Inspection on 22/11/06 for Sunningdale House

This inspection was carried out on 22nd November 2006.

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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Sunningdale House 19/02/09

Sunningdale House 01/03/06

Sunningdale House 15/06/05

Similar services:

Whiteley House

Tyndale Avenue

2-10 Norfolk Road

Bennfield House Nursing Home

Eastfield Residential Home

Sign Health

Springwood

Fairburn Mews

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

CARE HOME ADULTS 18-65 Sunningdale House 103/105 Franklin Road Harrogate North Yorkshire HG1 5EN Lead Inspector David White 22 nd Unannounced Inspection November 2006 09:00 Sunningdale House DS0000063606.V317115.R01.S.doc Version 5.2 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 House DS0000063606.V317115.R01.S.doc Version 5.2 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 House DS0000063606.V317115.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sunningdale House Address 103/105 Franklin Road Harrogate North Yorkshire HG1 5EN 01423 569191 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) Franklin Homes Limited Tasleem Hussain Care Home 13 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (13), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (3) Sunningdale House DS0000063606.V317115.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Sunningdale is a care home providing personal care and accommodation for up to 13 adults who have mental health problems. The accommodation provided is in 10 single bedrooms and 1double bedroom located on the top 3 floors of the house all of which are accessed by flights of stairs. There is a wide range of communal space and a number of small kitchens for use by the service users as part of rehabilitation programmes. There is a garden to the front of the home, parking on the road at the front and private parking at the rear of the home. The fees at the time of the site visit on 22 November 2006 ranged from £317 to £650 per week and did not include costs for chiropody, toiletries and transport. Sunningdale House DS0000063606.V317115.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report follows an unannounced site visit undertaken on 22 November 2006. This visit was carried out by one Regulation Inspector and took 8 hours with 5 hours preparation time. The home was able to return the requested information before this site visit. The report includes information from the Regulation Inspector’s inspection record, which details the history of the home and relevant information about what has been happening in the home since the previous inspection visit. The site visit included an inspection of the premises. The visit involved looking at three residents’ care records, including the assessments, care plans and medication records for each resident. Staff rotas and health and safety documentation were inspected. Four residents, two members of care staff, the administrator and the manager talked about their experiences in the home and time was spent observing the interaction between residents and staff. The focus of the inspection was on a number of key standards and inspecting the case records of a number of residents to establish whether they corresponded with their experiences of life in the home. The manager was available throughout the inspection and the findings were discussed at the end of the inspection. What the service does well: Residents are encouraged to make decisions for themselves and made comments that they enjoy being able to “do a lot more for myself”. Residents are treated with respect and dignity by the staff team. The home has a friendly atmosphere and this helped in the relationships between residents and staff. Resident concerns are listened to and acted upon to protect their interests. The home has a committed staff team who work hard and flexibly in order to try and meet all the resident needs despite the current staffing problems. The manager and staff team are committed to putting the interests of residents first. Sunningdale House DS0000063606.V317115.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Residents’ health and safety could be improved by addressing the problems with the hot water systems in one side of the home (house number 105) and through improving the way controlled drugs are stored in the home. There must be some information available to show that those residents who give their own medication are able to do so safely. Suitable storage arrangements must be made in the shared bedroom to reduce potential fire safety risks to the residents. Staffing levels must improve in order to make sure that all the residents’ needs are met safely. All the required pre-employment records must be in place prior to employing staff so that residents are safeguarded from potential harm. Sunningdale House DS0000063606.V317115.R01.S.doc Version 5.2 Page 7 Although all the staff have done some moving and handling training and first aid training at some point, some staff have not had this for some time and must have updated training to make sure that residents are not put at risk from poor working practices. 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. The summary of this inspection report can be made available in other formats on request. Sunningdale House DS0000063606.V317115.R01.S.doc Version 5.2 Page 8 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 House DS0000063606.V317115.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 4 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Improvements in the pre-admission procedures mean that prospective residents are fully assessed so that the home is able to make a decision about whether they are able to meet their needs safely. EVIDENCE: One resident has been recently admitted to the home. The resident’s care records show that the manager and a member of staff from the resident’s previous accommodation got together prior to the resident moving into the home to carry out a joint risk assessment of the individual and to identify any potential risks. The manager also did an assessment of the resident’s needs to make sure that the home was able to meet the person’s needs and the information from the assessment is kept within the resident’s care records. This aspect of the pre-admission procedures has improved since the previous inspection visit. Information is obtained from other sources such as GPs and social services to help the home to decide if someone is suitable and people are invited for informal visits to the home before making any decisions about moving there. Sunningdale House DS0000063606.V317115.R01.S.doc Version 5.2 Page 10 The resident who has only recently moved into the home said that he was able to visit the home on a number of occasions before his admission and this helped him to get to know the other residents and the staff team. Each resident has a placement agreement and a signed copy of this is kept in his or her care records. Sunningdale House DS0000063606.V317115.