Inspection on 29/07/05 for Sunnyhill Road 99

This inspection was carried out on 29th July 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 Road 99 15/12/08

Sunnyhill Road 99 18/12/06

Sunnyhill Road 99 15/11/05

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 99 Sunnyhill Road 99 Sunnyhill Road London SW16 2UW Lead Inspector Rehema Russell Unannounced 29th July 2005 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. 99 Sunnyhill Road G52-G02 S62220 Sunny Hill V241985 290705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 99 Sunnyhill Road Address 99 Sunnyhill Road, London SW16 2UW 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) 0208 677 5369 0208 677 5369 Mr. C. Oakley, 229 Mitcham Lane, SW16 6PY Mr George Asante CRH Care Home 5 Category(ies) of PC Care home only registration, with number of places 99 Sunnyhill Road G52-G02 S62220 Sunny Hill V241985 290705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection n/a Brief Description of the Service: 99 Sunnyhill is an ordinary 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. 99 Sunnyhill Road G52-G02 S62220 Sunny Hill V241985 290705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on a Friday afternoon. The home was first registered with CSCI at the end October 2004 and on the day of inspection there were two residents at the home and three vacancies. The manager was not present at the home that afternoon but was spoken with by telephone after the inspection. The inspector spoke with the two residents together in the lounge, toured the building with the support worker, looked at documentation with the assistance of the registered person, spoke to the residents in private, and spoke with the support worker in private. The inspector returned briefly to the home on the following Monday evening to see some further documentation and was able to speak with a second support worker. 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. 99 Sunnyhill Road G52-G02 S62220 Sunny Hill V241985 290705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection 99 Sunnyhill Road G52-G02 S62220 Sunny Hill V241985 290705 Stage 4.doc Version 1.40 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 standard(s) 1, 2 and 4 Prospective residents have the information they need to make an informed choice about the home. Individual needs are assessed and trial visits take place. EVIDENCE: The brochure, statement of purpose and service users guide contain all the information required thus enabling prospective residents and interested parties to make a well informed decision about the home. As the home is new, residents’ views have not yet been added to the service users guide. Documentation in care plans evidenced a thorough referral procedure, including the gathering of information from relevant medical, psychiatric and social professionals. The home’s internal pre-admission assessment is written on the referral form and demonstrates the basis for accepting the potential resident. However currently this assessment is in the form of a summary paragraph and the home should consider expanding the amount of recorded information in this section, such as by detailing the potential residents’ social, physical, medical and psychological strengths/needs. These could then further contribute to the initial care plan. Documentation and verbal evidenced from residents and staff confirmed that potential residents are given several opportunities to visit the home on an introductory basis and to participate in trial stays. 99 Sunnyhill Road G52-G02 S62220 Sunny Hill V241985 290705 Stage 4.doc Version 1.40 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 standard(s) 6 and 9 Residents’ assessed and changing needs are reflected in individual care plans. Residents are supported to take risks as part of an independent lifestyle. EVIDENCE: The care plans of the current two residents were seen and found to be well laid out and in good order. Both contained goals which were tailored to the individual and were generated from the care programme approach document. They were devised with the input of the resident, key worker and care manager and signed by all three. Care plan files contained very detailed and relevant daily notes and action plans and monthly evaluation sheets which tied in with care plan goals. When asked, residents said that they knew that they had care plans but had forgotten what was written in them. It is therefore recommended that the home considers giving residents a copy of their individual care plan goals so that they can retain them in their bedrooms as a reminder of their agreed goals. Care plans also contained appropriate risk assessments and it was evident from speaking with residents and staff that residents are encouraged and supported to make decisions about their lives and live as independently as possible, in keeping with the aims and objectives of the home. 99 Sunnyhill Road G52-G02 S62220 Sunny Hill V241985 290705 Stage 4.doc Version 1.40 Page 9 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 standard(s) 11, 12, 13, 15, 16 and 17 Residents are encouraged and supported to develop independent living skills, to find and keep appropriate jobs and to participate in the local community and in culturally appropriate activities. Appropriate personal and family relationships are supported and residents are provided with a healthy diet of their choice. EVIDENCE: The aim of the home is to assist residents to live as independently as possible and residents confirmed that they are supported to learn daily living skills such as cooking, laundry, managing finances and shopping. They confirmed that their