Inspection on 15/11/05 for Sunningdale Nursing Home

This inspection was carried out on 15th November 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.

Other inspections for this house

Sunningdale Nursing Home 20/10/06

Sunningdale Nursing Home 04/05/05

Sunningdale Nursing Home 02/11/04

Sunningdale Nursing Home 06/04/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Sunningdale 7 - 9 Albany Road Southport Merseyside PR9 0JE Lead Inspector Mrs Claire Lee Unannounced Inspection 15th November 2005 09:50 X10015.doc Version 1.40 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 DS0000017257.V261176.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 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 DS0000017257.V261176.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Sunningdale Address 7 - 9 Albany Road Southport Merseyside PR9 0JE 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) 01704 538568 Mrs Patricia Jane Bennett Mrs Amanda Jane Williams Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32) of places Sunningdale DS0000017257.V261176.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Service users to include up to 32 OP This service should employ a suitably qualified and experienced Manager who is registered with the Commission for Social Care Inspection. May from time to time admit persons between the ages of 60 and 65 years of age. Service to include 1 named SU within the PD category Date of last inspection Brief Description of the Service: Sunningdale is a large detached building that provides nursing care for 32 older people. The home is situated within a short walk to Southport town centre and local amenities are close by. The home has 30 single rooms and 1 double room and some have ensuite facilities. The accommodation is situated over 4 floors and a passenger lift is used to access all areas. The conservatory on the ground floor us used as lounge and dining area. There is also a separate dining room. The home has wheelchair access via a ramp to the side of the building and residents benefit from an attractive landscaped garden. The home has suitably adapted baths and a walk in shower to assist those who are less able. A call system is available throughout the home. Mrs Patricia Jane Bennett privately owns Sunningdale and it is managed by Mrs Amanda Williams. Sunningdale DS0000017257.V261176.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over nine hours. It was an unannounced visit and conducted as part of the regulatory requirement for care homes to be inspected at least twice a year. The requirement highlighted during the last inspection has been met been. A visit was conducted earlier this year in response to a letter sent to the Commission regarding the service and also to deregister a room from a single and register another as a double. This variation was approved. A tour of the building and garden was conducted and a selection of care, staff and general records were viewed. Discussion took place with the manager, administrator, a registered nurse, cook, a member of the care staff, the activities organiser, five residents, two visitors and a relative. Satisfaction comment cards were also given to residents and relatives to complete at their leisure. What the service does well: The home had a very friendly atmosphere and a relative commented, “This is always the case and staff are very pleasant, cheerful and helpful”. Visitors were observed to be welcomed warmly by staff and were offered a variety of refreshments during the day. The home was clean and tidy and areas viewed were decorated to a good standard. A relative reported that the general upkeep and cleanliness of the home was a credit to the staff. Colour schemes are attractive throughout the building and the home is subject to an ongoing maintenance and decoration programme. Bedrooms viewed were comfortable and cosy. Resident care files are organised and there is good evidence of assessment and care planning to ensure the general health and care needs of the residents are met by the staff. An activities organiser arranges a varied programme of social events for the residents. A resident stated how much he enjoyed the bingo sessions. Residents provided positive comments on the variety of social activities and expressed that they look forward to them. One to one treatments are given and a Christmas outing is being arranged to a local pub for lunch. During the morning residents were enjoying bingo in the conservatory and watching a film in the afternoon. Sunningdale DS0000017257.V261176.R01.S.doc Version 5.0 Page 6 The home offers a very good menu and residents were complimentary regarding the choice, quantity and times meals are served. The cook enjoys home baking and a birthday was celebrated during the inspection with a birthday cake and candles. The staff have access to a good range of courses and they are encouraged to undertaken National Vocational Qualifications (NVQ) at Level 2 and Level 3. Staff interviewed spoke positively regarding the training and the frequency courses are arranged. All staff attend training in safe working practice areas including first aid, manual handling, food hygiene, infection control and fire prevention. Courses relevant to the care of the older person and associated illnesses are also accessed. Training records accurately recorded these details. Staff recruitment and selection follows the correct procedures and all staff are employed following a POVA (Protection of Vulnerable Adults) check, 2 written references and an induction programme. CRB (Criminal Record Bureau) disclosures are also kept on file. 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 DS0000017257.V261176.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Sunningdale DS0000017257.V261176.R01.S.doc Version 5.0 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 the following standard(s): 2 and 3. (Intermediate care is not provided at Sunningdale – Standard 6) Residents and/or their representative receive contracts stating terms and conditions of the home. The manager assesses all care needs prior to and during the early stages of admission to the home. This ensures resident care needs can be met. EVIDENCE: Three residents contracts were viewed and these had been signed and dated by the resident and/or the representative and the manager. The contracts had a full breakdown of the fee structure. Individual records are kept for each resident and the manager completes the assessment documentation prior to admission. Inspection of admission documents confirmed the good standard of information had been recorded regarding general health, mobility, risk of falls, nutrition, dependency assessment for psychological care and details of social contact. The assessment are then