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are encouraged to make their own decisions and this is supported by the new care planning system. EVIDENCE: The home is developing a new care planning system that encourages the involvement of the resident in saying how they wish to receive support in their daily living routines. The care records include a “pen picture” of each resident describing their life history and likes and dislikes. From this information an individual support plan is drawn up so that staff are aware of how the person’s needs are to be met. Each resident has a diary to record daily events and the manager has done some good work with the staff to improve the quality of information within these records. One resident makes entries in his care records giving his own account of his daily experiences in the home. The care records include input provided by other healthcare professionals and services. Sunningdale House DS0000063606.V317115.R01.S.doc Version 5.2 Page 12 Residents said that they are able to make their own decisions about their lives and feel that they receive good support from staff when needed. One resident has difficulties in managing his monies and this can lead to problems in his behaviour towards other people. The records show that a care plan review took place to address this matter and it was agreed that staff would assist the resident with his financial budgeting. The resident was able to confirm that he was in agreement with the action plan to support him in managing his monies. Risk assessments are in place to promote the independence and safety of each resident and this includes consideration of potential risks for people with mental health problems such as non-compliance with medication. The manager is looking to improve the quality of the risk assessment information as part of the new care planning documentation and it was evident that improvements have been made to the overall standard of the information available in the care records. The home is hoping to introduce and implement person centred plans (PCP) and personal profiles on each resident by next year. The PCP is a commonly used method of planning which makes the service user the focus of the plan and encourages the involvement of their relatives and specialist workers with the service user’s agreement. A psychologist has been employed by the organisation to assist with this process. Sunningdale House DS0000063606.V317115.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to enjoy activities to suit their preferred lifestyles and have the opportunity to be involved with the local community. EVIDENCE: All the residents are mobile and able to access the local shops and amenities if they choose to do so. Some residents recently enjoyed an outing to Filey and there are other opportunities for trips out. One resident is a member of the “Open Country” rambling group and another service user does voluntary work in a local charity shop. Other residents attend a local day centre and some have involvement with the local church. Activities are arranged in the home such as arts and craft classes and residents made comments on how much they enjoyed social evenings at the home. A resident and member of staff did feel that there could be more activities at the home although the present staffing difficulties were making this more difficult to achieve. Sunningdale House DS0000063606.V317115.R01.S.doc Version 5.2 Page 14 Residents said that they were able to maintain contact with their family and friends and one was going to visit his family at the weekend. The home also has a private telephone area for residents. Staff are committed to respecting the rights of the residents. Residents are addressed by their preferred names and a resident said that staff are “always polite”. Residents made comments that the meals are “good” and there is “plenty of choice”. All the residents are encouraged to help with the preparation of their meals and some are able to cook for themselves. One resident who is a vegetarian said that he is involved in the planning of his meals with the staff team and is always offered a choice of meal to suit his specific needs. Sunningdale House DS0000063606.V317115.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s personal and healthcare needs are well met, however some improvements to the medication practices would help to safeguard the residents. EVIDENCE: Residents feel that the care they receive is “good” and that staff are “approachable, kind and friendly”. Although the residents do not need much personal support, those who need some assistance feel that this is given in the way they prefer. Each resident has a GP and access to dental, optical and chiropody services when needed. One resident has eye problems and visits the local optician and another resident was attending an appointment for some health screening at the time of the site visit. Another resident is diabetic and receives ongoing input from the diabetic nurse at the local surgery and a number of residents receive support from the local mental health services. The organisation has Sunningdale House DS0000063606.V317115.R01.S.doc Version 5.2 Page 16 recently employed a psychologist to support residents with their psychological and emotional needs. The medication records are well maintained and up to date. Audit systems are in place to monitor incoming and outgoing stock medication supplies and all the staff team have undertaken suitable medication training. Following a requirement made at the previous inspection visit arrangements have been made for the safer storage of controlled drugs. However, these arrangements do not ensure that controlled drugs are being stored securely. One type of medication that needs to be stored as a controlled drug is being stored with other stock medication in a single locking filing cabinet. Two residents are responsible for taking their own medication in the home and this is encouraging. However, there was no available information in the care records to show that the residents could do this safely. This needs to be reviewed to make sure there are no risks to the residents’ health and safety. Sunningdale House DS0000063606.V317115.