Inspection on 04/08/05 for Sunningdale House

This inspection was carried out on 4th August 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Sunningdale House 19/11/09

Sunningdale House 28/11/07

Sunningdale House 20/02/07

Sunningdale House 04/01/06

Sunningdale House 23/11/04

Sunningdale House 09/09/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Sunningdale House Dene Road Hexham Northumberland NE46 1HW Lead Inspector Deborah Haugh Unannounced 04 August 2005 9:15 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 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Sunningdale House B53-BO3 S40486 Sunningdale House V237658 040805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Sunningdale House Address Dene Road Hexham Northumberland NE46 1HW 01434 606767 01434 607010 sunningdalehouse@highfield-care.com Southern Cross Hmoe Properties Limited Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Eileen Ferguson CRH 48 Category(ies) of OP - Old Age (48) registration, with number of places Sunningdale House B53-BO3 S40486 Sunningdale House V237658 040805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: none Date of last inspection 23/11/04 Brief Description of the Service: Sunningdale House is a purpose built three-storey building situated on the outskirts of Hexham.The home is built on a hill therefore access to landscaped gardens and patio areas can be obtained on each level.There are single rooms all, but two, with en-suite facilities and many rooms lead via French doors immediately into the garden area. There are lounges and dining rooms on each floor and other quiet sitting areas are available around the home.Local shops, cafes, transport and other amenities are within walking distance.Sunningdale House can accommodate frail elderly service users. The home does not provide nursing care. Sunningdale House B53-BO3 S40486 Sunningdale House V237658 040805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place on 4/8/05 at 9.15 am and lasted until 3.25 pm. At the time of this inspection the Registered Manager Mrs Eileen Ferguson was on duty. There were 41 service users at the time of the visit and staffing levels were appropriate to meet the needs of the service users. Time was spent looking around the home to check the cleanliness, maintenance and decoration. Service users shared their views about the home. Time was also spent observing the contact between service users and staff. Four Care Plans for service users care were examined. The home’s Fire Log, menu’s and supervision records were checked. What the service does well: Service users described the home as ‘wonderful’ and staff were described as ‘They look after you extraordinarily well, whatever you want.’ ‘The staff are very good.’ ‘They do everything to help. Really good staff, see to everything, they are very particular, always knock at the door.’ Service users were complimentary about the food. Staff spoke to service users with respect and were seen knocking on bedroom doors. Sunningdale House B53-BO3 S40486 Sunningdale House V237658 040805 Stage 4.doc Version 1.40 Page 6 The decoration and furnishings in the home are personal and homely. Some service users have brought their own possessions with them. The home has large landscaped gardens to the front and rear of the home and several of the bedrooms have patio doors, which lead out, onto small patio areas that then lead to the larger gardens. The garden areas are generally accessible to those with reduced mobility or those who require using a wheelchair. The home has a designated activities person who organises an impressive range of social leisure and cultural activities according to service users preferences and lifestyles. The service users said that their lives are flexible and they can choose what to do on a daily basis. The Company continues to match any funds raised, which is commendable. 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. Sunningdale House B53-BO3 S40486 Sunningdale House V237658 040805 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Sunningdale House B53-BO3 S40486 Sunningdale House V237658 040805 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 Service users have their needs assessed prior to admission to the home. EVIDENCE: The care plans inspected showed that service users have a full assessment by care managers prior to being admitted to the home. Service users who are self funding are assessed by the registered manager using the homes assessment tool. Sunningdale House B53-BO3 S40486 Sunningdale House V237658 040805 Stage 4.doc Version 1.40 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8 &10 Care plans are in place and staff have the information to meet service users needs. Staff demonstrated that they know the service users needs and wishes and have good relationships. The health needs of service users are met and multi disciplinary working is taking place. Nutritional care plans are not in sufficient detail. The privacy and dignity of service users are respected by staff. EVIDENCE: The home has a new Company and new care plans are being introduced. Care plans were detailed regarding all aspects of health, social and personal care needs. Care plans identify nutritional needs but these are not in specific detail regarding supplements and snacks required for special dietary needs. Comprehensive risk assessments are in place, including ones aimed