needs once they moved into the home. The Priory does not provide intermediate care but does offer periods of respite care and day care. The Priory Rest Home H60-H11 S14790 The Priory V248116 251005 Stage 4.doc Version 1.40 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for 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 home can demonstrate good medication handling. Residents are treated with dignity and their right to privacy is respected. EVIDENCE: Care planning systems continue to be improved to provide information, which is centred on individuals and are resident lead. Staff are encouraged to contribute to updating the plans and complete daily occurrence sheets to record any changes. Staff interviewed spoke about the handover system in place at the home to ensure that resident’s needs are met. Care records viewed showed that the physical heath of residents is regularly monitored. Visits by Doctors and other heath care professionals are recorded and outcomes to visits detailed. The Priory Rest Home H60-H11 S14790 The Priory V248116 251005 Stage 4.doc Version 1.40 Page 11 Accidents seen at this visit were detailed and showed what action had been taken. Risk assessments were in place and there was evidence to show that risk assessments are reviewed if an occurrence has taken place. The home has comprehensive medication policies and procedures. There were risk assessments, with reviews, for residents who wish to retain responsibility for some or all of their medicines, but a record of supply was not kept. Records of receipt, administration and disposal of medicines were clear with use of codes to explain non-administration of medicines prescribed to be taken regularly. Four medicines were prescribed to be taken as directed by your doctor. A list was maintained of staff authorised to administer medicines. These staff had completed an external medication-training course or the home’s internal training and assessment. Staff said that medication reviews were prompted by the GP’s surgery or by them if a possible medication related problem was observed. The Priory Rest Home H60-H11 S14790 The Priory V248116 251005 Stage 4.doc Version 1.40 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 and 15 The home provides a lifestyle that respects privacy, dignity and choice, matching resident’s expectations and individual preferences. Meals are of an excellent standard, providing choice and variation. EVIDENCE: Care plans viewed at this visit identified short term goals, which were individual to each resident but encouraged the promotion of independence and dignity and self-respect. There is a clear move to finding out more about residents by involving residents families, friends and advocates to develop a lifestyle planning system which will ensure that the lifestyle experienced in the home as far as reasonably practical satisfies all social, cultural religious and recreational interests and needs. The home already offers plenty of activities which residents can choose to take part in. A visitor commented upon the activities and outings on offer and how this had improved their relative’s quality of life. The home also has an activities centre on site. During the visit three residents had been making Christmas cakes. The visitors book records that there are regular visitors to the home and all feedback from visitors and relatives returning comment cards reported being made to feel welcome on their visits. The Priory Rest Home H60-H11 S14790 The Priory V248116 251005 Stage 4.doc Version 1.40 Page 13 An inspector joined residents for the main meal of the day at lunchtime. The meal was a choice of braised liver and bacon or baked cod in a cheese/chive sauce. Vegetables and sauces were served separately to encourage residents to help themselves and make choices. The meal sampled by the inspector was of an excellent standard served in a relaxed atmosphere and pleasant surroundings. Staff were available to help residents who needed assistance. A resident spoken with said that “the Chef is superb and the food is excellent”. The chef commented that all meals are freshly cooked and a choice offered at the table rather than prior to the meal when residents might not remember what they had previously ordered. Fresh produce is delivered daily, including bread from a local bakery. Fresh fruit and vegetables were plentiful and the chef said that residents can have what ever they want to eat if they don’t want what is on the menu. The Priory Rest Home H60-H11 S14790 The Priory V248116 251005 Stage 4.doc Version 1.40 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 There is a clear complaints procedure, which enables those using the service to have the confidence that their complaint will be responded to within a maximum of 28 days. Residents are protected by the homes adult protection procedure and staff have attended training in how to protect vulnerable adults. EVIDENCE: There is a clear complaints procedure on display in the entrance hall at The Priory and included in the Service User Guide, which assures residents, relatives and visitors that all complaints will be taken seriously and acted upon. The results of user consultation questionnaire carried out by the organisation earlier in the year 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. There have been no complaints made to the home or the CSCI since the last visit to the home