spiritual needs are also supported, with one resident choosing to visit a local church. Both residents are supported to maintain part-time paid employment and to attend sheltered workshops and culturally appropriate social centres. Residents are able to access all community facilities, such as shops, libraries, cinema, cafes and restaurants, which are all available locally, and can do this individually at choice or with each other or staff as part of the planned activities at the home. Residents confirmed that appropriate personal and family relationships are supported. Neither residents choose to have personal visitors at the home but one resident chooses to visit family members 99 Sunnyhill Road G52-G02 S62220 Sunny Hill V241985 290705 Stage 4.doc Version 1.40 Page 10 outside the home. Staff and residents confirmed that routines are flexible, with residents choosing waking and sleeping times according to their timetable during the week and their choice at weekends, choosing whether to socialise in the lounge or watch television/videos/read in their rooms, and being able to access snacks and drinks at will during the day or night. The registered person employs 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, and both residents confirmed that they were very happy with the food provided at the home. However, the home is not currently keeping records of the meals taken, as required under Regulation 17 (2) of The Care Homes Regulations 2001, and a requirement has been made regarding this. 99 Sunnyhill Road G52-G02 S62220 Sunny Hill V241985 290705 Stage 4.doc Version 1.40 Page 11 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 standard(s) 18, 19 and 20 Appropriate personal and healthcare support is provided and medication is stored and administered appropriately. EVIDENCE: Residents do not need physical assistance with personal care but prompting is given as necessary and staff were aware of how to do this in a way that maintains dignity and respect. Both residents were well groomed and ageappropriately dressed, with clothing and appearance that reflected their individual personalities and beliefs. Documentation and speaking with staff indicated that appropriate healthcare support is provided, and the home operates a key worker system to ensure consistency and continuity of care. The storage, administration and recording of medication was checked and found to be in good order. Staff have been trained in the administration of medication and the manager is a registered nurse. Nevertheless, the Registered Person has arranged for all staff to undertake a distance learning college course in medication, which is good practice. The home keeps a central register of all medication received, which was in good order. However, as further good practice for a home using mental health medication, it is recommended that a tablet count of medication is conducted at regular intervals and recorded and signed on the medication charts. 99 Sunnyhill Road G52-G02 S62220 Sunny Hill V241985 290705 Stage 4.doc Version 1.40 Page 12 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 standard(s) 22 The complaints procedure is clear and meets requirements. EVIDENCE: The home has a clear complaints procedure which is published in the statement of purpose and the service users’ guide. The complaints book was seen and evidenced that the home had received no formal complaints to date. Staff were fully aware of the complaints procedure and how to support residents to access it. Both residents were aware of how to make a complaint and both said that they had made individual informal complaints which had been dealt with in a timely and effective way, thereby preventing the need for a formal complaint. 99 Sunnyhill Road G52-G02 S62220 Sunny Hill V241985 290705 Stage 4.doc Version 1.40 Page 13 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 standard(s) 24, 25, 26, 27, 28, 29 and 30. Residents live in a homely, comfortable and safe environment, which provides sufficient privacy and promotes an independent lifestyle. 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. There are three bathrooms, therefore 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. During discussion with the inspector one resident said he would like to have a table in his room and the registered person said this would be provided. By coincidence, just after the inspection had started the environmental officer (food hygiene) also arrived to carry out an unannounced inspection on the 99 Sunnyhill Road G52-G02 S62220 Sunny Hill V241985 290705 Stage 4.doc Version 1.40 Page 14 home and so the kitchen was inspected by this officer. The officer was satisfied with what she found. The inspector noted that there are five lockable kitchen cabinets which are for resident use as they become independent in regard to catering. The home was found to be of a high standard of hygiene and cleanliness throughout. 