CARE HOME ADULTS 18-65
Sunnydale Pontefract Road Featherstone West Yorks WF7 5HG Lead Inspector
Tony Brindle Unannounced Inspection 11th December 2005 02:00 Sunnydale DS0000006220.V273114.R01.S.doc Version 5.0 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 Sunnydale DS0000006220.V273114.R01.S.doc Version 5.0 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. Sunnydale DS0000006220.V273114.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Sunnydale Address Pontefract Road Featherstone West Yorks WF7 5HG 01977 790579 01977 790579 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) Millennium Care Services Limited Mrs Kim Rae Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Sunnydale DS0000006220.V273114.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 23rd August 2005 Brief Description of the Service: Sunnydale is a registered home, which supports 9 younger adults with a learning disability who may also present challenges to the service.The home is situated in the heart of the community on the main road in the village of Featherstone. There is a good range of local facilities nearby and there is good local transport as well as the home having its own transport arrangements. The company also provides a day resource centre within Featherstone, as well as arranging college courses, voluntary work placements and activities of choice. The home provides single bedroom accommodation for all service users and all are welcome to bring their personal possessions. The home is bright and airy and kept in good order. Communal space is of a good size with opportunities for quiet time as well as socialising with others. Sunnydale DS0000006220.V273114.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection was a positive and enjoyable one with the inspector taking to service users and staff, looking at care plans, daily records, health and safety records, the complaints log and the staff recruitment and training files. The inspector would like to take the opportunity to thank the service users, the manager and support workers for their hospitality and patient cooperation throughout the inspection. There have been no additional or complaints visit to this home since the last inspection. There have been no changes to the Registered Persons registered with CSCI. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Sunnydale DS0000006220.V273114.R01.S.doc Version 5.0 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Sunnydale DS0000006220.V273114.R01.S.doc Version 5.0 Page 7 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of the core standards within this section were assessed at this occasion. A full assessment of the core standards will take place at the next inspection. EVIDENCE: Sunnydale DS0000006220.V273114.R01.S.doc Version 5.0 Page 8 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Staff develop with people a personal plan that details their needs and preferences, which sets out how they will be met, in a way that the individual finds acceptable. People make choices and decisions about day-to-day aspects of their life and about how they spend their time. EVIDENCE: The service user plans set out the actions which need to be taken by care staff to make sure that the health, personal and social care needs of the service users are met. The plans contain information and records relating to the ways in which the staff promote and maintain service users’ health and ensuring access to health care services. Sunnydale DS0000006220.V273114.R01.S.doc Version 5.0 Page 9 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,14,16 People make choices and decisions about day-to-day aspects of their life and about how they spend their time. EVIDENCE: The routines of daily living and activities made available to service users were found to be flexible and service users said that they are varied to there needs, preferences and capabilities. The manager explained that relatives are welcome to visit as they please. Sunnydale DS0000006220.V273114.R01.S.doc Version 5.0 Page 10 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 , 20 Staff provide sensitive and flexible personal support and nursing care to maximise service users’ privacy, dignity, independence and control over their lives. Following the medication procedure correctly, would ensure that the best interests of service users are met appropriately. EVIDENCE: The staff explained that people’s preferences about how they are guided, moved and supported are recorded. Times for getting up/going to bed, baths, meals and other activities are flexible and the people at the home said that they choose their own clothes and hairstyle which reflects their personality. There are a number of technical aids and equipment for people to use which enables them to maximize their independence. There is a medication policy and procedure, giving details of the way medications should be received, recorded, stored, handled, administered and disposed of. When a check of the medication took place, one discrepancy was found. Sunnydale DS0000006220.V273114.R01.S.doc Version 5.0 Page 11 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): None of the core standards within this section were assessed at this occasion. A full assessment of the core standards will take place at the next inspection. EVIDENCE: Sunnydale DS0000006220.V273114.R01.S.doc Version 5.0 Page 12 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 , 30 People live in a clean and comfortable home with furniture and equipment available, both communally and individually, to meet their needs. EVIDENCE: The location and layout of the home was found to be suitable for its stated purpose. The building was found to be accessible and well-maintained. A number of service users said that the home was comfortable and homely. The premises were found to be clean, hygienic and free from offensive odours with systems are in place to control the spread of infection. Sunnydale DS0000006220.V273114.R01.S.doc Version 5.0 Page 13 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): 34 Service users are supported and protected by the home’s recruitment policy and practices. Roles and responsibilities were clearly defined. Training provided to staff is very good. EVIDENCE: Staff were very clear about their roles and responsibilities and understood the management and reporting structures for the home. Training records showed staff were up to date with all areas of mandatory training, and there was evidence of specific learning disability training. Sunnydale DS0000006220.V273114.R01.S.doc Version 5.0 Page 14 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): 42 The health and safety of service users and staff are promoted and protected by satisfactory systems and procedures. EVIDENCE: The manager makes sure that so far as is reasonably practicable the health, safety and welfare of service users and staff, by way of staff training, fire safety system testing, risk assessment and safety system monitoring. A requirement ensuring the fire alarm systems within the home must be tested appropriately was found to have been met. Sunnydale DS0000006220.V273114.R01.S.doc Version 5.0 Page 15 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30
STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 3 12 3 13 X 14 3 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X X X 3 X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Sunnydale Score 3 X 3 x Standard No 37 38 39 40 41 42 43 Score X X X X X 3 X DS0000006220.V273114.R01.S.doc Version 5.0 Page 16 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA20 Regulation
13(2) Requirement The registered manager ensure that the medication dispensed and kept within the home is accurate, in order to met the best interests of individuals within the home. Timescale for action 09/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Sunnydale DS0000006220.V273114.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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