Inspection on 08/08/06 for Sunnyhill Residential Care Home

This inspection was carried out on 8th August 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

Sunnyhill Residential Care Home 11/10/07

Sunnyhill Residential Care Home 04/10/05

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 Unannounced Inspection 8th August 2006 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.V296250.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 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.V296250.R01.S.doc Version 5.2 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.V296250.R01.S.doc Version 5.2 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. 4th October 2005 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. Information about the service, including the Statement of Purpose, Service User’s Guide and CSCI reports is made available to prospective service users or their relatives, on request, as part of the admission process. The range of weekly fees, as of 8 August 2006, is £426 - £467. Additional charges, not included in the fees, include hairdressing, chiropody, newspapers and transport. Sunnyhill Residential Care Home DS0000021233.V296250.R01.S.doc Version 5.2 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 August 2006. 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 service users 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 members of staff, five service users and two relatives. The focus of the inspection was on the quality of life for people who live at the home. Responses from a CSCI service users’ survey, regarding their views on the home and quality of care provided, now form part of the inspection process and have also been included in this report. What the service does well: Sunnyhill has a long tradition of providing good quality individual care and support for service users, through careful and continuous assessment of need. 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. 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.V296250.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. Sunnyhill Residential Care Home DS0000021233.V296250.R01.S.doc Version 5.2 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.V296250.R01.S.doc Version 5.2 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): 3, 4, 5 & 6 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. 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. Prospective service users have the opportunity to visit the home and know that it is able to meet their individual care and support needs. EVIDENCE: Following a referral to the home, the manager confirmed that she carries out a thorough pre-admission assessment including all personal care and support needs, any mental health and mobility issues, social and cultural needs and family involvement. Within the last twelve months there have been eight admissions to the home, with three new service users having been admitted since the previous inspection. In each case, through examination of their respective files, there Sunnyhill Residential Care Home DS0000021233.V296250.R01.S.doc Version 5.2 Page 9 was documentary evidence of a full and comprehensive needs assessment having been carried out. The manager confirmed that the admission process has been extended to provide prospective service users with the opportunity 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. Positive comments received from service users and their relatives support this process: ‘From information received beforehand, the move to the rest home was fully vindicated’. ‘After two weeks stay at this rest home I have settled in better than I thought I would’. ‘I couldn’t wish for better care – everything she could possibly need is here!’ The manager confirmed that intermediate care is not provided at Sunnyhill and emergency or unplanned admissions are avoided. Sunnyhill Residential Care Home DS0000021233.V296250.R01.S.doc Version 5.2 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, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Comprehensive care plans enable staff to meet the assessed needs of service users in a structured and consistent manner. Service users are protected by the home’s medication policies and procedures. They are treated with respect and encouraged to make decisions about their day-to-day living. EVIDENCE: Satisfactory care plans have been developed for each service user and are clearly and directly linked to the individual’s assessed needs (Assessment of Abilities). Plans examined were found to be accurate and generally well maintained. They contain an up to date photograph of the service user and detailed information including: ‘How the client chooses to spend their day’; ‘Social interests and interaction’ and ‘Food likes and dislikes’. Sunnyhill Residential Care Home DS0000021233.V296250.R01.S.doc Version 5.2 Page 11 However it was noted in several plans that there is insufficient specific detail regarding action and interventions to be taken by staff, to meet the assessed needs of service users and to ensure consistency of approach. An example of this inadequate guidance for staff was noted in one care plan that was examined: ‘Liaise with GP when necessary’. These findings were discussed with the manager, who is to ensure that the matter is addressed. Clear documentary evidence was in place of service users or their relatives being given the opportunity to be more involved, as required, in developing or reviewing individual care plans. It was noted that 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. All service users continue to be registered with local GPs and have access to other health care professionals, via the surgeries. It was noted, in care plans that were examined, that all appointments with, or visits by, health care professionals are recorded. The home continues to operate 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 and relatives spoken to during the inspection were also able to confirm the care, sensitivity and respect shown by staff: ‘Staff are wonderful in all they do for me’. ‘My mother is very well looked after and all the staff I have come into contact with show a high level of care and