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Inspection on 16/03/09 for Sunningdale House, Perranporth

Also see our care home review for Sunningdale House, Perranporth for more information

This inspection was carried out on 16th March 2009.

CSCI found this care home to be providing an Adequate service.

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

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

Since the last inspection action has been taken to address the requirements as identified at the last two key inspections. We were able to see that out of the four requirements identified at the last inspection, two are met and two are partly met. At the last inspection, nine recommendations were made. Of these five have been met and four partly met, and progress is being made to fully meet them. Care plans have been reviewed and updated. A programme of staff supervision has been implemented, with written records in place to evidence supervision undertaken. The supervision programme includes formal sessions and observed practice. Team leaders undertake supervision for care staff and have all received training to enable them to become supervisors. The manager has undertaken an audit of the environment identifying all hot water outlets, hot surfaces e.g. pipes and radiators, locks to external doors and window restrictors to ensure that action is taken to promote the health and safety of the people who use the service. This audit has also identified areas that require refurbishment and a programme has started that is addressing these areas. Additional domestic staff, including a housekeeper, have been appointed and the cleanliness of the home has improved since the last inspection. Some carpets have been replaced, with plans to replace several more. The carpet fitter was due in the home two days later to measure and price carpets. People who use the service and a visiting professional told us that the staff were kind and very helpful. We received positive comments from people who use the service regarding the new manager and her efficiency.

What the care home could do better:

We raised concerns to the manager of incidences we observed, where the privacy and dignity of people who use the service is not fully respected. At both the last inspection and at this site visit, we were concerned to note that the call bell is not always accessible to some people, particularly when in their bedrooms. We were concerned to note that peoples independence is not always promoted in that the use of the ensuite facilities is compromised as not all bathing areas have plugs attached. We discussed this with the manager. If there is a risk to the person or the environment from leaving the plug in situ, there should be a detailed risk assessment identifying this issue and the action to be taken by staff. At the last key inspection we were concerned to note that staff did not respond promptly to the opening of an alarmed exit. This was alarmed to safeguard residents who may choose to leave the building from this exit. At this site visit, on opening the exit no assistance was forthcoming from the staff. We discussed this with the manager who stated the issue would be addressed with the staff. Some downstairs rooms have external doors that are secured by a Yale type lock. There have been issues with people who use the service leaving the home by these exits and consequently being at risk. The manager told us that this is an area that has been reviewed and is to be addressed by updating the locks to these doors. Written evidence was available to confirm this in the recently completed environmental audit. Some areas of the home did not have hot water - we were told that this is due to a problem with the hot water supply system which is being addressed by an external plumbing company.

Inspecting for better lives Random inspection report Care homes for older people Name: Address: Sunningdale House, Perranporth Boscawen Road Perranporth Cornwall TR6 0EP one star adequate service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Melanie Hutton Date: 1 6 0 3 2 0 0 9 Information about the care home Name of care home: Address: Sunningdale House, Perranporth Boscawen Road Perranporth Cornwall TR6 0EP 01872571151 01872572633 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Welling Limited Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 36 Number of places (if applicable): Under 65 Over 65 6 6 36 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Conditions of registration: 0 0 0 One service user may be admitted aged 55 years to 64 years Date of last inspection Brief description of the care home The registered provider for Sunningdale House is Welling Ltd; the responsible individual is Mr Alan Beale. Sunningdale House provides care for up to 36 older people. This includes registration for six people with dementia and six people with a mental disorder. The Registered Manager Alison Watson is due to become an Area Manager for the company. There is a new Manager Joanne Cauchi, who is due to make her Care Homes for Older People Page 2 of 9 Brief description of the care home application to become the Registered Manager. The home is situated near the centre of Perranporth with easy access to shops and other local community facilities. The home has a front garden with seating provision overlooking the boating lake. The car park is steeply sloping and there is ramped access from this to the main entrance. There is a passenger lift to the bedrooms on the first floor. The majority of bedrooms in the home are en suite. The home has a choice of communal areas including a sun lounge. The home provides some day and respite care. The front door to the home is locked at all times. The visiting arrangements are flexible. Care Homes for Older People Page 3 of 9 What we found: We undertook this random inspection site visit on 16 March 2009. The inspection was conducted by two inspectors and we were assisted by the senior carer on duty and the manager. The registered provider was available by telephone. We spoke with people who use the service, staff and the manager. We inspected documentation including care plans, staff records, complaints information and viewed the environment. What the care home does well: What they could do better: We raised concerns to the manager of incidences we observed, where the privacy and dignity of people who use the service is not fully respected. At both the last inspection and at this site visit, we were concerned to note that the call bell is not always accessible to some people, particularly when in their bedrooms. We were concerned to note that peoples independence is not always promoted in that the use of the ensuite facilities is compromised as not all bathing areas have plugs attached. We discussed this with the manager. If there is a risk to the person or the environment from leaving the plug in situ, there should be a detailed risk assessment identifying this issue and the action to be taken by staff. At the last key inspection we were concerned to note that staff did not respond promptly to the opening of an alarmed exit. This was alarmed to safeguard residents who may choose to leave the building from this exit. At this site visit, on opening the Care Homes for Older People Page 4 of 9 exit no assistance was forthcoming from the staff. We discussed this with the manager who stated the issue would be addressed with the staff. Some downstairs rooms have external doors that are secured by a Yale type lock. There have been issues with people who use the service leaving the home by these exits and consequently being at risk. The manager told us that this is an area that has been reviewed and is to be addressed by updating the locks to these doors. Written evidence was available to confirm this in the recently completed environmental audit. Some areas of the home did not have hot water - we were told that this is due to a problem with the hot water supply system which is being addressed by an external plumbing company. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 9 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set. No. Standard Regulation Requirement Timescale for action 1 8 12 The registered person shall 01/10/2008 ensure that the care home is conducted so as to promote and make proper provision for the health and welfare of residents. 2 25 13 It is required that the 02/02/2009 registered person shall ensure that unnecessary risks to the health or safety of service users are identified nd so far as possible eliminated. If hot surfaces e.g. pipes and radiators are not guarded, a detailed and thorough risk assessment must be available in order to identify the risk to residents and how that risk has been reduced. 3 38 13(4a) The registered person shall 01/10/2008 ensure that unnecessary risks to the health and safety of residents are identified and so far as possible eliminated e.g. hot water Care Homes for Older People Page 6 of 9 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 25 13 The registered person shall 17/04/2009 ensure that all parts of the home to which service users have access are so far as reasonably practicable free from hazards to their safety. All hot surfaces e.g. radiators and hot water pipes should be covered or a detailed risk assessment be in place that identifies how the risk will be minimised. 2 38 13 The registered provider shall 17/04/2009 ensure that unnecessary risks to the health or safety of the service users are identified and so far as possible eliminated. External doors must be secured and where alarms fitted these must be maintained to ensure they are working and staff respond promptly if alarm activated. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of Care Homes for Older People Page 7 of 9 improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). 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