Inspection on 18/05/07 for Sunny Bank (P.R.S.) Ltd

This inspection was carried out on 18th May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Sunny Bank (P.R.S.) Ltd 31/01/06

Sunny Bank (P.R.S.) Ltd 19/08/05

Sunny Bank (P.R.S.) Ltd 25/11/04

Sunny Bank (P.R.S.) Ltd 08/06/04

Sunny Bank (P.R.S.) Ltd 11/03/04

Similar services:

Ashwood Court Unit 1

Thornton Lodge

Alfred House Residential Care Home

Barkerhouse Road (123)

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

CARE HOME ADULTS 18-65 Sunny Bank (P.R.S.) Ltd Sunny Bower Street Tottington Bury Lancs BL8 3HL Lead Inspector Sarah Tomlinson Unannounced Inspection 18th May 2007 09:30 Sunny Bank (P.R.S.) Ltd DS0000008457.V320012.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Sunny Bank (P.R.S.) Ltd DS0000008457.V320012.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Sunny Bank (P.R.S.) Ltd DS0000008457.V320012.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sunny Bank (P.R.S.) Ltd Address Sunny Bower Street Tottington Bury Lancs BL8 3HL 01204 883621 01204 888947 sunnybankprs@btconnect.com 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) Sunny Bank (P.R.S) Limited Mrs Laraine Margaret Villiers-Colbran Care Home 21 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (21) of places Sunny Bank (P.R.S.) Ltd DS0000008457.V320012.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home is registered for a maximum of 21 service users to include: Up to 21 service users in the category of MD (Mental disorder under 65 years of age, excluding learning disability or dementia). The service should employ a suitably qualified and experienced Manager, who is registered with the Commission for Social Care Inspection. 31st January 2006 Date of last inspection Brief Description of the Service: Sunny Bank is a privately owned care home, providing medium to long-term support for up to 21 people with mental health needs. An active rehabilitation approach is taken, with each resident supported to maintain and develop personal and practical life skills. Up to 2 day care places are also provided. The home is on an un-adopted road, in a semi-rural location. It is similar to other properties nearby and is not distinguishable as a care home. It is a large, converted, detached property over three floors, with an extension to the rear. All bedrooms are singles, with 3 on the ground floor, 13 on the first floor and 5 on the second floor (including 1 en-suite). There are 7 bathrooms. There is a mature, terraced garden to the front and private parking. The home is near to Tottington village centre and close to bus routes. Although a manager is employed, the two owners (who are a qualified mental health nurse and a qualified occupational therapist) also work in the home on daily basis. Two satellite houses are also owned and managed by the home (with a third house just being completed). Their tenants previously lived at Sunny Bank and continue to receive a low level of support from its staff team. These properties are not regulated by CSCI. Sunny Bank (P.R.S.) Ltd DS0000008457.V320012.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The visit, which the home was not told about beforehand, lasted 8 hours. During this time we watched what was going on and talked with 6 residents, the owners, the manager, 2 carers and the chef. We also looked at some communal rooms, 4 bedrooms and at some of the home’s paperwork. We had also sent out feedback survey forms. Seven relatives, 10 residents and 8 community workers (doctors, social workers and nurses) returned them. Their views are also included in this report. What the service does well: What has improved since the last inspection? What they could do better: (No requirements or recommendations were made). Sunny Bank (P.R.S.) Ltd DS0000008457.V320012.R01.S.doc Version 5.2 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Sunny Bank (P.R.S.) Ltd DS0000008457.V320012.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Sunny Bank (P.R.S.) Ltd DS0000008457.V320012.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 & 5 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. An excellent assessment process ensured referrals were given very careful consideration; prospective residents were given considerable time to make an informed decision about moving in; and staff received comprehensive information about their goals and support needs. EVIDENCE: Good practice was noted, as the home continued to undertake a very thorough assessment of all suitable referrals. This included significant effort from the home to secure all pertinent background information from the referring agency and considerable time provided for the prospective resident to ‘test drive’ the home and for staff to assess their suitability. The length of the assessment varied and was dependant upon the needs of the prospective resident (from a minimum of 6 visits to a 12 week introductory programme). We looked at the file of a person who just had completed the home’s assessment process and was about to move in. After receipt of their initial referral information, Sunny Bank had met them in their present accommodation before a series of visits to the home had then begun. These had