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

This inspection was carried out on 19th August 2005.

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 18/05/07

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

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.) Limited Sunny Bower Street Tottington Bury Lancashire BL8 3HL Lead Inspector Sarah Tomlinson Unannounced 19 August 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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.) Limited F56 F06 S8457 Sunny Bank (P.R.S.) Ltd V236603 190805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Sunny Bank (P.R.S.) Ltd Address Sunny Bower Street Tottington Bury Lancashire BL8 3HL 01204 883621 01204 888947 sunnybankprs@btconnect.com Sunny Bank (P.R.S) Ltd Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Laraine Margaret Villiers-Colbran CRH Care Home 21 Category(ies) of MD Mental Disorder : 21 Places registration, with number of places Sunny Bank (P.R.S.) Limited F56 F06 S8457 Sunny Bank (P.R.S.) Ltd V236603 190805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 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. Date of last inspection 25 November 2004 Brief Description of the Service: Sunny Bank is a care home providing medium to long term support 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. The home is a large, converted, detached house over three floors, with an extension to the rear. All bedrooms are singles (with wash hand basins), with one room also having an ensuite shower. There is a mature, terraced garden to the front and private parking to the front and side. The home is on an unadopted road, in a semi-rural location. It is near to Tottington village centre and close to bus routes and local amenities. Although a manager is employed, the two owners also work in the home on daily basis. (Day care is currently provided to one person (two days a week). Two satellite houses are also managed by the home. These are not regulated by CSCI and do not receive inspection visits. They are occupied by ex-residents who continue to receive a low level of support from the Sunny Bank staff team). Sunny Bank (P.R.S.) Limited F56 F06 S8457 Sunny Bank (P.R.S.) Ltd V236603 190805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over 5 and 3/4 hours. Time was spent talking with residents (5) and staff (manager, administrator, carers (2) and housekeeper), and looking at paperwork. Parts of the building were also seen (including several bedrooms and lounges, and all the bathrooms). What the service does well: 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. Sunny Bank (P.R.S.) Limited F56 F06 S8457 Sunny Bank (P.R.S.) Ltd V236603 190805 Stage 4.doc Version 1.40 Page 6 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 Standards Statutory Requirements Identified During the Inspection Sunny Bank (P.R.S.) Limited F56 F06 S8457 Sunny Bank (P.R.S.) Ltd V236603 190805 Stage 4.doc Version 1.40 Page 7 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 3 and 4 An excellent assessment process ensured that prospective residents were given time to make an informed decision about moving into the home and staff received detailed and comprehensive information about their needs and goals. EVIDENCE: Good practice was noted, as prospective new residents were offered introductory packages that were carefully planned and individually tailored to meet their specific needs - one prospective resident was currently undertaking an extended 12 week programme of trial visits (including over night stays) to help them make a decision about moving in and to also allow staff to assess and confirm their suitability (before moving in and beginning their three month ‘settling in’ period). The introductory period included the completion of the home’s own thorough and extensive assessment documentation. Together with the ‘pre-admission’ assessment information received from referring agencies, this ensured the needs of the prospective resident were known and fully explored (including any risk issues/specialist needs) before they were formally offered a permanent place. From speaking with residents about the care they received; observing staff and residents together; and from speaking with staff about their work and the training they had received, residents’ needs were being fully met. Sunny Bank (P.R.S.) Limited F56 F06 S8457 Sunny Bank (P.R.S.) Ltd V236603 190805 Stage 4.doc Version 1.40 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7 and 9 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 accidents or harm reduced) and treated as responsible individuals. EVIDENCE: Good practice was noted, as there was an extensive amount of personalised and very detailed information about residents’ care needs. This included individual and environmental risk issues, with clear and comprehensive risk management strategies in place between the home and the resident regarding decisions reached to manage or reduce these risks (e.g. contracts were in place regarding the use of alcohol, cigarettes and the use of non-prescribed drugs). Further good practice was noted, as care plans very clearly reflected the full involvement of the resident, with goals (both long and short term), needs and activities written from both the resident’s and the home’s perspectives. These were reviewed on a regular basis. Due to recent staff changes and key worker allocation, residents were uncertain about their current key worker. Sunny Bank (P.R.S.) Limited F56 F06 S8457 Sunny Bank (P.R.S.) Ltd V236603 190805 Stage 4.doc Version 1.40 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 and 14 Residents were actively supported to