Inspection on 04/10/05 for Sunnyhill Residential Care Home

This inspection was carried out on 4th October 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 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

Sunnyhill Residential Care Home 11/10/07

Sunnyhill Residential Care Home 08/08/06

Sunnyhill Residential Care Home 26/05/05

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 Residential Care Home 14 Selwyn Road Eastbourne East Sussex BN21 2LJ Lead Inspector Nigel Thompson Announced Inspection 4th October 2005 09:30 X10015.doc Version 1.40 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 Sunnyhill Residential Care Home DS0000021233.V249193.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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 Residential Care Home DS0000021233.V249193.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Sunnyhill Residential Care Home Address 14 Selwyn Road Eastbourne East Sussex BN21 2LJ 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) 01323 721191 01323 430386 Sunnyhill Residential Care Home Ltd Miss Karen Amanda Noyce Care Home 20 Category(ies) of Dementia (20), Mental disorder, excluding registration, with number learning disability or dementia (20) of places Sunnyhill Residential Care Home DS0000021233.V249193.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The total number of people to be accommodated must not exceed twenty (20) mentally disordered elderly service users. 26/05/05 Date of last inspection 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 Residential Care Home DS0000021233.V249193.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over five and a half hours in October 2005. It found that all of the National Minimum Standards that were assessed had been met or partially met and the overall quality of care provided was good. Service users spoken to during the inspection expressed satisfaction with the home, the staff and the service provided. On the day of the inspection there were twenty residents living at the home. The inspection involved a tour of the premises, examination of the homes records, discussion with the manager and consultation with three staff and five residents. The focus of the inspection was on the quality of life for people who live at the home. In order that a balanced and thorough view of the home is obtained, this inspection report should to be read in conjunction with the previous inspection reports. 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. Staff receive effective induction and foundation training, regular supervision and are clearly valued and supported by the management team. Sunnyhill Residential Care Home DS0000021233.V249193.R01.S.doc Version 5.0 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. Sunnyhill Residential Care Home DS0000021233.V249193.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Sunnyhill Residential Care Home DS0000021233.V249193.R01.S.doc Version 5.0 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 the following standard(s): 1, 3, 4 & 5 The thorough admission policy and procedure ensures that service users are admitted only on the basis of a full needs assessment, undertaken by people competent to do so. EVIDENCE: Information is available to prospective and existing service users in various formats. The Statement of Purpose and the Service User Guide have been thoughtfully and imaginatively produced to a high standard and are both comprehensive and informative. It was noted that the information brochure is still in draft form but it is understood that it will be completed in the near future. Following a referral to the home, the manager carries out a comprehensive pre-admission assessment including any personal care needs, mobility issues, social and cultural needs and family involvement. Sunnyhill Residential Care Home DS0000021233.V249193.R01.S.doc Version 5.0 Page 9 Since the previous inspection, there have been three new service users admitted to the home. In each case there was evidence of a full and comprehensive needs assessment having been carried out. The manager confirmed that prospective service users are invited to visit the home, before moving in and have the opportunity to look around and meet with existing service users and staff. Having moved into the home, there is an initial eight week trial period, of continual assessment, during which time the suitability of the service and the compatibility of the service user can be established. Sunnyhill Residential Care Home DS0000021233.V249193.R01.S.doc Version 5.0 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 the following standard(s): 7, 8 & 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. Staff have developed positive relationships with service users and demonstrate a sound understanding of their care and support needs. EVIDENCE: High quality care plans have been developed for each service user and are clearly and directly linked to the individual’s assessed needs (Assessment of Abilities). Service users’ individual plans that were inspected were found to be accurate, generally well maintained, and up to date. All service users continue to be registered with local GPs and have access to other health care professionals, via the surgeries. Sunnyhill Residential Care Home DS0000021233.V249193.R01.S.doc Version 5.0 Page 11 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. The home operates an effective key-worker system As part of their induction programme, the manager confirmed that all staff receive instruction on the principles of dignity and respect. This was evident, through discussion during the inspection, and from direct observation of staff interacting sensitively and professionally with service users. Service users spoken to during the inspection were also able to confirm the care, sensitivity and respect shown by staff: ‘They’re wonderful, so kind and helpful’. ‘Nothing is too much trouble. I don’t know what I would do without them’. Sunnyhill Residential Care Home DS0000021233.V249193.R01.S.doc Version 5.0 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 the following standard(s): 12, 13 & 15 Family and community links are good and support and enrich service users’ social opportunities. Social activities and meals are both well managed, creative and provide daily variety and interest for people living in the home. EVIDENCE: Service users’ recreational and leisure interests are recorded in individual care plans, as part of the assessment process and this information forms the basis of a structured programme of activities. A member of staff has taken on additional responsibilities as an ‘Activities Coordinator’. She is clearly motivated and enthusiastic and has recently developed a structured daily programme (Activities Plan) of individual and small group activities, including music, massage, craft and reminiscence therapy. Service users’ level of contact with their family and friends is variable, however, the manager confirmed that visiting to the home is unrestricted Sunnyhill Residential Care Home DS0000021233.V249193.R01.S.doc Version 5.0 Page 13 Service users are provided with a varied, wholesome and nutritious diet. At lunchtime a choice of main meal is available and special diets are catered for. As part of a five week rolling menu, a weekly menu is displayed in the main dining room, reflecting service users’ preferences and including seasonal variations. At the time of the inspection, the ‘winter menu’ had just been introduced. Sunnyhill Residential Care Home DS0000021233.V249193.R01.S.doc Version 5.0 