Inspection on 22/02/07 for Sunnymeade

This inspection was carried out on 22nd February 2007.

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

Sunnymeade 22/08/07

Sunnymeade 23/01/06

Sunnymeade 26/07/05

Sunnymeade 30/11/04

Sunnymeade 07/05/04

Sunnymeade 07/01/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Sunnymeade 323 Tavistock Road Derriford Plymouth Devon PL6 8AE Lead Inspector Kim Fowler Key Unannounced Inspection 22nd February 2007 06:30 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 Sunnymeade DS0000003470.V318267.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. Sunnymeade DS0000003470.V318267.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sunnymeade Address 323 Tavistock Road Derriford Plymouth Devon PL6 8AE 01752 781811 01752 781811 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) Mrs Wendy Karen Dunn Care Home 30 Category(ies) of Dementia - over 65 years of age (30), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (30), Old age, not falling within any other category (30), Physical disability over 65 years of age (30) Sunnymeade DS0000003470.V318267.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Age 60 Date of last inspection 23rd January 2006 Brief Description of the Service: Sunnymeade is a detached property standing within its own grounds in the residential area of Derriford and is privately owned and managed by Ms Wendy Dunn. The Home is currently registered to provide residential accommodation for a maximum of 30 persons over the age of 60 who may also have a physical disability, dementia or mental disorder. The home is in the process of being remodelled with a major refurbishment and improvement plan that should be completed soon. Accommodation currently is provided on two floors with a stair lift providing access to the 1st floor. There are two lounges on the ground floor, one of which is a designated smoking room. The newly built dining room is currently doubling up as a sitting room. Living rooms are in the process of being re allocated pending the completion of the changes. There is a call bell system throughout the home. The changes include the provision of more single bedrooms on the ground and first floors, with some having en suite facilities. Service Users are enabled to access any health or social care services they require and various social activities are arranged by the home. The rear gardens have been thoughtfully landscaped to provide level access to well lit paved and bricked walkways, lawns, seating areas and raised flower- beds and a fountain. Some new en-suite rooms are now ready for occupation and residents currently living in the home have been given the choice of moving into these rooms. Sunnymeade DS0000003470.V318267.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over 3 days. The registered owner Mrs Wendy Dunn and the care home manager were available during the inspection. The inspector made a tour of the building and spoke to all the residents, four visitors, a GP and a District Nurse visiting at the time of the inspection. Documentation relating to the care planning process and the management of the home were examined. Prior to the inspection, resident comment cards had been sent to the care home to allow residents to comment upon their experiences. Five cards were returned and no issues of concern were raised. Four staff comment cards were also received as well as one GP, four Health and Social care professional and four relative feedback cards. Any comments are in the relevant section of the report. What the service does well: What has improved since the last inspection? What they could do better: Pre-employment checks including references must be undertaken to protect service users and ensure as far as possible that only suitable staff are employed in the home. Please contact the provider for advice of actions taken in response to this Sunnymeade DS0000003470.V318267.R01.S.doc Version 5.2 Page 6 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Sunnymeade DS0000003470.V318267.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 Sunnymeade DS0000003470.V318267.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. JUDGEMENT – we looked at outcomes for the following standard(s): 3/6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be confident that a full needs assessment will be completed before admission to ensure the home can meet their individual needs. EVIDENCE: The service user files that were examined confirmed that each service user had received a contract with the paying authority and a copy of this contract was held on file. These contracts clearly state the terms and condition of occupancy. Further examination of files found that each of the service users files contained a completed pre admission questionnaire. The files examined were for one service user recently admitted for respite care and five long stay service users. Sunnymeade DS0000003470.V318267.R01.S.doc Version 5.2 Page 9 All service users were spoken with during the visits to the home. One service user recently admitted to the home informed the inspector that they had received information about the home and had assisted in the completion of an assessment to inform staff of their needs. All files held a completed pre-admission assessment, a care plan and additional information including personal care needs to support staff in the care of individual service users. These documents are important for prospective service users to assure them that not only can their health care needs be met but also their emotional, social, cultural or religious needs. Sunnymeade does not offer Intermediate Care. Sunnymeade DS0000003470.V318267.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7/8/9/10/11. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff and manager provide good personal and health care support to the service users in the home. Ensuring the promotion of privacy and dignity at all times. EVIDENCE: Individual care plans were in place containing information on care needs and how the home would meet these needs. Evidence was recorded that care plans are updated regularly. The daily care plans are easy assessable for staff on duty. These care plans give detailed instructions to all staff as well as information to new staff to ensure intimate personal care is being provided in a manner that meets with that service users approval. Especially where a service user is unable to express themselves verbally. All care plans seen contain risk assessments and these are complete and are comprehensive in detail. Sunnymeade DS0000003470.V318267.R01.S.doc Version 5.2 Page 11 Evidence was recorded in individual files that service users are referred to the District Nurse team after health monitoring by the homes care staff. All service users have access to all health care services. These files recorded that there was input from other professionals including GP’s, chiropodist and consultants based at the local hospital. One visiting GP that was interviewed stated that he was not aware of any service users with bedsores and that the home provides excellent care. The GP stated that he has staff support when attending to service users and the home will call for advice when needed. The GP said, “One of the better homes I visit”. The District Nurse was interviewed as part of the inspection process. The District Nurse confirmed that the home would contact the District Nurse service when needed. The Commission received 4 Health and Social Care Professional feedback cards. Quoted from the cards were: “appears to be well run and clean, patients appear happy with their care and I have no concerns regarding this care home”. Another stated, “am very happy with the care” and another went onto say, “much improved”. The staff on duty were observed carrying out a medication round. The staff member talked through the procedure with the inspector and confirmed that senior staff always carry out the administration of medication. Thus ensuring that service users receive the correct medication. Several staff confirmed they had received medication training. On the second visit to the home the care home manager discussed with the inspector the new storage container the pharmacist had recently introduced. It was evident from these discussions that the manager was taking advice and information from the pharmacist before introducing this system to the care staff. This ensures the care staff fully understand the system. All the service users currently living at the home were asked for their comments. Those service users who were able to confirmed that the staff treat them with respect and protect their privacy and dignity at all times. Observed during the inspection were staff knocking on service users bedroom doors. The District Nurse said that the home is caring for a terminally ill service user very well and has previously cared for service users with a terminal illness with respect and dignity. This included the service users remaining in their own room and the home obtaining a specialist bed and mattress to aid the comfort and wellbeing of this service user. Sunnymeade DS0000003470.V318267.R01.S.doc Version 5.2 Page 12 One relative who was visiting this service user said, “the care has been second to none and the care staff have been excellent” Sunnymeade DS0000003470.V318267.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. 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. The service users at Sunnymeade can be confident that the home offers good wholesome meals. The home welcomes and encourages families and friends to visit. EVIDENCE: A notice was displayed on the homes notice board stating when and what activities are arranged and several service users spoken with during this inspection informed the inspector of different activities undertaken. This included one service user showing the inspector the photos of the recent Valentine Day dinner organised by the home. On the evening of the first visit to the home many of the service users were going to see an ice show. A mini bus had been arranged by the home and the service users spoken with on the second day of the inspection said how much they had enjoyed the trip out. Extra staff had been provided to assist the service users. Sunnymeade DS0000003470.V318267.R01.S.doc Version 5.2 Page 14 Of the four staff surveys returned three commented under the is there anything that the care home does really well wrote, “Sunnymeade has a very good variety of entertainment and activities” another said “Sunnymeade have activities in the afternoon including bingo, sing-a-long and service users really enjoy and look forward to these afternoons”. The inspector interviewed four family members visiting different service users at the home. All visitors stated that they are able to visit the home at any time and they see their relative in private. One relative was able to confirm that they received information in the Statement of Purpose about the complaints procedure. Two anonymous complaints were sent to the Commission and both stated that service users have to get out of bed by 8am and that service users do not have a choice to remain in bed. Several service users were asked about their bedtime routine. Many stated that they go to bed and get up when they wish. One service user said “ I have always got up early and the staff bring me a cup of tea in bed”. Due to the needs of the service users in the home, as many have dementia, there are some set routines which aid service users. An example would be having set mealtimes. The first visit to the home was carried out at 6.30am. At that time 7 service users were already out of bed and those service users who were able stated that they had no objection to being up at that time. The staff spoken with said that many of the service users were already awake and were always asked if they wished to get up and dressed. However the owner and many of the staff interviewed stated that service users are given a choice and if they are unwell or request to they could remain in bed. Records show who manages service users money. There is also information about some service users who’s finances are managed by Power of Attorney. An inventory was obtained for each service user who had brought personal processions into the home. Most rooms seen during the tour of the building showed that many service users had brought in personal possessions. The Commission received two anonymous letters of complaint. One stated that the food is “horrible, always sandwiches for tea and no cakes, puddings or soup”. On discussion with the service users about the food provided the quotes received were “excellent”, “a good choice”, “wonderful and “I can have food Sunnymeade DS0000003470.V318267.R01.S.doc Version 5.2 Page 15 when ever I want it and am given the choice of food I