Care Home: Priory Gardens

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What the care home does well People were observed relaxing in a home that is comfortable, well decorated, well maintained, clean and safe. One person living in the home said they, "like living in the home", another said their bedroom is "lovely" and that they "have everything they need". One relative said the home is "always clean" and their relative`s room is "great".One domestic said they "work hard to make sure the home is always clean". Another person said the meals are "great" and they get "plenty to eat", another said they "can choose" their meals and they "enjoy" the meals provided. The Chef said there is a rotating menu that provides a varied and balanced diet for people to choose from. She also said there is a measuring system called `Nutmeg` to make sure that people receive the daily nutrients they need and require. One person said the food is "the best they have ever had", another said "sometimes the food is not to their liking". Throughout the visit positive relationships were observed being fostered between people living in the home and those caring for them. People were observed being treated with dignity and having their wishes respected. One person said the carers are "wonderful". A visiting relative said "staff are so helpful, patient and caring". The acting manager said that there are enough staff planned to be on duty to meet people`s care needs at all times. One unit manager said "there is a good staff team". One relative wrote in a letter to the home, "The younger members of staff are all rising stars and a credit to the team". The daily records show that people have the opportunity to join in a range of activities if they want to. People living in the home are cared for by staff that have been trained and are qualified, and they are protected by the way staff are recruited and selected. What has improved since the last inspection? To make sure people living in the home remain safe, the way medicines are given, stored and recorded is checked more often. Records also show that people given medicines have been trained to do this properly and safely. There is now enough staff available to meet people`s nighttime needs. The acting manager said they "have worked on nights" and are confident that there are enough staff to respond to people`s care needs. Some parts of the home have been redecorated to make it more comfortable and homely. What the care home could do better: One unit manager said that people living in the home and their relatives take part in reviewing their plan of care, but the care plans and reviews show that they have not been signed by them or their relatives.People are treated with dignity and their wishes are respected, however, the daily records do not contain descriptive words to show and reflect people`s choices and preferences. People enjoy regular activities that include church services, parties and outings, however, it is not recorded anywhere that people have been asked if they would like to take part in the activities. The acting manager said that the views of people living in the home and their relatives are sought through satisfaction surveys. However, there is no report to show what they said about the home or what improvements have been made because of their comments, nor is there any evidence that the outcomes are shared with people. CARE HOMES FOR OLDER PEOPLE Priory Gardens Ladybalk Lane Pontefract West Yorks WF8 1LA Lead Inspector Tony Railton Key Unannounced Inspection 27 February 2008 9.50am 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 Priory Gardens DS0000006205.V347237.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. Priory Gardens DS0000006205.V347237.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Priory Gardens Address Ladybalk Lane Pontefract West Yorks WF8 1LA 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) 01977 602111 01977 602810 priorygardens@schealthcare.co.uk www.schealthcare.co.uk Southern Cross Healthcare Services Ltd Mrs Joyce Blythe Care Home 72 Category(ies) of Dementia - over 65 years of age (11), Old age, registration, with number not falling within any other category (72), of places Terminally ill (5), Terminally ill over 65 years of age (10) Priory Gardens DS0000006205.V347237.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. One named service user under 65 years of age No more than ten service users who are terminally ill TI(E) No more than five service users in TI category, aged between 60 and 65 years of age 24th October 2006 Date of last inspection Brief Description of the Service: Priory Gardens provides personal and nursing Care for up to 72 older people. There is also an eleven-bed unit caring for people who have a dementia type illness. Set back in its own grounds, there is a large lawn with a drive and car parking to the front and a smaller fenced garden to the sides and rear. All accommodation offered is single and all rooms are provided with en-suite facilities. There are a number of lounges, dining rooms and a smaller lounge for service users who wish to smoke. There are also assisted bathrooms and a passenger lift, for people who require them. The home is close to the centre of Pontefract and all local services and amenities. It is on a main bus route and the bus and rail stations are close by. The Commission for Social Care Inspection, on the 27 February 2008, were informed that the fees range from £490 to £592 per week with additional charges for hairdressing, private chiropody, newspapers and some selected activities. Information about the home and the services provided and the role of the CSCI are available from the home in the Statement of Purpose and Service User Guide. People can obtain further information by contacting the home or by emailing priorygardens@schealthcare.co.uk Priory Gardens DS0000006205.V347237.