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Inspection on 20/09/05 for Sunningdale Court Care Home

Also see our care home review for Sunningdale Court Care Home for more information

This inspection was carried out on 20th September 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home was clean and tidy and all areas both communal and private were comfortable and welcoming, the atmosphere was friendly and relaxed. The home has a consistent staff group which has not changed much since the home was opened, this makes sure that the residents have someone caring for them who they are familiar with and they know and who knows them, this is especially important for the people who have very complex needs. The home offers the resident choice in all of the activities and holiday are arranged which are suitable to the residents needs in length and location. The resident are involved in the decision making within the home and they told me about the next residents meeting what was going to be discussed.

What has improved since the last inspection?

The home has been very active in encouraging the residents to eat healthily and there is always a healthy option on the menu for the resident to choose. This ensure that the residents health is maintained and their lifestyle is more healthy.

CARE HOME ADULTS 18-65 Sunningdale Court Care Home Albert Road Scunthorpe North Lincolnshire DN16 2TN Lead Inspector George Skinn Unannounced Inspection 20th September 2005 09:30 Sunningdale Court Care Home DS0000002810.V252769.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 Sunningdale Court Care Home DS0000002810.V252769.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. Sunningdale Court Care Home DS0000002810.V252769.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Sunningdale Court Care Home Address Albert Road Scunthorpe North Lincolnshire DN16 2TN 01724 844181 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) HICA Mark Andrew Green Care Home 20 Category(ies) of Learning disability (20), Learning disability over registration, with number 65 years of age (20) of places Sunningdale Court Care Home DS0000002810.V252769.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Maximum of 20 places in total Date of last inspection 18th October 2004 Brief Description of the Service: Sunningdale Court offers accommodation for up to 20 people with a learning disability. The accommodation is all ground floor and comprises two 8 bedded bungalows and one 4 bedded bungalow. All bedrooms are single and have en suite toilet and washbasin. Each bungalow is self contained. The two larger bungalows have an open plan kitchen, dining area and lounge, bathroom, shower room and utility room. The smaller bungalow has a kitchen, lounge, dining/ quiet room, bathroom and utility room. Each bungalow has direct access to a safe garden. A separate ground floor building houses a multi- sensory room, meeting rooms, offices, main kitchen and staff room. The home is situated close to and within easy walking distance of a range of local shops and amenities. Sunningdale Court Care Home DS0000002810.V252769.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection which lasted 7 hours the building was looked as was residents records. 10 of the residents were spoken with and 7 of the staff group, this included the manager. All of the standards assessed were met. What the service does well: What has improved since the last inspection? What they could do better: The manager plans to involve the residents more in the recruitment process, to ensure that they have an input into the recruitment of staff who will be caring for them. Sunningdale Court Care Home DS0000002810.V252769.R01.S.doc Version 5.0 Page 6 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. Sunningdale Court Care Home DS0000002810.V252769.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 Sunningdale Court Care Home DS0000002810.V252769.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): 2 Residents are assessed prior to moving into the home and know their needs and aspirations will be met. EVIDENCE: Residents are only admitted to the home having undergone an assessment by either by the Local Authority or senior staff from the home. Thus ensuring that the home can meet their needs. In addition to the pre admission assessment the home undertakes a further assessment of strengths and needs once the resident has arrived. It is on the basis of both these assessments that the residents plan of care is formalised. Evidence seen indicated that the residents are involved in this process. Risk assessments are produced for restrictions on choice, freedom, service or facilities. Sunningdale Court Care Home DS0000002810.V252769.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): 6&9 Residents changing needs are well managed. Taking risk is seen as part of the resident’s choice in how they wish to live their lives. EVIDENCE: From discussion with residents it is clear that they are provided with information, assistance and support to make decisions about their lives and this was documented in care plans. Residents gave examples of being able to make real choices in their daily activities and there was evidence that they attended their own reviews. Where others make decisions on behalf of the residents, staff are able to demonstrate why these decisions have been made and explain to the resident the reasons. Limitations on choice are only made in the residents’ best interests. Where possible residents are encouraged to maintain their own finances, others finances are handled by relatives. Sunningdale Court Care Home DS0000002810.V252769.R01.S.doc Version 5.0 Page 10 The key worker system and residents meetings enabled residents to be involved in wider decision making. Details of advocacy services are included in the ‘Service User Guide’. Residents are enabled to take responsible risks as part of an independent lifestyle. Risk assessments are in place and on occasions are signed by them as confirmation that they are aware of the need to minimize risk. Residents’ representatives signed all risk assessments. Action is taken to minimize identified risks without limiting residents preferred choices. The home has a missing persons procedure. Sunningdale Court Care Home DS0000002810.V252769.