Inspection on 21/02/06 for Sunny Fields

This inspection was carried out on 21st February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Sunny Fields 30/01/07

Sunny Fields 02/08/05

Sunny Fields 16/12/04

Sunny Fields 22/07/04

Sunny Fields 24/01/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Sunny Fields 241 Queenborough Road Halfway Sheerness Kent ME12 3EW Lead Inspector Graham Cummings Announced Inspection 21st February 2006 09:30 Sunny Fields DS0000042841.V274389.R01.S.doc Version 5.1 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 Fields DS0000042841.V274389.R01.S.doc Version 5.1 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 Fields DS0000042841.V274389.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Sunny Fields Address 241 Queenborough Road Halfway Sheerness Kent ME12 3EW 01795 661064 01795 661064 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) Forward Care (Residential) Ltd Mr Brian John Lawrence Welsh Gary Greening Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Sunny Fields DS0000042841.V274389.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd August 2005 Brief Description of the Service: Sunnyfields is a small Home for 4 people with a learning disability who need a lot of staff attention. Service users are cared for on an individual basis and each has varied choice of daily activities that they can enjoy. The home had a friendly and welcoming feel and is well maintained, as are the gardens to the rear of the Home. A hen house has been built at the far end of the garden and service uses enjoy feeding the chickens. The Home is situated on the Isle of Sheppey, near Queensborough and Sheerness. There is off road parking available at the front of the Home and there is a main bus route running past the Home. Sunny Fields DS0000042841.V274389.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The announced inspection was carried out on the 21st February 2006. The Inspector spoke with the Acting House Manager, Registered Manager and viewed the home and documents the Inspector received 3 Relative/Visitors and 4 Service User comment cards. There were no Requirements from the last inspection and the 3 Recommendations made were acted upon and have been or are being implemented. The Inspector went through the inspection process and spent some time going through a recent anonymous complaint, the home acted quickly and appropriately in following their complaints procedures. The Inspector was told that following the outcome of the complaint investigation the staff team appeared settled and there was little adverse effect on staff morale. The present Registered Manager/Provider is looking to employ a full time Registered Manager in the home. The Care plans are well written and informative but need to be evaluated. Staff have attended numerous training courses since the last inspection including, Care Home Medication, Adult Protection, Visual Awareness and Challenging Behaviour. The home has purchased a new carpet in the lounge, flooring in the entrance area, bedding and office equipment. The home has employed a new staff member and the information set out in Schedule 2 was in place. A member of staff told the Inspector that ‘it’s a pleasure to come into work’. The Inspector left the home with no concerns for the health, safety or welfare of the Service Users. What the service does well: What has improved since the last inspection? The home has had a new carpet and table in the lounge, entrance hall flooring, bedding and a new photocopier. The Unannounced inspection carried out on the 2nd August 2005 had 3 Recommendations and all of them have been or are in the process of being addressed. The Inspector looked at Service User files and saw that Terms and Conditions were in place and that the Adult Protection procedures had been updated to reflect the Local Authorities protocols that were published in mid 2005. The Company management are now looking to Sunny Fields DS0000042841.V274389.R01.S.doc Version 5.1 Page 6 find a Registered Manager for the home following the transfer of the House Manager. 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 Fields DS0000042841.V274389.R01.S.doc Version 5.1 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 Fields DS0000042841.V274389.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,5 Service users have the information required to make an informed choice. Service Users individual needs are assessed. Service Users have a written Statement of Terms and Conditions. EVIDENCE: The home has a detailed Statement of Purpose that has the information required in Schedule 1 of the Care Home Regulations 2001. The Inspector was informed that no placements had taken place since the last inspection, however, if a vacancy arose the home would follow their procedures that included an assessment of needs being carried out prior to any placement being agreed. The Inspector looked at a Service User file and saw a Statement of Terms and Conditions. Sunny Fields DS0000042841.V274389.R01.S.doc Version 5.1 Page 9 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 the following standard(s): 6,7,8, Service Users needs are assessed but need evaluating. Wherever possible Service Users are consulted on and make decisions about their lives. EVIDENCE: The Inspector looked at individual care plans and found that they contained good information setting out the care required and risk assessments, however they were in need of being updated. Service Users wherever possible were involved in the day to day running of the home and in their choice of clothes, food and activities. The home has a close working relationships with families and care managers who are fully involved in the individuals lifestyle. The staff go out with the Service Users and look to find venues that are new and widen their experiences in the community setting. Sunny Fields DS0000042841.V274389.R01.S.doc Version 5.1 Page 10 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 the following standard(s): 11,12,13,14,15,17 Service Users have opportunities for personal development. Service Users take part in age appropriate activities. Service Users are part of the local community. Service Users participate in appropriate leisure activities. Service Users have appropriate family support and contact. Service Users are offered and healthy and nutritious diet. EVIDENCE: The Service Users have opportunities for self development through the encouragement of the staff and the activities they participate, this includes learning how to use the different remote controls for the TV or CD player, making drinks within the home and day to day domestic chores. Service Users walk daily to the small shop to purchase different items and they have drinks and meals out at different cafes and fast food restaurants, they also go to parks, feed the ducks, have picnics and go horse riding. All of the Service Users have contact with their families through visits to the home and/or going to their family home. The Inspector noted that staff were using the name of the Service Users when speaking to them. The menu seen covered a three week period and appeared to provide a healthy and nutritious diet. Staff on Sunny Fields DS0000042841.V274389.R01.S.doc Version 5.1 Page 11 duty prepare and cook the meals and the Service Users are encouraged to participate and help in the process. Sunny Fields DS0000042841.V274389.R01.S.doc Version 5.1 Page 12 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 the following standard(s): 18,19,20 Service Users receive personal support in the way they prefer. Service Users physical and emotional