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 the following 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: A clear and accessible complaints procedure is in place. No complaints have been received by the home since the previous inspection. The manger operates an ‘open door’ policy and is clearly considered to be very approachable and understanding. Service users and members of staff spoken to during the inspection confirmed that, should they have a concern or complaint, they would have no hesitation in speaking to the manager or deputy manager and each person was confident that they would be listened to. Policies and procedures relating to abuse, including whistle blowing are in place and were found to be up to date and well maintained. The manager confirmed that staff are made aware of these and other key policies and procedures as part of their induction and foundation training and they are also reinforced during regular supervision and staff meetings. Sunnyhill Residential Care Home DS0000021233.V249193.R01.S.doc Version 5.0 Page 15 The home has a copy of the East Sussex guidance notes on the Protection of Vulnerable Adults and also has in place a copy of the Department of Health’s publication, ‘No Secrets’. Adult protection and abuse training is provided for all staff and this was evidenced by training records and certificates in staff files and confirmed by members of staff themselves. Sunnyhill Residential Care Home DS0000021233.V249193.R01.S.doc Version 5.0 Page 16 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 the following standard(s): 19, 20, 21, 24, 25 & 26 Service users benefit from pleasant accommodation that is comfortable, well maintained and decorated to a satisfactory standard. Levels of cleanliness and hygiene remain generally high. EVIDENCE: There has been little change in the physical environment of the home since the previous inspection and standards remain high throughout. The well maintained décor and good quality furniture and furnishings provide a comfortable and pleasant environment for service users. New floor covering is currently being fitted in all bathrooms, toilets and ensuite washrooms. It was noted that certain radiators in a number of service users’ en-suite rooms were rusty and should now be replaced. This was discussed with the manager and proprietor and is to be addressed. Sunnyhill Residential Care Home DS0000021233.V249193.R01.S.doc Version 5.0 Page 17 Sunnyhill provides a choice of communal sitting, recreational and dining areas which are comfortable, furnished and well suited to their social purpose. The manager confirmed that independence continues to be promoted within the home, as far as is practicable, and this is evident from the personalising of service users’ rooms, which clearly reflects individual tastes, preferences and interests. Infection control procedures are in place and clearly adhered to and levels of cleanliness remain high throughout. Sunnyhill Residential Care Home DS0000021233.V249193.R01.S.doc Version 5.0 Page 18 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28 & 30 There are sufficient trained and competent staff on duty at all times to meet the assessed needs of the service users. EVIDENCE: As previously documented, the stable and dedicated staff team clearly remain 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), two cooks and a maintenance man are also employed in the home. A clear and updated duty rota is in place. Appropriate induction, foundation and core skills training is provided and since the previous inspection, as required, many of the staff have received specific training relating to dementia and dementia awareness. Staff spoken with during the inspection confirmed that the training had been very useful and had increased their awareness and understanding of the condition: ‘It was hard work but it was interesting and I learned a lot’. Sunnyhill Residential Care Home DS0000021233.V249193.R01.S.doc Version 5.0 Page 19 A repeat session is to be arranged for staff who missed the original training and a follow up session is planned for the near future. Although information is currently being obtained from the Internet, the manager is also to research specific training opportunities regarding other associated conditions, including schizophrenia. Sunnyhill Residential Care Home DS0000021233.V249193.R01.S.doc Version 5.0 Page 20 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 36 & 38 Staff are generally 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. However there is a potential risk for service users by doors being wedged open. Service users benefit from sound management and continuous quality assurance and self-monitoring that takes place within the home. EVIDENCE: The established management team continue to maintain a relaxed, open and inclusive atmosphere within the home. Staff and service users, spoken with during the inspection confirmed how approachable and supportive the manager and the deputy manager are. Sunnyhill Residential Care Home DS0000021233.V249193.R01.S.doc Version 5.0 Page 21 The manager continues to provide all care staff with formal supervision on a six weekly basis. As previously documented, she also operates an ‘open door’ policy, with staff able to discuss any issues at anytime. Staff spoken to confirmed the support and training they receive and acknowledged the personal benefit of effective supervision. The manager herself also receives regular support and formal supervision from the proprietor. The home operates effective quality monitoring systems, including satisfaction questionnaires for both service users and their relatives. Since the last inspection, responses received from service users’ relatives have been generally very positive: ‘Absolutely excellent – every care and consideration has been made to accommodate mum’s needs, comfort and happiness’. The health, safety and welfare of service users and staff remains 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. However it was noted during a tour of the premises that many doors into service users’ rooms were wedged open. This is a clear safety risk, which was brought to the attention of both the manager and the proprietor. Following discussion it is required that wedges will not be used in the home and it is proposed that automatic closers are to be fitted to all doors, as necessary. 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 Residential Care Home DS0000021233.V249193.R01.S.doc Version 5.0 Page 22 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. 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 2 X X 3 3 3 STAFFING Standard No Score 27 X 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 3 3 X 3 3 X 2 Sunnyhill Residential Care Home DS0000021233.V249193.R01.S.doc Version 5.0 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. 1 Standard 38 Regulation 13 (4) (a) Requirement It is required that all parts of the home, to which service users have access are free from hazards to their safety, including door wedges. Timescale for action 31/10/05 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 21 Good Practice Recommendations It is recommended that rusty radiators in some service uses’ en-suite washrooms be replaced. Sunnyhill Residential Care Home DS0000021233.V249193.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection East Sussex Area Office 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 Residential Care Home DS0000021233.V249193.R01.S.doc Version 5.0 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. 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