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents concerns are listened to and acted on, and their safety could be further protected through staff receiving some appropriate adult protection training. EVIDENCE: The home has a complaints procedure that clearly details how complaints will be dealt with and this is made available to anyone wishing to see it. Residents said that they would know who to speak to if they have concerns and the home has a complaints book to log all concerns. A resident’s family had raised concerns about a recent incident at the home and the response to the complainant clearly detailed the actions that were being taken to address the issues and timescales. A staff member has recently attended an adult protection course at the local university which and made comments that the course was “very useful”. Other members of staff have not had any formal training although they have a workbook in the home which provides information about abuse and which they are asked to complete to demonstrate their understanding. Despite this it is evident through talking to staff that they did not fully understand procedures to follow in response to abuse and more formal abuse awareness training would improve their understanding of this. Sunningdale House DS0000063606.V317115.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Although the home is clean and some refurbishment work has been carried out to the environment, further work is needed for to improve the living conditions for residents and other environmental issues need addressing so that the resident’s comfort and safety is maintained. EVIDENCE: The home is made up of two semi-detached houses and accommodation is situated over three floors. Access throughout the home is via stairs only and there is no ramped access to and from the home so it would not be suitable for people with mobility problems. Since the previous inspection visit and as part of the planned maintenance programme the kitchen and dining room area have been re-decorated and some corridors have new carpets and this has helped to improve some. Further Sunningdale House DS0000063606.V317115.R01.S.doc Version 5.2 Page 19 work is planned and is needed in order to improve the standards in a number of areas of the environment. Residents said they like their bedrooms and these were personalised. One bedroom is a double room and is shared by two residents. Although there are some storage facilities in this bedroom these seemed inadequate for two people. The residents did have a lot of personal belongings and other items and a lot of this was being stored on their bedroom floor in refuse bags. Both residents smoke in their bedroom and the amount of items on the bedroom floor could increase risks to fire safety and this needs addressing to reduce any potential risks to the safety of the residents. The home has two members of staff on duty during the night who both sleep on the premises therefore there are no waking staff at night. There are two separate bedrooms that are used by the staff for the sleep-in shift. However these are both located on the same side of the building (house number 103) and staff have concerns and made comments that it would be difficult to know if someone on the other side of the building (house number 105) needed assistance without the resident or another resident coming to tell them. In some cases this may be difficult if someone is physically ill. Residents are encouraged to maintain their own bedrooms with the support of staff and a cleaner who is employed to work four days a week. The home is clean throughout and proper procedures are being followed to promote safe food hygiene and infection control practices. The home has a fire risk assessment in place and the manager consults with the local fire authority for fire safety advice. Fire safety equipment tests and maintenance records are up to date. Hot water temperatures are regularly checked and recorded. These show that the temperatures of the hot water in one side of the home (house number 105) can fluctuate but are generally a lot lower than the water temperatures in the other side of the building. Residents said that they sometimes have to wait for long periods of time before the water is warm enough to have a bath, in one communal bathroom the hot water tap is not working and a resident said that the water pressures could be erratic when having a bath. The manager is aware of these problems and is taking measures to try to rectify the problems. The home has a maintenance book which contains information about jobs around the home that need doing and it is recorded when jobs have been completed. Sunningdale House DS0000063606.V317115.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 and 35. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents receive a good standard of care from a committed staff team. However, there is a current shortfall in staffing levels and improvements are needed to some aspects of training and recruitment to make sure that residents health, safety and wellbeing is maintained. EVIDENCE: The home has a friendly atmosphere and residents feel that they are well cared for and described the staff team as “good”. Since the last inspection visit there has been further changes to the staff team and there are currently vacancies for three care staff posts, which have been advertised, and there has been some response to this. On the day of the site visit there were two staff on duty including the manager. Most of the staff team are working extra hours to cover vacant shifts and this has left them feeling “stressed and tired”. As well as care duties the care staff are responsible for cleaning duties on three days of the week when the part-time cleaner is not at work. The manager