Inspection on 01/06/05 for Sun Court Nursing Home

This inspection was carried out on 1st June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Sun Court Nursing Home 11/05/07

Sun Court Nursing Home 02/02/06

Sun Court Nursing Home 25/01/05

Sun Court Nursing Home 12/10/04

Similar services:

Claremont House

Oak Ridge

Ashville House

Bramley Avenue (73)

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

15 Bramble Close

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Sun Court Nursing Home 1 Morris Street Sheringham Norfolk NR26 8JX Lead Inspector Marilyn Fellingham Announced 1 June 2005 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 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. Sun Court Nursing Home I55 S15687 Sun Court V222361 010605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Sun Court Nursing Home Address 1 Morris Street Sheringham Norfolk NR26 8JX 01263 823295 01263 825382 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) Mrs Janice Laura Leadbeater Mr Timothy Michael Leadbeater Care Home 32 Category(ies) of Old Age, not falling within any other category registration, with number (32), of places Physical disability (32) Sun Court Nursing Home I55 S15687 Sun Court V222361 010605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Adults aged 40 years and over Date of last inspection 25 January 2005 Brief Description of the Service: Sun Court is a detached property situated near the town centre of Sheringham. It provides accommodation on three floors for 32 elderly residents who are in need of nursing care. Most of the rooms are single with en suite accommodation. There is a small paved garden, which is accessible to residents. The Home is well equipped with adaptations and facilities and has good liaison with community health resources. Sun Court Nursing Home I55 S15687 Sun Court V222361 010605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection that took place over four hours. A tour of the premises took place and staff and care records were inspected. Eight of the thirty residents were spoken to and four staff members. The providers/manager and deputy manager were present for the inspection process. What the service does well: This is an exceptionally well run home that has a group of staff that has been employed at the home for a considerable length of time. The residents spoken with stated that they had a very good relationship with the staff and that they were very caring and respectful. The home promotes a sense of community and encourages all forms of social interaction. The home works extremely hard at maximising the health status of its residents and provides a most homely environment with a high calibre of nursing care. It is well equipped with facilities that might be required and if more equipment is needed then the home is very good at providing what is needed. The home provides an exceptional high standard of palliative care and ensures that staff are well trained and equipped to give this specialised care. The home is always very positive about meeting all regulatory activities and is exceptionally good at keeping up to date with current legislation; they also make certain that their policies and procedures are kept up to date and are in line with the current legislation. The home’s records are always maintained and are easily accessible for inspection purposes. Care plans are well augmented and are used to meet the adequately assessed needs of the residents. The provider/manager and deputy manager put a lot of effort into providing an open transparent atmosphere within the home. Sun Court Nursing Home I55 S15687 Sun Court V222361 010605 Stage 4.doc Version 1.30 Page 6 What has improved since the last inspection? 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. Sun Court Nursing Home I55 S15687 Sun Court V222361 010605 Stage 4.doc Version 1.30 Page 7 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 Standards Statutory Requirements Identified During the Inspection Sun Court Nursing Home I55 S15687 Sun Court V222361 010605 Stage 4.doc Version 1.30 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) Not assessed at this inspection. EVIDENCE: Sun Court Nursing Home I55 S15687 Sun Court V222361 010605 Stage 4.doc Version 1.30 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,9 The resident’s health, personal and social care needs are set out very clearly in individual plans of care; this planned care is formulated using an assessment process that involves all significant agencies. The residents are protected by the procedures and policies for the administration and handling of medication. EVIDENCE: A number of care plans were inspected including that of the person receiving palliative care. The care plans were very clear and contained prescribed care that is evaluated on a monthly basis or more if required: records are well documented of all changes in care after care needs have been assessed. The Liverpool care pathway documents were inspected, these were found to be most informative giving very clear guidelines for care and the control of pain for the terminally ill resident. The care documents also indicated the involvement of relatives and significant others including other health care professionals. Sun Court Nursing Home I55 S15687 Sun Court V222361 010605 Stage 4.doc Version 1.30 Page 10 Medication charts were inspected, these were found to be clear and up to date with adequate recordings made of all issues related to the handling of medication. A random check of medication and controlled drugs tallied with related medication records. The policy and procedures for administering medication were examined and were found to be clear and precise with no room for misunderstanding. Sun Court Nursing Home I55 S15687 Sun Court V222361 010605 Stage 4.doc Version 1.30 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,15 Social activities and links with family, friends and the local community are handled exceptionally well. Meals are managed well and the food provided is varied and nutritious. EVIDENCE: Many activities are organised and also take place within the home that gives stimulation and pleasure to those who wish to participate. Staff, and residents spoken to by the Inspector confirmed this. On questioning, the residents felt that all the resources provided by the home were adequate and met their expectations. The residents told the Inspector that they enjoyed living in the home and “were able to do as they liked”. They also said that they enjoyed the mealtimes and had lots of fun. One resident is encouraged to continue her violin playing whilst others regularly join in other activities. For example the local school were doing a project on war memories and a number of the residents contributed to this and then also visited the local theatre to share these experiences. Sun Court Nursing Home I55 S15687 Sun Court V222361 010605 Stage 4.doc Version 1.30 Page 12 The Inspector joined four residents at the dining table to chat with them and noted that the lunch looked very nutritious and was well presented. Those residents needing help were given it in an empathetic way and with dignity. The residents informed the Inspector that they were always given a choice and if they disliked something the kitchen was “very obliging and would readily provide an alternative”. Sun Court Nursing Home I55 S15687 Sun Court V222361 010605 Stage 4.doc Version 1.30 Page 13 