Inspection on 21/07/05 for 9 Sunnyfield Avenue

This inspection was carried out on 21st July 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 found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

9 Sunnyfield Avenue 24/04/07

9 Sunnyfield Avenue 19/02/06

9 Sunnyfield Avenue 18/03/05

9 Sunnyfield Avenue 20/07/04

9 Sunnyfield Avenue 23/03/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 9 Sunnyfield Avenue 9 Sunnyfield Avenue Morecambe Lancashire LA4 6EU Lead Inspector Jenny Dunkeld Unannounced 21 July 2005 3:00pm st 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. 9 Sunnyfield Avenue F57 F09 S9879 9 Sunnyfield Avenue V216659 210705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 9 Sunnyfield Avenue Address 9 Sunnyfield Avenue, Morecambe, Lancashire, LA4 6EU 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) 01524 410678 Mrs Heather Cottingham CRH Care Home 6 Category(ies) of LD Learning Disability 6 registration, with number of places 9 Sunnyfield Avenue F57 F09 S9879 9 Sunnyfield Avenue V216659 210705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th March 2005 Brief Description of the Service: 9 Sunnyfield Ave is situated in the Bare area of Morecambe. It is typical of the houses in that area and as such does not detract from the community presence of the people who live there. It is registered with the Commission for Social Care Inspection to care for up to 6 adults with a learning disability.9 Sunnyfield Ave is owned and managed by Mrs Heather Cottingham.The bedrooms are all of a single type and reflect the interests and personality of the current occupants.There is a lounge and a separate diner/kitchen.The home has a wellmaintained rear/side garden and a small garden to the front of the home. 9 Sunnyfield Avenue F57 F09 S9879 9 Sunnyfield Avenue V216659 210705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This home has been inspected against the National Minimum Standards for Adults introduced in April 2002. This year, all registered Care Homes are to be inspected at least twice and both visits can be unannounced. This inspection was over a 3.5hour period during the afternoon/evening on 21/7/05 and looked at various aspects of care. In the report there are references to the “tracking process”, this is a method whereby the inspector focuses on a small group of residents. All records relating to these individuals are examined, along with the rooms they occupy in the home. Residents are invited to discuss their experiences of the home with the inspector; this is not to the exclusion of the other residents who contributed in many ways. This inspection included discussion with residents, staff and the manager in addition to viewing the home’s required written information such as policies and procedures about various issues for instance ‘Protection from Abuse’. The residents written plans of care known as, Person Centred Plans, were also viewed for 2 people. The person Centred Plan is a document outlining the needs of the individual resident and how these are to be met. They cover all aspects of the individual’s life including health, personal care and social activities. Thereby ensuring people are content in the care they receive. The pharmacist inspector who offered advice regarding the storage and administration of medication accompanied the inspector. A separate letter has been sent to the home regarding these practices. The requirements and recommendations made by the pharmacist inspector are incorporated into the end of this report. The residents the inspectors spoke with were happy with life at 9, Sunnyfield Avenue. The staff enjoyed their work at 9 Sunnyfield Avenue and spoke to the inspector in a professional manner about the residents. The service at 9 Sunnyfield Avenue is committed to ensuring that people with a learning disability have their right to a quality life that gives fulfilment is met in the most appropriate ways. Comment cards were received from a number of Residents and the inspector spoke with all of them during this visit revealing that the Residents are happy with the care they receive. 9 Sunnyfield Avenue F57 F09 S9879 9 Sunnyfield Avenue V216659 210705 Stage 4.doc Version 1.40 Page 6 What the service does well: What has improved since the last inspection? Since the last inspection the home has continued to assess the needs of the people who live there, ensuring appropriate staffing to meet the identified needs. Extra staffing is provided at times to enable social activities. On the evening of this inspection some of the residents were going swimming. 9 Sunnyfield Avenue F57 F09 S9879 9 Sunnyfield Avenue V216659 210705 Stage 4.doc Version 1.40 Page 7 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. 9 Sunnyfield Avenue F57 F09 S9879 9 Sunnyfield Avenue V216659 210705 Stage 4.doc Version 1.40 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection 9 Sunnyfield Avenue F57 F09 S9879 9 Sunnyfield Avenue V216659 210705 Stage 4.doc Version 1.40 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 & 4 There is a good system for assessing the needs and abilities of all prospective residents. This means services are tailor made to suit the individual. EVIDENCE: Each person admitted to the home would normally have a pre admission assessment this is when the prospective resident and their relative/representative will be asked a number of questions about the needs of the individual to ensure their choices, needs, preferences and aspirations can be met at the home. The last person to be admitted to the home was in an emergency situation and as such the admission was not planned. However she told the inspector that she came for a look around the home and to meet the other residents before moving into the home on a trial basis. She added that she is staying now, as she likes it. The management of the home previously knew the resident, as they provided staff support to her in her own home. The management, staff and the resident concerned are in the process of developing her Person Centred Plan, from the written assessment. 