Inspection on 23/08/05 for Sunnydale

This inspection was carried out on 23rd August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Sunnydale 11/11/08

Sunnydale 15/11/06

Sunnydale 11/12/05

Sunnydale 07/09/04

Sunnydale 04/05/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Muston Road (70)

Grayling

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

CARE HOME ADULTS 18-65 Sunnydale Pontefract Road Featherstone West Yorks WF7 5HG Lead Inspector Tony Brindle Unannounced 23rd August 2005 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 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 Stationary 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 J01J51_S6220_SUNNYDALE_V219657_230805.doc Version 1.30 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 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 Mrs Kim Rae YA 9 Category(ies) of LD 9 registration, with number of places Sunnydale J01J51_S6220_SUNNYDALE_V219657_230805.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: none Date of last inspection 7/09/04 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 J01J51_S6220_SUNNYDALE_V219657_230805.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection was a positive and enjoyable one. 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. During the inspection, the following documents were inspected: 2 care plans, the daily records, health and safety records, the complaints log and the menus. There have been no additional or complaints visit to this home since the last inspection in 2004. . There have been no changes to the Registered Persons registered with CSCI. What the service does well: What has improved since the last inspection? One staff member commented that she receives a good training package, and now that the company has a training manager, access to training and NVQ has improved. Staff members explained that service users spend more time outside of the home including visits to local shops, training centres and other organised activities. Sunnydale J01J51_S6220_SUNNYDALE_V219657_230805.doc Version 1.30 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. Sunnydale J01J51_S6220_SUNNYDALE_V219657_230805.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Sunnydale J01J51_S6220_SUNNYDALE_V219657_230805.doc Version 1.30 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 standard(s) 2 Good assessment procedures make sure that new service user’s individual aspirations and needs are assessed, and that they can be met by the staff at the home before a place is offered. EVIDENCE: The admission procedure operated by the home helps to guide staff on the actions they are to take to ensure that the needs of new service users are assessed effectively. The manager said that admission to the home follows a full assessment of need by herself and the company’s nurse. Evidence of this was found. Sunnydale J01J51_S6220_SUNNYDALE_V219657_230805.doc Version 1.30 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 standard(s) 6,7,9 The systems and procedures operated by the home, and the work of the staff ensure that service users assessed and changing needs and personal goals are reflected within an individual plan. Service users are assisted to make decisions about their lives and are supported to take risks as part of an independent lifestyle. EVIDENCE: Service user plans contain detailed information about support and healthcare needs. The plans have a straightforward approach, concentrating on aspects of daily living, providing an holistic overview of the service user and the support they require in order to move towards greater independence. Restrictions are only placed on the service users following an appropriate risk assessment. Staff showed that they have a good understanding of the support and care needs of the service users, saying that service users are enabled to take risks based on shared information and a relevant risk assessment. The home has an appropriate procedure should service users have an unplanned absence. Sunnydale J01J51_S6220_SUNNYDALE_V219657_230805.doc Version 1.30 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 standard(s) 12,13, 14, 17 The staff understand that lifestyle aspirations will naturally vary according to the person’s age, culture, experience and interest. Opportunities for personal development and independent living are created, and service users access community facilities and leisure activities. EVIDENCE: Staff members explained that service users spend time outside of the home including visits to local shops, training centres and other organised activities. The daily records of service users activities showed that people go out into the community and take part in varied activities. The staff were seen to respect service users’ individuality, dignity and privacy both by appropriate form of address and by asking for permission before entering people’s bedrooms. The staff said that individual, personal, cultural/religious and food preferences and requirements can be and will be observed. The menus indicated that this was the case. Sunnydale J01J51_S6220_SUNNYDALE_V219657_230805.doc Version 1.30 Page 11 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 standard(s) 18, 19 The systems and procedures operated by the home, and the work of the staff ensure that the personal and healthcare needs of the service users are identified and met. EVIDENCE: The staff recognize that service users have the right to good quality physical and emotional health wherever they are living. The service users are supported to manage their own healthcare and to access NHS community facilities. Any specialist health, nursing and dietary