Inspection on 26/02/09 for Sunningdale Nursing Home

This inspection was carried out on 26th February 2009.

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

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 14/03/07

Sunningdale Nursing Home 30/11/05

Sunningdale Nursing Home 08/09/05

Sunningdale Nursing Home 02/12/04

Sunningdale Nursing Home 25/05/04

Similar services:

Abbey The

Snydale Care Home

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Sunningdale Nursing Home Town Street Nr Henley Mount Rawdon Yorkshire LS19 6PU     The quality rating for this care home is:   two star good service 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. Lead inspector: Denise Rouse     Date: 2 6 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Sunningdale Nursing Home Town Street Nr Henley Mount Rawdon Yorkshire LS19 6PU 01132505003 01132504433 sunningdaleoffice@tiscali.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Foxcliff Limited care home 35 Number of places (if applicable): Under 65 Over 65 0 35 dementia old age, not falling within any other category Additional conditions: 35 0 The maximum number of users wo chan be accommodated is: - 35 The registered person may provide the following category of service only: Care Home with nursing - Code N To service users of the following gender - Either Whose primary care needs on admission to the home are within the following categories: Old age not falling within any other category - Code OP Dementia - Code DE Date of last inspection Brief description of the care home Sunningdale Nursing Home is situated in the village of Rawdon and has been established since 1990. It is accessed off the A65 between Leeds and Yeadon. The home is close to the amenities of the village and include a selection of shops, a post office and a public house. There are also a number of churches within easy reach. The home is built on a hillside and access, although level, is sloping. The hillside site does offer extensive views across the valley from many of the bedrooms and from the lounges. The home provides personal care with nursing for service users over 65. Accommodation is mostly in single rooms although there are some double rooms Care Homes for Older People Page 4 of 27 Brief description of the care home available. None of the rooms have en-suite facilities. The weekly fees charged on 26 february 2009 by the home ranged from five hundred and fifty six pounds and twenty one pence to six hundred and ten pounds for a private single room. Information is made available to people in the service user guide and last Inspection report to help people decide if the home would be suitable and could meet their needs. Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The evidence used in this report has includes: A review of the information held on the homes file since its last inspection. Information submitted by the registered provider in the Annual Quality Assurance Assessment, (AQAA). Information received from surveys completed by two people living in the home, from three members of staff and from two health care professionals. An unannounced visit to the home which lasted five hours, undertaken by one Care Homes for Older People Page 6 of 27 inspector. Evidence was gained by direct observation during the site visit. Evidence was also gained by speaking with people living at the home on both units. Speaking with the nurses in charge and with other care staff, the activities co-ordinator, operations manager, estates manager and home manager of this service. Inspection was undertaken of some records, including care profiles, medication administration records, staff files and some of the homes policies and procedures. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations. But only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will take place. What the care home does well: What has improved since the last inspection? What they could do better: People who have fluctuation in their weight should have their weight monitored to make sure that all action is being taken to maintain the persons health and wellbeing. The records should clearly say how often the nutritional supplement should be taken each day,and should correlate with the care plan. Medication which is omitted or refused should be recorded on the medication administration record (MAR) using the code to state the reason why this was not given, so that there is a clear record of medications being taken to maintain peoples health and wellbeing. Information about the Commissions Newcastle address should be included on the complaints information, so that people can contact the Commission directly if they wish Care Homes for Older People Page 8 of 27 to. The outer laundry door should not be left open when staff are not present in the laundry, to make sure that people cannot gain unauthorized access to the home. The inner laundry door should not be obstructed by any item which may prevent it from closing if the fire alarms are activated. 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 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assessed before they are offered a place at the home, to make sure their needs are known and can be met. Evidence: People are assessed before they are offered a place in the home. The assessment is undertaken by the manager who is experienced and competent in assessing peoples needs. Information is gained from care managers,discharging hospitals and the persons relative or representative to make sure all necessary information is gained. Prospective residents are invited to spend some time at the home, before a decision is made about if the home is the right place for them. Information is provided in the statement of purpose,service user guide and homes brochure to help people understand what the home has to offer them.The last inspection report is also made available to people. Care Homes for Older People Page 11 of 27 Evidence: A place is only offered to people if the home assesses that staff can meet the persons needs. People are invited to look around with their relatives and can stay for a trial period, to allow them to experience what it would be like to live in the home. If people are admitted to the home as an emergency the care manager makes sure the home has a care plan and have time to review the information before the person is offered a place in the home. Care