Inspection on 16/10/08 for Sunnydale

This inspection was carried out on 16th October 2008.

CSCI found this care home to be providing an Good service.

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

Similar services:

The Lodge Nursing Home

Bracken House

Sunnycroft

Field Farm House

Edgeview Nursing Home

Church Terrace Nursing & Residential Home

The Forbury

The Maples

Extracts from inspection reports are licensed from CQC, this page was updated on 17/12/2008.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Sunnydale 32 Shrewsbury Road Craven Arms Shropshire SY7 9PY     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Pat Scott     Date: 1 6 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 22 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 22 Information about the care home Name of care home: Address: Sunnydale 32 Shrewsbury Road Craven Arms Shropshire SY7 9PY 07802514240 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Russell Philip Davies Type of registration: Number of places registered: Lyndale (Hereford] Ltd care home 10 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: The maximum number of service users to be accommodated is 10. The registered person may provide the following category of service only: Care Home Only (Code PC) To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Mental Disorder (MD) 10 Date of last inspection Brief description of the care home Sunnydale is a purpose built facility in Craven Arms, Shropshire. Sunnydale is located in a well-established residential area, convenient to all local amenities and public transport. Limited parking is available in the grounds. Fees for the service range from £1575 to £1800 depending on benefits and contributions. 10 Over 65 0 Care Homes for Adults (18-65 years) Page 4 of 22 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this new service is *TWO star good service. This means the people who use this service experience good quality outcomes. We, the commission, used a range of evidence to make judgements about this service. This includes: information from the manager during the inspection, staff records kept in the home, medication audits, tour of the premises, quality assurance processes, Fire Authority reports, Environmental Health Office reports, observation of care experienced by people using the service. Care Homes for Adults (18-65 years) Page 5 of 22 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 6 of 22 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 7 of 22 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Written records for the admission of new people to the service demonstrate that the process is personalised and that consideration has been given to all aspects of care. People looking for a therapeutic service can be confident that Sunnydale can support them. Evidence: Information about the service is readily available in the statement of purpose and service user guide. Both documents provide people with information to help them understand the service that Sunnydale provides. Care management assessments are obtained in addition to the manager undertaking face to face assessments where the person is currently residing. Discussion with the manager shows that transition to the service is planned and managed well. A care file examined records the outcomes of assessments. People who use the service are provided with a copy of the terms and conditions of their stay. Care Homes for Adults (18-65 years) Page 8 of 22 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service have a detailed support plan, which informs staff about their individual needs and how they prefer these to be met. Individuals are able to make decisions, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks during their stay to enable them to remain independent. This is because the staff have appropriate information on which to base decisions. Evidence: People who use the service can be confident that the staff supporting them are familiar with their individual needs. A detailed support plan has been developed with the person using the service and those close to them. Support plans are reviewed prior to Care Homes for Adults (18-65 years) Page 9 of 22 Evidence: a person using the service and during their stay if their needs change. The staff consider that support plans contain enough information to support individuals well and they demonstrate a good understanding of the needs of the person in residence. Records indicate that the person is provided with opportunities to make decisions and offered choices during his stay, for example what activities he wishes to partake in, what time he retires to bed and the meals he prefers. People are supported to take responsible risks to maintain their independence during their stay. Care Homes for Adults (18-65 years) Page 10 of 22 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff support people to keep in touch with family, friends and representatives so that they have appropriate relationships. The food in the home is of good quality so that the dietary needs of people are met. Evidence: Records show us the resident attends a programme of activities and work. Staff will provide transport and work to enable a person to access public transport independently. People may maintain contact with their family and friends if desired and all contact is recorded. Peoples rights during their stay are clearly stated in the Service User Guide and include Care Homes for Adults (18-65 years) Page 11 of 22 Evidence: the right for dignity, individuality and lifestyle choices respected and be fully informed and central to decisions. Preferences in relation to routines and likes and dislikes are documented in the residents plan. People are provided with a single room during their stay and keys are available. Menus offer choice and appear well balanced. Care Homes for Adults (18-65 years) Page 12 of 22 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager understands the need to comply with safe medication systems and staff practice ensures that the homes procedures are complied with and that service users health matters are always safely addressed. People receive personal support based on their assessed needs and in the way they prefer and want during their stay. Evidence: Individuals are appropriately supported to access health appointments or facilities in the event of an emergency and details of health professionals involved with an individual are retained on file. People in receipt of medication can be confident that they are protected by the procedures in place for the management of their medication. The manager demonstrated a clear understanding of how people are supported with the management of their medication. Medication procedures are satisfactory and the person in residence receives his medication as needed. The provider has a comprehensive policy and procedure which is located in the office. Medication is counted and signed for upon receipt and disposal, this ensures there is a robust audit trail of all medications received into and leaving the premises. Competency Care Homes for Adults (18-65 years) Page 13 of 22 Evidence: assessments of staff responsible for giving medication are regularly undertaken. Staff responsible for administering medication have received medication training. Care Homes for Adults (18-65 years) Page 14 of 22 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service has a complaint procedure which is accessible so that people who use the service have information of how to make complaints about the home. Training is provided so that residents are protected from abuse and have their legal rights protected. Evidence: People who use the service and their representatives have access to a complaints procedure which is readily available. The current resident knows that if he is not happy with the service he can talk to either the staff or the manager. We have not received any concerns or complaints about the service since registration in May 2008. The service has a copy of the local Multi-Agency Adult Protection Policy and the manager confirmed all of the existing staff have received training in adult protection. Systems are in place to identify that staff have a clear understanding of adult protection and whistle blowing procedures. The management of peoples finances during their stay is well managed. Records of all transactions are appropriately maintained, checked regularly and signed by two members of staff. Copies of receipts are retained. Care Homes for Adults (18-65 years) Page 15 of 22 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The decoration and fittings of the home are good so that people feel they live in a comfortable, clean home with modern furnishings and facilities which suit their individual needs and preferences Evidence: People are provided with a single en suite room. The present resident has personalised his room according to his taste. Communal areas provide a pleasant place to sit. The kitchen is large and well equipped. Fire safety has been assessed. laundry arrangements are good. Care Homes for Adults (18-65 years) Page 16 of 22 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff are being recruited and trained to provide sufficient numbers to fulfill the aims of the home and meet the changing needs of residents. Evidence: Staffing rotas are in place. NVQ training is provided. Staff files kept in the home evidence the induction process provided for new starters. Initial training such as infection control, first aid and medication are provided. Staff recruitment is taking place as new residents are assessed and move into the home. Observation showed that staff provide a personal but professional service. Care Homes for Adults (18-65 years) Page 17 of 22 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management of the home is based on openness and respect. The service has quality assurance surveys in place so that people are assured that the overall conduct of the home is taking into account their views. Evidence: People who will use Sunnydale will benefit from a service, which is effectively managed. The manager is experienced and is knowledgeable of the individual support needs of the people who may use the service. The manager and his staff have attended training events and updates to complement their roles within the home. Staff files seen record all training activity. Quality assurance takes place throughout the service in both a formal and informal manner. Meetings, surveys, day to day contact all provide records to show that resident satisfaction is at the heart of the service. The manager and his staff implement plans for improvement. Care Homes for Adults (18-65 years) Page 18 of 22 Evidence: The provider signs the audits of the service which they feel demonstrates that the overall conduct of the service is being managed well. The home keeps records to show that the health and safety of residents is promoted and protected. The service conducts fire drills and has regular alarm tests and has a fire risk assessment. Care Homes for Adults (18-65 years) Page 19 of 22 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 20 of 22 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 21 of 22 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 22 of 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!