in May 2005. Information provided prior to the visit to the home confirmed that The Priory has its own policies and procedures for responding to suspicion or evidence of abuse or neglect in addition to the West Sussex Multi-Agency Policy for protecting vulnerable adults from abuse. Training has been provided for some staff in February 2005 and again in March 2005 to ensure that those in daily contact with residents are aware of their responsibilities in recognising and reporting abuse. The Priory Rest Home H60-H11 S14790 The Priory V248116 251005 Stage 4.doc Version 1.40 Page 15 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: All communal area were visited at this inspection and residents bedrooms where visited at random. The home was observed to be exceptionally clean and had a fresh appearance. One resident spoken with commented “the cleanliness of the home is excellent. The cleaning staff are obsessed with keeping the home clean for everyone to enjoy”. The home was well maintained and has many homely touches to encourage residents to feel comfortable. The Priory Rest Home H60-H11 S14790 The Priory V248116 251005 Stage 4.doc Version 1.40 Page 16 Handrails are fitted to the hallways to offer additional safety to residents and bathrooms and toilets have rails and adaptations to assist residents to use the facilities safely and promote independence. Hot water temperatures were sampled during the tour of the home and were found to be in good order. Bedroom windows sampled had restricted openings to protect residents from falling out and all radiators were covered or had low surface temperature to avoid residents from being burnt. The Priory Rest Home H60-H11 S14790 The Priory V248116 251005 Stage 4.doc Version 1.40 Page 17 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, 28, 29 and 30 The staffing numbers are set at level, which allows residents assessed needs to be met. Recruitment procedures safeguard and protect residents at the home. The Priory provides well-qualified staff so that residents are able to feel safe and well looked after. EVIDENCE: Since the last visit to the home staffing levels at night and at weekends have been reviewed by the management team and the organisation. The providers feel that the needs of residents can be met by the present staffing levels and are constantly reviewing the deployment of staff. A visitor commented, “I can’t find fault with the staff” and feedback from relatives and visitors in comment cards returned to the inspector reported that the care and understanding shown by staff was good. Staff are well trained. There is a thorough induction programme at the home and staff are supervised on a regular basis. Over 50 percent cent of the care staff have achieved a NVQ qualification at level 2 or above and others are near to completing the award. Staff records show that there are good recruitment procedures in place and all records viewed had evidence of identification, Criminal record Bureau (CRB) and Protection of Vulnerable Adult (POVA) clearance. The Priory Rest Home H60-H11 S14790 The Priory V248116 251005 Stage 4.doc Version 1.40 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) 31, 32, 33, 35, 36, 37 and 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. EVIDENCE: The manager has more than two years experience in a management position and has completed an NVQ Level 4 in Care Management. Residents, relatives and staff have the confidence that the manager of the home acts in the best interests of the residents living at the home. Customer consultation questionnaires show that residents and their families have been consulted about their views of the home. The Priory Rest Home H60-H11 S14790 The Priory V248116 251005 Stage 4.doc Version 1.40 Page 19 Regulation 26 reports supplied to the Commission for Social Care Inspection are of an excellent standard and show that meaningful visits to the home take place to monitor the standard of care and the environment 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. There were no heath and safety issues brought to the attention of the inspector at this visit. The Priory Rest Home H60-H11 S14790 The Priory V248116 251005 Stage 4.doc Version 1.40 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. 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 3 3 3 4 4 N/A 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 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION 4 4 4 4 4 4 4 4 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 4 3 4 x 3 3 3 3 The Priory Rest Home H60-H11 S14790 The Priory V248116 251005 Stage 4.doc Version 1.40 Page 21 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. 1. 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. 1. Refer to Standard 9 Good Practice Recommendations It is recommended that a record be kept, of supply of medicines, for self administration. Directions of dose and frequency should be available for all prescribed medicines. The Priory Rest Home H60-H11 S14790 The Priory V248116 251005 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection 2nd Floor, Ridgeworth House Liverpool Gardens Worthing, West Sussex BN11 1RY National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Priory Rest Home H60-H11 S14790 The Priory V248116 251005 Stage 4.doc Version 1.40 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. 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