requirements were seen in the service user’s wide-ranging individual plans. Staff explained that they support service users to manage their own medication following a risk assessment. The service user’s individual plans detail key aspects of how an individual seeks to be supported. Sunnydale J01J51_S6220_SUNNYDALE_V219657_230805.doc Version 1.30 Page 12 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 standard(s) 22, 23 The systems and procedures operated by the home, and the work of the staff ensure that service users feel their views are listened to and acted on. There are satisfactory systems in place for responding to suspected or alleged abuse. EVIDENCE: The complaints log shows that service users are listened to and that their views about issues in the home such as loud noise and food preference seriously taken care home’s staff and manager. Clear procedures enable service users to make their views known. Policies and procedures for dealing with suspicion or evidence of abuse are in place. Complainants are informed that they may make complaints directly to the CSCI. The manager said that adult protection issues are referred to the Local Authority, with a notification going to CSCI. Sunnydale J01J51_S6220_SUNNYDALE_V219657_230805.doc Version 1.30 Page 13 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 standard(s) 24, 30 The systems and procedures operated by the home, and the work of the staff ensure that the service users live in a homely, comfortable and clean environment. EVIDENCE: Staff member’s said that respect for service users’ privacy is really important, including the freedom to come and go, and receive guests. This is informed via appropriate risk assessments. The staff were observed to respect the privacy and autonomy of the service users, which is limited as necessary for their safety or protection as specified in individual service user plans following an appropriate assessment. The facilities within the home are as home-like as possible while being fit for the purpose of the home and for the people who live there. Sunnydale J01J51_S6220_SUNNYDALE_V219657_230805.doc Version 1.30 Page 14 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 The systems and procedures, and actions of the staff ensure that service users are supported and protected by the home’s recruitment policy and practices. Service users benefit from well supported and supervised staff. EVIDENCE: One staff member commented that she receives a good training package, and now that the company has a training manager, access to training and NVQ has improved. The rotas show that there is a continuity of staff support, allowing service users to get to know people and develop good relationships with keyworkers. One staff member explained that she is aware of the likes and dislikes of the service users and feels that this is important when working with people. The personnel files show that the company undertakes satisfactory and appropriate recruitment checks, identifies training and development and provides appropriate supervision and support. New staff complete induction training, which is usually signed off by the home’s management team. Sunnydale J01J51_S6220_SUNNYDALE_V219657_230805.doc Version 1.30 Page 15 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39, 42 The systems and procedures need to be improved to ensure that the views of service users are sought and acted upon in relation to the services they receive. Inadequate recording practices relating to fire safety equipment has recently put service users and staff potentially at risk. EVIDENCE: No evidence could be provided to show that the company has an up to date quality assurance scheme. The manager explained that the company’s Head of Service was working on ways in which the company could routinely seek the opinions of the service users through an annual service user’s questionnaire. The manager explained that the this quality assurance and quality monitoring system would extend to seek the views of other stakeholders such as GP’s, Nurses and Social Workers. The unannounced monthly management visits look at different aspects of the home’s provision e.g. service user views, environment, care plans. The fire safety testing records were found to be incomplete, with no entries since May 2005. Sunnydale J01J51_S6220_SUNNYDALE_V219657_230805.doc Version 1.30 Page 16 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 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 x x 3 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Sunnydale Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x 2 x x 1 x Version 1.30 J01J51_S6220_SUNNYDALE_V219657_230805.doc Page 17 none 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 YA42 Regulation 17 (2) Requirement A record of every fire practice, including fire alarm equipment testing, must be maintained within the home. Timescale for action Immediate 23/8/05 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 YA39 Good Practice Recommendations The company should develop effective quality assurance and quality monitoring systems, based on seeking the views of service users, which measure success in achieving the aims, objectives and statement of purpose of the home. Sunnydale J01J51_S6220_SUNNYDALE_V219657_230805.doc Version 1.30 Page 18 Commission for Social Care Inspection Park View House Woodvale Office Park Brighouse HD6 4AB National Enquiry Line: 0845 015 0120 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 Sunnydale J01J51_S6220_SUNNYDALE_V219657_230805.doc Version 1.30 Page 19 - 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. 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