health needs are met. Service Users do not selfadminister medication. EVIDENCE: Service Users personal support is set out in the care plan which has been agreed at reviews with family and care managers, these are in need of being evaluated, all of the Service Users are registered with local Doctors and Dentist, due to the severe Learning Disabilities the Doctor usually visits Service Users at the house. Service Users do not self-administer medication, only the Senior staff on duty give medication which is delivered by Boots Chemists in Blister packs. Sunny Fields DS0000042841.V274389.R01.S.doc Version 5.1 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 the following standard(s): 22,23 Service Users views are listened to and acted on. Service users are protected from abuse. EVIDENCE: Service Users are encouraged to have a say in the daily running of the home wherever possible, this includes options and choices on trips out, food and clothing. The Inspector had received an anonymous complaint since the last inspection and in the initial discussion with the Registered Manager it became apparent that another incident had occurred within the home that had not been reported to CSCI, the Manager was requested to confirm in writing any incident that occurs involving a Service user ‘which adversely affects the well being or safety of any of the Service User’ as set out in Regulation 37 of the Care Home Regulations 2001. Both Incidence had been dealt with effectively and appropriately and the home protected and safeguarded the Service Users. Sunny Fields DS0000042841.V274389.R01.S.doc Version 5.1 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 the following standard(s): 24,25,26,27,28,29,30 Service Users live in a homely, comfortable and safe environment, their bedrooms suit their lifestyle and promote their independence. Service Users have enough bathrooms and toilets to ensure their privacy. The home has ample communal areas that complements Service Users individual space. Service Users have access to specialist equipment if it is required. The home is clean and hygienic. EVIDENCE: The home is clean and tidy and free from any offensive odour. On arrival the Inspector noted that the lounge area was being hovered. The home is well furnished and new carpet has been laid in the lounge. New wooden flooring has been laid in the entrance area but this is to be replaced by the supplying company as it has started to lift. Service Users bedrooms are of a good size and furnished with personal belongings where appropriate, two of the bedrooms have en-suite facilities and there is a communal bathroom and toilet. The home does have access to a wheelchair but this is not used at present. The home has also purchased a new table for the lounge and a photocopier in the office. Sunny Fields DS0000042841.V274389.R01.S.doc Version 5.1 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36 Service Users benefit from the clarity of staff roles. Staff are appropriately trained and Service Users benefit from an effective and well supported staff team. Service Users are protected by the homes recruitment practices. EVIDENCE: The Inspector looked at a staff file and it contained all of the information set out in Schedule 2 of the Care Home Regulations 2001. Staff have had the opportunity to attend lots of training and in the last year this has included courses on First Aid, Adult Protection, Visual Awareness, Challenging Behaviour, Care Home Medication and Non Aversive Psychological and Physical Intervention. Individual supervision of staff is carried out although the last supervisions due on the 9th of February had not been carried out due to the anonymous complaint, Team meetings are carried out on a regular basis. The staff have a communications book, shift handover meetings and a diary of events and jobs that need to be completed. The Inspector spoke to a member of staff who told the Inspector that ‘it was a pleasure to come to work’ there appeared to be a good sense of humour and team work between the staff on duty. The present staffing structure consists of a Registered Manager, Acting House Manager, 3 Senior support workers and 2 support workers. Since the anonymous complaint the Registered Manager visits the home almost daily as well as contact by telephone. The company are looking to employ a Registered Manager for Sunny Fields as opposed to a House Manager and also in Sunny Fields DS0000042841.V274389.R01.S.doc Version 5.1 Page 16 consultation with the staff team to change the rota and increase the staff team to reduce the number of hours staff work at present. Sunny Fields DS0000042841.V274389.R01.S.doc Version 5.1 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,40,42,43 Service Users benefit from a well run home. Service Users benefit from good leadership and management. The families of Service Users are fully involved in their development on their behalf. Service Users are safeguarded by the homes policies and procedures. The health safety and welfare of Service Users are promoted and protected. Service Users benefit from good management of the service. EVIDENCE: During discussions with the Acting House Manager the Inspector was told that the home was well managed and that the support received from the Registered Manager had been excellent during and following the recent complaint. Due to the disabilities of the Service Users they are only able to have minimal input into reviews and the running of the home, they are involved wherever possible and their families are fully involved. The policies and procedures were reviewed in February 2005. The home is run to benefit Service Users, one staff said that the home ‘puts Service Users first’ . The Inspector had no concerns regarding the Service Users health, safety and welfare and that the home was run by a competent Registered Manager who was supportive and listened to staff Sunny Fields DS0000042841.V274389.R01.S.doc Version 5.1 Page 18 comments and suggestions for improvement. The Company are looking to employ a Registered Manager as soon as possible following the transfer of the House Manager to another home within the company. The Registered Manager and the company acted decisively and professionally in dealing with both the issues that have occurred since the last inspection in August 2005 but do need to remember to inform the Inspection office in writing under Regulation 37. Sunny Fields DS0000042841.V274389.R01.S.doc Version 5.1 Page 19 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 3 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 X X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 3 3 3 X 3 3 Sunny Fields DS0000042841.V274389.R01.S.doc Version 5.1 Page 20 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. 1. Standard YA6 Regulation 15(2)(b) Requirement The Registered Manager shall ensure that all Service Users care plans are evaluated at least every 6 months. The Registered Manager shall give notice to the Commission without delay of the occurrence of – (e) any event in the care home which adversely affects the well being or safety of any Service User; Timescale for action 01/07/06 2. YA23 37(1)(e) 01/05/06 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 36 Good Practice Recommendations That all staff receive Supervision at least 6 times per year. Sunny Fields DS0000042841.V274389.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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 Fields DS0000042841.V274389.R01.S.doc Version 5.1 Page 22 - 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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