Inspection on 02/02/06 for Sun Court Nursing Home

This inspection was carried out on 2nd February 2006.

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 01/06/05

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 Mrs Marilyn Fellingham Unannounced Inspection 02 February 2006 09:30 X10015.doc Version 1.40 Page 1 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 Sun Court Nursing Home DS0000015687.V279904.R01.S.doc Version 5.1 Page 2 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 DS0000015687.V279904.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Sun Court Nursing Home Address 1 Morris Street Sheringham Norfolk NR26 8JX Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01263 823295 01263 825382 Mrs Janice Laura Leadbeater Mr. Timothy Michael Leadbeater Mrs Valerie Ann Ridley Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32), Physical disability (32) of places Sun Court Nursing Home DS0000015687.V279904.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Adults aged 40 years and over Date of last inspection 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 DS0000015687.V279904.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place over three hours. This home continues to be an extremely well run home. Those standards assessed on this occasion were those not assessed during the last inspection. The Inspector has no concerns about this home that continually strives to meet all regulatory activities. A brief tour of the home took place and opportunity was taken to speak with a number of service users and senior management. What the service does well: What has improved since the last inspection? Two rooms have been re decorated and carpeted; overhead tracking has been supplied in two rooms. Two new specialised beds have also been purchased to add to those already in use. Sun Court Nursing Home DS0000015687.V279904.R01.S.doc Version 5.1 Page 6 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 DS0000015687.V279904.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Sun Court Nursing Home DS0000015687.V279904.R01.S.doc Version 5.1 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 the following standard(s): 1,3,4. Service users have all the necessary information to make an informed choice about admission to the home. The overall admission procedure is good, service users are only admitted if it is felt that their needs can be met. EVIDENCE: All service users admitted to the home are aware of all the services that the home will provide. One newly admitted service user confirmed this to be true and when asked by the Inspector what made him choose this home he replied “all the others”. The Manager also stated that they would not admit anyone whose needs they felt they could not meet. The Inspector was able to see the initial assessment documentation for a recently admitted service user; this highlighted the fact that a thorough admission procedure was in place and used appropriately. Sun Court Nursing Home DS0000015687.V279904.R01.S.doc Version 5.1 Page 9 The service user who had recently been admitted shared with the Inspector that he realised that the home would be able to meet his needs especially as he had also looked elsewhere and had found that the information and attention the home had given him to be useful and informative. This service user also added that he was invited to visit the home prior to admission. Sun Court Nursing Home DS0000015687.V279904.R01.S.doc Version 5.1 Page 10 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 the following standard(s): 8,10,11. Service user’s health care needs are fully met EVIDENCE: Individual care plans are available and these when examined by the Inspector revealed that they were detailed enough to confirm that skin integrity assessments were being carried out and appropriate care prescribed accordingly. The care plans also had detailed records of weights being monitored and special dietary supplements being given when required. Theses records also gave detailed information of well the supplements were being taken; they also gave accounts of dental visits and visits by the local G.P and opticians. The care notes also indicated when service users had been able to visit the local surgery themselves, diabetic clinic, chest clinic and when the continence adviser had visited. A physiotherapist visits once a week and advises the nurses what exercise regimes to follow for those service users who choose to do exercises. Sun Court Nursing Home DS0000015687.V279904.R01.S.doc Version 5.1 Page 11 Privacy and dignity are covered in the home’s induction sessions for new staff and records were seen for this practice. The Inspector noted during her visit that all the residents were being treated respectfully, this was confirmed, by those service users that she spoke with. The residents own rooms are used for any clinical examinations and shared rooms have appropriate screening facilities. All the service users have access to a telephone and some have their own in their rooms. Palliative care is extremely well managed and the home needs to be commended for this. The home uses a specialist care planning format for this so that end of life care is handled appropriately. The G.P. works closely with the home in order for the care to be individual and also helps in assessing the service users so that pain is managed well. The home has produced a special booklet to help the relatives of the dying and also for the service users themselves who are in receipt of the specialist care. The Inspector was able to examine the care plans for such care and also read letters from grateful relatives. Sun Court Nursing Home DS0000015687.V279904.R01.S.doc Version 5.1 Page 12 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 the following standard(s): 14. Service users are encouraged to make choices in their daily lives. EVIDENCE: The routines of the home appear to be flexible and this was confirmed by those residents spoken with; they also confirmed that they choose what they want to do and if they want to take part in any of the organised activities and exercise programmes. Sun Court Nursing Home DS0000015687.V279904.R01.S.doc Version 5.1 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 the following standard(s): 16,18. Arrangements for dealing with complaints are satisfactory. The service users appear to be well protected from abuse. EVIDENCE: Service users indicated that they would speak with the management if they had any concerns or complaints. The complaints procedure is in the home’s brochure, which is given to all service users. The complaints record book was examined, this highlighted all complaints, was very informative and recorded how each complaint has been dealt with and if it was resolved. The home ensures as far as is possible that the service users are protected from abuse. Policies and procedures for the protection of vulnerable adults were seen and fitted the recent legislation for abuse. Newly employed staff were still having sessions on abuse and other staff had all attended relevant study days. Records were seen that confirmed this. Sun Court Nursing Home DS0000015687.V279904.R01.S.doc Version 5.1 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 the following standard(s): 19,26. The service users live in a well-maintained and safe environment. The home is very clean and no offensive odours detected. EVIDENCE: On the day of inspection the home appeared safe and well maintained, it was also noted that appropriate fire and health and safety practices were being observed. The home appeared clean and hygienic throughout. Sun Court Nursing Home DS0000015687.V279904.R01.S.doc Version 5.1 Page 15 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27. The deployment of staff is in sufficient numbers to meet the assessed needs of the service users. EVIDENCE: The duty rosters for past, present and future weeks were examined and they revealed that the home was always adequately staffed with little change of permanent staff taking place. The rosters also gave indication that the home mostly functioned above its staffing notice in order to meet all the needs of the residents. Sun Court Nursing Home DS0000015687.V279904.R01.S.doc Version 5.1 Page 16 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33,35,36. The best interests of the service users are taken into account when running the home. The financial interests of the service users are safeguarded by the home’s policies and practices. EVIDENCE: Minutes of the last staff meeting highlighted what quality observations were needed to be monitored for the coming year. Annual goals have been set for this and these were referred to in the quality booklet produced by the home. Quality surveys were seen for August and September to which there had been a high response rate. The surveys included responses from relatives, service users friends and other agencies in relation to the quality of care being given to the service users. Sun Court Nursing Home DS0000015687.V279904.R01.S.doc Version 5.1 Page 17 Those service users, who wish to, keep small amounts of cash in lockable facilities in their rooms. Transactions for monies were seen and it was noted that two signatures were always required. Formal supervision takes place for all members of staff and records were seen for this activity, the last one having taken place at the end of January. Sun Court Nursing Home DS0000015687.V279904.R01.S.doc Version 5.1 Page 18 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 4 x 4 4 x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 4 9 x 10 4 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 4 17 x 18 4 3 x x x x x x 4 STAFFING Standard No Score 27 4 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x 4 x 3 4 x x Sun Court Nursing Home DS0000015687.V279904.R01.S.doc Version 5.1 Page 19 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. Standard Regulation 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. Refer to Standard Good Practice Recommendations Sun Court Nursing Home DS0000015687.V279904.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Norfolk Area Office 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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