Homes for Older People Page 12 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have their care needs met. However there were some small shortfalls which should be addressed to make sure records of care and medication reflect peoples full and current needs. Evidence: People are treated with dignity and respect by the staff. Staff listen to them and acted upon what they say. Staff working in both units were seen to be attentive and patient when helping people who required assistance. Care plans for three people were looked at in detail. This inclded inspecting the medication administration records (MAR). The care plans were personalised and identify how people needed to be helped and supported. Care plan reviews took place regularly and peoples relatives could take part in these if they wished. People are assisted by key workers and named nurses, so that staff get to know the people who are allocated to them, and understand their needs in detail. They can also Care Homes for Older People Page 13 of 27 Evidence: build up a supporting relationship with the persons family, which helps support them. Health care professionals visit the home as required and people are escorted by staff to hospital appointments as necessary. One health care professional said in their survey, to the question What do you feel the care service does well, In the past year I have seen the level of care, communication with professionals, and patient privacy all increase. Specialist equipment is available on both units of the home to make sure peoples individual health needs are being met. One member of staff said in their survey they would like better equipment to help move and handle people. This comment was passed to the home manager who is to look at this issue. Trained staff give people their medications as prescribed. The medication systems in operation in the home are generally robust. However a nutritional suppliment on one persons medication record was recorded as being given once a day when their care plan said it should be given twice a day. This shortfall was addressed at the time of the site visit. Another person on one day had one signiture missing on their MAR chart for one medication. It was not clear if this medication had been given and a signiture had not been recorded, or if the person had refused this medication. The code at the bottom of the MAR should be used to make sure that the reason is recorded why medication may have been ommited. Care Homes for Older People Page 14 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have their social needs met and they receive a nutritious diet. Evidence: All people who were case tracked had social care plans in place and these had details of peoples preferred activities. The activities co-ordinator asks people what they would like to do and undertakes one to one activities such as hand massage as well as group activities. The activities co-ordinator is very creative, trying to stimulate people. She was seen to be helping one lady to write and to help another write poetry, which is to be typed out and put in their monthly newsletter. Raffles are beingheld to raise money for the residents funds.The activities co-ordinator has created a snap game from old calendars for for people to enjoy. Ball games and bingo are also undertaken. Reminiscence also occurs, memory boxes are being created these are just being put togeather with help from peoples families they will include information about peoples life history with photographs, this will help people to reminisce. Care staff have some quality time to spend with people in an afternoon and carry out their key worker duties. Outings occur, there was a trip to Bridlington last summer.The acccess bus is booked every week to take people to the local garden Care Homes for Older People Page 15 of 27 Evidence: center,supermarkets or pubs. Comments received on some surveys received from staff said they would like to see more outings being offered to people. People are encouraged to keep their links with the local community and with their families. Visiting is open and people are made to feel welcome. One person goes to church and attends a local ladies group.Three people went home for Christmas dinner with their families. Entertainers visit the home, Carol singers visited at Christmas and went into peoples bedrooms to sing to them. A Hedgehog sanctuary is visiting shortly. Birthdays, anniversarys and special days such as valentines day are also celebrated. Peoples religious needs are known and are met. Interdenominational service occur in the home once a month and a Roman Catholic Priest holds Holy Communion at the home regularly for people to attend if they wish. Lunch was observed. People who needed assistance were helped by patient staff who assisted people in an unhurried manner. Peoples special diets can be catered for and people are given a choice of what they can have to eat. One person living in the home said in their survey I usually like the meals, the kitchen staff do a first class job. Care Homes for Older People Page 16 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can raise complaints and any issues would be dealt with. People are protected from abuse. Evidence: People spoken with and those who completed a survey said that they knew how to raise issues with the staff or manager. They said they felt any issue raised would be investigated and dealt with appropriately. One person spoken with said If I had a complaint I would speak to the staff and it would be resolved. Staff receive training about how to safeguard people during their induction and at regular intervals thereafter. Staff spoken with knew what to do if an allegation of abuse were to occur, this helps to protect people. Care Homes for Older People Page 17 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a home that is maintained and is pleasant, however access to the home should be secured to make sure that unauthorized access cannot be gained to the laundry. Evidence: There is a small dementia unit on the first floor which has secure door entry systems in place to make sure that people cannot wander out of this unit unattended. It is pleasant and homely. There is signage available to help people to remember which is their bedroom and to help people to find the toilets and bathrooms, this is helpful.There is a lounge and dining area also