commitment towards the residents’. Satisfactory policies and procedures are in place for the control, storage, safe administering and recording of medication. However it was noted that in the case of one service user who maintains responsibility for administering her own medication, there is currently no lockable facility in her room, as required. Sunnyhill Residential Care Home DS0000021233.V296250.R01.S.doc Version 5.2 Page 12 The manager confirmed that all staff involved in administering medicines receive appropriate training. This was supported by documentary evidence and through discussions with care staff. Sunnyhill Residential Care Home DS0000021233.V296250.R01.S.doc Version 5.2 Page 13 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, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Service users are enabled and supported to maintain contact with family and friends as they wish. They benefit from appropriate recreational and leisure activities and menus that are balanced and nutritious, reflecting their individual likes and preferences. EVIDENCE: As previously documented, service users’ social and recreational interests and preferences are now recorded, as part of the pre admission assessment process. Varied and flexible daily activities in the home reflect individual preferences and abilities and are evidently preferred to a structured weekly programme. External entertainers and musical activity coordinators continue to visit Sunnyhill on a regular basis. As well as organised group activities and supported outings, the manger confirmed that time is also given to individuals who prefer to spend time alone or remain in their room. Sunnyhill Residential Care Home DS0000021233.V296250.R01.S.doc Version 5.2 Page 14 This was supported by comments received from service users: ‘I enjoy the motivation lady who comes regularly’. ‘I prefer not to join in any activities held’. The manager confirmed that, in accordance with the wishes of the service users, visitors to the home are welcome, at any reasonable time. However, they are asked to respect mealtimes. Service users may see friends or relatives in one of the lounges or in the privacy of their own room. 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 four week rolling menu, a weekly menu is displayed, reflecting service users’ preferences and including seasonal variations. Positive comments received from service users indicate a high level of satisfaction with the choice and standard of the meal provided: ‘Knowing of my eating difficulties, staff have compiled meals from sheets supplied by the dietician and have proved popular wit myself’. ‘If for medical reasons the daily menu is not suitable, something else can always be arranged’. Sunnyhill Residential Care Home DS0000021233.V296250.R01.S.doc Version 5.2 Page 15 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 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The open and inclusive atmosphere within the home enables service users, staff and visitors to express any concerns, confident that they will be listened to and acted upon. Service users are safeguarded from abuse through relevant staff training and robust policies and procedures. EVIDENCE: An up to date copy of the complaints procedure is in place in the entrance hall, for the benefit of service users and visitors to the home. Service users, relatives and members of staff spoken to described how the manager operates an ‘open door policy’ and is clearly considered to be very approachable and understanding. They confirmed that they would have no hesitation in speaking to her or making a complaint if necessary and each person was confident that they would be listened to: ‘There is excellent liaison between the manager and the family of the resident, should any problems arise’. Since the previous inspection, one complaint has been received by the home and this was dealt with appropriately and professionally through the structured ‘Adult Protection’ process. Sunnyhill Residential Care Home DS0000021233.V296250.R01.S.doc Version 5.2 Page 16 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’. Policies and procedures relating to abuse which were examined were found to be up to date and well maintained. The manager confirmed that staff are made aware of these key policies and procedures as part of their induction, foundation and National Vocational Qualification (NVQ) training and they are also reinforced during regular supervision and staff meetings. This was evidenced by training records and certificates in staff files and confirmed by members of staff themselves. Sunnyhill Residential Care Home DS0000021233.V296250.R01.S.doc Version 5.2 Page 17 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, 23, 24, 25 & 26 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Service users benefit from accommodation that is safe, comfortable, generally well maintained and decorated to a satisfactory standard. EVIDENCE: Sunnyhill Residential Care Home is an established service and both its location in a residential area of the town and its accessible layout remain clearly appropriate and suitable for its stated purpose. There has been little change in the physical environment since the previous inspection and with the well maintained décor and good quality furniture and furnishings it continues to provide a comfortable, safe and homely environment for service users. Sunnyhill Residential Care Home DS0000021233.V296250.R01.S.doc Version 5.2 Page 18 Sunnyhill continues to provide a choice of communal sitting, recreational and dining areas, which are adequately furnished and well suited to their social purpose. Since the previous inspection it was noted that the floor covering has been replaced in the dining area and new chairs and attractive round tables have been provided. 