Inspection on 17/02/06 for Sun House

This inspection was carried out on 17th February 2006.

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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Sun House 08/10/07

Sun House 10/10/06

Sun House 13/09/05

Sun House 08/02/05

Sun House 13/10/04

Sun House 29/03/04

Similar services:

21 High Street

Vale House

Chestnut Walk

The Old Vicarage

Cherwood House Care Centre

Ashley House

Ascot Nursing Home

Fountain View

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

CARE HOME ADULTS 18-65 Sun House 127 Tring Road Aylesbury Bucks HP20 1LQ Lead Inspector Mike Murphy Unannounced Inspection 17th February 2006 09:30 DS0000023027.V286257.R01.S.doc Version 5.1 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 DS0000023027.V286257.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 Adults 18-65. 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. DS0000023027.V286257.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Sun House Address 127 Tring Road Aylesbury Bucks HP20 1LQ 01296 338103 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) Hightown Praetorian & Churches Housing Association Miss Philippa Jane McCartney Care Home 8 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (8) of places DS0000023027.V286257.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th September 2005 Brief Description of the Service: Sun House is a care home providing personal care and accommodation for eight people with mental health problems. It is owned and managed by Hightown Praetorian and Churches Housing Association. The home is located about one mile from the centre of Aylesbury on the main road to Tring and is conveniently situated for buses, shops, education, social and recreational facilities in the town. The home is established in the area. It is a converted property and its style is in keeping with other properties in the neighbourhood. The home is on two floors and does not have a lift. All bedrooms are single. The home is a medium to long-term service and urgent or emergency admissions are not accepted. Referrals are only accepted through the mental health care programme approach (CPA). DS0000023027.V286257.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out by one inspector on a weekday afternoon in February 2006. It was a quiet and uneventful afternoon in the house. Some residents were in the lounge chatting or watching television. Others were out or about to go out. Two new residents had been admitted since the announced inspection in September 2005. All places in the home were occupied. Because the registered manager was not on duty it was not possible to fully check progress on the requirements and recommendations of the announced inspection. The inspection methodology consisted of discussion with staff and residents, a walk around the home, and examination of two care plans – support plans. The inspection focussed on the key standards relating to the environment, all other key standards having being fully assessed at the announced inspection in September 2005. The staffing position was also discussed with the member of staff in charge at the time. Two new residents had been admitted since the last inspection. Records showed that the home liaised appropriately with the Community Mental Health Team prior to admission and was maintaining that contact. The change was still a relatively new experience for the residents and the home was pacing the development of support plans accordingly. The environment was satisfactory. All areas of the home were clean and tidy. The lounge where smoking is permitted can retain the lingering odour of tobacco but it is difficult to see what more can be done to reduce this. Standards of hygiene in the kitchen, bathrooms, wc’s and laundry are generally good. The home provides a pleasant environment for residents and staff. An experienced member of staff was moving on to a new position elsewhere in the organisation on the day of the inspection. This has led to some adjustments to staffing but the home retains a core group of experienced staff and is confident that it will be able to recruit to vacant positions in the near future. In conclusion, therefore, this inspection finds that this small home provides good support to residents and relates well to other elements of community mental health services in the area. The inspector would like to thank the residents and staff for their time and hospitality during the course of the inspection. DS0000023027.V286257.R01.S.doc Version 5.1 Page 6 What the service does well: 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. DS0000023027.V286257.R01.S.doc Version 5.1 Page 7 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 Outcomes Statutory Requirements Identified During the Inspection DS0000023027.V286257.R01.S.doc Version 5.1 Page 8 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 the following standard(s): 2 The home liaises closely with the local Community Mental Health Team in planning admissions. This ensures that the home has access to as much information as it to conduct a thorough assessment, that the particular risks associated with transition from one care setting to another are well managed, and that the service user is moving to a home which can meet his or her needs. EVIDENCE: Two files were examined. All referrals to the home are through the care management system and residents remain in contact with the Community Mental Health Team (CMHT). The organisation’s own referral form is very comprehensive. Relevant assessment information drawn up by psychiatrists, nurses, social workers and other health professionals is shared with the home. Risk assessments include a multi-disciplinary risk assessment and risk summary. The home liaises closely with the CMHT, particularly during the early stages of the admission of a new resident. Some falling off of contact with the CMHT was reported to have been noticed over the period prior to the inspection. This was considered to be attributable to a restructuring or reorganisation of CMHTs in the area and staff were confident that once the new arrangements had settled down then the level of contact previously maintained would be re-established. DS0000023027.V286257.R01.S.doc Version 5.1 Page 9 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 the following standard(s): 6 Support plans are based on assessed needs and are updated as needs change. Support plans are developed in liaison with the resident and the Community Mental Health Team as appropriate. Resident’s benefit from being involved in developing a plan of care which is based on a thorough assessment of their needs, which is developed at a pace which suits them, which is detailed, and which aims to support them in working towards their aspirations. EVIDENCE: Two support plans were examined. There are three records for each resident: a file for health information and monthly summaries, a file holding the current support plan, and a file for financial information. Neither of the records examined had a photograph of the resident. Staff explained that this is done later as the resident settles in and the support plan is more fully developed. Support plans are based on the assessment information obtained prior to admission together with that acquired during the course of a residents stay in the home. Key workers work closely with residents in drawing up care plans. Liaison with the CMHT and with the CPA (Care Programme Approach) care plan is maintained. Support plans are constructed over a period of time at a pace DS0000023027.V286257.R01.S.doc