used to form the basis for the plan of care. A relative Sunningdale DS0000017257.V261176.R01.S.doc Version 5.0 Page 9 whose family member has recently been admitted stated how pleased he was with the arrangements in the home and the good level of support given by staff. Sunningdale DS0000017257.V261176.R01.S.doc Version 5.0 Page 10 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 the following standard(s): 7,8, and 9 The health, personal and social care needs of residents are understood and set out in an individual plan of care. Medicines were administered according to the home’s policy and procedure for safe administration. EVIDENCE: All residents in the home have a plan of care. The care plans examined were structured, clearly written and gave instructions to staff on how to meet individual care needs. Residents and/or their relative are fully involved with the care plan process and information was recorded for key areas, for example, skin, nutrition, personal hygiene, pressure area care, mobility and social background. Care plans viewed had been reviewed monthly by the registered nurses to ensure the information recorded was up to date. Supporting care documentation included risk assessments for manual handling, falls, hazards, the provision of bed rails and nutrition. Residents are weighed regularly. Sunningdale DS0000017257.V261176.R01.S.doc Version 5.0 Page 11 Residents are able to see their own GP at any time and care records seen evidenced a good record of visits to the home by health professionals and hospital appointments made by staff. A record is also maintained of interviews, which are held regularly with relatives regarding the care provision for their family member. One file viewed evidenced wound care management and the progress of the current treatment A resident who recently required a great level of assistance with personal care stated, “The staff have just been excellent, I cannot praise them enough”. Experienced care staff take on a senior role and all members were seen working as an effective and caring team. Residents interviewed expressed their satisfaction with the good standard of nursing care. A number of medicine sheets were viewed and these evidenced staff signature following administration of medicines. Residents are able to self medicate if they so wish and a disclaimer form had been signed by a resident for this practice. The home has a medicine trolley which is kept locked to an inside wall when not in use. The administration of Temezepam evidenced two staff signatures and medicines are now being disposed of according to the most recent guidelines given to care homes. Sunningdale DS0000017257.V261176.R01.S.doc Version 5.0 Page 12 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 the following standard(s): 12,13,14 and 15 There was a friendly relaxed atmosphere and residents were enjoying the company of staff and visitors. The daily routine is based around the residents’ wishes, they receive nutritious meals and are able to take part in social activities. EVIDENCE: Visitors were seen popping in at various times of the day and staff were observed chatting with residents in the lounge and their private rooms. A relative reported, “The staff very polite and nothing is too trouble for them”. Residents interviewed were very positive regarding their life at Sunningdale and a resident said, “You could not live anywhere better”. Staff discussed the daily routine and how it is based on how residents wish to spend the day. A resident reported, “The staff don’t mind what time I get up and are always on hand to help”. Contact with the community is encouraged and a number of residents go out from the home for shopping or visits to their family. A number of bedrooms seen had personal items such as ornaments, photographs and pieces of furniture. The bedrooms were comfortable and cosy. A resident stated, “My room has all my bits and pieces in it”. The activities organiser is a member of the care staff and during the inspection residents enjoyed a game of bingo in the conservatory. The activities organiser Sunningdale DS0000017257.V261176.R01.S.doc Version 5.0 Page 13 has completed a course to assist with arranging events and she is introducing interesting and stimulating hobbies. A lunch is planned at a local pub in December and a date has been set for the Christmas party. Staff complete a social profile for each resident and this is updated to reflect their preferred interests. The home also has a mobile shop, which sells sweet and toiletries. Some residents prefer to spend time in their own room and this wish is respected. Resident and relatives meetings are now being held and these are proving to be popular. The home publishes a newsletter for the residents and staff. This includes forthcoming events in the home, training details for staff and their achievements. Residents and relatives interviewed were complimentary regarding the very good standard of ‘home’ cooking that the cook provides. The menu is based over 4 weeks and this includes home made soups and pastries, which are a favourite. A resident reported, “The food is always good and tasty”. The cook prepares a good choice of hot and cold foods and the menu for the day was displayed in the main hall. Lunch was served in the dining room and conservatory and staff were observed to have sufficient time to assist the residents. A number of residents prefer to have their meals in their own room and this wish is respected. An up to date list was seen of residents’ dietary preferences and special diets. A small kithen is available on the top floor to enable a resident to prepare her own meals which she has requested. Sunningdale DS0000017257.V261176.R01.S.doc Version 5.0 Page 14 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 the following standard(s): 16 and 18 A clear and accessible complaint procedure is in place and residents were confident that their concerns would be listened to and acted upon. The home has a vulnerable adults procedure to ensure a proper response to any suspicion or allegation of abuse. EVIDENCE: The home has a complaint procedure, which is made available to residents and relatives. There have been no complaint received following the last inspection and an incident that had been logged had been dealt with to the satisfaction of all parties involved. Residents interviewed were very pleased with the home and raised no concerns. The home has an abuse policy and Sefton’s local guide/procedure. All staff receive abuse awareness training and are provided with a booklet for training purposes. A member of staff interviewed was aware of the procedure to be followed. Sunningdale DS0000017257.V261176.R01.S.doc Version 5.0 Page 15 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 