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The home has been given a two star rating which means that people living in the home experience good quality outcomes. This visit to the home started at 09.50 hours and ended at 15.30 hours. A tour of the home was undertaken and there was the opportunity to speak to people living in the home and four visiting relatives also gave their views on the care provided. Since the last inspection, the registered manager has left the home and the company has appointed a new manager. Throughout the report, she will be referred to as the “acting manager” as she has not made application, therefore has not achieved, registration with CSCI. The services provided were also discussed with the acting manager, unit managers, nurses, care staff, domestics and the handyman. The menus were discussed with the chef and people asked their views about the quality of the meals. The records of six people living in the home were seen and included assessments, plans of care, reviews, daily and medical records. The medication of four people living in the home was also checked. Six staff records were also seen and included references, police and POVA (Protection of Vulnerable Adults List) checks, staff training and supervision records. I spoke to the visiting Operations Manager and the visiting aromatherapist. Other information, including the previous inspection report, service history and information sent from the home was also considered. The inspector would like to take the opportunity to thank the acting manager and everyone in the home for their hospitality, patience and co-operation throughout the visit. What the service does well: People were observed relaxing in a home that is comfortable, well decorated, well maintained, clean and safe. One person living in the home said they, “like living in the home”, another said their bedroom is “lovely” and that they “have everything they need”. One relative said the home is “always clean” and their relative’s room is “great”. Priory Gardens DS0000006205.V347237.R01.S.doc Version 5.2 Page 6 One domestic said they “work hard to make sure the home is always clean”. Another person said the meals are “great” and they get “plenty to eat”, another said they “can choose” their meals and they “enjoy” the meals provided. The Chef said there is a rotating menu that provides a varied and balanced diet for people to choose from. She also said there is a measuring system called ‘Nutmeg’ to make sure that people receive the daily nutrients they need and require. One person said the food is “the best they have ever had”, another said “sometimes the food is not to their liking”. Throughout the visit positive relationships were observed being fostered between people living in the home and those caring for them. People were observed being treated with dignity and having their wishes respected. One person said the carers are “wonderful”. A visiting relative said “staff are so helpful, patient and caring”. The acting manager said that there are enough staff planned to be on duty to meet people’s care needs at all times. One unit manager said “there is a good staff team”. One relative wrote in a letter to the home, “The younger members of staff are all rising stars and a credit to the team”. The daily records show that people have the opportunity to join in a range of activities if they want to. People living in the home are cared for by staff that have been trained and are qualified, and they are protected by the way staff are recruited and selected. What has improved since the last inspection? What they could do better: One unit manager said that people living in the home and their relatives take part in reviewing their plan of care, but the care plans and reviews show that they have not been signed by them or their relatives. Priory Gardens DS0000006205.V347237.R01.S.doc Version 5.2 Page 7 People are treated with dignity and their wishes are respected, however, the daily records do not contain descriptive words to show and reflect people’s choices and preferences. People enjoy regular activities that include church services, parties and outings, however, it is not recorded anywhere that people have been asked if they would like to take part in the activities. The acting manager said that the views of people living in the home and their relatives are sought through satisfaction surveys. However, there is no report to show what they said about the home or what improvements have been made because of their comments, nor is there any evidence that the outcomes are shared with people. 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. Priory Gardens DS0000006205.V347237.R01.S.doc Version 5.2 Page 8 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 Priory Gardens DS0000006205.V347237.R01.S.doc Version 5.2 Page 9 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 People living in the home experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. People’s care needs are assessed before they come to live in the home to make sure the service can meet people’s personal care needs. The home does not provide specialist intermediate care services. EVIDENCE: A sample of six people’s records show that their personal and healthcare needs are assessed before they come to live in the home, this makes sure that people can chose a home that will give them the care and support they need and require. People’s social histories show that they and their relatives are involved in the assessment and that they have a say in telling the home what their needs are and how they want to be cared for. Priory Gardens DS0000006205.V347237.R01.S.doc Version 5.2 Page 10 Most people’s records show that their care needs have already been assessed by Social Services or by the Health Authority before admission, and this information is regarded by the home when assessing whether they can meet people’s needs. The acting manager said the home does not provide specialist intermediate care services. Priory Gardens DS0000006205.V347237.R01.S.doc Version 5.2 Page 11 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. