Inspection on 27/03/07 for Sunnycroft

This inspection was carried out on 27th March 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Sunnycroft 18/12/09

Sunnycroft 11/01/06

Sunnycroft 09/08/05

Sunnycroft 21/01/05

Sunnycroft 08/09/04

Sunnycroft 29/01/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Aston Court Nursing Home

Polesworth Group 70 Long Street

Breme

Ravenhurst

Polesworth Group 64 Long Street

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

CARE HOME ADULTS 18-65 Sunnycroft 39 Oldnall Road Kidderminster Worcestershire DY10 3HW Lead Inspector Dianne Thompson Unannounced Inspection 27 March 2007 10:00 Sunnycroft DS0000018487.V329469.R02.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 Sunnycroft DS0000018487.V329469.R02.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. Sunnycroft DS0000018487.V329469.R02.S.doc Version 5.2 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 Mr Neil Arthur Maddock 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.V329469.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th January 2006 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 Sunnycroft and its sister home offering support and guidance. The current fee for the service ranges from £800 to £2300 per week. Charges which are additional to the fee include: • • • • • • Personal toiletries, clothing and electrical items Activities not covered by the allowance made by the provider or in the funding authority contract Holidays Major extra outings Hairdressing Beauty therapy Sunnycroft DS0000018487.V329469.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection that included an unannounced visit to Sunnycroft. The main purpose of this inspection was to see what the service at Sunnycroft was like for the people who lived there. Service user records were examined, and accumulated information including notifications to the Commission for Social Care Inspection was used to inform this report. Time was spent with three service users, staff on duty, the assistant manager and the provider. What the service does well: Information is available about the services offered at the home to help people choose whether or not to live at Sunnycroft and if the home will meet their needs. Service users are helped and supported to lead active and interesting lives at Sunnycroft. They are also supported to stay in touch with their families and to develop friendships. The home offers a well-balanced diet and promotes healthy eating for the welfare of all service users. Personal and healthcare needs are written in care plans and provide information to make sure that care is provided in a way that service users like. The home has a medication policy and procedure to make sure that all medication is given and stored safely for the protection of service users and staff. The home’s complaints procedure has easy to understand information about how to complain. Staff support service users to have their say and to share any concerns they may have. Sunnycroft is a safe and comfortable home. The home is kept clean, tidy and well decorated. There are enough staff at the home, and the staff are trained to help them support service users. The staff team understand their responsibilities and are committed to their role. They are well supported and work together to provide service users with consistent and good quality care. The home makes sure that suitable staff are employed and that all necessary checks are made to make sure that service users are kept safe. Sunnycroft DS0000018487.V329469.R02.S.doc Version 5.2 Page 6 The home is managed in a way that is open and positive. 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. Sunnycroft DS0000018487.V329469.R02.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 Sunnycroft DS0000018487.V329469.R02.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 excellent This judgement has been made using available evidence including a visit to this service. Detailed information is provided about the services offered at the home to help service users make an informed choice about whether they would like to live at Sunnycroft and whether the home will meet their needs. EVIDENCE: The home’s statement of purpose and service user guide provides information about the home to help prospective service users decide if they wish to live at Sunnycroft. The Statement of Purpose has recently been updated to reflect the qualifications and changes within the staff team. Copies of this information are available in a suitable format, and are accessible to all, including visitors to the home. Surveys from families confirmed that information about the home is shared, and that they are kept up to date with important issues. Service user surveys confirmed that everyone had been asked if they wanted to move to the home, although one survey indicated that they had not received enough information about the home. There has been one new admission to home since the previous inspection. Evidence was seen to demonstrate that the home’s admission policy and Sunnycroft DS0000018487.V329469.R02.S.doc Version 5.2 Page 9 procedure had been followed. This included a full assessment and introductory visits to the home. Sunnycroft DS0000018487.V329469.R02.