live ordinary and meaningful lives through the provision of an excellent range of educational, occupational and social activities. EVIDENCE: Reflecting the rehabilitation service provided, a wide range of activities was available, both in and out of the home (with the majority of external activities fully funded by the home). Active links with Bury’s employment and support scheme (BEST) also continued, with a further person from the satellite houses now working in the home (as a catering assistant). In addition to residents attending local colleges and day/community centres, a range of weekly, internal groups and activities were provided. These were provided on both a personal development basis (e.g. life skills; coping strategies; money management and social skills groups) and on a leisure basis (e.g. gardening; drama; digital photography; football and walking groups). Residents also took part in numerous social and leisure activities within the local community. These included frequent attendance at leisure centres and Sunny Bank (P.R.S.) Limited F56 F06 S8457 Sunny Bank (P.R.S.) Ltd V236603 190805 Stage 4.doc Version 1.40 Page 10 gyms, ten-pin bowling, train trips, local football matches, cinemas, local pubs and churches and coffee mornings. Good practice was noted, as staff time was regularly and flexibly provided to accompany residents outside the home. Due to recent staff changes (and subsequent difficulty in booking holidays), several ‘holiday weeks’ had been organised. Consequently, in addition to the extra social events the home usually organised in August, further meals out and coach trips had been arranged. Residents spoke enthusiastically about these. Sunny Bank (P.R.S.) Limited F56 F06 S8457 Sunny Bank (P.R.S.) Ltd V236603 190805 Stage 4.doc Version 1.40 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 and 20 The personal support and health care needs of residents were well met, with good health and independent living skills actively promoted and personal preferences respected. EVIDENCE: Relationships between staff and residents seemed warm, friendly, caring and respectful. Residents said staff were “very good” and that they would rather be at Sunny Bank than anywhere else; “its my home”. Files contained detailed evidence of a comprehensive range of health care checks. These included an annual ‘well-persons’ check with the local surgery’s practice nurse (to monitor weight, blood pressure, cholesterol etc). For those residents with more complex physical health problems, the home had proactively sought advice and support from the relevant healthcare professionals. Further good practice was noted, as both ‘healthy eating’ and exercise groups were held each week. All care staff were responsible for administering medication, with good practice noted as both foundation and advanced care of medicines training was undertaken. Medicines were being stored safely, with a clear record of medicines received into the home and any returned to the pharmacist. Administration records were well kept and contained residents’ photographs. Sunny Bank (P.R.S.) Limited F56 F06 S8457 Sunny Bank (P.R.S.) Ltd V236603 190805 Stage 4.doc Version 1.40 Page 12 Other records included staff signatures and initials, PRN medicines and individual consent to medication sheets. Good practice was noted, as both the resident’s GP and pharmacist signed current medication records. Where these records contained several changes, the home was advised to have them rewritten (to aid clarity). The administration of ‘homely remedies’ was closely monitored, with a small stock kept (as agreed with the home’s pharmacist and GP) and clear administration records. Further good practice was noted, as residents were actively encouraged and supported to look after their own medication, with six residents currently self-medicating. One resident’s storage arrangement was examined. This was safe and secure. As previously agreed with the pharmacist inspector, residents who are responsible for looking after their medication may find it easier to keep medicines safely on their person (e.g. in a trouser pocket) rather than in a locked box in their bedroom. Sunny Bank (P.R.S.) Limited F56 F06 S8457 Sunny Bank (P.R.S.) Ltd V236603 190805 Stage 4.doc Version 1.40 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 23 Policies, procedures and training were in place to safeguard residents from abuse or harm. EVIDENCE: All staff received abuse awareness training, with two carers having attended an additional external training course. In addition to the home’s own policy and procedure, a copy of the local authority’s adult protection procedures was also held. The manager confirmed that all staff had now received CRB disclosures. Four (for existing staff) were seen. The home had a clear system for recording disclosure numbers, date of receipt and date destroyed (after seen at inspection). Residents’ personal possessions were covered to a value of £500.00. Small cash balances were held on some residents’ behalf. These agreements were documented within care plans, with clear transaction records also kept. One balance was checked at random and found to be correct. A thorough and comprehensive system was in place for recording any additional items of value and worth kept on a resident’s behalf (e.g. passport, savings book). One record sheet was checked at random and found to be correct. Sunny Bank (P.R.S.) Limited F56 F06 S8457 Sunny Bank (P.R.S.) Ltd V236603 190805 Stage 4.doc Version 1.40 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 and 30 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 décor and furnishings (which were domestic in style). An