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. People are treated with dignity, their wishes respected and their care needs are met. People living in the home are protected by the way medicines are dealt with. EVIDENCE: A sample of six people’s records show that they have care plans telling staff what they must do to make sure people’s care needs are met. The reviews show that care plans are looked at regularly to make sure they are working and that people are getting the care and support they need. One unit manager said that people and their relatives are involved in reviewing their care plans, however, there are no signatures to show their involvement. One relative said that they have been fully involved in their relative’s care. Throughout the visit, people living in the home were observed being treated with dignity and having their wishes respected. Visiting relatives were also Priory Gardens DS0000006205.V347237.R01.S.doc Version 5.2 Page 12 seen to be consulted on aspects of their relatives’ care. However, the daily records do not contain descriptive words to reflect and show people’s choices, preferences or any decisions they make about how they live their day-to-day lives. One relative said that they are more than happy with the services and the care provided. One person living in the home said “they have everything they need”. Another says “things couldn’t be better”. One relative writes “I cannot tell you how much it means to know that our relative is in safe hands”. To make sure people are protected, the medicines in the home are now checked on a more regular basis. A sample of four people’s medicines were checked, were properly stored, and recorded, and the balance found to be correct. Staff training records show that those people giving medicines have been trained to do so safely. Priory Gardens DS0000006205.V347237.R01.S.doc Version 5.2 Page 13 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 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. The lifestyle of people living in the home matches their expectations and they are offered a varied and balanced diet. EVIDENCE: One person said “it’s the best thing they have ever done” when talking about moving to the home. They went on to say “my room’s nice, the food is good and I can sit and have a cigarette with my friends, when I want to”. People were observed throughout the visit being treated with dignity and having their wishes respected. Photographs displayed show people enjoying activities and outings to the coast. The acting manager said that there are regular activities organised for those who want to take part. The daily records and record of activities of six people show that they take part in activities on a regular basis. However, the records do not show if everyone was asked if they would like to join in the activities and, in particular, when they refused. Priory Gardens DS0000006205.V347237.R01.S.doc Version 5.2 Page 14 The visiting aromatherapist said they visit the home on a regular basis to offer a service and that “lots of people enjoy spending time with them”. Three people were observed enjoying the aromatherapy provided. Some people were observed taking advantage of the visiting hairdresser. One person said that they like to have their “hair dressed regularly as they like to look nice”. One relative said that they are “made to feel welcome”, another said they “can visit at any time”. One relative said they have been “visiting their relative for a number of years and never had any concerns”. Another person said the meals are “great” and they get “plenty to eat”, another said they “can choose” their meals and they “enjoy” the meals provided. The Chef said there is a rotating menu that provides a varied and balanced diet for people to choose from. She also said there is a measuring system called ‘Nutmeg’ to make sure that people receive the daily nutrients they need and require. People were observed having their lunch in pleasant and comfortable surroundings. One unit manager said that meal times can be busy especially when a number of people need assisting. Staff were observed supporting people with their lunch in a relaxed and unhurried manner. Priory Gardens DS0000006205.V347237.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): 16 and 18 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. People and their relatives know that their comments will be listened to and acted upon. People are protected from abuse. EVIDENCE: One relative said they have been visiting the home for a number of years and have never had any concerns. Another said, they “know how to make a complaint if they needed to”. The service history shows that there have been a number of complaints over the past twelve months, however, the record of complaints show that these were acted upon and dealt with properly. The acting manager said the complaints policy and procedure is displayed in the home and is also in the Statement of Purpose given to relatives and Service User Guide given to people living in the home. One person said that “moving to the home is the best thing they have ever done and they have no complaints”. Four visiting relatives said that they know how to make a complaint but have never had to complain. The acting manager said that nearly all staff have attended safeguarding training to protect people living in the home from abuse. The staff training records confirmed this. Priory Gardens DS0000006205.V347237.R01.S.doc Version 5.2 Page 16 The service history shows that that there have been three recent safeguarding issues that have been investigated, these arose from the behaviour of one person living in the home towards others and the home has taken steps to prevent a recurrence. Discussion with the acting manager, and minutes of the safeguarding meetings, show that people living in the home are protected by the way these were dealt with. Discussion with the unit managers and care staff found they have a good understanding of what constitutes abuse and what actions to take if any allegations are made. Priory Gardens DS0000006205.V347237.