want”. All service users who were able to made positive comments about the food provided. The menus were sent with the pre-inspection questionnaire. And the cook was spoken with during the inspection about the menus and food on offer. It was evident from the food seen served at lunchtime and the evening tea being prepared that the food was home cooked using fresh products. The meal was well presented and freshly prepared. The cook was observed preparing a pudding for the lunchtime and included catering for special diets. Fresh cakes were being cooked for teatime. The cook informed the inspector that the service users are asked every evening for their choice for the next day and several service users had recently requested a special type of cake. The cook was in the process of ordering the ingredients and preparing to make this for them. Observed during the inspection was one service user who said that she did not like the meal on offer. The staff offered this service user a second choice and soup was chosen and prepared for them. The cook confirmed that fresh provisions were ordered regularly and there were always plenty of provisions available and everyday items could be obtained locally. One relative said that they are offered food if they are visiting the home at meal times or are sitting with their relative for any length of time. All relatives said they are routinely offered tea and coffee at every visit. Sunnymeade DS0000003470.V318267.R01.S.doc Version 5.2 Page 16 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. 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 service users can be confident that any complaints or concerns raised will be listened to, acted upon and well managed by the home. EVIDENCE: The homes complaints procedure was displayed on the homes notice board and the home has a suggestion box in the front entrance hall for any visitor or staff to use anonymously if wished. The Commission had received two anonymous complaints. One was sent to the home to investigate and the second was looked at as part of the inspection process. The homes complaint file contained details of the recent complaint and this included the action taken and outcomes. Neither complaint was upheld. All details contained in these complaints are dealt with in the relevant section of the report. Many of the service users and some of the relatives spoken with during this inspection were aware that the home has a complaints procedure in place. All the relatives and many of the service users spoken with were confident that any concerns or complaints they raise would be acted upon and listened to. Sunnymeade DS0000003470.V318267.R01.S.doc Version 5.2 Page 17 The home had raised a possible adult protection issue and the homes owner had followed the correct procedure and passed this information onto the Care Manager of the service user concerned. This information was recorded into the service user file and the Care Manager was due soon to carry out a review and look further at the issue raised. Eight staff members were interviewed during this inspection. The discussion with these staff members confirmed that they had all completed the Adult Protection training. It was clear from the information given to the inspector, from the staff, they had a clear knowledge and understanding of the Adult Protection process. Discussion with the staff confirmed that they were aware of the procedure in dealing with any issues and that the home had the alerters guide available. Sunnymeade DS0000003470.V318267.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19/26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sunnymeade continues to maintain a clean and suitable environment for it’s stated purpose and the service users can be assured that they will live in an attractive and comfortable home that is regularly maintained. EVIDENCE: The home presently has 19 resident service users and the home is registered for 30 but due to the ongoing major refurbishment presently being carried out some rooms are not available. The work already completed was inspected and was completed to a very high standard. Some of the current service users will move into the upgraded area while the remaining building is upgraded. A new sluice room was now available for staff to use and a further sluice will be added when the work in the new building is completed. The majority of the new bedrooms will have a walk in shower and toilet. Sunnymeade DS0000003470.V318267.R01.S.doc Version 5.2 Page 19 The home has a lift and there are plans to fit a stair lift in the new wing so all parts of the home will be accessible for all service users. A full tour of the premises was undertaken during this inspection. Evidence obtained from the service users, relatives and staff is that the home is well maintained clean and safe. The Registered owners’ partner carries out everyday maintenance jobs. Therefore providing service users with a safe and well maintained environment. The home has sufficient safe and comfortable living space for the service users. All the service users are able to access the gardens and the communal facilities. One staff survey received by the Commission stated under the any other comments, “ will be pleased when the building work has finished, I am sure it will make a great improvement”. Another wrote “excellent facilities and services are being provided to the service users as well as relatives”. Appropriate disability equipment is provided in the home, and these include a passenger lift, hoists, wheelchairs, and a call bell system. This equipment provides the service users with a building that is appropriately adapted to meet their needs. The tour of the premises and feedback from the service users and visitors confirmed that the home is always clean, tidy and free from any odours and so the service users can be assured that they will live in an attractive and comfortable home that is regularly maintained. Many of the staff had completed a recent infection control course. One of the complaints received at the Commission stated that clinical waste bags were stored in the home until collection and that there were no gloves available. The Registered owner stated that there is a designated shed to store all clinical waste bags until collection which is weekly by a private company. Many staff confirmed that there are gloves available in individual bedrooms and in the staff room. Sunnymeade DS0000003470.V318267.