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): 13 & 17 Residents are part of the local community and are enabled to take advantage of local facilities. Residents are offered a balanced and healthy diet and enjoy their meals. EVIDENCE: Residents are part of the local community; this is achieved by involving the residents in local activities and by the pure nature of the home’s location. Local shops, pubs and places of worship are visited. The inspector was informed that all residents are on the electoral register. Local taxis are used for transport to social clubs, outings etc. The home provides residents with a varied, appealing, wholesome and nutritious diet and as a result has obtained the Heartbeat Award. The staff that are responsible for serving the meals know residents likes and dislikes. Residents spoke positively about the quality of the meals making Sunningdale Court Care Home DS0000002810.V252769.R01.S.doc Version 5.0 Page 12 comments, which included “it very nice here my favourite is fish and chips”, and “there is always a good choice” Residents are offered a choice at each mealtime; the menu indicates that cooked alternatives are available at teatime. Sunningdale Court Care Home DS0000002810.V252769.R01.S.doc Version 5.0 Page 13 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): 21 The home knows what to do in event of the death of any residents. EVIDENCE: Since the last inspection the home have complied forms which inform them of the wishes for each of the residents upon their deaths; this is kept in the resident’s personal file. This has been completed with the residents or their relatives if they were unable to express their wishes. The forms were clear and in some cases very detailed they also included any information regarding any special rituals or arrangements for those residents from an ethnic minority. Sunningdale Court Care Home DS0000002810.V252769.R01.S.doc Version 5.0 Page 14 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): 23 & 23 Residents felt their views are listened to valued and acted on. The resident are protected from abuse EVIDENCE: Resident knew who to approach if they had any complaints or concerns and they were sure these would be taken seriously and acted upon. One resident was very clear and stated quite categorically that she would see Mark (the manager) A complaints procedure is available which encourages residents and relatives to express their dissatisfaction without fear of repercussion. This procedure includes contact details for CSCI. Complaints are seen as an opportunity to improve the service as a whole or more specifically for an individual. Residents are protected from abuse with robust procedures in place for responding to any suspicion. All staff receive formal training on abuse and the protection of vulnerable adults. The employee handbook also outlines details of the homes’ POVA policy. Whistle blowing is incorporated in the communications policy and in POVA training. Policies and procedures were in place regarding handling of aggression and the use of control and restraint is not permitted. The home has a detailed system for the management of residents’ finances, which protects residents from financial abuse. The homes policies and procedures preclude staff from involvement in the making of wills or receiving gifts. Sunningdale Court Care Home DS0000002810.V252769.R01.S.doc Version 5.0 Page 15 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): Residents live in a home which is comfortable, safe and free from offensive odours. EVIDENCE: The home had policies and procedures in place for infection control and disposal of clinical waste. The building was clean and free from offensive odours on the day of inspection. The main laundry facility was sited away from food preparation and storage areas. The laundry floor was impermeable and the walls were washable. Hand washing facilities were provided, and personal protective equipment was provided for staff. Washing machines had a disinfection programme and services and facilities complied with the Water Supply (Water Fittings) Regulations 1999. Sunningdale Court Care Home DS0000002810.V252769.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): 34 & 35 Residents are protected by the recruitment process for new staff. EVIDENCE: The organisation has a detailed recruitment procedure. As part of this inspection three random staff files were seen. From these files it was evident that two references were sought. CRB checks are undertaken along with a health assessment. A copy of the General Social Care Code of Conduct is made available to staff. All staff are provided with written terms and conditions within 8 weeks of employment and copies of these are retained at headquarters. The organisations policy and procedures regarding the recruitment of volunteers outlines a thorough process, which includes the obtaining of references and a CRB check, the home does not currently have any volunteers. Evidence seen indicated that a copy of passport and birth certificate is obtained as part of the recruitment process and these documents had been seen for CRB purposes. Sunningdale Court Care Home DS0000002810.V252769.R01.S.doc Version 5.0 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): 42 The health and welfare of the residents is protected. EVIDENCE: The home had a detailed health and safety policy. Safe working practices were maintained by the provision of mandatory training and service specific training. Systems were in place to ensure that the maintenance of the building and equipment was up-to-date. Environmental risk assessments had been completed and all accidents were logged and monitored. COSHH sheets had been obtained for products used at the home and the products were stored safely. A fire risk assessment had been undertaken. Records showed that the fire detection and alarm system had been serviced. Fire drills took place monthly. Emergency lighting check was undertaken 6 monthly. Sunningdale Court Care Home DS0000002810.V252769.R01.S.doc Version 5.0 Page 18 Water temperatures at outlets accessed by service users were checked regularly and were running at in-between 37°C - 43°C. Sunningdale Court Care Home DS0000002810.V252769.R01.S.doc Version 5.0 Page 19 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 x x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 x x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x x LIFESTYLES Standard No Score 11 x 12 x 13 3 14 x 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score x x x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Sunningdale Court Care Home Score x x x 3 Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x DS0000002810.V252769.R01.S.doc Version 5.0 Page 20 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 Sunningdale Court Care Home DS0000002810.V252769.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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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