provided for people to use. There are a variety of living rooms and a dining area provided on the ground floor. A programme of redecoration occurs when bedrooms become available to make sure that they are always pleasant for people to live in. People are encouraged to personalise their bedrooms, which helps them feel at home. One person had a television in their bedroom and this was able to pick up a decent reception. General maintenance is undertaken to make sure that any issues that require attention are quickly dealt with. Bedside lights are checked to make sure that they are working and there are regular weekly fire checks undertaken to make sure that the home is pleasant and safe for people to live. Care Homes for Older People Page 18 of 27 Evidence: There are patio areas and gardens, some areas are accessible to people who use wheelchairs and those who may not be steady on their feet. Garden furniture is available for people to use. The gardens have been improved, however they are mainly situated at the back of the home where the garden is on a slope, people would need to be assisted to use this garden to help keep people safe. There are some fantastic views of the countryside from the some of the first floor windows, which can be appreciated by people living in the home and their visitors. Care Homes for Older People Page 19 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are looked after by adequate numbers of well trained staff. Evidence: Staff are efficient and effective and are attentive to people living on both units.Staffing levels observed on both units were enough to meet peoples needs. Staff spoken with were happy with the staffing levels and felt management helped and supported them in their work. Staff are recruited using a robust method, all necessary pre employment checks are undertaken and staff do not start at the home without the results of these checks being known, this helps to protect people. New staff receive induction training and this helps them to understand what is required of them and gives them the skills they need to be able to give good care. Ongoing training and development is given to all staff. Supervisions and appraisals take place to make sure that staff are practising their skills safely and can raise any training needs they may have. This helps staff to keep their skills up to date. There is a training record kept for each member of staff, as well as a training programme for the year to make sure moving and handling, fire, and infection control training is provided regularly for all the staff. Care Homes for Older People Page 20 of 27 Evidence: Staff are invited to attend meetings where they can give their views, those not able to attend can read the minutes. The management have an open door policy and staff can speak with them at any time to raise any issues, this helps staff to feel valued. Care Homes for Older People Page 21 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a home that is well managed, and peoples views are taken into account and acted upon. Evidence: The home is run by an experienced manager who is supported by a management team together they have the best interests of the people who live on both units of the home at heart. One helath care professional said in their survey The manager is excellent, very responsive to suggestions or concerns, I think the manager runs a very good home .The management team have an open door policy so people can speak with them and raise issues at any time. The quality assurance systems in place make sure that peoples view are gained about the service they receive. Any shortfalls highlighted are looked at and acted upon by the management team. Meetings are held for relatives and residents on both units to find out peoples view of the service they are receiving, and to ask for peoples Care Homes for Older People Page 22 of 27 Evidence: suggestions about how the services provided can be improved. Personal allowance accounts are not available to people living in the home. Peoples relatives look after their financial needs. If people living in the home are not able to undertake this, there are advocates that people can contact to help them with such matters. Health and safety checks are undertaken, fire alarms are activated once a week and hot water temperatures for peoples bedrooms are checked to make sure that people are not at risk of being scalded. Ongoing maintenance of the building is undertaken to make sure that the home is a pleasant place for people to live in. Care Homes for Older People Page 23 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 27 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 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 improving their service. No. Refer to Standard Good Practice Recommendations 1 7 People who have fluctuation in their weight, should be monitored to make sure that all action is being taken to maintain a persons health and wellbeing. Their care plan should reflect acuratly the actions to be taken to monitor the persons weight and state clearly the persons care and nutritional needs. People who are receiving nutritional suppliments should have this signed for on their medication administration record. This record should clearly say how often the nutritional suppliment should be given each day,and should corrolate with the care plan. Medication which is ommited or refused should be recorded on the MAR chart using the code to state the reason why this was not given, so that there is a clear record of medications being taken to maintain peoples health and wellbeing. 2 9 3 16 Information about how the Commission can be contacted at the Newcastle address should be included on the complaints information, so that people can contact the Commission if they wish. Care Homes for Older People Page 25 of 27 4 19 The outer laundry door should not be left open when staff are not present in the laundry, to make sure that people cannot gain unautherised access to the home. The inner laundry door should not be obstructed by any item which may prevent it from closing if the fire alarms were to be activated. Care Homes for Older People Page 26 of 27 Helpline: 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 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). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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