Inspection on 15/11/05 for Sunnyhill Road 99

This inspection was carried out on 15th November 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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Sunnyhill Road 99 15/12/08

Sunnyhill Road 99 18/12/06

Sunnyhill Road 99 29/07/05

Similar services:

Townley Road, 2-3

Foxley Lane (121a)

Tudor Lodge

Stacey Street Nursing Home

Delrose House Ltd

Clovelly House Residential Home Ltd

Abbey Road [53]

Cherry Tree House

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

CARE HOME ADULTS 18-65 Sunnyhill Road 99 Sunny Hill Road 99 Sunny Hill Road London SW16 2UW Lead Inspector Ms Rehema Russell Unannounced Inspection 15th November 2005 11:00 Sunnyhill Road 99 DS0000062220.V257858.R01.S.doc Version 5.0 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 Road 99 DS0000062220.V257858.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 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. Sunnyhill Road 99 DS0000062220.V257858.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Sunnyhill Road 99 Address Sunny Hill Road 99 Sunny Hill Road London SW16 2UW 0208 971 0060 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) 229 Mitcham Lane Mr George Asante Care Home 5 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (5) of places Sunnyhill Road 99 DS0000062220.V257858.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th July 2005 Brief Description of the Service: 99 Sunnyhill is an terraced house in a residential area, with nearby on-street parking. It is located within five minutes walk of a main shopping centre which has full community facilities, including bus and rail transport. It is owned by a private company which specialises in mental health provision for males of African descent and which has two other homes in a nearby local area. The appearance of the home conforms to normalisation principles and there is nothing that would mark it out from any other house in the road. The ground floor has a lounge, one bedroom, toilet and shower, kitchen-diner and a very large rear garden. The first floor has the office, three bedrooms and a bathroom with toilet. The second floor has one bedroom and a bathroom with toilet. The home is not suitable for people with mobility problems. Sunnyhill Road 99 DS0000062220.V257858.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 during the morning and early afternoon of Tuesday 15th November 2005. The inspector spoke with the manager, the proprietor, one support worker and one service user, looked at documentation and records and toured the building. On the day of the inspection there were three service users resident at the home and two vacancies. The third service user was a new admission, subsequent to the previous inspection, but was not met by the inspector as he was out of the home on the day of the inspection. What the service does well: 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 Road 99 DS0000062220.V257858.R01.S.doc Version 5.0 Page 6 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 Sunnyhill Road 99 DS0000062220.V257858.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 A full assessment is undertaken on all new service users prior to admission to ensure that the home can meet their needs. EVIDENCE: As noted in the previous inspection report, the manager carries out a thorough referral procedure, including the gathering of information from relevant medical, psychiatric and social professionals. However this information was formerly noted in the form of a summary paragraph only and so the previous inspection report recommended that the amount of recorded assessment information be expanded. This had been done and at the time of the inspection a new assessment form had been introduced which expands the assessment information recorded under headings such as social history, day time activities, primary needs, mental health and physical health. The manager explained that in order for the staff team to fully understand the needs of service users, a full psychiatric history of new admissions is always obtained and made available for staff to read. The manager explains this information and teaches staff any aspects of it they are not familiar with, also continuing this training if necessary during supervision sessions. Standards 1 and 4 were assessed at the previous inspection and were both found to be met. Sunnyhill Road 99 DS0000062220.V257858.R01.S.doc Version 5.0 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 Service users are encouraged and supported to make decisions about their lives, with assistance as necessary. EVIDENCE: The home encourages and supports service users to make decisions about their daily lives and has very few rules and regulations, particularly because the aim of the home is for service users to reach independence. The only house rules are that alcohol is not to be brought into the house, bedrooms are not to be smoked in and service users are expected to be back at home before midnight unless they have informed staff beforehand. Examples were given of how infringement of these rules is treated with sensitivity and consultation undertaken with psychiatrists, care managers or other relevant professionals. Currently none of the service users have contact with advocates but the manager said that local solicitors would be contacted if necessary. It is recommended that staff obtain a list of any local or national advocacy agencies and make this available to service users. All service users manage their own finances but one service user is supported to budget his weekly personal allowance by leaving it in the office and being given access to a daily Sunnyhill Road 99 DS0000062220.V257858.R01.S.doc Version 5.0 Page 9 proportion. His cash book was seen to be suitably signed and kept, and the cash retained was checked and found to be accurate. Standards 6 and 9 were assessed at the previous inspection and both were found to be met. Sunnyhill Road 99 DS0000062220.V257858.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 17 Service users are supported to have a nutritious and healthy diet and to enjoy their meals and mealtimes. EVIDENCE: The home continues to employ a female domestic staff who visits this home for 2 days each week, undertaking some communal cleaning and providing culturally appropriate meals. At other times residents choose what they wish to eat on a meal-by-meal basis, either cooking for themselves or with assistance from staff. On the day of the inspection one service user told the inspector that he and a member of staff had cooked the evening meal for everyone on the previous day. The newest service user can cook for himself but has asked the domestic worker to teach him how to cook certain cultural foods. Staff explained how they support the one service user who has limited vision and cooking skills. He is encouraged to carry out simple tasks independently, such as making tea and toast, and staff ensure that they are present if he wishes to undertake more complicated tasks and that they give sensitive support and encouragement. The previous inspection report required Sunnyhill Road 99 DS0000062220.V257858.R01.S.doc Version 5.0 Page 11 that the home keeps records of meals taken by service users and has been implemented, with records of breakfast and meals seen. Standards 11,12,13,15 and 16 were assessed at the previous inspection and all were found to be met. Sunnyhill Road 99 DS0000062220.V257858.R01.S.doc Version 5.0 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 Service users are protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: At the previous inspection the Standard relating to medication was found to be met but a recommendation was made that a tablet count of medication is conducted