at preventing falls, pressure sore management and lifestyle choices. The care Sunningdale House B53-BO3 S40486 Sunningdale House V237658 040805 Stage 4.doc Version 1.40 Page 10 plans, risk assessments and reviews had been reviewed at least monthly and were dated and signed. A daily record is maintained and this was found to contain detailed information regarding the daily life of service users. Comprehensive social care plans are in place. All personal care took place in the private and staff were observed to knock on doors and wait for a reply before entering. The home has a telephone which the service users can use in private, however many of them choose to have a telephone in their own room. Sunningdale House B53-BO3 S40486 Sunningdale House V237658 040805 Stage 4.doc Version 1.40 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12-15 Dietary needs of service users are well catered for but menus do not demonstrate all the choices available. The presentation of pureed/soft food does not meet nutritional standards. Activities, community contact and relationships with family and friends are excellent. Service users are able to choose from a wide range of occupations. Service users have control over their lives. EVIDENCE: Service users spoke positively about the food. Lunch was unhurried and service users are able to have alternatives to the menu at anytime. Care plans identify nutritional needs but these are not in specific detail regarding supplements and snacks required for special dietary needs. Special care plan diets should be available to the chef in the kitchen. Pureed/soft food is not served separately which is not good nutritional practice. A nutritional audit tool (ref Rachael Chadwin Nutritionist, Newcastle General Hospital) was used to assess the 4-week draft menu. The following observations are made Sunningdale House B53-BO3 S40486 Sunningdale House V237658 040805 Stage 4.doc Version 1.40 Page 12 Menus do not name all vegetables and sandwich fillings. At least 2 portions of fruit are not consistently recorded as being offered each day At least 2 portions of vegetables are not recorded on the menu each day Types of in-between meal snacks and drinks are not recorded. A check of the food stores particularly fortifying foods such as butter and fresh cream are not available but full fat milk, yoghurts and evaporated milk are. Activities within the home include crafts, gardening, woodwork, board games, coffee mornings, tea dances and in house entertainment. The service users enjoy a “Luncheon Club”, Women’s and Men’s group weekly were they can enjoy a meal in a local pub or restaurant or go on trips. Outings include visits to Shildon Railway, Ostrich World, Cragside House, Wallington Hall, Metro Centre by Limousine and the Millennium Bridge. Holidays are planned to Blackpool, Paris and Berlin. Service users have detailed social care assessments and comprehensive care plans regarding their lifestyles and preferences. There is a hairdressing salon and the hairdresser visits weekly on a Monday. The library visits every month and books are available in the lounge. The home produces a quarterly newsletter, which records events in the home and also includes relatives and service user information, quizzes, poems, welcomes and congratulations of service users and staff. Sunningdale House B53-BO3 S40486 Sunningdale House V237658 040805 Stage 4.doc Version 1.40 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 The home has a satisfactory complaints system in place and service users know how to make complaints and have confidence in the management. EVIDENCE: No complaints have been made since the last inspection in November 2004. Service users spoke of their good relationships with staff and the manager. Any concerns are dealt with immediately. Sunningdale House B53-BO3 S40486 Sunningdale House V237658 040805 Stage 4.doc Version 1.40 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,21,26 The standard of the environment within this home is good providing service users with a safe, clean and homely place to live. However garden areas are overgrown and a corridor carpet is stained. Service users would benefit from a walk in shower. EVIDENCE: The home has spacious lounges, dining rooms and other recreational space to enable various events and activities to take place. There are also “quiet “sitting areas throughout the home. A separate smoking lounge is available on the ground floor. The corridors are wide, access throughout the home and to gardens and car park is accessible to service users with reduced mobility or those using wheelchairs. A passenger lift services all areas of the home. The furnishings fittings and lighting are domestic in style and of good quality. All areas of the home were attractively presented and decorated. Sunningdale House B53-BO3 S40486 Sunningdale House V237658 040805 Stage 4.doc Version 1.40 Page 15 There are sufficient baths and toilets that are close to lounges, bedrooms and dining rooms. The majority of the bedrooms have an en-suite facility. Appropriate aids and adaptations are available in toilets and bathrooms. All areas were clean and well maintained. However the corridor carpet on the middle floor next to the kitchen and room 14 is stained and must be cleaned or replaced. Two bathrooms are not assisted and service users would benefit from two walk-in showers in these areas. All of the