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 The home takes steps to ensure that the residents are protected from abuse. EVIDENCE: Very clear and easy to follow guidelines are in place for dealing with abuse. The provider and deputy manager have attended sessions on abuse that aided them to formulate the guidelines. Carers who have or who are undertaking NVQ training have chosen to cover abuse issues in one of their modules. Recruitment is robust and CRB checks are all up to date. The staff that were interviewed were very conversant with the policies and guidelines for dealing with abuse and stated that they would not hesitate to ‘blow the whistle’ if they suspected any form of abuse taking place. Sun Court Nursing Home I55 S15687 Sun Court V222361 010605 Stage 4.doc Version 1.30 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,21,22,23,26 The residents live in a very well maintained safe environment both internally and externally. Sufficient facilities are provided to maximise the resident’s independence; their rooms suit their needs and there is provision for them to have their own possessions around them. The home is pleasant, homely and free from any unpleasant odours. Sun Court Nursing Home I55 S15687 Sun Court V222361 010605 Stage 4.doc Version 1.30 Page 15 EVIDENCE: The Inspector undertook a tour of the home and all the internal décor was found to be in very good order, it was both pleasing and comfortable. When asked, the residents felt that they had all the facilities they needed to meet their requirements and so maintain their independence. There are numerous assisted washing and bathing facilities also toilets to meet the assessed needs of the residents. It was noted by the inspector that there were a number of hoists and overhead hoists to enable residents to be moved safely. Although some of the rooms are small this aspect does not seem to have any detrimental effect on the care given; rooms are accommodated by persons who have been assessed and who it is felt can function in their allotted accommodation. The home has a very pleasing atmosphere and was very clean and tidy, the residents themselves commented on the cleanliness of the home and that this is always maintained to a high level. Sun Court Nursing Home I55 S15687 Sun Court V222361 010605 Stage 4.doc Version 1.30 Page 16 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,30 The residents benefit from staff who have the skills to care for them and meet their needs. EVIDENCE: Examination of the duty rosters and training records confirmed that there was a good skill mix amongst the staff and that they possessed the necessary expertise to carry out their jobs and meet the needs of those residents in the home. The qualified nurses quite often work along side the carers thus giving them the benefit of their knowledge and expertise. One of the nurses has had immense experience in nursing persons with neurological disorders and this is most beneficial to the rest of the team. This nurse also does in house training sessions for the staff; these sessions are geared towards helping the staff meet the needs of residents with relative conditions. NVQ training is an on going project and well within the targets set by the Commission. Some of the qualified staff are undertaking an assessing course, one member of staff is also furthering her expertise in palliative care so that the home can be a centre of excellence. Sun Court Nursing Home I55 S15687 Sun Court V222361 010605 Stage 4.doc Version 1.30 Page 17 There is in place a staff development programme and this was seen by the Inspector and those staff spoken with confirmed that training was good and they felt that they had the skills to do their job. One staff member commented that the home was the best she had been in for ensuring that staff training was an on going process. Staff are given basic skills training once a year, this is used as a refresher period where basic training is re visited. Some of these sessions are used to identify areas that are needed in order to meet the needs of the residents already in the home. Quite often supervision sessions are used as a group activity and just recently was used as a teaching session in relation to the death of a young resident. There is a formal training plan and a Work Force development training plan for TOPS; these were seen. The staff spoken to commented on the training sessions and stated that the home was “very good at providing training for them”. Sun Court Nursing Home I55 S15687 Sun Court V222361 010605 Stage 4.doc Version 1.30 Page 18 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,37,38 It is very evident that the home benefits from the ethos of the leadership. Record keeping is excellent. Sun Court Nursing Home I55 S15687 Sun Court V222361 010605 Stage 4.doc Version 1.30 Page 19 EVIDENCE: Both the providers/manager have had extensive experience in running a care home and this is very evident. The deputy is being prepared for the position of manager and the providers/manger are mentoring her ready to take up this position. The deputy manager has successfully completed NVQ level 4 in Management. The Matron keeps up to date with current practice and this is evident in relation to innovations that take place within the home setting. On discussion with staff it was clear that there are clear lines of accountability within the home and that the safety and welfare of the residents are being promoted on a continuous basis. Discussion with staff members and the residents confirmed that there is an open and inclusive atmosphere and that all the staff and the residents benefit enormously from the ethos of the home and the persons managing it. All new staff are given information that sets out the philosophy of the home, policies and a development plan for the home. All staff have been given copies of the Code of Professional Conduct and this is often used for training sessions. Records are in place to confirm that the home carries out safe working practices. Staff spoken to also confirmed that they had had recent training in Fire, food hygiene and first aid. The inspector was impressed with the risk assessments that were in place and the manner in which they are recorded; these evidenced frequent checks of the environment thus ensuring that the residents lived in a safe home. All records of incidents and accidents are recorded and these tallied with the care plans and the risk assessments. All staff receive induction and foundation training that meet all the TOPS specification. Sun Court Nursing Home I55 S15687 Sun Court V222361 010605 Stage 4.doc Version 1.30 Page 20 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 4 8 x 9 4 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 x 15 3 COMPLAINTS AND PROTECTION 4 4 3 4 3 x x 4 STAFFING Standard No Score 27 4 28 4 29 x 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 3 3 4 x x x x 4 4 Sun Court Nursing Home I55 S15687 Sun Court V222361 010605 Stage 4.doc Version 1.30 Page 21 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. Standard Regulation None 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 None Good Practice Recommendations Sun Court Nursing Home I55 S15687 Sun Court V222361 010605 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection 3rd Floor, Cavell House St Crispins Road Norwich NR3 1YF 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. 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