99 Sunnyhill Road G52-G02 S62220 Sunny Hill V241985 290705 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34 and 35 There are suitable recruitment, training and support procedures to ensure a competent, qualified and culturally appropriate staff team that is able to meet residents’ individual and joint needs. EVIDENCE: Staff confirmed that they had job descriptions and demonstrated that they understood their roles and how their role related to that of the manager and the registered person. The home employs only black male management and support staff, in keeping with the stated aims and objectives of the home. The registered person described the home’s recruitment procedure, which follows good practice guidelines, and explained that the home would not accept support workers unless they already had relevant mental health experience. Staff spoken with confirmed that they had been given initial induction training, which covered all relevant basic areas, and had only worked on shift with a more experienced member of staff for their first 3-4 weeks. Subsequently, staff follow a comprehensive training programme which is outlined in a booklet, each section of which is signed by the support worker and manager as it is accomplished. Staff files were generally in good order but one file did not have the required identification proofs and one did not have a suitable declaration of physical and mental fitness for the purposes of the work. The manger must therefore ensure that all staff files have the required documentation. 99 Sunnyhill Road G52-G02 S62220 Sunny Hill V241985 290705 Stage 4.doc Version 1.40 Page 16 Both the senior support worker and one of the two current support workers have already obtained NVQ Level 3 and the second support worker is about to start the same course. The home has therefore achieved the 2005 NVQ training target. Rotas were seen and evidenced that there are always 2 members of staff on duty during the day, with one waking staff each night. As the number of residents admitted to the home increases, the Registered Person said that the number of support staff on duty would also increase so that the resident to staffing ratio will always be a minimum of 1:2. The registered person and support worker were observed to have an open, friendly and positive relationship with residents and residents said that they were happy with the staff at the home and felt well treated. Staff confirmed that they receive regular supervision, which they find useful, and that they feel part of a team as their suggestions are considered and acted upon. Documentary evidence of regular supervision and team meetings was seen and found to be in good order. 99 Sunnyhill Road G52-G02 S62220 Sunny Hill V241985 290705 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38, 39 and 42. Residents benefit from the ethos, leadership and management at the home. Participation and feedback from residents is sought and working practices promote and protect the health, safety and welfare of residents. EVIDENCE: There is an open, positive and inclusive atmosphere at the home and residents confirmed that they find the staff and manager approachable and attentive to their needs. Staff said that they can speak openly to the manager, that he is a good communicator and that they feel part of a team, with any concerns/suggestions listened to and actioned. Regular community meetings take place and residents confirmed that they attended these and that staff responded to their views and suggestions. As the home is newly registered and has not yet been running for a year, it is still in the process of devising and implementing a formal quality assurance system that will incorporate a formal users’ survey as required under Regulation 4 and referred to under Standards 1 (1.2 viii) and 39 (39.4). Although the registered person visits the home on a weekly basis, he conducts and records monthly Regulation 26 visits, 99 Sunnyhill Road G52-G02 S62220 Sunny Hill V241985 290705 Stage 4.doc Version 1.40 Page 18 which were found to be in good order and to include residents’ feedback, which is good practice. A variety of documentation relating to health and safety and safe working practices were seen and found to be in good order. These included: recording of water temperatures, visitors book, complaints book, fire book, medication records, COSHH materials stored safely and locked away, gas safety certificate, water regulation inspection, fire alarm services, fridge and freezer temperature books, communication book. 99 Sunnyhill Road G52-G02 S62220 Sunny Hill V241985 290705 Stage 4.doc Version 1.40 Page 19 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 3 2 x 3 x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 4 3 4 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 x 3 3 2 Standard No 31 32 33 34 35 36 Score x x x 2 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 99 Sunnyhill Road Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x 3 2 x x 3 x G52-G02 S62220 Sunny Hill V241985 290705 Stage 4.doc Version 1.40 Page 20 n/a 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 17 Regulation 17 (2) Requirement The Registered Manager must ensure that daily records of the food provided for residents are kept. The Registered Manager must ensure that all required information is on employees personnel files. The Registered Person must devise and implement an annual formal service users survey. Timescale for action 29 July 2005 30 September 2005 31 December 2005 2. 34 19 (5) 3. 39 4 (1)( c) 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. 2. 3. Refer to Standard 2 6 20 Good Practice Recommendations The Registered Manager should expand the preassessment information to include a more detailed breakdown of strengths/needs. The Registered Manager should consider giving residents a copy of their individual care plan goals to retain as a personal reminder. The Registered Manager should consider instituting a system of regular/spot tablet counts. 99 Sunnyhill Road G52-G02 S62220 Sunny Hill V241985 290705 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection SE London Area Office Ground Floor, 46 Loman Street Southwark London 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 99 Sunnyhill Road G52-G02 S62220 Sunny Hill V241985 290705 Stage 4.doc Version 1.40 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!