CARE HOME ADULTS 18-65
Sunnycroft 39 Oldnall Road Kidderminster Worcestershire DY10 3HW Lead Inspector
Dianne Thompson Unannounced Inspection 11th January 2006 13:40 Sunnycroft DS0000018487.V276886.R02.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 Sunnycroft DS0000018487.V276886.R02.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. Sunnycroft DS0000018487.V276886.R02.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Sunnycroft Address 39 Oldnall Road Kidderminster Worcestershire DY10 3HW 01562 829000 01562 829001 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) Sunnycroft Homes Limited Mr Peter Sarll Care Home 5 Category(ies) of Past or present alcohol dependence (5), registration, with number Learning disability (5), Mental disorder, of places excluding learning disability or dementia (5), Physical disability (5) Sunnycroft DS0000018487.V276886.R02.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 9th August 2005 Brief Description of the Service: Sunnycroft offers personal care and accommodation for up to five adults. The home is registered to provide a service for the following categories of service users; Past or present alcohol dependence; Learning disability; Mental disorder excluding learning disability; Physical disability. These conditions are most usually associated with an acquired brain injury. The home is situated in a residential area of Kidderminster and is approximately ½ mile from the town centre. The home is an adapted town house and was first opened in 1995. All accommodation is provided in single rooms, without en-suite facilities. There is a garden area at the back of the home which affords privacy to service users. The home is operated by Sunnycroft Homes Limited and managed by two registered managers, Mr Peter Sarll and Mr Neil Maddock. Mr Sarll is the Director of Care. Mr Maddock works full-time in the home and Mr Sarll divides his time between the two homes offering support and guidance. Sunnycroft DS0000018487.V276886.R02.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place on a weekday afternoon. Sunnycroft provides residential accommodation for 5 people in a residential area of Kidderminster. Time spent planning for the inspection included reading previous inspection reports, considering monthly provider reports and reviewing the history of the home. The focus of this inspection was to meet with service users and staff, to follow up on requirements and recommendations that had been made following the previous inspection and to assess key standards that were not covered during the previous inspection this year. The inspector was assisted by the staff on duty and met with a service user who was at home. A partial tour of the home was conducted and a range of documents, policies and procedures were checked. What the service does well: What has improved since the last inspection?
Staff and a service user spoke of the changes to the designated smoking area of the home, to the porch outside the home. One service user now keeps fish in a fish tank, which is thought to be successful in helping with relaxation. Sunnycroft DS0000018487.V276886.R02.S.doc Version 5.1 Page 6 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. Sunnycroft DS0000018487.V276886.R02.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 Sunnycroft DS0000018487.V276886.R02.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): EVIDENCE: These standards were not inspected during this inspection. Sunnycroft DS0000018487.V276886.R02.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): 10 The home maintains appropriate storage of records to ensure that service users confidences are kept. EVIDENCE: Records are mostly stored in the office, which is kept locked. The home uses daily recording files, which are kept in a locked cupboard in the kitchen. It is evident from records seen that information is recorded in an appropriate way with a considered use of language. Sunnycroft DS0000018487.V276886.R02.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): 16, 17 A menu plan and records show that a nutritious and balanced diet is provided which takes into account healthy eating and any dietary needs of services users. EVIDENCE: Menu’s are detailed and provide evidence of a nutritious, well balanced diet. There is a choice available on all the menus, which includes supper, and are planned on a four weekly basis. The menus include a variety of meat and fish dishes with fresh vegetables and salad. It is pleasing to see that service users are encouraged to eat ‘unlimited fresh vegetables’. Service users take their meals at the table in the kitchen/dining room. The kitchen is well organised, clean and hygienic with all foods stored and labelled appropriately. On the day of the inspection, lunch consisted of a choice of sandwiches, with salad and crisps, followed by a choice of yogurt or fruit for dessert. Sunnycroft DS0000018487.V276886.R02.S.doc Version 5.1 Page 11 In working to promote independence, one service user is encouraged and supported to cook their main meal three times each week. This process includes choosing, planning and shopping for the meal, the preparation, cooking and eating the meal. Sunnycroft DS0000018487.V276886.R02.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): 20 Medication is well managed and staff are trained so that service users receive medication safely as prescribed. EVIDENCE: The home has a medication policy and procedure available for staff guidance. Staff on duty at the time of the inspection confirmed they have been suitably trained in the administration and handling of medication. Records are well maintained and all record sheets have been signed when medication administered. Sunnycroft DS0000018487.V276886.R02.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): EVIDENCE: These standards were not assessed during this inspection. Sunnycroft DS0000018487.V276886.R02.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): EVIDENCE: These standards were not assessed during this inspection. Sunnycroft DS0000018487.V276886.R02.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): 32, 35, 36 Sunnycroft is well managed, and service users benefit from a fully staffed and stable staff team. Regular staff training and supervision is provided to develop staff skills and knowledge in order to provide care and support which meets the needs of the service users. EVIDENCE: Both staff on duty at the time of the inspection confirmed that regular staff supervision, six weekly, is provided for all staff. Appraisals are also completed with staff and the home is working to a new appraisal format. The inspector was informed that staff meetings are both well attended and held regularly, the last one taking place the previous evening. There have been two new members of staff joining the staff team since the previous inspection, and staff confirmed the process of their induction to the home. Sunnycroft DS0000018487.V276886.R02.S.doc Version 5.1 Page 16 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): EVIDENCE: These standards were not fully assessed during this inspection. Sunnycroft DS0000018487.V276886.R02.S.doc Version 5.1 Page 17 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 X 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 X 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X 4 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 X X X X X X X X Sunnycroft DS0000018487.V276886.R02.S.doc Version 5.1 Page 18 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 Sunnycroft DS0000018487.V276886.R02.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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