9 Sunnyfield Avenue F57 F09 S9879 9 Sunnyfield Avenue V216659 210705 Stage 4.doc Version 1.40 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 & 7 The people who live at 9 Sunnyfield Ave. have a Person Centred Plan about them addressing their individual needs and choices. The people who live at 9 Sunnyfield Ave know that their needs will be met and they have a life style of their choosing. EVIDENCE: During discussions with the inspector the 6 residents told the inspector that they make all the decisions about their own life, including who is employed to support them. They each have a copy of their own Person Centred Plan and told the inspector how they contribute to its development. The manager told the inspector that the plans are reviewed every 6 months or sooner if the need dictates. 9 Sunnyfield Avenue F57 F09 S9879 9 Sunnyfield Avenue V216659 210705 Stage 4.doc Version 1.40 Page 11 The inspector viewed copies of the Person Centred Plans as part of the ‘Tracking process’. These covered all aspects of care including social activities/college courses as well as health care needs. It was identified in one plan that additional staff was required to enable chosen evening activities. This has been acted upon and some people were going swimming on the evening of this visit. The inspector also viewed the minutes of the residents meetings which demonstrated that the residents made decisions about their lives which are acted upon, for instance they stated that they wanted something doing about the attitude of one of the volunteers at the local Mencap club. The manager spoke with the organiser of the club who in turn has resolved this problem, to the satisfaction of the residents. The residents all stated that they were happy living at 9 Sunnyfield Ave where their needs are met and they have a fulfilling lifestyle. Comments included; ‘It’s great here’ and ‘We have some super staff’ ‘Heather (home owner) is really nice and we like living here’ ‘Heather listens to us and makes sure that we are happy’ 9 Sunnyfield Avenue F57 F09 S9879 9 Sunnyfield Avenue V216659 210705 Stage 4.doc Version 1.40 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 & 17 The residents are enabled to have fulfilling lifestyles and benefit from being part of the local community. Arrangements and planning to provide nutritional food are good. The residents enjoy a healthy diet. EVIDENCE: The residents spoke freely about their activities out of the home. Shopping, bowling, swimming, clubs, parties, theatre and meals out are some of the activities they enjoy. Residents attend college courses of their choosing. During the college Summer holidays the homes manager has hired a local hall and has arranged for the provision of various activities such as jewellery making classes for the residents. The residents are on the electoral roll. One resident is having work experience in a local café. 9 Sunnyfield Avenue F57 F09 S9879 9 Sunnyfield Avenue V216659 210705 Stage 4.doc Version 1.40 Page 13 The inspector viewed the homes record of meals served, this information coupled with discussion with the residents who praised the quality of meals they receive evidenced that the home exceeds the requirements of Standard 17. The residents help prepare the evening meal. People’s nutritional needs are assessed and where appropriate form part of their Person Centred Plan. The residents take it in turn to choose the day’s main meal but if anyone did not want the meal an alternative of their choosing would be given and they would have the option of helping to prepare the meal. 9 Sunnyfield Avenue F57 F09 S9879 9 Sunnyfield Avenue V216659 210705 Stage 4.doc Version 1.40 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 & 20 The people who live at 9 Sunnyfield Avenue are supported to ensure their physical and emotional health needs are met. The staff provide personal support to people in a way that suits the residents needs and preferences meaning that, residents remain satisfied and contented in their care. EVIDENCE: The files viewed as part of the ‘tracking process’ reflected a list of health care professionals involved with the individuals, including their name, phone number and address, for example; Doctor, Community Mental health Team, Dentist. The residents spoke of how good the staff are. They also stated that the staff offer support in the way their individual needs and wishes require. The pharmacist inspector looked at the administration and storage of medication and has sent a separate letter to the home. The requirements and recommendations he made are listed at the end of this report. 