Version 5.1 Page 10 which suits the individual resident. This varies from person to person and was apparent in the two care plans examined. Risk assessments are thorough. Support plans address a range of needs and list the areas where support is required. They include detailed action plans. Residents seemed settled and supported in the home and one in particular expressed praise for the staff - “Good care here”. New residents were settling in. DS0000023027.V286257.R01.S.doc Version 5.1 Page 11 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 the following standard(s): Standards in this section were not assessed on this inspection. They were fully assessed at the announced inspection which was carried out in September 2005. EVIDENCE: DS0000023027.V286257.R01.S.doc Version 5.1 Page 12 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 the following standard(s): Standards in this section were not assessed on this inspection. They were fully assessed at the announced inspection which was carried out in September 2005. EVIDENCE: DS0000023027.V286257.R01.S.doc Version 5.1 Page 13 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 the following standard(s): Standards in this section were not assessed on this inspection. They were fully assessed at the announced inspection which was carried out in September 2005. EVIDENCE: DS0000023027.V286257.R01.S.doc Version 5.1 Page 14 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 the following standard(s): 24, 27, 28 and 30 The home provides a comfortable, warm, tidy and clean environment for residents. It is in a good location for public transport and the amenities of Aylesbury. Residents benefit from living in a well managed environment and have relatively easy access to a wide range of amenities and services. EVIDENCE: The home is located on the main road about a mile from Aylesbury town centre. It is in a good location for buses and for the amenities of Aylesbury. The house is in keeping with the style of others in the local community. Wheelchair access is only possible on the ground floor and the sleeping accommodation is on the first floor. The home is therefore not suitable for residents with wheelchairs. There is a small garden to the front and a larger garden to the side. The entrance hall leads to the staff office, living room, small lounge (or quiet room), kitchen, dining room, wc, laundry, and stairs to the rest of the house. Smoking is allowed only in the living room. An extractor fan has been fitted but the smell of tobacco is unavoidable in such a room. The room is comfortably furnished and is suitable for the present level of activity. The small lounge is a quiet room which is also used for staff meetings. This too is comfortably DS0000023027.V286257.R01.S.doc Version 5.1 Page 15 furnished and suitable for those who want to get away from the activity of the living room. Radiators throughout the house are covered. The kitchen and dining room is suitable for the level of activity generated by the current number of residents and staff. Both areas were clean and tidy. Arrangements for the storage of food were generally satisfactory although a couple of items in the fridge had been opened but not labelled. Records of fridge, freezer and food temperatures were maintained. The temperature of the hot water in both the washing up and hand washing sinks was 42 degrees Celsius. All areas inspected were clean, and food, other materials and equipment were all stored appropriately. A copy of the house rules was on display on the dining room notice board. Bedrooms are single but do not have en-suite facilities. Hallways were tidy and clean. Bathrooms, showers and wc’s were clean and tidy. There are two wc’s on the ground floor and three on the first floor. There is one shower on the ground floor and one on the first floor. There are two bathrooms on the first floor. These are sufficient for the current number of staff and residents. Locks can be overridden by staff in an emergency. The laundry is adequate for the needs of this type of home. It is located on the ground floor. There is one washing machine and one dryer. The temperature of the hot water in the sink was 43 degrees Celsius. A container of stain removing spray was left in the laundry and containers of shampoo and bath foam left out in the bathrooms. Risk assessments have been carried out for such materials and are available to staff and residents with COSHH risk assessments. The main garden is to the rear and side of the house. The garden is divided into two areas. To the rear is an area of lawn, gravel beds and flower beds. There is a small patio area with garden furniture and flower and plant tubs. The area to the front has a bird table and other items. Overall this home provides a comfortable, warm, tidy and clean environment for residents. DS0000023027.V286257.R01.S.doc Version 5.1 Page 16 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 32, 34 and 35 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 The home has a core group of experienced and skilled staff who are familiar with the local network of community mental health services. This ensures that residents receive an appropriate level of support in the home and in everyday activities, but which can be supplemented by input from community mental health staff where necessary. EVIDENCE: As reported in the announced inspection there is a core group of experienced and skilled staff in the home. On the day of this inspection one experienced member of staff was leaving to take up a position elsewhere in the organisation. Arrangements were in place to fill the vacancy. The home had a vacancy for one full-time and one part-time project worker and was confident that it would fill those positions within three months. In the meantime staffing was being maintained through the use of the organisation’s staff bank. When fully staffed, the staffing levels are about right for the needs of current residents. DS0000023027.V286257.R01.S.doc Version 5.1 Page 17 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards in this section were not assessed on this inspection. They were fully assessed at the announced inspection which was carried out in September 2005. EVIDENCE: DS0000023027.V286257.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 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 Standard No Score 1 X 2 3 3 X 4 X 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 3 34 X 35 X 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X X x LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X X X X X X X X DS0000023027.V286257.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. 1. Standard YA34 Regulation Schedule 2 Requirement The Registered Manager is required to ensure that staff records maintained in the home contain the information listed in this Schedule (as amended in July 2004) Timescale for action 30/11/05 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 YA5 Good Practice Recommendations The Registered Manager in conjunction with the Responsible Individual and others as appropriate should either amend the Associations present licence agreement or draw up a separate contract for residents which fully meets this standard DS0000023027.V286257.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Aylesbury Area Office Cambridge House 8 Bell Business Park Smeaton Close Aylesbury HP19 8JR 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 DS0000023027.V286257.R01.S.doc Version 5.1 Page 21 - 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. 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