Inspection on 12/10/06 for Sunnyfield

This inspection was carried out on 12th October 2006.

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

Sunnyfield 23/09/08

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Sunnyfield 153 Whinney Lane Streethouse Pontefract WF7 6DE Lead Inspector Mr Tony Brindle Unannounced Inspection 12th October 2006 10:00 Sunnyfield DS0000067800.V316160.R01.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 Sunnyfield DS0000067800.V316160.R01.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. Sunnyfield DS0000067800.V316160.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sunnyfield Address 153 Whinney Lane Streethouse Pontefract WF7 6DE 01977 798181 01977 709993 sunnyfield@mcare.info 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 Mr Matthew Larkin Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Sunnyfield DS0000067800.V316160.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: no Date of last inspection 20/2/06 Brief Description of the Service: Sunnyfield is a residential home for Younger Adults. The home is situated in Streethouse, giving service users access to local community facilities such as shops and public transport. The home offers single room accommodation with ensuite facilities. The home has a dedicated staff team, many of whom have worked in the social care sector for some time. The team receive induction training and on going training from a dedicated company training officer. The home supports service users to live as independent life as possible, applying ordinary living principles to the work that they do. Support is given to service users on an individual basis to access community facilities, develop new skills while maintaining existing ones. Service users are supported with individualised packages of support based on their assessed needs, interests and life goals. Service users are supported to access educational centres, voluntary work and various leisure activities. In addition to the use of public transport, service users have access to transport facilities provided by the home as and when required. The home has good links with social and health professionals in the local area such as social workers and community nurses who can be accessed as and when required. Service users are supported to access local healthcare facilities such as GPs. Service users are supported to cook their own meals (where appropriate), take part in hobbies, interests and other social events of interest to them. The current fees for October 2006 range from £1859 to £2035 per week per person. The higher fee includes costs relating to 1:1 support for 15 hours. The service provider ensures that information about the service is available to prospective service users and the current service users by way of the home’s Statement of Purpose, the Service User Guide and through CSCI inspection reports. Sunnyfield DS0000067800.V316160.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. As part of this full inspection, a visit to the home took place over two days. Whilst at the home, key documents such as care assessments, care plans, daily records and the home’s policies were looked at, and so were the rooms and garden. 4 service users were spoken with. 5 members of staff were spoken with, along with the manager. Comment cards were sent to all the service users, their relatives, visiting professionals and GPs. None were returned to the Commission prior to the visit taking place. Feedback from people living at the home was positive. What the service does well: The work of the staff and the systems operated at the home make sure that people only move into the home once assurances have been given that their assessed needs can be appropriately met. People’s needs are set out in individual care plans. Decision-making is promoted and supported. Restrictions are only placed on people following an appropriate risk assessment. Links with the community are good which supports people to use community facilities, engage within the community and take part in social and educational opportunities. The staff at the home make sure that the healthcare needs of people, including medication requirements, are assessed and recorded, and opportunities are created to make sure these needs are met. Service users receive personal support in the way they prefer and require. Service users feel their views are listened to and acted on. There are appropriate systems in place to protect people from abuse. Staff know what to do if alerted to suspected or alleged abuse. Service users live in a safe, well-maintained environment. The home is clean, pleasant and hygienic. A skilled and capable staff team supports people living at the home. The recruitment practices run by the manager support and safeguard people living at the home. Training offered to and undertaken by staff is of a very high standard. The health and welfare of the service users and staff is protected by the safety systems operated by the home. Service users experience good quality support and care. The home is run in a manner that ensures the best interests of the service users. Sunnyfield DS0000067800.V316160.R01.S.doc Version 5.2 Page 6 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. Sunnyfield DS0000067800.V316160.R01.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 Sunnyfield DS0000067800.V316160.R01.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 good. This judgement has been made using available evidence including a visit to this service. The work of the staff and the systems operated at the home make sure that people only move into the home once assurances have been given that their assessed needs can be appropriately met. EVIDENCE: Staff at the home explained that admissions to the home are not made until a full needs assessment has been undertaken. The management team undertake all assessments. The records show that assessments are carried out with the individual, and their family or representative, where appropriate. Where the assessment has been undertaken through care management arrangements, evidence contained within people’s files showed that a summary of the assessment and a copy of the care plan is obtained by the manager of the home. One person living at the home confirmed that they were given the opportunity to spend time in the home before they moved in. Staff said that an individual member of staff is usually allocated to give new people information and to help them understand how the home is organised and run. No written feedback was obtained from people involved in the service as no comment cards were returned to the Commission. Sunnyfield DS0000067800.V316160.