taken place over a period of 6 weeks, gradually increasing in length from Sunny Bank (P.R.S.) Ltd DS0000008457.V320012.R01.S.doc Version 5.2 Page 9 an initial day visit to overnight stays (e.g. four consecutive nights, during which they had followed their own individual weekly activity programme). Comprehensive and extensive assessment documentation had been completed during this period (including a detailed care and risk management plan). This information, together with that requested and received from the referring agency and the home visits, ensured their goals, needs and risk issues were known and fully explored. Consequently, both the prospective resident and the home had been able to make an informed decision about their suitability (before being offered a place and beginning their three month ‘settling in’ period). The person confirmed they had been given a Service User’s Guide. Good practice was noted, as whilst this was already part of a larger ‘welcome folder’ (containing practical, local information), the home was planning to produce an accompanying leaflet with existing residents. This was going to include their personal views and reflections of life at Sunny Bank (e.g. life before and after; a “typical day”; what to expect from the assessment process), plus residents’ artwork and photographs of the home. We looked at fee information provided to residents. This was clear and personalised and met the amended Regulation 5, 5A, 5B of the Care Homes Regulations 2001 (which came into force in September and October 2006). Good practice was noted, as from observing staff and residents together, looking at care records and from talking with residents and staff, we found that residents’ specialist mental health needs were clearly being met. Sunny Bank (P.R.S.) Ltd DS0000008457.V320012.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Staff worked in positive and enabling ways with residents, ensuring a thorough understanding and agreement was reached about support needs and personal goals. Consequently, residents were kept safe (with the risk of harm reduced or well managed) and treated as responsible individuals. EVIDENCE: We looked at three care files, which all had up to date care plans. Good practice was noted, as these contained an extensive amount of personalised and very detailed information about residents’ goals (both short and long term) and their care needs. Resident involvement was clearly reflected through the formal inclusion of their perception of all goals and needs (plus that of the staff team’s). Sunny Bank (P.R.S.) Ltd DS0000008457.V320012.R01.S.doc Version 5.2 Page 11 Good practice was noted, as residents were encouraged to take positive risks as part of an ordinary, independent lifestyle. Comprehensive risk assessments were in place, with clear, up to date guidance regarding on how to reduce and/or manage risks. Where any restriction was imposed, this was discussed with the resident and care team, and recorded. Further good practice was noted, as a proactive approach was taken with the aim of preventing an escalation of potentially high-risk situations. Visiting community nurses and social workers confirmed that staff had a clear understanding of residents’ needs; stating Sunny Bank provided “excellent standards of care…[with] very full care plans”. Sunny Bank (P.R.S.) Ltd DS0000008457.V320012.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 and 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Through the provision of an excellent and innovative range of educational, occupational and social activities, residents were actively supported to live ordinary and meaningful lives. EVIDENCE: Reflecting the active rehabilitation service provided, a wide range of therapeutic activities and social events was available, both in the home and out in the local community (the majority being fully funded by Sunny Bank). By accessing local colleges, libraries and community and leisure centres, activities currently included desk top publishing, computer courses, a community art project, digital photography, flower arranging and local football matches. Plus there was numerous leisure activities including table tennis, Sunny Bank (P.R.S.) Ltd DS0000008457.V320012.R01.S.doc Version 5.2 Page 13 badminton, toning tables, football, yoga, bowls, bowling, swimming and walking groups. Residents regularly visited the cinema, pubs and restaurants, with the current week’s social events including a resident’s birthday party and birthday lunch out; a lunchtime concert at Manchester Cathedral, the hiring of DVDs; a 1940s weekend at East Lancashire railway and Sunday lunch (curry) out. One resident said trips out were “very enjoyable”. Work opportunities were encouraged, supported and promoted through close links with Bury’s employment and support scheme (BEST). Several residents had part-time jobs (two residents had a job share, several others attended a sheltered workshop). Good practice was noted, as supporting residents outside the home continued to be seen as an integral part of a carer’s role (with staffing levels and rotas providing the time to do so – including at evenings and weekends). Staff also had responsibility to run various weekly