at regular intervals and recorded and signed on the medication charts. This is now being done monthly by the deputy and randomly at other times by either the manager or the deputy. The inspector discussed the possibility of service users self-medicating. Although the home would be very open to this, particularly with the aim of service users becoming more independent, there are very good reasons why self-medication would not be feasible at this time for any of the current three service users. Standards 18, 19 and 20 were assessed at the previous inspection and all were all found to be met, with one recommendation arising from Standard 20. Sunnyhill Road 99 DS0000062220.V257858.R01.S.doc Version 5.0 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 Service users are protected from abuse, neglect and self-harm. EVIDENCE: The inspector discussed abuse issues with the manager and separately with a member of support staff. These discussions demonstrated a thorough knowledge of the different types of abuse issues and of the procedures for dealing with suspected abuse. The Manager had a thorough knowledge of Protection of Vulnerable Adult procedures and will obtain a copy of the recently published local authority adult protection procedure. Abuse training is included in the induction programme that all members of staff undertake and in addition all staff attended a one day external course during the year. Staff also demonstrated that there is a thorough understanding of possible physical and verbal abuse by service users and what practices and procedures should be followed. All staff have been trained in de-escalation. Standard 22 was assessed at the previous inspection and was found to be met. Sunnyhill Road 99 DS0000062220.V257858.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 28 & 30. Standards 25-27 & 29 were assessed at the previous inspection. Residents live in a homely, comfortable and safe environment, which provides sufficient privacy and promotes an independent lifestyle. Shared spaced complement and supplement service users’ individual rooms. The home is clean and hygienic throughout. EVIDENCE: The home’s premises are suitable for its stated purpose and fully blends in with the residential area in which it is located. There are five single bedrooms, all above double bedroom size, and there is a lounge and a kitchen diner, both of which are large enough for five residents and staff to sit comfortably. The home has been decorated, fitted and furnished to a high standard throughout. Individual resident bedrooms have been personalised and are lockable and all have double beds and good quality bed linen. Each floor has a bathroom (shower room on the ground floor) and residents have a choice of which to use. The lounge has been provided with a television, Sky receiver, radio and books, and residents also have their own televisions/audio equipment in their rooms according to individual choice. One resident had mentioned at the previous inspection that he would like to have a table in his room and he said at this inspection that he was very happy that this had been provided. On the day of the inspection, all areas seen were found to be of a high standard of hygiene and cleanliness. Sunnyhill Road 99 DS0000062220.V257858.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Service users are supported by competent and qualified staff. Service users are supported and protected by the home’s recruitment policy and practices, and their needs are met by appropriately trained staff. EVIDENCE: Staff are not employed at the home unless they have prior knowledge and experience in mental health and also have NVQ Level 2 or an equivalent qualification. The manager also ensures that staff have suitable personalities and characteristics for the work they are to undertake, such as reliability, humour, tact, trustworthiness and a suitable temperament. The member of staff interviewed showed a very good understanding of mental health issues and of the particular mental health conditions, characteristics and needs of the service users at the home. Staff are well qualified and the home has exceeded the 2005 NVQ Level 2 training target – the deputy has NVQ Level 3 and is undertaking NVQ Level 4, one support worker has NVQ Level 3, two other support workers are graduates, one of whom is undertaking NVQ Level 3. Staff recruitment was assessed at the previous inspection and the Standard was found to be met with the exception that two files each had one piece of missing information. A requirement was therefore made that the manager ensured that all staff files have the required documentation. This had been done and the file of the most recent member of staff to join the home was Sunnyhill Road 99 DS0000062220.V257858.R01.S.doc Version 5.0 Page 16 checked and found to be in very good order, with all of the required information present and correct. Training and development is valued by the proprietor and manager. All new staff receive structured induction training, completed within the first six months, and the home supports staff to attain at least Level 3 in NVQ by paying the fees and using the rota to ensure they have time to study. As NVQ Level 3 has several mental health components, this is particularly suitable for the home. In addition the manager trains staff on a daily basis by explaining the diagnoses and conditions attributed to service users. Sunnyhill Road 99 DS0000062220.V257858.R01.S.doc Version 5.0 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 and 39 Service users benefit from a well run home and their views are regularly sought and acted upon. EVIDENCE: The Registered Manager is suitably qualified, competent and experienced to run the home. He is a first level registered mental health nurse and has several years experience of managing registered homes for the client group. He has City & Guilds qualifications in management and is currently investigating undertaking the Registered Manager’s Award, as is recommended in the National Minimum Standards. Standard 39 was assessed at the previous inspection and found to be met with the exception of an annual formal service users’ survey. This was because the home had not yet been open for a year at the time of the previous inspection, nor had it reached its first anniversary yet at this inspection. The requirement has therefore been repeated with the same timescale, 31st December 2005. Standard 42 was assessed at the previous inspection and found to be met. Sunnyhill Road 99 DS0000062220.V257858.R01.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 X X X Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X 3 X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 4 X 3 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Sunnyhill Road 99 Score X X X X Standard No 37 38 39 40 41 42 43 Score 3 X 2 X X X X DS0000062220.V257858.R01.S.doc Version 5.0 Page 19 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 YA39 Regulation 4 (1) (c) Requirement The Registered Person must devise and implement an annual formal service users survey. The timescale for this requirement had not expired at the time of this inspection. Timescale for action 31/12/05 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 YA7 Good Practice Recommendations The home should obtain a list of any suitable advocacy agencies and make this available to service users. Sunnyhill Road 99 DS0000062220.V257858.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection SE London Area Office Ground Floor 46 Loman Street Southwark SE1 0EH 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 Road 99 DS0000062220.V257858.R01.S.doc Version 5.0 Page 21 - 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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