Inspection on 26/05/05 for Sunnyhill Residential Care Home

This inspection was carried out on 26th May 2005.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Sunnyhill Residential Care Home 11/10/07

Sunnyhill Residential Care Home 08/08/06

Sunnyhill Residential Care Home 04/10/05

Sunnyhill Residential Care Home 21/09/04

Sunnyhill Residential Care Home 13/05/04

Sunnyhill Residential Care Home 01/07/03

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

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

CARE HOMES FOR OLDER PEOPLE Sunnyhill 14 Selwyn Road Eastbourne East Sussex BN21 2LJ Lead Inspector Nigel Thompson Unannounced 26 May 2005 9.30 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 Older People. 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. Sunnyhill Version 1.10 Page 3 SERVICE INFORMATION Name of service Sunnyhill Residential Care Home Address 14 Selwyn Road Eastbourne East Sussex BN21 2LJ 01323 721191 01323 430386 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) Sunnyhill Residential Care Home Limited Miss Karen Amanda Noyce Care Home 20 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (MD) 20 of places Dementia (DE) 20 Sunnyhill Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: 1. That the total number of service users to be accommodated must not exceed twenty (20). 2. That service users must be sixty five (65)years of age or over on admission. 3. That only service users with a mental disorder, excluding a learning disability, are to be accommodated. Date of last inspection 21 September 2004 Brief Description of the Service: Sunnyhill Residential Care Home provides specialist, residential and social care for up to twenty older people with a mental disorder, including dementia type illness. This large, detached house is situated in a quiet, residential area of Eastbourne, within easy walking distance of town centre shops and the mainline railway. It has parking to the front and private gardens on three sides, which are accessible to wheelchair users. Accommodation is on three floors, with a passenger lift providing level access. Service users’ private rooms are all equipped with an alarm call system and en suite toilet facilities. Some are also fitted with a shower. Bathrooms on all floors are equipped with assisted baths. On the ground floor there is a choice of two communal lounges and a dining area. Sunnyhill Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over five hours in May 2005. It found that twenty of the twenty two National Minimum Standards that were assessed had been met and the overall quality of care provided was good. Service users and relatives spoken to during the inspection expressed satisfaction with the home, the staff and the service provided. A tour of the premises took place and documentation, including service user and staff files was inspected. Four of the service users’ relatives, three of the staff on duty and five of the twenty residents were spoken to. What the service does well: The relaxed, homely and welcoming environment has evolved over several years and reflects the stability and commitment within the staff team and the open and inclusive management style. Effective systems are in place for the admission and ongoing care of service users. Individual care plans developed from comprehensive pre-admission assessments ensure that an individual’s needs are met in a structured and consistent manner. Communication and consultation with service users’ family members is effective and ongoing. Relatives have the opportunity to partake in individual assessment, care planning and reviewing processes. A thorough staff recruitment procedure ensures the protection of service users. Staff receive effective induction and foundation training, regular supervision and are valued and supported by the management team. Sunnyhill Version 1.10 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Sunnyhill Version 1.10 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Sunnyhill Version 1.10 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 3 & 6 The admission procedure is comprehensive and thorough, ensuring that service users are admitted only on the basis of a full needs assessment undertaken by people competent to do so. EVIDENCE: A full pre-admission needs assessment is carried out by the manager or deputy manager and prospective service users are invited to visit the home and to move in for an agreed two month trial period, during which time on-going assessment of their needs and abilities is carried out. Nutritional screening forms part of the initial assessment process. Sunnyhill Version 1.10 Page 9 On admission to the home, each service user, or a relative or representative acting on their behalf, is provided with a ‘Contract for Residential Care’. The contract includes terms and conditions of residency and, in the case of private admissions, details of fees payable and any additional charges to be made. It was noted that the contract is signed by the service user, or someone acting on their behalf, and is witnessed. Relatives of service users recently admitted to the home were clearly very satisfied with the service and level of care provided: ‘Mother has actually improved since coming here, we couldn’t wish