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27/28/29/30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents are supported by well-motivated and caring staff in sufficient numbers to meet the needs of those currently living at the home. Not all staff files contained evidence of all required checks designed to protect service users. EVIDENCE: A previous requirement for an extra member of staff after 6pm has been carried out. One staff survey received wrote under the if you could change one thing to improve the way the care home works wrote, “get more staff when needed” and another wrote, “there is nothing I would change”. The pre inspection questionnaire stated that all staff had obtained a CRB. These CRB checks were held in a file and included any discussion held on any disclosure made. Staff files were examined and some did not contain the required preemployment checks including references this places service users at risk. One staff file showed the home did not obtain a reference from a previous employer and another staff file held only one reference. Sunnymeade DS0000003470.V318267.R01.S.doc Version 5.2 Page 21 The Registered owner stated that she would review these staff files and obtain all the relevant information. One fairly new staff member stated that their recruitment and selection process was fair and they had completed a CRB check and shadowed other staff members during her induction. The Induction pack was comprehensive in detail and was linked to NVQ’s for staff. The staff-training files provided further evidence that regular training was carried out. All staff interviewed confirmed that they receive regular and updated training. This included First Aid, Manual Handling and Food Hygiene. Most staff had completed a Dementia training course provided at the home this week. Information sent to the Commission was that external trainers such as Fire Safety officers provide some specialist training. Pre-inspection questionnaire stated that over 50 of care staff have NVQ training to level 2 or above. One staff spoken with confirmed that they were presently undertaking their NVQ training and another is near completion of the NVQ assessors training. This will assist other staff undertaking NVQ training at the home. One staff survey received commented under the, is there anything that the care home does really well wrote, “offer training including NVQ and short courses”. Catering and domestic staff are employed each day and from discussion with all ancillary staff on duty it was evident that these ancillary staff are involved in care work by working as bank staff and have attended training including dementia care and Adult Protection. All service users were spoken with during this inspection and those that were able to made comments about the staff that included, “ Extraordinary”, “wonderful”, “lovely and kind” and “will do anything for you”. One staff survey received by the Commission stated under the any other comments, “The staff have been really friendly and helpful, they give 100 to service users”. The family members spoken with also had only positive comments about the staff at the home and included “the care staff are second to none”. Of the 4 relative feedback cards received one commented, “The person I visit at Sunnymeade has excellent care by all the staff”. Sunnymeade DS0000003470.V318267.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31/33/35/36/38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Registered owner is competent has the respect of the staff team and is highly thought of by the service users and the staff. EVIDENCE: The Registered owner, Wendy Dunn, and the care home manager were available throughout the inspection process. The manager confirmed she has an excellent relationship with the registered owner and lines of communication are good with Mrs Dunn being available when needed. Sunnymeade DS0000003470.V318267.R01.S.doc Version 5.2 Page 23 The Registered owner has an NVQ 4 in care and the Registered Manager award and the care home manager has gained an NVQ 4 in care. The office showed that all records are secure. Files showed that a quality assurance survey was carried out last year. This survey was shown to the inspector and it contained positive comments. The owner gives feedback to all service users at regular service users meetings and the minutes of service user meetings confirmed that the topic of quality assurance is raised at each meeting. Staff supervision records showed that this is carried out regularly and on a one to one bases and the manager confirmed that they hold regular staff meetings. Sampling of records indicated equipment is serviced regularly and maintained in good order. Health and Safety is a priority in the home and records showed fire safety training and fire protection is in place and up to date. The accident records were accurate and all files examined showed that information is recorded onto accident forms and also written into service users daily records with appropriate action taken when needed. Sunnymeade DS0000003470.V318267.R01.S.doc Version 5.2 Page 24 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 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 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 Sunnymeade DS0000003470.V318267.R01.S.doc Version 5.2 Page 25 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 OP29 Regulation 19 Requirement Fitness of workers (1)The registered person shall not employ a person to work at the care home unless— (a) the person is fit to work at the care home; (b) subject to paragraphs (6), he has obtained in respect of that person the information and documents specified in paragraphs 1 to 7 of Schedule 2; The home must operate a through recruitment process and obtain all original documents required to meet this standard. Timescale for action 30/05/07 Sunnymeade DS0000003470.V318267.R01.S.doc Version 5.2 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Sunnymeade DS0000003470.V318267.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Devon Area Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: 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 © 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 Sunnymeade DS0000003470.V318267.R01.S.doc Version 5.2 Page 28 - 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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