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 excellent This judgement has been made using available evidence including a visit to this service. Service users are supported to make decisions about their care and how they like their support to be provided. Information about their assessed needs is included in care plans to advise staff. Care plans include risk assessments detailing how risks are to be reduced and independence promoted. Service users make choices and decisions in their daily lives and routines. EVIDENCE: Service user care plans are detailed and informative. Information is available for staff to make sure that all care is provided in a preferred and consistent way that encourages independence. The care-planning format shows service users are appropriately involved in planning and reviewing their own care and are supported to express their wishes and goals. Care plan reviews take place regularly. Sunnycroft DS0000018487.V329469.R02.S.doc Version 5.2 Page 11 Files for two service users were examined. Case tracking provides a view of how the home responds to the diversity of needs and how this is being managed and supported. This is particularly evident where support needs vary and an individual may require greater input and support from all staff within the home. Relevant information and monitoring is provided in service user files to make sure all staff have the necessary information to provide quality care. Staff spoken to are fully aware of the plans and use them to guide their practice. A service user said that the staff are very good and always help them to do what they want if they need it. There was no photograph on the profile sheet for one service user but this was rectified during the inspection. Care plans include statements by service users in relation to equipment or furniture in their rooms. For example, one service user has made a decision to have only one chair in their bedroom. Service users are supported to make choices in all aspects of their life at Sunnycroft. Risk assessments are used to help and support people in their independence, and relate to all aspects of behaviour, health and activities such as going to the pub. Service users confirmed that they are able to choose what they want to do and make decisions about what they do. Family surveys confirmed that care given is what they expected or agreed with the home. The home is able to respond to individual needs and recognises the changing needs for individuals, such as moving to live more independently. Such a move has been identified and facilitated for one service user. Sunnycroft DS0000018487.V329469.R02.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 excellent This judgement has been made using available evidence including a visit to this service. Service users receive help and encouragement to lead active and interesting lives and are supported to access facilities within the wider community. They are also supported to maintain links with their families and to develop friendships. The home offers a well-balanced menu and promotes healthy eating for the welfare of all service users. EVIDENCE: The home provides a wide range of activities for service users, both in-house and within the local community. All activities are organised to take into account the individual needs and preferences, making sure that everyone has the opportunity to take part. Activities are recorded to provide a clear record of individuals’ lifestyles. Sunnycroft DS0000018487.V329469.R02.S.doc Version 5.2 Page 13 A service user attends Kidderminster College for a ‘taste of cookery’ course. Other external activities include visits to the local cinema, the shops, pubs, leisure centre and a local church. Two service users had been food shopping on the morning of the inspection. Activities also include a walk into the town, drives to places such as Evesham, Stourport, and Burnham on Sea, Weston Super Mare and Minehead. Activities within the home include knitting, scrapbook, assisting with household domestic tasks such as washing, ironing, cooking and cleaning. Service users say they choose what they want to do each day. Holidays are organised for service users. A discussion with service users about holiday plans took place at lunch with everyone sitting around the table. One service user was away on holiday in Sri Lanka at the time of visit. Other holiday plans include, Cornwall, Wales, Mexico, Egypt, Ireland, Alton towers for a weekend, and arrangements to visit a Christmas in London or Germany is being considered. Service users are supported to maintain family contact and regular visits to family are encouraged. Evidence of recorded visits was seen in service users files. Relatives’ surveys confirm that regular contact is maintained. The home offers a varied and healthy menu, and alternative choices are available as required. There is a rolling menu for all meals, with supper available for those who want it. Fresh food is purchased regularly and service users are involved in the food shopping. Lunch was served during the inspection visit. Lunch consisted of sandwiches with a choice of fillings and type of bread, accompanied with crisps and salad. Buttered hot cross buns or yogurts were available for desert. Lunch was taken sitting around the table, relaxed and unhurried. A daily record of food eaten is kept. Sunnycroft DS0000018487.V329469.R02.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. Personal and healthcare needs are clearly identified in care plans. The plans provide information and make sure that care and support is provided in a way that service users prefer. The home has a clear medication policy and procedure, which is followed to make sure that all medication is administered and stored safely for the protection of service users and staff. The home should review the practice of keeping non-prescribed medicines. EVIDENCE: Service users’ care records and plans provide detailed information about their physical and mental health and the support needed from staff to maintain their good hygiene and health. The care plans sampled contained information about service users preferred personal care routines. Information is regularly updated and clearly communicated. Records of all physical checks are completed where a service user may have particular health related issues such as weight or behaviour monitoring. In Sunnycroft DS0000018487.V329469.R02.S.doc