the following standard(s): 19 and 26 Sunningdale presents as a pleasantly decorated, clean and well maintained home. This ensures residents live in a safe environment that meets their needs and also contributes to their quality of life. EVIDENCE: The home offers comfortable ‘homely’ accommodation and all areas are subject to an ongoing programme of decoration and general maintenance. The pillar in Room 41 has been painted since the last inspection and this room is also next for redecoration. The home was tidy and clean and residents interviewed confirmed that the housekeeping team were very good. Colour schemes are pleasant throughout and a relative stated, that amongst other factors, the very good standard of the environment had played an important part when choosing a suitable home. A number of new carpets have been laid. The exterior of the home and the fire escape have recently been repainted. The gardens are attractively landscaped and there is wheelchair access to the side. Sunningdale DS0000017257.V261176.R01.S.doc Version 5.0 Page 16 Emergency lighting is provided throughout and subject to regular testing. Satisfactory records were viewed. Staff have access to plenty of protective clothing and hand-washing facilities are in place. Staff confirmed their awareness of the need for hygiene standards to be maintained to avoid any cross infection. Sunningdale DS0000017257.V261176.R01.S.doc Version 5.0 Page 17 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 A sufficient number of experienced, trained and skilled staff are employed to care for the residents. Recruitment procedures are robust to help safeguard and protect the people living in the home. EVIDENCE: A qualified member of staff is on duty twenty fours a day and inspection of the staffing rota and direct observation confirmed that sufficient staff were present to care for the residents. During the morning there was a registered nurse in charge with six care staff, a laundry assistant, cook, kitchen assistant, administrator and maintenance man. The manager was supernumerary. A registered nurse and two members of care staff are on duty for the night shift. Additional staff are employed to meet the varying needs of the residents. A staff vacancy exists for a weekend cook and this position is being advertised. Staff meetings are held and minutes taken. Residents, visitors and a relative were complimentary regarding the staff. Comments included, “Excellent team”, “Could not want for better”, “Very kind, caring and so cheerful”, “Know exactly what they are doing”, “Just wonderful” and “Professional”. Staff were observed assisting residents with various aspects of personal care, their approach was quiet, sensitive and very kind. Staff have access to NVQs and the home has achieved over 50 of qualified staff. The home has a good training programme and courses are arranged regularly. Staff interviewed spoke positively regarding the training programme. A training matrix reflects this information and a number of certificates were Sunningdale DS0000017257.V261176.R01.S.doc Version 5.0 Page 18 seen in staff files. Training in safe working practice areas is offered and this includes manual handling, first aid, infection control and food hygiene. Staff have also attended The Vigil (Care of the Dying) at the Hospice and have received training dementia care and continence and medication management. Two staff files of new employees were viewed. The information provided confirmed that recruitment and selection procedures are robust. A POVA First, check and 2 written references are received prior to employment and CRB disclosures had also been obtained. A full induction programme is in place for all new staff. Sunningdale DS0000017257.V261176.R01.S.doc Version 5.0 Page 19 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35 and 38 Mrs Williams’s management of the home is ‘open’ and she leads by direction and leadership to provide a quality service. EVIDENCE: Mrs Williams was appointed as the manager in May 2003 and has completed NVQ Level 4 in Management. Mrs Williams attends safe working practice training with her staff and has recently completed the mentorship course for student nurse placements at the home. Two student nurses were working with the registered nurse at the time of the inspection. Mrs Williams leads by direction and staff were complimentary regarding her fair, ‘open’ and kind approach. It was evident that good lines of communication exists exist all round and staff feel supported in their role. Mrs Gay Clark is the home’s administrator. She has many years experience working in care and works closely with Mrs Williams to assist with day to management, recruitment and training for staff. Both ladies work very well Sunningdale DS0000017257.V261176.R01.S.doc Version 5.0 Page 20 together to provide a quality service and excellent support to the staff. Mrs Clark and Mrs Williams are attending a course on Harassment and Bullying in the work place. Residents and relatives are consulted on day-to-day issues and also are provided with a questionnaire to complete regarding the overall service provided. Comments seen were favourable and management act upon any points raised. The home has external quality awards and as previously stated resident and relatives meetings are now being held. Staff questionnaires have also been distributed and positive feedback received. The home does not handle any personal allowances however financial records kept on behalf of residents evidenced expenditures and invoices. Two staff signatures were evident for financial transactions. Fire prevention equipment is subject to a regular check in house and also by the home’s engineer. Fire alarms are tested weekly and staff receive regular fire awareness training. This was last given on 31/10/05. Accidents to residents and staff had been recorded and the records are audited monthly. Sunningdale DS0000017257.V261176.R01.S.doc Version 5.0 Page 21 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 X X 3 Sunningdale DS0000017257.V261176.R01.S.doc Version 5.0 Page 22 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP7 Good Practice Recommendations When conducting reviews with the resident and or relative regarding the plan of care, any changes made should be signed by them to ensure the records are kept accurate and up to date. Painting of scuffed skirting boards and door frames, replacement of the top floor landing carpet and decoration of Room 31 should be included in this years maintenance plan 2. OP19 Sunningdale DS0000017257.V261176.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 DS0000017257.V261176.R01.S.doc Version 5.0 Page 24 - 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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