Inspection on 29/03/07 for Sunnybrook

This inspection was carried out on 29th March 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Sunnybrook 17/12/09

Sunnybrook 05/02/09

Sunnybrook 07/03/08

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 Sunny Brook 88 Lyndhurst Road Ashurst Southampton Hampshire SO40 7BE Lead Inspector Geoff Senior Unannounced Inspection 29th March 2007 09:00 Sunny Brook DS0000068312.V332205.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 Brook DS0000068312.V332205.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 Brook DS0000068312.V332205.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sunny Brook Address 88 Lyndhurst Road Ashurst Southampton Hampshire SO40 7BE 01306 885354 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) Corich Community Care Limited Steven Napper Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Sunny Brook DS0000068312.V332205.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection This was the first post registration visit. Brief Description of the Service: Sunny Brook is registered as a Care Home for up to 9 adults with a learning disability. Corich Community Care Limited is the Registered Provider and Mr. S. Napper is the registered manager. The Home provides care and accommodation for adults with a learning disability, some of whom may present challenging behaviours. The service is offered within a regime and environment that respects individuality and aims to promote the development of service users’ potential and self-esteem. Service users are supported by a committed and well-informed staff group. The home is a detached two-storey house situated in its own grounds but close to local shops and services. All service users are accommodated in single rooms with en-suite facilities. The enclosed accessible garden has a recently installed summer house that will provide an activities area and sensory room for service users. The reported fee structure is £1800 -£3665 per week. Sunny Brook DS0000068312.V332205.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of Sunny Brook included an unannounced visit to the home that was undertaken on 29/3/07. Time was spent talking with the Organisation’s Clinical Manager, the assistant manager and with staff on duty. The opportunity to discuss with the service users, their experiences and opinions of the home was limited by their involvement in activities and their inclination and ability to communicate or not. Observations indicated that they were settled in the home, were comfortable in the company of staff and had plenty to do. Throughout the visit, the staff’s attention to the service users’ needs, their patient, friendly and respectful manner and their treatment of each service user as an individual were observed and noted. The premises were viewed and a range of records was inspected. The comments of visiting family members in conversations during the site visit were generally supportive of the service offered. The comments include: ‘The home listens to what we (parents) have to say.’ ‘Very happy with the placement and our son’s progress .” “Positive staff attitude to service users and families.” “There are some outstanding carers at the home” Family were invited to suggest any changes or improvements. None were suggested. Not all NMS were inspected at this visit. Unless noted, only the core standards were inspected in each outcome group. What the service does well: There is a well thought out range of activities available based on the individual needs of the service users. These include activities at home, trips out and attendance at the Corich education and social facilities in West Sussex. The staff work positively with the service users helping them to communicate their needs, develop skills and confidence and maintain their independence. Service users views and opinions are sought and considered wherever possible Sunny Brook DS0000068312.V332205.R01.S.doc Version 5.2 Page 6 The home aims to be inclusive and enables service users to maintain appropriate links with families, friends and significant others 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. The summary of this inspection report can be made available in other formats on request. Sunny Brook DS0000068312.V332205.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 Brook DS0000068312.V332205.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): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users and their representatives may visit the home before admission and are provided with information to help them make a decision about moving in. Assessments are undertaken to ensure that the Home can support the service user’s needs. EVIDENCE: Sunny Brook is a relatively new service, having been registered on 4/10/06. The home is registered to accommodate a maximum of nine service users. There were however, only three in residence at the time of inspection visit. This is due to a decision by the providers to phase the admissions in an effort to ensure that individuals can settle before another is introduced to the group. Staff and visiting parents spoken to during the visit confirmed that prospective service users and their representatives are invited to visit the home prior to admission. They may use the opportunity to meet and spend time with the existing service users and staff, view the accommodation and Sunny Brook DS0000068312.V332205.R01.S.doc Version 5.2 Page 9 find out about the routine and lifestyle they could expect to experience at Sunny Brook. Assessments are undertaken prior to, and subsequent to admission as part of the care planning process. A Director and Senior Manager of the organisation undertake initial assessments. Input is welcomed from the service users and families and from relevant agencies and professionals. Support needs and aspirations are identified and, where possible and achievable, appropriate support is planned. The Home has an admissions policy that is flexible to accommodate the potential service user’s needs and idiosyncrasies. Sunny Brook DS0000068312.V332205.