bedrooms apart from two have en-suite facilities. Twenty-five rooms have French doors leading onto small patio areas, which then lead onto the landscaped gardens. The bedrooms inspected were clean, fresh nicely decorated and highly personalised by service users. Although nursing care is not provided adjustable beds are available. Service users have lockable facility for storage of medicines and personal items and service users are provided with keys. The laundry is situated on the ground floor away from the kitchen areas. The laundry areas were clean organised. Replacement delicate bags have been ordered. Regular monitoring and audits are competed by the Registered Manager and the Company auditor to ensure compliance with infection control policies. There are sluicing facilities in the home. The area to the front of the home is pleasant with well cut lawn, flowers and planters. The garden is overgrown to the right of the home and around service users bedroom French doors which will effect their access to the outside. The boundary to rear of the home and towards the right is identified by a wire fence. This affects the overall attractiveness of the grounds. It is recommended that new fencing is erected. Sunningdale House B53-BO3 S40486 Sunningdale House V237658 040805 Stage 4.doc Version 1.40 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 Staffing numbers are appropriate to the assessed needs of the service users, size, layout and purpose of the home. EVIDENCE: The home maintains a rota showing, which staff are on duty throughout the twenty-four hour period. The Registered Manager is supernummery and the home employs a deputy and senior care assistants are allocated to each floor with appropriate care staff. The home operates a “key worker system. The staffing requirement is: 7 care staff in the morning and afternoon: 6 care staff in the evening: 4 care staff at night: Sufficient domestic and ancillary staff are employed. Sunningdale House B53-BO3 S40486 Sunningdale House V237658 040805 Stage 4.doc Version 1.40 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,35 & 38 The Manager is experienced and qualified, and is supported by the senior staff in providing clear leadership throughout the home, with all staff demonstrating an awareness of their roles and responsibilities. The fire safety checks are good and the safety of service users and staff are protected. However the presence of door chocks in some areas of the home compromises fire safety. Sunningdale House B53-BO3 S40486 Sunningdale House V237658 040805 Stage 4.doc Version 1.40 Page 18 EVIDENCE: The Registered Manager has vast experience and qualifications to ensure the home is run to meet the stated purpose, aims and objectives. The accident recording is satisfactory with monthly analysis completed. Fire training and fire records are available and up to date. Maintenance and utility contract certificates were available and current. Some of the doors of communal areas and bedrooms were closed but door chocks were beside them indicating fire doors are chocked open. This practice is not supported and advice must be sought from the Fire Prevention Officer regarding providing suitable door closures that would activate in the event of fire. This requirement has been previously made in September 2004. Staff receive supervision periodically from the management. Further progress will be monitored. Sunningdale House B53-BO3 S40486 Sunningdale House V237658 040805 Stage 4.doc Version 1.40 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 2 COMPLAINTS AND PROTECTION 2 3 2 x x x x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x 4 x x x 3 x x 2 Sunningdale House B53-BO3 S40486 Sunningdale House V237658 040805 Stage 4.doc Version 1.40 Page 20 yes 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 7,8,15 Regulation 15 & 16(2) Requirement Timescale for action 31/10/05 2. 19 & 21 23 3. 4. 19 38 23 23(4) Menus must be in more detail so that judgements can be made as to their suitablility and nutritional value. Preventative action must be taken to fortify meals for special diets and assessed malnourished service users. Care plans must the preventative action to be taken ie Milky drinks, fortified snacks and food. The corridor carpet on the 31/10/05 middle floor next to the kitchen and room 14 is stained and must be cleaned or replaced. Overgrown areas of the garden 30/9/05 must be maintained for the safe access of service users The use of door chocks must 4/8/05 cease and advice must be sought from the Fire Prevention Officer regarding providing suitable door closures that would activate in the event of fire. Sunningdale House B53-BO3 S40486 Sunningdale House V237658 040805 Stage 4.doc Version 1.40 Page 21 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 21 19 Good Practice Recommendations Two bathrooms are not assisted and service users would benefit from two walk in showers in these rooms (1st & 3rd floor). Replace wire fencing. Sunningdale House B53-BO3 S40486 Sunningdale House V237658 040805 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection Northumbria House Manor Walks, Cramlington Northumberland NE23 6UR 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 Sunningdale House B53-BO3 S40486 Sunningdale House V237658 040805 Stage 4.doc Version 1.40 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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