ongoing programme of renewal and maintenance was in place, with a range of work carried out since the last inspection – an additional window had been fitted in a bedroom to make it more light and airy; the chimney breast had been altered and decorated in the ‘tv lounge’ to accommodate a new wall-mounted television; two new shower cubicles (with accompanying tile work) had been installed; plus two new leather suites and new lounge curtains. The home was clean and tidy. Laundry facilities were sited in the cellar. Good practice was noted, as although care staff were expected to participate, a housekeeper was employed to take a lead in working with residents to keep both individual bedrooms and communal areas clean. Sunny Bank (P.R.S.) Limited F56 F06 S8457 Sunny Bank (P.R.S.) Ltd V236603 190805 Stage 4.doc Version 1.40 Page 15 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 34, 35 and 36 Clients’ safety and well-being were promoted through rigorous staff recruitment and selection procedures. Staff were well supported and well trained, contributing to them feeling valued and happy at work. This resulted in residents benefiting from an enthusiastic, knowledgeable and motivated staff team. EVIDENCE: Staffing levels were good. In addition to the management support provided by the two owners and registered manager, a full time administrator/care coordinator was also employed. Good practice was noted, as a new post of ‘catering housekeeper’ had been created and was about to go out to advert. The aim is for this person to take a lead role in preparing the main evening meal (which will free up carers to spend more time with residents). They will also carry out some cooking sessions with residents and general ordering and menu planning. There were no other vacancies. Files of three new staff were examined. Application forms, references and proof of identity were in place. Confirmation of POVAFirst and CRB disclosures were seen for each of the new starters. A range of good practice was noted Sunny Bank (P.R.S.) Limited F56 F06 S8457 Sunny Bank (P.R.S.) Ltd V236603 190805 Stage 4.doc Version 1.40 Page 16 with regard to recruitment practices – short listing and interview record notes were kept; candidates were expected to visit the home prior to interview (to gain an understanding of the service provided and to meet with residents); and a candidate had been called back for a second interview where issues had subsequently arose. New staff received an excellent package of induction training, completing both an in-house induction/training package and an extensive range of mandatory and service specific external training (including fire safety; food hygiene; first aid; depression; anger management; moving and handling; care planning/key working; running groups; confusion and dementia). New staff confirmed they had had a comprehensive and “very lengthy induction”, with “no expense spared”. In addition to annual appraisals, staff received regular supervision, with good practice noted, as this was provided more frequently to new staff. Staff said they felt “well supported”, they had a “great staff team” and that Sunny Bank was a “lovely place to work”. The home was hoping to be assessed for Investors in People in October 2005. Sunny Bank (P.R.S.) Limited F56 F06 S8457 Sunny Bank (P.R.S.) Ltd V236603 190805 Stage 4.doc Version 1.40 Page 17 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 41 and 42 Residents and staff benefited from a well organised home, with residents’ rights and interests safeguarded by the home’s record keeping systems. Regular maintenance and fire safety checks were carried out, promoting the health and safety of both residents and staff. EVIDENCE: A comprehensive range of resident and home records were maintained. These were up to date, in good order and held securely. Residents had clear access to their records, with each bedroom having a room file containing a copy of the house rules and complaints procedure, plus copies of the resident’s own care plan, review notes and achievement list. Records showed that checks of fire safety equipment (4/1/05) and the fire alarm (24/5/05) were up to date. An unannounced fire drill was carried out each month, with the fire alarm sounded weekly. Annual fire safety training was provided to staff. A current electrical wiring safety test was in place (NICEIC 18/1/03, retest in 3 years (due 1/06)). Sunny Bank (P.R.S.) Limited F56 F06 S8457 Sunny Bank (P.R.S.) Ltd V236603 190805 Stage 4.doc Version 1.40 Page 18 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 4 4 4 x Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 4 x 4 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 x x x x x 4 Standard No 11 12 13 14 15 16 17 x 4 4 4 x x x Standard No 31 32 33 34 35 36 Score x x 4 4 4 4 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Sunny Bank (P.R.S.) Limited Score 4 4 4 x Standard No 37 38 39 40 41 42 43 Score x x x x 4 3 x F56 F06 S8457 Sunny Bank (P.R.S.) Ltd V236603 190805 Stage 4.doc Version 1.40 Page 19 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement (none made) 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 (none made) Good Practice Recommendations Sunny Bank (P.R.S.) Limited F56 F06 S8457 Sunny Bank (P.R.S.) Ltd V236603 190805 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection Turton Suite, Paragon Business Park Chorley New Road Horwich Bolton BL6 6HG 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 Sunny Bank (P.R.S.) Limited F56 F06 S8457 Sunny Bank (P.R.S.) Ltd V236603 190805 Stage 4.doc Version 1.40 Page 21 - 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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