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 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. People live in a well decorated and well maintained home that is clean and comfortable and safe. EVIDENCE: A tour of the premises found it to be well decorated and clean. People were observed relaxing in the lounges, dining rooms and their own bedrooms. People appeared to be comfortable and relaxed. One person said that they like living in the home and, in particular, their bedroom that is “nice” and has “everything they need”. One visiting relative said the home is “always clean”. One domestic said that it’s “hard work keeping on top of everything”, but they “manage to keep the home clean and free of any unpleasant odours”. A tour of the home confirmed this. Priory Gardens DS0000006205.V347237.R01.S.doc Version 5.2 Page 18 The manager said that some of the bedrooms and bathrooms are sparsely decorated and could be made more homely. This was confirmed by a tour of the home. To make sure the home is safe the maintenance records show dates and certificates of servicing of the passenger lift, hoists, and the emergency fire and call systems. Priory Gardens DS0000006205.V347237.R01.S.doc Version 5.2 Page 19 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 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. People’s care needs are met by the numbers and skill mix of staff and they are protected by the way staff are recruited and selected. EVIDENCE: The acting manager said that there is enough staff planned to be on duty to meet people’s care needs. Throughout the visit there appeared to be enough staff available to meet people’s needs in a relaxed and unhurried manner. The acting manager also said that they have worked night shifts to make sure that people’s nighttime needs are also met. The duty rotas confirmed that enough staff are planned to be on duty to meet people’s assessed care needs. One person said that the care staff are “wonderful” and are “very patient and caring”. A visiting relative said “the staff are great”, they went on to say that they visit regularly and “always receive a warm welcome”. On relative writes “all the younger staff are rising stars and a credit to the staff team”. One unit manager said “the staff team is very good at the moment”. Positive relationships were observed being fostered between people living in the home and those caring for them. Priory Gardens DS0000006205.V347237.R01.S.doc Version 5.2 Page 20 A sample of six people’s case files including assessments, care plans and reviews, show that people and their relatives feel that their care needs are met by the staff working in the home. People are in safe hands as six staff records show that they are trained to do their jobs properly, and their training includes First Aid, Moving and Handling, Food Hygiene, Infection Control, Health and Safety and Safeguarding training. Records also show that some staff also have Dementia training to make sure that people receive the care they need and require. People living in the home are protected by the way staff are recruited and selected as a sample of six staff records show that references, police and POVA (Protection of Vulnerable Adults List) checks are taken up before they are employed. Priory Gardens DS0000006205.V347237.R01.S.doc Version 5.2 Page 21 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, and 38 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. People benefit from living in a home that is run in their best interests and where they are safe. However, the home has yet to produce and make available to people the findings of their survey on the quality of the service. EVIDENCE: The acting manager said that they have been at the home for six weeks and that there is an application to be the registered manager with the Commission for Social Care Inspection. The visiting Operations Manager confirmed this. A sample of six people’s records sampled show that the care management systems in the home are good and that people feel their care needs are met. Priory Gardens DS0000006205.V347237.R01.S.doc Version 5.2 Page 22 Six staff records sampled show the staff management systems are good and that people’s care needs are met by numbers and skill mix of staff that are trained and qualified. Staff training and maintenance records show that the health, safety and welfare of people living and working in the home is promoted and protected as regular safety checks are carried out. The acting manager said that Quality Assurance surveys are given to people living in the home and their relatives asking them to comment on the care provided. They went on to say that last years surveys are being collated centrally and that a report will be provided reflecting what they said and what improvements were made as a result of those comments, and the outcome of this will be shared with people or their relative. Priory Gardens DS0000006205.V347237.R01.S.doc Version 5.2 Page 23 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 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 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 x X X 3 Priory Gardens DS0000006205.V347237.R01.S.doc Version 5.2 Page 24 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. 1. Refer to Standard OP7 Good Practice Recommendations An increase in descriptive words in the daily records would help show and reflect people’s choices and preferences and the decisions they make about how they live their day-to-day lives. To show that people living in the home and their relatives are involved in developing and reviewing their care plans. These should be signed. The daily records and record of activities should contain descriptive words to reflect and show people’s choices and preferences, including if they have been asked; or have declined, to participate in any organised activities. For the benefit and comfort of people living in the home the areas of the home identified by the acting manager as been sparsely decorated, should be made more homely for example with the introduction of pictures and ornaments. The information gathered through residents and relative’s quality assurance surveys should be collated and a report DS0000006205.V347237.R01.S.doc Version 5.2 Page 25 2 3 OP7 OP14 4 OP19 5 OP33 Priory Gardens provided showing their views and any changes made to the way the home runs as a result of their comments, and this should be shared with people. Priory Gardens DS0000006205.V347237.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 Priory Gardens DS0000006205.V347237.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. 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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