9 Sunnyfield Avenue F57 F09 S9879 9 Sunnyfield Avenue V216659 210705 Stage 4.doc Version 1.40 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 The residents are able to talk freely about any concerns they may have. The management and staff at the home act on all expressions and views made by the residents ensuring that residents are confident that their concerns are important in the home. EVIDENCE: The home has a well written policy on complaints. The procedures are that people should in the first instance speak to a member of staff or the manager if they have any complaints. Contacting the Commission for Social Care Inspection if there is still a problem can follow this up. All the residents receive a copy of the complaints procedure. The staff were aware of the home’s complaints procedure and the need to take all complaints seriously. The 6 comment cards received from the residents as part of this inspection reflect that the residents know how to complain. The people the inspector spoke with stated that they did not have any complaints to make but knew that Heather(manager) would listen if they did have concerns/complaints and would try to resolve the problem for them. 9 Sunnyfield Avenue F57 F09 S9879 9 Sunnyfield Avenue V216659 210705 Stage 4.doc Version 1.40 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 9 Sunnyfield Ave. is a clean and safe environment , that is maintained to a good standard. The residents feel safe and their accommodation meets their needs. EVIDENCE: There is a lounge and a separate dining room/kitchen. The bedrooms meet the needs and reflect the personality of the service users. The residents proudly showed the Inspectors their bedrooms. 9 Sunnyfield Avenue F57 F09 S9879 9 Sunnyfield Avenue V216659 210705 Stage 4.doc Version 1.40 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 The level and calibre of staff is good. The residents are cared for by a well trained staff team. EVIDENCE: The inspector viewed 3 staff files. These contained all the relevant information such as Criminal Records Bureau clearance, 2 references, an application form with a full employment history. A record of training in the individuals file revealed appropriate training including; Learning Disability Award Framework induction and foundation First Aid; Food Hygiene Health and Safety Introduction to Learning Disability Understanding Abuse Possitive Communication Person Centred Awareness NVVQ in care at level 2 and level3 The record of supervision, which is when the manager spends time talking with the individual member of staff about their work performance and training needs was also evident in the file. Each member of staff receives formal supervision 6 times a year. 9 Sunnyfield Avenue F57 F09 S9879 9 Sunnyfield Avenue V216659 210705 Stage 4.doc Version 1.40 Page 18 The residents said that they like the staff with comments such as ‘They are really good to us’ ‘They are kind and listen to us’. The residents told of how they have the final say as to whether a member of staff is offered a permanent contract at the end of their probation period. The residents also take part in the staff interviews whenever a new appointment is to be made. They told the inspector that once they told Heather, manager that a member of staff was bossy. Heather then terminated the member of staff’s employment. This reflects the importance that the management place on the opinions of the residents. 9 Sunnyfield Avenue F57 F09 S9879 9 Sunnyfield Avenue V216659 210705 Stage 4.doc Version 1.40 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39 The residents know and benefit from living in an environment where, their opinion really matters. EVIDENCE: 9 Sunnyfield Avenue F57 F09 S9879 9 Sunnyfield Avenue V216659 210705 Stage 4.doc Version 1.40 Page 20 The residentsare verbally consulted on a regular basis as to the quality of the care they receive . Meetings are held with the residents and these are minuted, the inspector viewed the record of the last meeting. The manager has formalised the quality monitoring system and involved the residents to ensure the home is effective in offering a quality service. The inspector viewed copies of some of the completed quesionnaires. The home via the Person Centred Plans is able to assess it`s effectiveness in proving the care the individual requires. The residents are consulted as to the appropriateness of the staff employed to ensure they are happy with the people who care for them. 9 Sunnyfield Avenue F57 F09 S9879 9 Sunnyfield Avenue V216659 210705 Stage 4.doc Version 1.40 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x 3 x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x x Standard No 11 12 13 14 15 16 17 x 3 3 x x x 4 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 9 Sunnyfield Avenue Score 3 x 2 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x x x F57 F09 S9879 9 Sunnyfield Avenue V216659 210705 Stage 4.doc Version 1.40 Page 22 NO Are there any outstanding requirements from the last inspection? 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. 2. Standard YA20 YA20 Regulation 13(2) 13(2) Requirement Timescale for action 31st August 2005 31st August 2005 3. YA20 13(2) The manager should ensure the receipt of all medicines into the home is accurately recorded. The manager should ensure all medication leaving the home or disposed of is accurately recorded The manager must ensure all 31st August medicines are accurately labelled 2005 and fully identifiable at all times with reference to staff dispensing medication into the Nomad® system 4. 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. 2. Refer to Standard YA20 YA20 Good Practice Recommendations All handwritten medication administration records should be an exact copy of the medication dispensing label, this record should be double-checked by two members of staff. A declaration of wishes should be obtained from all residents. 9 Sunnyfield Avenue F57 F09 S9879 9 Sunnyfield Avenue V216659 210705 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection 2nd Floor, Unit 1 Tustin Court Port Way Preston PR2 2YQ 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 9 Sunnyfield Avenue F57 F09 S9879 9 Sunnyfield Avenue V216659 210705 Stage 4.doc Version 1.40 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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