for anywhere better for her’. Intermediate care is not provided at Sunnyhill. Sunnyhill Version 1.10 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 & 10 Service users’ care plans are developed from a comprehensive assessment of an individual’s needs and enable staff to meet such needs in a structured and consistent manner. Policies and procedures for the control and administration of medication are effective, with clear and comprehensive systems being in place to ensure service users’ medication needs are met. EVIDENCE: A detailed and comprehensive care plan is developed for each service user, generated from the individual assessment of personal and social care needs. Each care plan contains a recent photograph and personal profile of the individual, including likes, dislikes and interests, risk assessments and an informative social history. Individual care plans that were examined were found to be detailed, up to date and maintained to a high standard. They are reviewed on a monthly basis. The manager confirmed that due to their mental capacity, many service users do not participate in their own care planning, however, where appropriate, a Sunnyhill Version 1.10 Page 11 relative or representative is now given the opportunity to be involved in the planning and reviewing process. This was confirmed through discussion with service users’ relatives. All service users are registered with local GPs and have access to other health care professionals, via the surgeries. Regular six monthly monitoring reviews are held and depending on the level of need and support required will involve the service user, their relative or representative, a community psychiatric nurse, a social worker and the manager and key-worker from the home. Full and comprehensive medication policies and procedures are in place, which staff are aware of and adhere to. A local pharmacist provides guidance and advice to the home and inspects the relevant procedures every three months. Accredited staff training is provided in the control and handling of medication Following individual assessments, one service user continues to maintain responsibility for self-administering her medication. She has a locked cabinet in her room in which to store the medicines. The situation is closely monitored and reviewed regularly by the manager and the service user’s GP. Sunnyhill Version 1.10 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 & 15 Social activities and meals are both well managed, creative and provide daily variety and interest for people living in the home. EVIDENCE: Within a risk management framework, independence continues to be promoted in the home and, wherever possible, service users are enabled and supported to pursue their own lifestyles and individual routines. As well as organised group activities and supported outings, time is also given to individuals, who prefer to spend time alone or remain in their room. Service user’s individual social and recreational interests, likes and dislikes are recorded in their care plan. Communion and prayer meetings continue to be held regularly in the home. In accordance with the wishes of the service users, visitors to the home are welcome, at any reasonable time. However, visitors are asked to respect mealtimes. ‘Whatever time of day we come here, the atmosphere is just the same – relaxed, friendly and welcoming’. Sunnyhill Version 1.10 Page 13 Varied, balanced and nutritious meals are provided, reflecting service users’ choice and preferences. The manager confirmed that service users are consulted and directly involved in compiling the six-week rolling menu. Special diets are catered for and an alternative to the main meal is always available, on request. As well as breakfast, the home provides two cooked meals a day and residents have the choice of eating, either in the dining room or in their own room. Service users and relatives expressed a high level of satisfaction with the standard of food provided: ‘The quality of the meals here is very good’. ‘My mother hardly used to eat a thing before she came here – now she has a good appetite and seems to really enjoy her food’. Sunnyhill Version 1.10 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 & 18 The open and inclusive atmosphere within the home enables service users, staff and visitors to feel able to express any concerns, confident that they will be listened to. Service users are safeguarded from abuse through robust policies, procedures and relevant staff training. EVIDENCE: Service users, relatives and members of staff spoken to confirmed that they would have no hesitation speaking to the manager or making a complaint if necessary and each person was confident that they would be listened to. ‘The manager is very approachable and if she wasn’t here I would be quite happy discussing any problem I had with one of the girls – in fact I have done’. The home has a copy of the East Sussex guidance notes on the Protection of Vulnerable Adults and has produced its own policies, including ‘whistle blowing’ for the advice and guidance of staff. Also in place is a copy of the Department of Health’s publication, ‘No Secrets’. Sunnyhill Version 1.10 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20 & 26 Redecoration, refurbishment