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): 6,7,9. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The care planning system is generally clear and consistent and provides staff with information and guidance when supporting residents. The care plan documentation would benefit from additional ‘person centred’ information and guidelines relating to social, educational and therapeutic goals and aspirations. Risk assessments are undertaken in order that service users can participate in activities with the appropriate level of support and supervision EVIDENCE: The home has developed reasonably well-structured and informative client files. The content and detail provided enables new and existing staff to better understand and effectively support the needs of service users. Daily records Sunny Brook DS0000068312.V332205.R01.S.doc Version 5.2 Page 11 note the completion or otherwise of support tasks identified in care plans and may be easily cross-referenced. The emphasis, in the samples viewed, was however on physical care of the individuals. It was agreed, in discussion with the Organisation’s Clinical Manager, that the care plan documentation would benefit from additional ‘person centred’ information and guidelines relating to social, educational and therapeutic goals and aspirations. Service user family members confirmed that they are invited to contribute to the planning process and feel that their views are positively considered and acted upon. Service users are helped, as far as possible; to make day to day decisions affecting their lives with regard to activities, outings, routines and food choices amongst other things. Risks are viewed positively by the home and assessments are undertaken in order that service users can participate in activities with the appropriate level of support and supervision. Sunny Brook DS0000068312.V332205.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): 12,13,15,16,17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported to participate in a variety of in house and community based activities. The meals in the home offer service users choice, variety and consider any special needs Service users are supported and helped to maintain contact with families and friends. EVIDENCE: One of the Senior Support workers is designated activities co-ordinator and she, along with other staff in the home has worked positively with the service users to establish interests, likes and dislikes and abilities. The service users Sunny Brook DS0000068312.V332205.R01.S.doc Version 5.2 Page 13 have a fairly well established pattern of activity. The Organisation provides facilities in its Day Care and Activity Centre in West Sussex that the service users attend twice a week. This may often entail twice as much time spent travelling as engaged in the activity. There are however plans to provide facilities within the grounds at SunnyBrook. Use is also made of the more local community facilities. Daily record sheets note the nature of the activity and level of participation. Visitors are encouraged and made to feel welcome at the home. Restrictions are placed only in accordance with the wishes of, and convenience to, the Service User. The staff keep in contact with families to update them on progress and changes. The Service User group is generally well established and the staff are aware of food likes, dislikes and preferences. Meals provided are mainly based on these wishes, but also take into account the need for a reasonably balanced diet. Service users weight is monitored. Sunny Brook DS0000068312.V332205.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff endeavour to support the service user in a manner that is dignified and respects the individual’s privacy. Healthcare needs are monitored and addressed. Medication systems are supported by clear procedures and documentation EVIDENCE: All the service users require assistance with aspects of their personal care and hygiene. The management ensures that the staff are instructed and supervised to provide this thoughtfully and sensitively. Service user preferences for the way personal care is provided and support needs that are specific to the individual are documented in the care plans. The healthcare needs of service users are monitored and addressed. The home has developed positive relationships with the local healthcare agencies Sunny Brook DS0000068312.V332205.R01.S.doc Version 5.2 Page 15 that provide support and advice. Specialist staff are consulted as required and the outcome of visits noted in case files. Medication storage and records are adequate for the needs of the home. Medication administration records were clear and up to date. The home has Company procedures in place for dealing with medicines. It was reported that staff that currently administer medication are deemed competent by experience and qualification. Training for other staff in the safe handling of medicines is, according to the training plan, to be undertaken in May. Sunny Brook DS0000068312.V332205.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): 22,23. Quality in this outcome area good. This judgement has been made using available evidence including a visit to this service. Staff receive training in the protection of vulnerable people. There are systems in place for the expression and resolution of concerns or complaints. EVIDENCE: It was reported that protection of vulnerable adults training is offered by the Organisation. Staff spoken to indicated an understanding of issues relating to the protection of vulnerable people. They are aware of their role in ensuring people living in the home are protected from abuse in all its forms and that they are the service users main key to having their views heard. In conversation with family members it was apparent that they had been made aware of the appropriate procedures would happily approach staff and management if they had any concerns or complaints. Sunny Brook DS0000068312.V332205.