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. Service users and relatives, spoken with during the inspection, expressed satisfaction with physical standards within the home: ‘First class’. ‘Whenever I visit, the room is always clean and tidy. My mother has everything that she needs at hand’. ‘Feels like home from home’. ‘I am happy here and appreciate being here, as some other homes do not reach the same high standards as Sunnyhill’. A programme of routine maintenance, refurbishment and renewal is in place. Infection control procedures are in place and levels of cleanliness remain generally high throughout. However offensive odours were noted in two service users’ rooms, where incontinence is clearly not being adequately managed at present. This was discussed with the manager who is to ensure that the issue is addressed. Sunnyhill Residential Care Home DS0000021233.V296250.R01.S.doc Version 5.2 Page 19 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): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. There are sufficient trained and competent staff on duty at all times to meet the assessed needs of the service users. Robust recruitment procedures and appropriate staff training ensure the safety and protection of service users. EVIDENCE: The stable and dedicated staff team clearly remain able to meet the assessed, individual and collective needs of service users within the home. A clear and updated duty rota is in place and staffing levels were found to be adequate. The manager confirmed that ‘regular’ agency staff are employed to cover any shortfalls. 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. Comments received from service users and their relatives indicate a high level of satisfaction with the staff and the care and support they provide: ‘We have found the staff very friendly and always helpful’. Sunnyhill Residential Care Home DS0000021233.V296250.R01.S.doc Version 5.2 Page 20 ‘They are very good and there is always someone around’. The manager stated that appropriate induction, foundation and core skills training is provided, including first aid, moving and handling, food hygiene and fire safety. This was confirmed by staff and supported by training records examined. It was noted that many of the staff have also received specific training relating to dementia and dementia awareness. There are currently eight care staff who hold the National Vocational Qualification (NVQ) level 2. Although the manager confirmed that there have been no care staff appointed since the previous inspection, there was documentary evidence of thorough recruitment procedures in place. Staff files that were examined were found to be well maintained, containing necessary information, including two satisfactory references, proof of identity and satisfactory Criminal Record Bureau (CRB) and Protection of Vulnerable Adults (POVA) disclosures. Sunnyhill Residential Care Home DS0000021233.V296250.R01.S.doc Version 5.2 Page 21 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): 31, 33, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Service users benefit from effective management, appropriately supervised staff and thorough quality assurance systems. Satisfactory health and safety policies and procedures, within the home, help to ensure the protection of service users and staff. EVIDENCE: The experienced and competent manager has been in her current position for almost four years. She has already achieved the Registered Manager’s Award (RMA) and has just recently completed the NVQ level 4 in Care. The manager continues to provide all care staff with formal, recorded, supervision on a regular basis and through discussions with members of staff, Sunnyhill Residential Care Home DS0000021233.V296250.R01.S.doc Version 5.2 Page 22 it is evident that she also operates an ‘open door’ policy, with staff feeling confident and 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: ‘There’s always training here – whatever you want to do’. ‘Supervision is good. I find it very useful and the manager is always very supportive’. The manager herself also receives regular support and formal supervision from the proprietor. The home continues to operate effective quality monitoring systems, including satisfaction questionnaires for both service users and their relatives. Although there was evidently a limited response to the most recent survey, positive comments from relatives indicate a high level of satisfaction with the home and the care provided: ‘A very friendly and caring atmosphere with extremely considerate staff’. The manager confirmed that the health, safety and welfare of service users and staff remains of paramount importance within the home. 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. The manager confirmed that the home continues to maintain responsibility for approximately half of the service users’ money through a computerised ‘Deposit Account’. Individual balances are checked on a regular basis and all financial transactions are recorded. COSHH assessments and guidelines are in place. Since the previous inspection, as required, automatic closers have been fitted to all doors, as necessary. 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.V296250.R01.S.doc Version 5.2 Page 23 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 X X 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X 3 3 3 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Sunnyhill Residential Care Home DS0000021233.V296250.R01.S.doc Version 5.2 Page 24 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 OP7 Regulation 15 (1) Requirement It is required that service users’ care plans set out in detail the action and interventions to be taken by care staff, to ensure that all individual health, personal and social care needs are met in a structured and consistent manner. It is required that robust and up to date policies and procedures for the safe keeping, recording, and safe administration of medicines be implemented and adhered to. It is required that all parts of the care home be kept free from offensive odours. Timescale for action 30/09/06 2. OP9 13 (2) 30/09/06 3. OP26 16 (2) (k) 30/09/06 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 Sunnyhill Residential Care Home DS0000021233.V296250.R01.S.doc Version 5.2 Page 25 Sunnyhill Residential Care Home DS0000021233.V296250.R01.S.doc Version 5.2 Page 26 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.V296250.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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