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s needs are set out in individual care plans. Decision-making is promoted and supported. Restrictions are only placed on people following an appropriate risk assessment. EVIDENCE: Staff develop with people living in the home a personal plan that details their needs and preferences and sets out how they will be met in a way that people living in the home find acceptable. Personal plans reflects people’s changing hopes, choices, needs and responsibilities. Personal plans include information and decisions about: • what people like to be called; • what people like to eat and drink; • how people spend their time and what people like doing; • any equipment and adaptations people may need; • who should be involved in reviews of their care; • any communication needs people may have; • what communication arrangements people need if their first language is not English; Sunnyfield DS0000067800.V316160.R01.S.doc Version 5.2 Page 10 • their individual health needs and how these should be met (where appropriate, they take account of their ethnic and cultural background); • their arrangements for taking any medication including any need to inform professionals; • an independent person to contact if people want to raise a concern or make a complaint; and • any measures of restraint which staff may have to use for their own safety or for the safety of others. People living at the home can receive a copy of their personal plan to keep. Personal plans are reviewed every month, or sooner if people want. Individuals may choose who should be involved in the development of their personal plan and in its reviews. Disucssions with people at the homes showed that they know that the home has a written policy and procedures on the conditions under which restraint is used, and that staff are fully trained and supported in the use of restraint. If it is necessary to restrain people on certain occasions this is written into their personal plan and records kept are of any incidents involving their restraint. The staff spoken with understood that people have the right to make decisions about their life and care in the home. For a few individuals, however, individual circumstances will limit this opportunity for example, if people lack the capacity to make a decision. Under these circumstances, the staff undertake an appropriate risk assessment, with the person concerned. The ethos of the home is to supported individuals to make decisions and choices about their life, and to get the support and care they need. Aims are set out in individual personal plans. Individuals are supported to make choices and decisions about day-to-day aspects of their life and about how they spend their time. People can keep up relationships with friends, relatives and carers and links with their own community. If people want, the staff will support individuals to do this. If a person’s personal plan says an individual should have opportunities for education, training and work, staff will help the person find these. Staff do a lot of work to give people access to college courses, community education, voluntary work and other learning. Individuals are encouraged to take responsibility for their own actions, secure in the knowledge that the home has proper systems in place to protect their interests. A sensible balance is offered to people in everyday events and activities, between the reasonable risks and the safety of the staff and other residents. This results from the home’s individual risk assessment approach. This was evidenced within the home’s records. Sunnyfield DS0000067800.V316160.R01.S.doc Version 5.2 Page 11 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 good. This judgement has been made using available evidence including a visit to this service. Links with the community are good which supports people to use community facilities, engage within the community and take part in social and educational opportunities. EVIDENCE: One person living at the home said that good, food and drink are important in keeping them happy. This was supported by a staff member who talked about good food being important in maintaining good health. Individual choices of food and drink vary, as do dietary needs. People have their own needs and choices, and these are met. This was evidenced within the home records. Staff talked about people having the right to have their health needs met and to have support in using the full range of healthcare services. This was evidenced within individual care plans. In some ways, how people spend their day is up to them. However, there are a number of organized activities that individuals can and do get involved with. Staff will respect the wish of Sunnyfield DS0000067800.V316160.R01.S.doc Version 5.2 Page 12 individuals to be on their own. People can entertain their friends and relatives in their own room. Although individuals are living in a care home, service users continue to be very much part of their own community, and enjoy ordinary daily life. Sunnyfield DS0000067800.V316160.R01.S.doc Version 5.2 Page 13 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. The staff at the home make sure that the healthcare needs of people, including medication requirements, are assessed and recorded, and opportunities are created to make sure these needs are met. Service users receive personal support in the way they prefer and require. EVIDENCE: Personal plans describe the way people will receive the individual support and care that people need. Individuals can expect that their personal plan will change as their needs for support change. This was evidenced within the care plans. People are registered with their a GP and dentist. If individuals have been receiving community healthcare services (for example, physiotherapy, speech and language therapy, occupational therapy or advice on their diet) and still need them, this will continue. Otherwise, the staff will make new arrangements for people. If individuals have been receiving hospital healthcare services, and still need these, they are supported and helped to get this. This was evidenced within the care plans and confirmed by service users. Sunnyfield DS0000067800.V316160.R01.S.doc Version 5.2 Page 14 If a care review shows that people need help or advice, for example, from a speech therapist, dentist, GP, dietician or someone else, staff will arrange this and help people to follow any advice they have been given. If individuals need to take medication, staff know this and there are arrangements in place for individuals to take their medication safely and in the way that suits people best. People can choose whether to manage their own medication unless there are specific reasons that prevent this. An appropriate assessment takes place in relation to this. When managing their own medication, individuals will be given their own lockable storage to keep their medication in their room. If people need it, they will also have special