therapeutic groups and activities. These were provided on both a personal development basis (e.g. making friendships; coping strategies; citizenship; discussion and social skills groups) and on a leisure basis (e.g. gardening; tai chi, salsa; craft, football and walking groups). An aromatherapist also visited the home, providing aromatherapy and reflexology sessions. We were impressed with how residents were actively involved in the home’s domestic routines, with a range of opportunities to maintain and develop practical life skills. With regard to cleaning, staff and particularly the home’s housekeeper worked directly with residents, sharing the cleaning of communal areas and supporting them to take responsibility for their own rooms. With regard to cooking and food shopping, the new post of catering housekeeper had been created. The catering housekeeper took responsibility for preparing lunch and the main evening meal (previously the responsibility of care staff). The weekly menu was varied and listed attractive, nutritious, well-balanced dishes that catered for different dietary needs, including vegetarian. Good practice was noted, as residents were regularly encouraged to try new and unfamiliar foods (e.g. stuffed tortillas, bagels, stir fry with noodles). Residents spoke very positively about the food (“very good”) and also about the other work the catering housekeeper undertook - good practice was noted, as this included responsibility for running various healthy eating, social cookery and baking groups (with plans for strawberry picking and jam making later in the year). Since being in post, the catering housekeeper had also introduced a range of initiatives, including various daily safety and hygiene checks, staff training, a washing up rota with residents and had received excellent feedback from an environmental health visit. Residents were actively supported to keep in touch with their families and friends. Sunny Bank (P.R.S.) Ltd DS0000008457.V320012.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 and 21 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents’ individual physical and emotional health needs were well met, promoting good health and responsive, person centred care. EVIDENCE: Relationships between staff and residents seemed warm, friendly, caring and respectful. Staff treated residents with courtesy and supported them to make choices. Residents felt staff listened to them and treated them well. One resident said Sunny Bank was a “very good” place to live, another that “it is a good home, I like it”, whilst another resident said staff were “kind, helpful and polite”. Both male and female staff worked at the home. The staff team were very knowledgeable about and very sensitive to each resident’s individual personal support needs. Support provided was flexible and age appropriate, with younger residents being supported and encouraged to access community based services. Files continued to show residents’ physical and mental health Sunny Bank (P.R.S.) Ltd DS0000008457.V320012.R01.S.doc Version 5.2 Page 15 were being closely monitored, with regular health care checks undertaken. These included an annual ‘well-persons’ check with the local surgery’s practice nurse (to monitor weight, blood pressure, cholesterol etc). Good practice was noted, as staff were alert to changes in residents’ health and wellbeing, (signs and symptoms of relapse were recorded for use as a reference point in case of future mental ill health). Prompt and appropriate specialist healthcare advice had been sought when residents had become unwell, particularly for those with more complex health problems. We were impressed with the strong advocacy role the owners provided. They went to exceptional lengths to ensure all of their residents received the proper care they needed (from the community teams) and that changing needs (e.g. for older residents) or a presentation of potentially serious risk issues were acted upon promptly, enabling residents to remain safely and successfully living at Sunny Bank, their home. For example, where inaction from the statutory services or lengthy waiting lists (for aids and equipment) put the resident’s health and welfare at risk, the owners formally requested second opinions; or funded the required equipment themselves (e.g. a pressure relieving mattress). With regard to supporting older residents’ ageing and death, several residents had received appropriate and sensitive support to make funeral plans and wills. Over the past year, several residents had also been supported to deal with family bereavements (including contact with a lay preacher and local churches). Families commented on the “compassionate way” staff had supported residents with their loss. Medicines were delivered on a weekly basis, the majority provided in a monitored dosage system (‘dosette cassettes’), with the remaining medicines that could not be kept in these (e.g. liquids and topical creams) being supplied in traditional containers. Medicines were stored safely, with a clear audit trail of them entering the home, being administered to residents and any that were later returned to the pharmacist. A range of good practice continued residents were actively encouraged and supported to look after their own medication; staff attended both foundation and advanced care of medicines training as standard; current medication records were signed by both the resident’s GP and pharmacist; and the administration of ‘homely remedies’ was well monitored. Sunny Bank (P.R.S.) Ltd DS0000008457.V320012.