Inspection on 29/09/05 for Sunkist

This inspection was carried out on 29th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Sunkist 13/07/09

Sunkist 21/07/08

Sunkist 29/11/06

Sunkist 24/05/05

Sunkist 07/10/04

Sunkist 20/05/04

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

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

CARE HOME ADULTS 18-65 Sunkist 14-16 Winchester Road Worthing West Sussex BN11 4DJ Lead Inspector Mr D Bannier 29 th Unannounced Inspection September 2005 01:45 Sunkist DS0000014752.V253133.R01.S.doc Version 5.0 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 Sunkist DS0000014752.V253133.R01.S.doc Version 5.0 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. Sunkist DS0000014752.V253133.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Sunkist Address 14-16 Winchester Road Worthing West Sussex BN11 4DJ 01903 218908 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) Sunkist Homes Ltd Mrs Kate Brady Care Home 26 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (26), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (4) Sunkist DS0000014752.V253133.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. A maximun of four service users aged 65 years and over may be accommodated. Service Users over the age of 65 years may not be admitted. Date of last inspection 24th May 2005 Brief Description of the Service: Sunkist is a care home registered to provide accommodation and personal care for up to twenty-six people between the ages of eighteen to sixty who have mental disorders. There is also provision to accommodate up to four people who are over the age of sixty-five years within that number. Sunkist is situated in a residential area of Worthing within easy access of the town centre and its facilities. The premises consist of two large houses that have been linked together internally to form one care home. Private accommodation is provided in twenty-three bedrooms, four of which have been registered for double occupancy. Communal accommodation is provided in a dining room and two lounges, one of which has been designated for smoking, located on the ground floor. The registered providers are Sunkist Homes Ltd who has identified Mr Belisario Schiavone as the responsible individual to supervise the management of the care home. Mrs Kate Brady is the registered manager and is responsible for the day to running of the care home. Sunkist DS0000014752.V253133.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and started at 1.45pm. It took place over three hours. The inspector spoke to five of the twenty residents accommodated. The inspector also spoke to two residents, one of whom was visiting for the day whilst the other was having an overnight stay prior to being admitted. Four staff that was on duty was also spoken to. Mrs Brady was present for some of the inspection and kindly helped the inspector with his enquiries. The assistant manager showed the inspector around the care home. Some records were also examined. What the service does well: What has improved since the last inspection? A resident, who was unhappy about sharing a bedroom, has been provided with a room of her own. The inspector spoke to the resident who confirmed that she was satisfied with her current accommodation. A representative of the registered provider has been undertaking regular visits to the care home to ensure it is being run in the best interests of the residents. Sunkist DS0000014752.V253133.R01.S.doc Version 5.0 Page 6 The home’s own adult protection procedures have been amended to ensure all staff are clear about what they should do if they should discover a resident has been abused. 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. Sunkist DS0000014752.V253133.R01.S.doc Version 5.0 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 Sunkist DS0000014752.V253133.R01.S.doc Version 5.0 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): None of the standards in this section were assessed on this occasion. Key standards in this section had been assessed as fully met at the last inspection. EVIDENCE: Sunkist DS0000014752.V253133.R01.S.doc Version 5.0 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): 7 Residents are encouraged to make decisions about their lives and what they wish to achieve within their own limitations. Other key standards in this section had been assessed as fully met at the last inspection. EVIDENCE: Residents spoken to said that staff encourages them to make decisions about their lives. Staff will help them and talk through any concerns or problems residents may have in what individual residents wish to achieve. The inspector observed one resident talking to a member of staff in the office. Afterwards the resident explained to the inspector that they were discussing his care plan. The inspector met another resident who had just returned from a local college. She informed the inspector that she is currently undertaking an essential English course. She also informed the inspector that she likes to attend a course during each academic year. Sunkist DS0000014752.V253133.R01.S.doc Version 5.0 Page 10 The inspector spoke to two residents who were in the process of being admitted to the care home. One resident was visiting on a daily basis whilst the second resident had progressed to overnight stays. This will only happen when the resident says they feel ready to progress to the next stage. Sunkist DS0000014752.V253133.R01.S.doc Version 5.0 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): 15 Residents are encouraged to have appropriate personal and family relationships. Other key standards in this section had been assessed as being fully met at the last inspection. EVIDENCE: The inspector spoke to one resident and his mother. They were about to go out together to enjoy a cup of tea. The inspector was told that this occurs on a regular basis so that they may enjoy some time together on their own. Another resident informed the inspector that he lived in Worthing before moving into Sunkist. His family live nearby and he is able to visit them regularly. The resident also had a girlfriend before moving in and has continued to see her as well. Sunkist DS0000014752.V253133.R01.S.doc Version 5.0 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): None of the standards in this section were assessed on this occasion. Key standards in this section had been assessed as fully met at the last inspection. EVIDENCE: Sunkist DS0000014752.V253133.R01.S.doc Version 5.0 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): A recommendation was made during the last inspection to amend the home’s own adult protection procedures to ensure they reflect those that have been produced by West Sussex Caring and Social Services. Appropriate amendments have been made to the home’s procedures. Other key standards in this section had been assessed as fully met at the last inspection. EVIDENCE: The manager was able to demonstrate that she had made the necessary amendments to the home’s procedures. Following discussion, the inspector was satisfied that the