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Inspection Summary


Overall summary & rating

Good

Updated 19 May 2017

The inspection took place on 18 April 2017 and it was unannounced.

Priors House is a purpose built nursing home which provides care over two floors to people including people who are living with dementia and people who have a physical or mental disability. Priors House is registered to provide care for 80 people. At the time of our inspection visit there were 70 people living at the home. On the ground floor, residential and dementia care was provided. People living on the first floor received residential and nursing care.

Priors House was last inspected in May 2016 and was rated as ‘requires improvement’. We returned to check if required improvements had been made to the responsiveness of staff to meet people’s needs and to the governance and management of the home. At this inspection, we found improvements had been made.

There was a registered manager at the home. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People and relatives gave positive comments about the care and support they received. People received care that enabled them to live their lives as they wanted and people were supported to remain as independent as possible. People were encouraged to make their own decisions where possible and care was given in line with their expressed wishes. People were supported to maintain relationships and keep in touch with those people who were important to them.

Care plans were detailed and contained accurate and up to date relevant information for staff to help them provide the individual care people required. People and relatives were involved in making care decisions and reviewing their care to ensure it continued to meet their needs.

Where people were assessed of being at risk, care records included information for staff so risks to people’s health and welfare were minimised. Staff had a good knowledge of people’s needs and abilities which meant they provided safe and effective care. Staff received essential training to meet people’s individual needs, and effectively used their skills, knowledge and experience to support people and develop trusting relationships.

People’s care and support was provided by a trained and caring staff team and there were enough available staff to be responsive to meet their needs. People told us they felt safe living at Priors House and relatives were confident their family members received safe care and treatment. Staff knew how to keep people safe from the risk of abuse. Staff understood what actions they needed to take if they had any concerns for people's wellbeing or safety.

The registered manager and care staff understood their responsibilities in relation to the Mental Capacity Act (MCA) and Deprivation of Liberty Safeguards (DoLS). Where people lacked capacity, staff’s knowledge and people’s records ensured people received consistent support when they were involved in making complex decisions, such as decisions around their personal safety or where they wanted to live. People said staff gained people’s consent before they provided care and supported people to retain as much independence as possible.

People were supported to pursue various hobbies and leisure activities and people had a variety of activities to interest them. The registered manager wanted to further develop the activities programme to ensure people’s stimulus was maintained.

People had meals and drinks that met their individual requirements. People received support from staff when they required it, and anyone at risk of malnutrition or dehydration, were monitored.

People knew how to raise concerns or complaints if they needed to. Information in the home advised them how to raise complaints and expected timesc

Inspection areas

Safe

Good

Updated 19 May 2017

The service was safe.

People felt safe and were supported by enough staff who were available to provide their care and support when required. Staff understood their responsibilities to report any concerns about people's personal safety or if they believed people were at risk of abuse or harm. People were supported with their prescribed medicines from trained staff which ensured people received their medicines safely.

Effective

Good

Updated 19 May 2017

The service was effective.

People were supported by staff who had the relevant training and skills for their roles. The registered manager and staff understood and worked within the principles of the Mental Capacity Act (MCA) by making sure people’s freedoms were not unnecessarily restricted. Staff sought people’s consent before they provided any care or support and respected people’s decisions. People were referred to other healthcare professionals when their health needs changed and advice was followed to maintain people’s health.

Caring

Good

Updated 19 May 2017

The service was caring.

People were respected as individuals and staff were kind, considerate and caring in their approach, when they supported people. Staff were understanding and patient when people needed support. Staff were reactive and provided emotional support for people who became anxious or upset. Staff had good knowledge of people’s individual preferences and how they wanted their care delivered and how they wanted to spend their time. Staff understood the importance of promoting independence by supporting and encouraging people to do certain tasks they could do themselves.

Responsive

Good

Updated 19 May 2017

The service was responsive.

Staff knew people well and provided their care and support in line with their agreed wishes. People and their family members were involved in care planning decisions and regular reviews in how their care was delivered. Staff supported and encouraged people to maintain their interests, to socialise and participate in activities that were meaningful to them. People and their relatives knew how to make a complaint if they needed to.

Well-led

Good

Updated 19 May 2017

The service was well led.

People, their families and staff told us the recent managerial changes had been positive. These changes gave people and staff confidence to raise concerns knowing action would be taken. The management team worked well together and wanted to continually make improvements within the service.