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Arrangements for protecting residents from abuse or harm and for taking any concerns seriously were in place. EVIDENCE: A clear, detailed formal complaints procedure (displayed in the home and provided to each resident) supported the home’s open culture, where residents were encouraged to express their views (e.g. in regular residents’ meetings). Residents felt staff listened to them, and both them and their families were clear who to talk to if they were unhappy or had any concerns. Good practice was noted, as abuse awareness training was provided to all new starters, with annual updates. Staff understood the importance of listening to residents’ concerns and how to respond to any issues that were raised. With regard to advocacy, a resident had previously been supported to use an independent advocacy service, and the home’s management team was about to attend training on the newly introduced Mental Capacity Act. Small cash balances and valuables were held on some residents’ behalf. Clear records continued to be kept (regarding transactions, agreement to such support and its practical manner). Two cash balances and two valuables record sheets were checked at random and found to be correct. Sunny Bank (P.R.S.) Ltd DS0000008457.V320012.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Sunny Bank provided residents with an attractive, comfortable, safe and homely place to live. EVIDENCE: Sunny Bank was bright, comfortable, homely and welcoming, with a high standard of furnishings, and as noted by a resident, was “decorated to a very high standard”. Fresh flowers were bought each week for the hallway. An ongoing programme of renewal and maintenance maintained this standard, with the conservatory having recently been repainted and about to be fitted with new blinds. We saw four bedrooms. These had been extensively personalised and had a suitable range of furniture and fittings. The inability to lock doors from the inside was discussed. The owners agreed to resolve this immediately, with any Sunny Bank (P.R.S.) Ltd DS0000008457.V320012.R01.S.doc Version 5.2 Page 18 related issues (e.g. negotiating entrance to support a resident with personal care needs or the absence of a lock for one resident as it was likely to cause distress), being documented in care plans and risk assessments. We found the home smelt fresh and was very clean and tidy. Residents confirmed this was usual. The owners were aware of the forthcoming smoke-free legislation (from 1st July 2007), and had sought confirmation regarding the suitability of the home’s existing arrangements (regarding the provision of a separate smoking lounge/dining room). Sunny Bank (P.R.S.) Ltd DS0000008457.V320012.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 and 36 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents benefited from a rigorously recruited, well supported, enthusiastic and knowledgeable staff team. EVIDENCE: Good practice was noted, as the home continued to be staffed by a small, stable team, where there was very little turnover. We looked at the files of two new staff who had started since the last inspection. Application forms, references and proof of identity were in place. Confirmation of POVAFirst checks and CRB disclosures were also seen. We remained impressed with the excellent recruitment practices followed by the home. Written records were kept of the short listing and interview process; prospective staff were encouraged to visit the home before interview; a thorough interview was conducted with both oral and written questions; and a resident joined part of the interview to put questions to the candidate. Sunny Bank (P.R.S.) Ltd DS0000008457.V320012.R01.S.doc Version 5.2 Page 20 New staff continued to receive an excellent induction package, including visits out of the home and both internal and external training, giving them an excellent introduction to the home and (where necessary) mental health care. The owners were aware of the new ‘Common Induction Standards’ (CIS) introduced by Skills for Care and had been incorporating them into the home’s existing induction programme. However, this had not been helpful and we agreed it was more appropriate and beneficial for staff to follow the home’s own induction standards, which far exceeded the CIS, which were minimum expectations. Computerised individual staff training records provided a clear summary of both induction and ongoing training. This was extensive and wide ranging, with mandatory courses (i.e. moving and handling, medication, fire safety, emergency first aid) being supported by service specific courses (e.g. care planning, risk assessment, mental health, suicide and self harm, self esteem, challenging behaviour, aromatherapy, depression). Learning took place through various mediums (e.g. external courses, internal group