Version 5.2 Page 15 this way the home is able to closely monitor and respond to changes or obtain appropriate medical input whenever necessary. Service users and the home are well supported by medical services, which includes GP’s, psychologist, dentist, podiatrist, and the community learning disability team. All service users have given consent to their medical treatment and a record of this is kept on their files. Arrangements are in place for preventative health services, such as dental checks and annual health screening. The assistant manager says that prompts for personal care is given in private to make sure privacy and dignity is maintained for all service users. The home has a medication policy and procedure in place. The home operates the dosette system for the administration and storage of medication. All medication is stored in individually marked containers. A list of all staff that have been trained and assessed to administer medication was provided. The practice of keeping over the counter medicines was discussed with the assistant manager. The home should consider whether keeping supplies of non-prescription medicines is appropriate. Where non-prescription medicines are used, they should be service user specific, and clearly labelled. The date of opening should be recorded. Clear guidelines should be established which identifies the times and the frequency that such medicines are to be administered. Guidelines should say when a referral to the GP should be made. The assistant manager confirmed during the inspection that this practice would be reconsidered and action taken accordingly. Sunnycroft DS0000018487.V329469.R02.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 is good This judgement has been made using available evidence including a visit to this service. Service users are protected by the home’s complaints procedure that is available in easy to understand information about how to complain, with appropriate information for staff provided. Staff support service users to express their views and any concerns they may have. EVIDENCE: There are suitable policies and procedures in place to support staff in keeping service users safe. The home’s complaints procedure is accessible for service users. The complaints log was examined and there has been one complaint to the home, which has been dealt with satisfactorily. There have been no complaints to the Commission for Social Care Inspection (CSCI). Time was spent with service users who said staff support them when they need it and they know who to talk to if they are unhappy. During the inspection visit staff were observed engaging with service users in a supportive and respectful way. Service user surveys confirmed that staff treat them well, and that carers usually or always listen and act on what they say. All service users said they are aware of how to make a complaint. One service user commented that they Sunnycroft DS0000018487.V329469.R02.S.doc Version 5.2 Page 17 are ‘happy with the help received’. Relatives confirmed that they are aware of the complaints procedure. Staff complete training in relation to abuse and service users’ protection during their induction and through specific training courses. Discussion also takes place in supervision and staff meetings. The home has relevant financial policies and procedures in place to make sure service users money is kept safe. Sunnycroft DS0000018487.V329469.R02.S.doc Version 5.2 Page 18 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. Sunnycroft provides accommodation for service users that meets their needs and offers a safe and comfortable home. The home is kept clean to make sure that good hygiene and infection control is maintained for the benefit of service users, although hand driers or paper towel dispensers should be provided in communal toilets and bathrooms. EVIDENCE: Sunnycroft is located in a residential area of Kidderminster close to local amenities with access to the bus route into town. Sunnycroft has a comfortable lounge and a separate kitchen dining room. There is a bathroom, shower room, three toilets and separate laundry. There is an enclosed garden to the rear of the house with table and chairs available for use. There is a new bird table in the garden that was made by one of the service users. The Sunnycroft DS0000018487.V329469.R02.S.doc Version 5.2 Page 19 garden has paved areas with small borders. There is a covered canopy area to the side of the property that is the designated smoking area. Service users have single bedrooms that are individually furnished and decorated. The premises are clean and tidy. The service users surveys confirmed that the home is ‘usually’ or ‘always fresh and clean’. One Service user said that ‘this is a happy home’. Policies and procedures for infection control are in place. Liquid soap is available in the communal bathrooms, although there are no hand driers or paper towels. This was discussed with the assistant manager and the provider. Although it is acknowledged that Sunnycroft is kept as homely as possible, appropriate hand drying facilities to maintain infection control must be addressed. Sunnycroft DS0000018487.V329469.R02.S.doc Version 5.2 Page 20 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 excellent This judgement has been made using available evidence including a visit to this service. Suitable staffing levels are being maintained and staff receive relevant training to help them meet service users needs. The staff team understand their responsibilities and are committed to their role. They are well supported and work together to provide service users with consistent and good quality care. The home’s recruitment policy and practices make sure that suitable staff are employed and that all necessary checks are made to ensure the safety of all