Random inspection report
Care homes for older people
Name: Address: Sunrise Operations Purley Limited 21 Russell Hill Road Purley Surrey CR8 2LF one star adequate service 20/10/2009 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. 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: Jon Fry Date: 2 4 0 6 2 0 1 0 Information about the care home
Name of care home: Address: Sunrise Operations Purley Limited 21 Russell Hill Road Purley Surrey CR8 2LF 02086762300 02086762323 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Josephine Garston Type of registration: Number of places registered: Conditions of registration: Category(ies) : Sunrise Operations Purley Limited care home 119 Number of places (if applicable): Under 65 Over 65 0 84 dementia old age, not falling within any other category Conditions of registration: 35 0 The maximum number of service users who can be accommodated is: 119 The Registered Person may provide the following category of service only; Care home with nursing - Code N, to service users of the following gender:Either Whose primary needs on admission to the home are within the following categories: Old Age and or Dementia not falling within any other category - Code OP, D(E) Date of last inspection Brief description of the care home Sunrise Operations Purley Limited provides residential and nursing care for up to 80 older people.
Care Homes for Older People Page 2 of 9 2 0 1 0 2 0 0 9 Brief description of the care home The home is in Purley and is a purpose built Victorian Mansion. It is situated close to local shops and transport links. A user guide is available from the home that gives good information about the services provided. Details of fees payable can also be obtained from the home on request. Care Homes for Older People Page 3 of 9 What we found:
Two inspectors visited the home on the 21st June 2010. A further visit by one inspector was made on the 24th June 2010. We talked to seventeen people who live at the home, the manager and four members of staff. Documentation looked at included medication records, care files and staff records. A revised star rating has not been given following this inspection visit. The current quality ratings system has ceased ahead of the new registration system and new standards, which come into force on 1st October 2010 under the new Health and Social Care Act 2008. Overall comments made by the people who live there included fantastic, its very nice, if youve got to be in a place then this is the place to be, best of the bunch and we think its very nice. Other general feedback included Im quite happy - its the friendliness of it, of its kind, its very good and its so easy. One person said we would not keep coming if it wasnt any good. The people we spoke were generally very positive about the staff who supported them. Individual comments included Im very fond of the staff, the staff are lovely, the minders are lovely, the carers are doing their damnedest and quite helpful. Other people said Ive never found them lacking, very good most of them, some are nice, some arent and I would prefer slightly older staff. Staff members we spoke to were positive about the support being provided to them. Individuals felt that the care was a very good standard and the management were supportive. One person said theres always someone to go to. People living there generally enjoy the food being provided to them each day. Very good, the food is reasonable, pretty good, it has improved, good - no-one is ever going to be completely satisfied and ok were comments made. One person felt that the food had gone downhill whilst another individual said that it was too greasy. We saw lunch being served on one of the days we visited. This was a pleasant occasion with some people being given support by staff in an unhurried manner. We saw that people are given choice about what they would like to eat and alternatives provided where someone did not like the meal options on offer. Menus are on display although we saw that these could be difficult for some people to read due to the type being used. We inspected the way the home manages peoples medicines, and we found that there have been clear improvements since March 2010 when we found that some medicines had run out, and records of medicines given needed to be improved. In April 2010 we found that the home was now managing medicines safely except for medicines kept in peoples rooms, as we found some medicines which had expired, and others which were no longer prescribed. At this inspection, we found that all prescribed medicines are being stored and used safely, including controlled drugs. All prescribed medicines were available at the home
Care Homes for Older People Page 4 of 9 with one exception and records showed that people are receiving their medicines at the time they need them, and medicines are given in safe way. One person is being supported to keep and take their own medicines, staff risk assess this to ensure the person is safe, and others at the home too. The latest risk assessment completed on the day we visited showed that the risk to safety had risen to 4 out of 5. We have left a recommendation to review this promptly and provide more support if necessary if someones condition changes and they can no longer manage their medicines safely. Another person had missed doses of their medicines for 2 days. This medicine had initially been prescribed by the local psychiatric team. It wasnt clear who should now be prescribing. The GP who supports the home was asked to provide a prescription on the day of the inspection to ensure the person didnt miss any further doses, and they did so, even though it may not have been their responsibility, so we have left a recommendation to clarify who is responsible for prescribing medicines to people at the home to avoid this happening again. We looked at the care files for four people currently living at the home. Each person has an individual service plan in place and these give some good information about how individual needs are to be met. As at the October 2009 inspection, we did again see that wound care documentation was not being fully maintained and the organisations own procedures were not being followed. A plan of care must be in place for each identified wound and the records kept of treatment must be consistent with this document. We saw that records of any concerns or complaints are being kept with actions taken recorded. What the care home does well: What they could do better: Care Homes for Older People Page 5 of 9 The home needs to address the area of wound management as this has been identified as an issue at previous inspections of the home. We have repeated a Requirement to ensure that a care plan is put in place for any identified wound and this is followed through by the responsible staff members. Full records must be kept to show that the treatment is taking place as outlined within the plan of care and these must be audited regularly by senior managers. 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 6 of 9 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 8 12 Wound care records must 30/09/2010 include a plan of treatment including clear, up to date information on the treatment to be provided, the frequency of treatment and actions taken to address any changes. This is a repeated Requirement. To ensure that people who use the service receive consistent treatment in line with good practise. Care Homes for Older People Page 7 of 9 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 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 1 9 Risk assessments for self administering of medication should be reviewed regularly. More support needs to be provided as necessary if someones condition changes and they can no longer manage their medicines safely. The home should clarify who is responsible for prescribing medicines to people at the home to avoid any delays in obtaining supplies of their medication. 2 9 Care Homes for Older People Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission 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 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 9 of 9 - 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!