storage somewhere else (for example, in a fridge) that is secure and accessible to people. If on medication that someone else needs to administer (for example, an injection), external nursing and healthcare staff will do this as set out in the personal plan. This was evidenced within the people’s care plans. Sunnyfield DS0000067800.V316160.R01.S.doc Version 5.2 Page 15 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 feel their views are listened to and acted on. There are appropriate systems in place to protect people from abuse. Staff know what to do if alerted to suspected or alleged abuse. EVIDENCE: Staff have had received training in the use of physical intervention procedures. The home has polices and practices that safe guarded the handling of people’s monies. Appropriate policies and procedures in relation to safeguarding people are in place and staff are not employed to work at the home before all appropriate checks have been undertaken. Physical intervention is used only as a last resort by trained staff and only then to protect the rights and best interests of the service user. The staff team try to prevent a service user from reaching the point where physical intervention becomes necessary i.e. de-escalation. Concise recordings was seen where any physical intervention had been initiated. From checking care plans, good practice was noted in relation to risk assessments being in place for the vulnerability of service users. Policies/procedures are in place with to safeguard people in relation to confidentiality, fire, emergencies and missing persons. Sunnyfield DS0000067800.V316160.R01.S.doc Version 5.2 Page 16 Feedback from people living at the home was positive, with 2 people saying that they feel they could talk to the staff about problems or complaints, and were confident the staff would deal with their concerns appropriately. Sunnyfield DS0000067800.V316160.R01.S.doc Version 5.2 Page 17 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a safe, well-maintained environment. The home is clean, pleasant and hygienic. EVIDENCE: It is clear from touring the building that the home provides a physical environment that is appropriate to the specific needs of the those who live there. Individuals and staff confirmed that the building is well maintained, very pleasant and very clean. Individuals said that they are encouraged to personalise their bedrooms. The shared areas were seen to provide a choice of communal space with opportunities for people to meet relatives and friends in privacy of their own rooms. The records show that there is a satisfactory infection control policy with staff at the home willing to seek advice from external specialists. Sunnyfield DS0000067800.V316160.R01.S.doc Version 5.2 Page 18 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. A skilled and capable staff team supports people living at the home. The recruitment practices run by the manager support and safeguard people living at the home. Training offered to and undertaken by staff is of a very high standard. EVIDENCE: The service has a well-developed recruitment procedure. The manager explained that the recruitment of good quality carers is seen as central to the delivery of an excellent service. The service has a well-developed internal training system which complements formal training. The roles and responsibilities of staff are clearly defined and understood, which is based on accurate job descriptions and specifications. The manager talked about seeing the induction and any probationary period as being an extension of recruitment. There are contingency plans for cover for vacancies and sickness and there is little use of any agency or temporary staff. The interview and selection process is based upon identified criteria that are closely related to the job being advertised and supports the procedure. All Sunnyfield DS0000067800.V316160.R01.S.doc Version 5.2 Page 19 elements of recruitment are accurately recorded and the required documentation is always received prior to the employee starting work. Staffing levels reflect the needs of the people living at the home, and rotas are flexible to fit around the lifestyles of individuals. Key workers have specific allocated time to spend with individuals. Staff were seen to have the skills to communicate effectively with people living at the home. Records relating to staff meetings are used for consultation, training and the involvement of staff in the development of the service. Minutes are taken and made available to staff and service users. Individual supervision sessions take place regularly and staff say that they find them useful for their development. Notes are taken which include action plans. Sunnyfield DS0000067800.V316160.R01.S.doc Version 5.2 Page 20 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. The health and welfare of the service users and staff is protected by the safety systems operated by the home. Service users experience good quality support and care. The home is run in a manner that ensures the best interests of the service users. EVIDENCE: The manager has the required competencies and skills to run the home. The staff said that they feel there is a strong culture of being open and transparent in all areas of running of the home. The service has sound policies and procedures, which the manager and organisation effectively reviews and updates, in line with current thinking and practice. Efficient systems are in place to monitor staff adherence to policies and procedures during their practice e.g. direct observation, supervision and team meetings. The health Sunnyfield DS0000067800.V316160.R01.S.doc Version 5.2 Page 21 and safety records were found to be of a good standard and are routinely completed. There service has an annual quality assurance scheme, which involves sending surveys out to people associated with the home. The Commission awaits the results of the annual survey. Weekly health and safety checks are carried out, along with weekly medication checks. Management visits take place on a monthly basis, as do health and safety and medication audits. The home is externally reviewed on a monthly basis in relation to health and safety issues. Sunnyfield DS0000067800.V316160.R01.S.doc Version 5.2 Page 22 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 3 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 4 33 X 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 4 X Sunnyfield DS0000067800.V316160.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? no STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Sunnyfield DS0000067800.V316160.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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 Sunnyfield DS0000067800.V316160.R01.S.doc Version 5.2 Page 25 - 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!