and general improvements have been made to the physical environment, including service users’ rooms and the communal lounge, providing people living in the home with safe, comfortable and pleasant surroundings. EVIDENCE: Sunnyhill Residential Care Home is an established service and both its location in a residential area of the town and its layout remain clearly appropriate and suitable for its stated purpose. The home is comfortable, safe and accessible. It has a long tradition of providing individual care and support for service users, through careful and continuous assessment of need, within a ‘family orientated’ environment. Grounds are safe, well maintained and accessible. A programme of routine maintenance, refurbishment and renewal is in place. Sunnyhill Version 1.10 Page 16 The home provides a choice of communal sitting, recreational and dining areas which are comfortable furnished and well suited to their social purpose. Since the previous inspection replacement chairs have been provided in the main lounge area. Two housekeepers are employed in the home and continue to maintain a high standard of cleanliness and hygiene throughout. Satisfactory laundry facilities are provided and infection control policies and procedures are in place. Sunnyhill Version 1.10 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 & 30 Sufficient staff are on duty at all times to meet the assessed needs of the service users. Thorough recruitment procedures help to ensure the safety and protection of service users. Staff have developed positive relationships with the service users and have a sound understanding of their individual care and support needs. EVIDENCE: The stable and dedicated staff team is clearly able to meet the assessed, individual and collective needs of service users within the home. During the night there is one sleep-in person, one waking night staff and a further senior member of staff on call. Two domestic staff, (Housekeepers), are employed in the home. A clear and updated duty rota is in place. Staff files that were examined were found to be well maintained, containing all necessary information, including two written references, proof of identity and satisfactory Criminal Record Bureau (CRB) and Protection of Vulnerable Adults (POVA) checks. All new staff are provided with and sign a written contract, including a statement of terms and conditions. Although appropriate induction, foundation and core skills training is provided, Sunnyhill Version 1.10 Page 18 it was noted that care staff do not currently have access to specific training, including refresher training, relating to dementia and dementia awareness. Following discussion, the manager is to address this issue. Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 35 & 38 Staff are aware of and adhere to up to date policies and procedures relating to health and safety, ensuring the health, safety and welfare of service users and staff. The home regularly reviews aspects of its performance, through an effective programme of self-monitoring and consultation, which includes seeking the views of service users and their relatives. EVIDENCE: The home operates effective quality monitoring systems, including satisfaction questionnaires for both service users and their relatives. Since the previous Sunnyhill Version 1.10 Page 19 inspection, relatives’ questionnaires have been sent out and responses received so far have been positive: ‘Everyone is very friendly and helpful. Nothing is too much trouble’. ‘I feel that my mother has really made progress since moving in’. ‘Mum is cared for with kindness and love’. The health, safety and welfare of service users and staff is of paramount importance within the home and staff training is provided in many aspects of safe working practices, including moving and handling; food hygiene; fire safety and first aid. All staff training is recorded. COSHH assessments and guidelines are in place. Temperature regulators are fitted to all hot water outlets, accessible to service users. All accidents, incidents and injuries are recorded and reported, as required. Monthly monitoring visits to the home by the registered provider continue and his subsequent report provides useful feedback for the manager. Sunnyhill Version 1.10 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. Where there is no score against a standard it has not been looked at during this inspection. 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x x 3 x 3 STAFFING Standard No Score 27 2 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x 3 x 3 3 x 3 Sunnyhill Version 1.10 Page 21 Yes 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 30 Regulation 18 (1) Requirement It is required that staff receive training appropriate to the work they perform, having regard to the statement of purpose and the number and needs of service users. Timescale for action 31.07.2005 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 Good Practice Recommendations Sunnyhill Version 1.10 Page 22 Commission for Social Care Inspection Ivy House, 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Sunnyhill Version 1.10 Page 23 - 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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