Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Sunnymead Manor 575-579 Southmead Road Southmead Bristol BS10 5NL The quality rating for this care home is: The rating was made on: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Odette Coveney Date: 2 0 1 1 2 0 0 8 Information about the care home
Name of care home: Address: Sunnymead Manor 575-579 Southmead Road Southmead Bristol BS10 5NL 01179791212 01179792680 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mimosa Healthcare (No4) Limited care home 76 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category 42 0 Over 65 0 34 Conditions of registration: The registered person may provide the following category of service only: Care home with nursing - Code N to service users of either gender whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (Code OP) - maximum number of places 34 Dementia (Code DE) maximum number of places 42 The maximum number of service users who can be accommodated is 76. May accommodate 34 persons within the OP category in The Hollies Unit. May accommodate 42 persons with Dementia in The Poplars Unit. Date of last inspection Brief description of the care home Sunnymead Manor is a 76-bedded care home, situated in the Southmead area of Bristol, close to the South Gloucestershire borders. It is operated by Mimosa Care Homes for Older People
Page 2 of 10 Healthcare Limited. Mimosa has three other care homes in the Bristol area Bedminster (Honeymead Care Home), Bishopsworth (Bishopsmead Manor) and Shirehampton (Kingsmead Lodge). Mimosa also own homes in the Midlands and the North of England. The home is located near to Southmead Hospital and only a short distance from the centre of Bristol. There is a regular bus service into the centre of town that passes the front of the home. Sunnymead is a purpose built care home with accommodation provided over two floors. The home is run as two units. The first floor, Poplars unit, accommodates 42 persons requiring specialist dementia care nursing. The ground floor, the Hollies unit, offers 34 beds for general nursing placements. Both floors have communal and bathing facilities, and there is lift access, making the home fully accessible. The majority of the bedrooms are for single occupancy and have ensuite toilet facilities. The cost of placement is between 498- 560 pounds per week, dependent upon assessed need. Additional charges are made for a number of services - these are listed in the homes brochure. Prospective residents can be provided with information about the home and this will detail the services and facilities available at the home. Care Homes for Older People Page 3 of 10 What we found:
We found that there were a number of areas of concern during this site visit. These related to the health, safety and welfare of individuals who live within the poplars unit within the home. This is a specialist unit for those requiring dementia care and nursing support. Whilst at the home we seized documents and issued immediate requirements in order to protect vulnerable people who live at Sunnymead Manor. Documents may be seized by us and be used as evidence if we believe an offence has been committed under the Care Homes Regulations 2001. At this site visit we reported back to the most senior person on the premises our concerns over staff practice in respect of manual handling. We also reported that a staff member told us that it was normal practice to restrict an individuals movement by removing a cushion from their chair. We also feedback our concerns over the importance of the appropriate use of bed rails and the importance of robust, recorded risk assessments. Upon arrival to the home we noted odour, this was in communal areas and also in peoples private rooms, we noted dirty soiled underwear and bedding. This is not acceptable and must be addressed. We noted that in one of the toilet areas there was no handrail to support those with mobility difficulties. This area also had a bin labeled for domestic use only, yet a number of soiled continence aids had been put in this bin. We also felt that this toilet area was in need of a clean due to the build up of dirt and dust. Whilst at the home we found sufficient numbers of staff on duty, we spoke with staff and asked them about the support given to people at the home. We found that some staff spoke about people just in relation to the assistance they needed, rather than speaking about people in terms of them being individuals with individual preferences and personalities. Staff we spoke with appeared to have very little insight into the significance of the Mental Capacity Act for those who have a dementia whom they are supporting at Sunnymead Manor. We observed staff generally going about their day to day duties, we noted that some staff were kind and spoke to individuals in a caring way, however, we were also concerned to note that people were being ignored. On three occasions during our visit people were heard calling for assistance, crying out with no one responding. One person was in the dining room, one person was in their own room and another person was in the lounge area. It was only when we alerted staff to peoples distress that any reassurance or attention was given to people. What the care home does well:
The home have assessed the needs of people prior to their admission into the home. Individuals needs are recorded and identify what action should be taken by the home in order to fully support people, however, the home does not adhere to their own assessments and improvements in this area are needed. Appropriate numbers of staff were on duty within the poplars unit at the home at the time of our visit. Care Homes for Older People
Page 4 of 10 What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 10 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action 1 7 15(2) Care plans in the dementia 17/06/2008 care unit must be meaningfully reviewed and revised as necessary to ensure they remain effective. For those people in the 17/05/2008 dementia care unit who like to wander, meaningful risk assessments must be carried out. This is to ensure that all measures are taken to ensure the activity is, as far as possible, free from any avoidable risks. Care records in the dementia 17/05/2008 care unit must be securely kept and not accessible to those who should not have access to them. 2 8 13(4)b 3 37 17(1)b Care Homes for Older People Page 6 of 10 Requirements and recommendations from this inspection
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action 1 18 13 The registered person shall ensure that no person is subject to physical restraint. Individuals living at this home must not be subject to restrictions on their freedom of movement around the home 28/11/2008 2 22 13 The registered person shall 28/11/2008 ensure that all parts of the home to which service users have access are so far as reasonably practicable free from hazards to their safety. The registered person must ensure that where it has been identified that an individual requires bed rails these must be provided and must be fit for their intended purpose. 3 38 13 The registered person shall 28/11/2008 ensure that any activities in which service users participate are so far as reasonably practicable free from hazards to their safety. The registered person must ensure that people who live at Sunnymead manor are safe. 4 38 13 The registered person shall ensure that any activities in which service users participate are so far as 28/11/2008 Care Homes for Older People Page 7 of 10 reasonably practicable free from hazards to their safety. The registered person must ensure that detailed risk assessments are in place to protect people and to provide clear direction for staff. Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 18 18 The registered person must 28/11/2008 ensure that at all times there are suitable qualified staff on duty at all times. This is to ensure that staff on duty have the skills to assist people safely with their manual handling needs. 2 21 13 The registered person must 25/12/2008 ensure that suitable arrangements are in place to prevent infection at the home. The identified bathroom area on the first floor must have suitable facilities in place to dispose of continence products 3 22 23 The registered person must ensure the premises are suitable for the purpose of achieving the aims and objectives as set out within the homes statement of purpose. Hand rails must be provided in the bathroom on the first floor within the home in 25/12/2008 Care Homes for Older People Page 8 of 10 order to support people with mobility difficulties 4 22 23 The registered person must ensure that the identified bathroom is cleaned. This is to ensure that the home maintain good standards of hygiene within the home. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations 28/11/2008 1 4 Staff are to be reminded of their responsibility to support those with a dementia in order to improve their understanding of supporting people on an individualised basis Care Homes for Older People Page 9 of 10 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 10 of 10 - 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!