is working “hands on” for a lot of the time Sunningdale House DS0000063606.V317115.R01.S.doc Version 5.2 Page 21 as well as trying to deal with her managerial duties. One resident said that staff could not always be accessed easily and that activities are not held as often since the staffing levels have fallen. Staff made comments that the current staffing levels need improving to ensure standards in the home are maintained. Recruitment procedures are mostly followed and the required checks are in place. However, in one instance only one written reference has been obtained for a recently appointed member of staff and in another case there was no record that a new member of staff had completed an application form before starting in post. The management is committed towards developing staff training programmes for the staff team. Most of the staff have either attained or are doing the NVQ training. There has been some recent health and safety training and staff have recently attended a medication course. Some staff do need updates in moving and handling and first aid in order to promote up to date safe working practices and staff would benefit from some mental health training to have a better understanding of the resident group. Sunningdale House DS0000063606.V317115.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 41 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run in the best interests of the residents although some health and safety matters need addressing to promote a safer environment. EVIDENCE: Since the previous inspection visit the manager of the home has successfully applied to become the registered manager of the home with the Commission for Social Care Inspection (CSCI). She is currently undertaking the Registered Manager’s Award to develop her management skills. Both staff and residents made comments about how the home has improved since the manager took up post. Staff feel that her approach is “open” and encourages everyone to be involved and offer their opinions. Residents said Sunningdale House DS0000063606.V317115.R01.S.doc Version 5.2 Page 23 that they are encouraged to be more independent and enjoy being able “to do more for myself”. The standard of record keeping in the home is improving and the manager is looking to implement new resident centred care planning systems. Accidents and injuries to residents are now recorded individually and this protects resident confidentiality and meets data protection standards. The home sends out questionnaires to seek the views of residents and their families about the care and services provided. Staff and resident meetings are held on a regular basis and are recorded and the records from these show that residents are involved in discussions about the home and their views are sought. Staff receive supervision which they feel is “useful” and helps to support them in doing their job. The General Manager of the organisation is based at the home and provides support to the manager and overviews the performance of the home on an ongoing basis. The home has improved some aspects of health and safety although other issues need addressing. Fire safety procedures are now being followed so that fire doors can close freely in the event of a fire. A sample of the required health and safety certificates are up to date and satisfactory and hot water temperature tests are undertaken on a regular basis. All the staff receive health and safety training although some require some updated training in moving and handling. As discussed earlier in the report under the headings of personal and healthcare support, environment and staffing, some improvements are needed to prevent risks to the health and safety of the residents. Sunningdale House DS0000063606.V317115.R01.S.doc Version 5.2 Page 24 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 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 1 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 1 34 2 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 1 X 3 X 3 X 3 1 X Sunningdale House DS0000063606.V317115.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? Yes 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 YA20 Regulation 13 Requirement There must be written information to show that residents who are responsible for administering their own medication are able to do this safely and any risks have been acted on. Controlled drugs must be stored more securely within a double locking mechanism facility and separately from stock medication supplies in accordance with the Misuse of Drugs Act 1971 regulations (This requirement remains outstanding from a previous report). . The registered person must make arrangements for suitable storage facilities in the shared bedroom to reduce potential fire safety risks to the residents in there. The registered person must take action to address the problems with the hot water system in one area of the home (house number 105). The registered person must make sure that staff are employed in sufficient number DS0000063606.V317115.R01.S.doc Timescale for action 06/12/06 2. YA20 13 06/12/06 3. YA24 13, 23 06/12/06 4. YA24 23 06/12/06 5. YA33 18 22/12/06 Sunningdale House Version 5.2 Page 26 6. YA34 19 and for sufficient hours to meet the needs of the residents at all times. (This requirement remains outstanding from a previous report). The registered person must have the required pre-employment records in place prior to the employment of staff. 22/11/06 7. YA35 18 The registered person must 22/02/07 make arrangements for staff who need to have up to date moving and handling and first aid training. 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 Refer to Standard YA23 YA24 Good Practice Recommendations Staff should have abuse awareness training so that they have a clearer understanding of how to recognise and respond to abuse. The registered person should review the current sleep-in staffing arrangements in order to make sure that staff are aware of and able to respond to resident needs at all times. Staff should receive some mental health training to help with their understanding of the residents needs. 3 YA35 Sunningdale House DS0000063606.V317115.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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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