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): 24,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service provides a homely and comfortable environment in which to live and work. Everyone accommodated in the home has his or her own en-suite bedroom. The premises appear to be generally well decorated, clean and hygienic. EVIDENCE: The décor and furnishings in the communal areas provide a comfortable and welcoming environment. The service users’ own rooms were not viewed at this visit but are reportedly decorated and arranged to reflect their choice, interests, character and personality. Unoccupied rooms were seen to be of a Sunny Brook DS0000068312.V332205.R01.S.doc Version 5.2 Page 18 good size, well decorated and appropriately furnished albeit some are currently used as storage areas. All bedrooms have their own en-suite facility. Externally there is a spacious, mainly enclosed, garden. This is being developed to provide areas to interest and stimulate the service users, such as; raised beds and pots for flower and vegetable planting, a sensory area and, with the construction of a large summerhouse, an alternative area for day care activities and a ‘snoezlen’. Sunny Brook DS0000068312.V332205.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): 32,34,35. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff are encouraged and supported to attend induction and statutory training courses. This needs to be further developed to encompass NVQ and service specific courses. The management indicated a good awareness of the need to ensure adequate checks are made on all potential staff to determine suitability and protect the Service Users. Service users are supported by an enthusiastic and committed staff team. EVIDENCE: Staff were observed interacting with the service users in a friendly and non patronising manner. They were firm and assertive where necessary but not oppressive in their approach. They indicated an understanding of the service Sunny Brook DS0000068312.V332205.R01.S.doc Version 5.2 Page 20 users’ needs and managed behaviours in a patient, calm and proactive manner. There is an induction and training programme in place. The majority of staff are currently attending an induction and foundation course with additional statutory training such as; first aid and food hygiene. The National Minimum Standards recommendation, that at least 50 obtain NVQ level 2 has yet to be addressed. The staff team training programme should reflect the needs of the client group and include service specific courses. The recruitment procedure endeavours to ensure that the safety and well being of vulnerable adults is protected by undertaking background and reference checks on potential employees. Relatives commented on how positive the staff always are and how they often do more than is required or expected of them. Sunny Brook DS0000068312.V332205.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): 37,39,42. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home appears to be well run with an open and inclusive atmosphere. The ethos of the home supports and encourages the development of the service user. The home needs to have available for inspection records that indicate that the health and welfare of service user is promoted and protected EVIDENCE: The Manager was on annual leave at the time of this visit. The assistant manager and a visiting senior manager enabled the visit. Sunny Brook DS0000068312.V332205.R01.S.doc Version 5.2 Page 22 The Registered Manager is currently undertaking NVQ level 4 and the Registered Managers Award Training. He is supported by an assistant manager on site and by the Organisation’s senior managers. It appears from discussion and observation that the Management is approachable and supportive. They operate an open door policy and frequently meet with staff individually and collectively on a formal and informal basis. An open and inclusive atmosphere appears to have been established within the Home. The home is regularly visited by a representative of the organisation and reports submitted in accordance with Regulation 26. There is no formal quality assurance system in place. Parents confirmed in conversation however that they felt fully informed, involved and consulted on any matters that impact upon the experience and quality of life for their sons. The health, safety and welfare of service users, staff and visitors is addressed in induction and training and through written guidance. There was however, no information in the pre inspection questionnaire or maintenance certification available at the home, to indicate that the checks on the electrical and gas installations are satisfactory and up to date or dates of the most recent fire drill. Sunny Brook DS0000068312.V332205.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 x 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 2 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 2 x Sunny Brook DS0000068312.V332205.R01.S.doc Version 5.2 Page 24 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard YA42 YA35 YA6 Good Practice Recommendations The home needs to have available for inspection records that indicate that the health and welfare of service user is promoted and protected The training programme needs to be further developed to encompass NVQ and service specific courses. The care plan documentation would benefit from additional ‘person centred’ information and guidelines relating to social, educational and therapeutic goals and aspirations Sunny Brook DS0000068312.V332205.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Brook DS0000068312.V332205.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. 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