Care Home: Priory Manor [formerly Trebursye Manor]

What the care home does well We found that there had been some increase in staffing following the last inspection. Additional domestic staff had been recruited, and we were told that further care staff were in the process of being recruited. In addition, one person had moved out of the home. We therefore considered that there had been an improvement in the number of staff available to provide care to the people who live at Priory Manor. What the care home could do better: We found that whilst improvements had been made to the staffing, there were still periods of the day that where staffing was low. The Managment of the home were not aware of the hours staff worked when they carried out "sleep in" duties. It was only during this visit, when we pointed out that there were only two staff providing care between 7pm and midnight, that the hours staff worked were amended and increased. We also found that the rota did not accurately reflect the hours staff actually worked. We found that whilst the increase in staffing, (including in ancillary staff) had made an improvement it had not, as yet, had any significant impact in terms of providing people with time to develop or maintain their skills or to spend time outside the home. We also found that staff files still did not contain all off the information that is required by regulation, including written references and check of suitability to work with vulnerable people. We found that an issue had been raised through a Criminal Records Bureau check, however no risk assessment had been completed to decide if the individual was suited to work at Priory Manor. Requirements have been made at the last key inspection and are still outstanding. We found that controlled drugs cabinet still needed to be properly secured to a solid wall with suitable bolts, a requirement in relation to this had been made at the last key inspection. Inspecting for better lives Random inspection report Care homes for older people Name: Address: Priory Manor [formerly Trebursye Manor] Trebursye Launceston Cornwall PL15 7ES one star adequate service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Helen Tworkowski Date: 1 0 0 3 2 0 0 9 Information about the care home Name of care home: Address: Priory Manor [formerly Trebursye Manor] Trebursye Launceston Cornwall PL15 7ES 01566774752 01566775559 yvonne.osborne@amhc.co.uk www.healthcare-trust.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : HealthCare Trust Limited care home 54 Number of places (if applicable): Under 65 Over 65 29 29 29 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Conditions of registration: 0 0 0 Service users in the category of MD may be admitted at age 55 years and over. Service users to include one named individual under the age of 65 years in Lakeside. Service users to include three named individuals under the age of 55 years in Lansye. Total number of service users not to exceed a maximum of 54 Date of last inspection Brief description of the care home Priory Manor is a care home registered to provide personal care and accommodation for up to fifty-four people, over the age of 55, who may have dementia or mental health needs. Occasionally the home also accommodates some younger people with Care Homes for Older People Page 2 of 8 Brief description of the care home mental health needs. The home does not provide intermediate care. The Registered Provider for this home HealthCare Trust Ltd. The fee levels are available from Healthcare Trust Ltd. Information about the home and copies of inspection reports can be obtained from the home. Priory Manor is in a rural location, approximately two miles from the centre of Launceston. It consists of a large detached three-storey building, with a connecting two-storey annex, which is currently derelict pending renovation. At the time of inspection there were 27 single bedrooms, one double room and a small flat available for residents. These are situated on the ground, first and second floor of the house. Many of the bedrooms have en suite toilets with some having en suite baths/showers. Bathing/showering and toilet facilities are available on each floor, close to bedrooms and communal rooms. There is a shaft lift house connecting the ground, first and second floors. There is a large lounge and a dining room on the ground floor and a further lounge on the first floor. Smoking is not permitted within the home but a covered outside shelter is provided at the rear of the building. The home stands in its own grounds and is approached by a long drive off a side road from the main A30. The only public transport is taxis; therefore the home has its own car for service users. Care Homes for Older People Page 3 of 8 What we found: This Random Inspection was carried out to look specifically at whether there were sufficient staff on duty at Priory Manor, following an immediate requirement that had had been made at the end of a Key Inspection on 24th and 25th February 09. We also used this visit to look at whether a requirement, made in relation to properly fixing the Controlled drugs cabinet to a suitable wall, had been completed. Mr Patel, the Manager, was present throughout most of the inspection. The Acting Manager,who is to take over the role of Manager in April 09, was also present throughout the visit. The visit took place between 11.25 a.m. and 4 p.m., and was conducted by Helen Tworkowski (Regulation Inspector). As part of this Random Inspection we looked at recent rotas, we talked with three of the care staff, we talked with one of the people who lives at Priory Manor and we talked with the Manager, Mr Patel, and the Acting Manager. We also looked at the recruitment files of some staff who had recently started in the home. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 4 of 8 Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 8 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 27 12 The Registered Provider must 01/06/2009 ensure that there are sufficient staff on duty to meet the physical and emotional needs of people, and to ensure their safety, to provide activities and stimulation and to develop their skills. The people at Priory Manor need staff not only to meet keep them but to help them engage in activities, occupation to develop their skills. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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