manager was clear what steps the procedures should include to ensure all appropriate agencies have been notified should an incident of abuse occur. The manager also confirmed that she had taken steps via recent staff meetings and individual supervision sessions to ensure all staff in the care home has been notified of the amendments. This will mean that all residents should be protected from all forms of abuse and neglect. Sunkist DS0000014752.V253133.R01.S.doc Version 5.0 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): 25 and 30 Residents have been provided with accommodation that suits their needs and lifestyles. The home has been kept to a good standard of cleanliness and hygiene. The laundry area needs to be equipped with a washbasin so that staff and residents can wash their hands after handling soiled linen. EVIDENCE: During the course of the last inspection one resident informed the inspector that she was not satisfied with the accommodation provided. This was because she was sharing with another resident with whom she did not get on. The manager informed the inspector at this inspection that the resident now had a room to herself. The inspector also spoke to the resident, who said that she was satisfied with her current accommodation. The inspector visited the communal areas of the care home and two bedrooms that are currently vacant. The overall cleanliness of these areas was of a good standard. Several areas had recently been redecorated. The inspector was told that the vacant rooms would also be redecorated before new residents move in. Further refurbishments are planned to take place in the near future. Sunkist DS0000014752.V253133.R01.S.doc Version 5.0 Page 15 The laundry room was also seen. The inspector was told that residents are responsible for doing their own laundry. Staff will provide support and supervision where required. There was no wash hand basin in the laundry room. Residents and staff are therefore not able to wash their hands straight away if they have had to handle soiled linen or clothing. This means residents and staff are at risk of cross infection. The registered manager was advised to take the necessary steps to have a washbasin fitted and to provide suitable soap and towels. Sunkist DS0000014752.V253133.R01.S.doc Version 5.0 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): 35 Staff employed in the care home is experienced and have been appropriately trained to meet the needs of residents. Other key standards in this section have been assessed as fully met at the last inspection. EVIDENCE: The inspector spoke to two members of staff. One person explained that she had obtained a National Vocational Qualification (NVQ) at level 3. She also went on to inform the inspector that she been trained in promoting residents’ independence, understanding psychoses and risk management. The second person told the inspector she has a psychology degree and has had previous experience of working with people with mental illnesses. Following discussion staff were able to describe their role within the aims and objectives of this care home. The inspector was informed that staff are there to prompt rather than to do things for residents; to make residents aware of the choices they have; provide information regarding benefits available to them and to ensure they aware of the facilities in the local area. Residents told the inspector that they are well supported by the staff team. Residents said that they each have a “key worker” who will help them with Sunkist DS0000014752.V253133.R01.S.doc Version 5.0 Page 17 their care plan and to be available if they want to talk to someone about any concerns they may have. Sunkist DS0000014752.V253133.R01.S.doc Version 5.0 Page 18 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): 39 and 41 Representatives of the registered provider visit Sunkist on a regular basis to ensure the care home is being run in the best interests of the residents. Records are being appropriately kept to ensure the rights and best interests of residents have been safeguarded. Other key standards in this section have been assessed as fully met at the last inspection. EVIDENCE: Records seen showed that representatives of the registered provider visit the care home regularly. The last visit took place in August 2005. During such visits residents are asked for their views about the way the home is being run. Following discussion, the manager was reminded that such visits should be unannounced to ensure the visitor gains a true picture of the way the home runs. The manager was also advised to ensure copies of the subsequent report Sunkist DS0000014752.V253133.R01.S.doc Version 5.0 Page 19 are sent to the directors of the company. This will mean that they will be kept informed of the findings of these visits. Records seen during the inspection included reports of visits made in accordance with Regulation 26, records of food provided and menus, and staff rotas. The manager is advised to amend the rota to include the hours she works at the care home. This will mean staff, residents and their relatives will know when the manager is available and working in the care home. When the manager is not available the rota should clearly show who is in charge or leading the shift. The registered manager has yet to enrol on a course leading to the Registered Manager’s Award (RMA). This was a recommendation made during the last inspection. Mrs Brady was advised to enrol on such a course to improve her understanding of the legislation to ensure the home is being run in accordance with regulations and in the best interests of the residents. Sunkist DS0000014752.V253133.R01.S.doc Version 5.0 Page 20 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 x x x x Standard No 22 23 Score x 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score x 3 x x x Standard No 24 25 26 27 28 29 30 STAFFING Score x 3 x x x x 2 LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 3 16 x 17 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Sunkist Score x x x x Standard No 37 38 39 40 41 42 43 Score 2 x 3 x 2 x x DS0000014752.V253133.R01.S.doc Version 5.0 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. 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. 1 2 3 Refer to Standard 30 37 41 Good Practice Recommendations A wash hand basin should be prominently sited in the laundry room to ensure staff and residents wash their hands after handling soiled linen. The manager should make arrangements to enrol on a course leading to the Registered Manager’s Award as soon as possible. Staff rotas should be amended to include the hours or shifts worked by the registered manager. A senior member of staff, designated on the rota, should be appointed as in charge in the absence of the manager. Sunkist DS0000014752.V253133.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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 Sunkist DS0000014752.V253133.R01.S.doc Version 5.0 Page 23 - 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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