service users. EVIDENCE: The home has a committed staff team who work to provide quality care for the people living at Sunnycroft. The home shows a commitment to staff training that is to be commended. For example, the home more than exceeds the requirement that 50 of all staff should be qualified to NVQ level. The home works to make sure that all staff complete NVQ training. Additionally, two members of staff have completed NVQ level 4. Sunnycroft DS0000018487.V329469.R02.S.doc Version 5.2 Page 21 Staff undertake mandatory training in health and safety, fire safety, first aid, food hygiene, moving and handling and infection control. Other training courses include record keeping, Rights, Dignity and Choice, care planning, cause and effect of head injury, classification of mental illness and report writing. A copy of the training programme for the forthcoming year has been supplied. The Scils for Care induction programme for people working in care services is used for new staff. Induction also includes new staff being supported by senior staff to familiarise themselves with the home, service users and safety matters. The assistant manager confirmed that all prospective staff complete an application form and that appropriate references are obtained including one from their most recent employer. Appropriate criminal records and other checks are undertaken before their appointment is confirmed. Applicants are formally interviewed and invited to visit the home and meet service users. All staff have a copy of the terms and conditions of their employment. All staff are required to work a probationary period at the home. The assistant manager confirmed that staff receive regular structured supervision and annual appraisals from the managers. Staff meetings are held regularly and minutes are kept. Relatives’ surveys confirm the home provides good care for their family member. Additional comments include ‘staff are excellent’, and that their relative is ‘happy living at Sunnycroft’, and is ‘very fond of the staff’. Sunnycroft DS0000018487.V329469.R02.S.doc Version 5.2 Page 22 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 excellent This judgement has been made using available evidence including a visit to this service. Experienced and committed managers manage the home in an open and positive way. Through their quality assurance system, the provider and manager monitor the home to make sure that the service continues to develop as service users want and that the home remains a safe place to live and work in. EVIDENCE: The home has an effective management team to make sure the home is well run. The registered managers Mr Peter Sarll and Mr Neil Maddock have undertaken a range of training relevant to service users needs. Mr Maddock Sunnycroft DS0000018487.V329469.R02.S.doc Version 5.2 Page 23 has qualifications in care management and the Registered Managers Award (RMA). Management responsibilities in the home are shared with an assistant manager and three senior support workers. The assistant manager Shirley Potter is also NVQ qualified and was awaiting the results of her recently completed RMA. Confirmation that Shirley had been successful was received during the inspection visit. Three senior support workers are qualified to NVQ level 3 or 4. The managers and the assistant manager are involved in organising day-today activities, health and safety promotion, staff supervision and induction. Statutory visits to the home have included a visit from the fire officer in September 06, and the Environmental Health Officer in November 06. There were no requirements from these visits. Regular checks of the fire safety system and equipment, water temperature and storage, fridge, freezers and electrical appliances are completed. The most recent fire drill is recorded as 03/01/07. Staff complete all mandatory health and safety training topics. Maintenance requests are dealt with promptly. The home’s annual development plan was completed in January 07. All policies and procedures were reviewed in July 06. Regular regulation 26 reports are sent to CSCI. Through their quality assurance system, the provider and the managers monitor the services provided to make sure that the service continues to develop as service users want and that staff work in a safe environment. The providers and managers are aware of the Annual Quality Assurance Assessment (AQAA) that relates to all registered adult care service providers. Providers will have to complete an annual quality assurance assessment during this year from April and send this to CSCI. Sunnycroft DS0000018487.V329469.R02.S.doc Version 5.2 Page 24 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 4 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 4 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 X 4 X X 4 X Sunnycroft DS0000018487.V329469.R02.S.doc Version 5.2 Page 25 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 YA30 Regulation 13 (3) Timescale for action The registered person shall make 27/06/07 suitable arrangements to prevent infection, toxic conditions and the spread of infection at the care home. Specifically, this refers to hand driers or hand towel dispensers to communal bathrooms and toilets. Requirement 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 YA20 Good Practice Recommendations The home should review non-prescribed medication retained in the home. Guidelines for the use of such medicines should be implemented if the practice is to continue. Sunnycroft DS0000018487.V329469.R02.S.doc Version 5.2 Page 26 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: 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 Sunnycroft DS0000018487.V329469.R02.S.doc Version 5.2 Page 27 - 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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