discussions and training sessions, independent study time, regular re-reading/discussions of policies and procedures), with most of the staff team far exceeding the minimum training time we advised. With regard to NVQ qualifications, good practice was noted, as 99 of staff had NVQ level 2 or 3. In addition to annual appraisals, staff received regular, individual supervision (with notes taken). Further good practice was noted, as regular, formal team meetings were also held. In recognition of the level of training and support staff receive, the home achieved Investors in People status in November 2005. Staffing levels were very good. In addition to the management support provided by the two owners and registered manager, a full time administrator/care co-ordinator was also employed. The new post of ‘catering housekeeper’ was now filled, with very beneficial results (e.g. freeing up care staff who had been previously responsible for cooking) providing on site professional catering knowledge and expertise. In view of the forthcoming opening of Acres View, staffing levels were being increased, with the post of senior carer about to go to advert. Sunny Bank (P.R.S.) Ltd DS0000008457.V320012.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 40, 41 and 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents and staff benefited from an excellently managed home. EVIDENCE: The owners, Mr and Mrs Freeman were a qualified mental health nurse and a qualified occupational therapist respectively, and had owned and run Sunny Bank for the past 19 years. They were highly competent, with considerable professional experience and ability. Although a manager was employed (Mrs Laraine Villiers-Colbron - a qualified general nurse, with NVQ level 5 in management and the Registered Managers Award), both Mr and Mrs Freeman worked in the home on a daily basis. Sunny Bank (P.R.S.) Ltd DS0000008457.V320012.R01.S.doc Version 5.2 Page 22 The management team worked very well together, with a clear sense of direction and leadership and an excellent, proactive approach to researching and applying national and local initiatives and legislation. Working practices in the home were based upon good practice, with thought clearly given to supporting and respecting residents in a proactive, enabling manner. The home was run in an open, inclusive way, with staff and resident involvement encouraged and facilitated (e.g. through staff and resident meetings, resident participation in staff interviews). In addition, residents also took part in regular surveys. The home sought residents’ views regarding two areas – how satisfied they were with their care and life at Sunny Bank, and how well they were doing with regard to mental wellbeing and the achievement of their personal goals. The views of residents’ families and visiting professionals (e.g. GPs, social workers, community nurses) were also sought. In recognition of this quality assurance work, Sunny Bank was in the process of attaining the ISO 9001:2000 award (hoping to be gained this year). This is an internationally recognised standard concerning an organisation’s quality assurance management. In response to our survey, families said “Sunny Bank was an excellent home, run by people with high standards who care about each individual”; “the standard of care and professionalism is second to none”; “management and care staff are excellent. Always professional, caring and welcoming. We feel our relative is receiving first class care”. Record keeping and policy development were of a consistently high standard. Records were extremely well maintained, up to date and kept securely, with residents having full access (where appropriate) to their files. Induction training clearly guided staff through the home’s policies and procedures. Good practice was noted, as the relevance and applicability of individual policies and procedures was reinforced and developed through regular refresher training. The home had a consistent record of meeting health and safety requirements, and closely monitoring its own practice. The home confirmed that up to date safety checks had been carried out on all fire safety, gas and electrical equipment. We looked at maintenance records for fire safety equipment, which were up to date (2/1/07) and the current electrical wiring safety test (NICEIC (15/12/05), retest in 3 years (due 12/08)). Sunny Bank (P.R.S.) Ltd DS0000008457.V320012.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 4 2 4 3 4 4 4 5 4 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 4 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 4 33 4 34 4 35 4 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 4 12 4 13 4 14 4 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 4 4 4 4 4 4 4 4 X Sunny Bank (P.R.S.) Ltd DS0000008457.V320012.R01.S.doc Version 5.2 Page 24 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. Refer to Standard Good Practice Recommendations Sunny Bank (P.R.S.) Ltd DS0000008457.V320012.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Sunny Bank (P.R.S.) Ltd DS0000008457.V320012.R01.S.doc Version 5.2 Page 26 - 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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