Inspection on 25/10/05 for Sunnymeade

This inspection was carried out on 25th October 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

Sunnymeade 21/05/08

Sunnymeade 15/05/07

Sunnymeade 22/08/06

Sunnymeade 20/02/06

Sunnymeade 24/02/05

Sunnymeade 29/07/04

Sunnymeade 10/03/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Sunnymeade Helliers Close Chard Somerset TA20 1LJ Lead Inspector Rachel Doyle Announced Inspection 25th October 2005 11.30a. 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 DS0000016081.V256155.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 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 DS0000016081.V256155.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Sunnymeade Address Helliers Close Chard Somerset TA20 1LJ 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) 01460 63563 01460 68217 Somerset Care Limited Mrs Nicola Susan Passant Care Home 50 Category(ies) of Dementia - over 65 years of age (16), Old age, registration, with number not falling within any other category (50) of places Sunnymeade DS0000016081.V256155.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service users admitted in the category DE will be accommodated in the units named Kingfisher and Azalea. 24th February 2005 Date of last inspection Brief Description of the Service: Sunnymeade is operated by Somerset Care Ltd, a large provider of residential and domiciliary care in Somerset. Sunnymeade is a 50 bedded purpose built care home, situated in a residential area of Chard. It has five units of eight places all on the ground floor. It also has some first floor accommodation, which service users must be able to climb stairs to reach. It is set in mature gardens, which have been provided this year with greater disabled access provision. The service is well established and provides personal care for Older Persons. The Company has plans for a major alteration to one part of the home and bedrooms within that area in order to enhance and improve services. The gardens will also be landscaped and improved as part of this building work, although no start date has been set yet. Sunnymeade DS0000016081.V256155.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 from 11.30-15.30 on Tuesday 25th October 2005. The inspector was welcomed by the manager and staff and was able to inspect relevant documents and move around the Home freely. The inspector spoke to 10 residents in depth, a further 4 residents who were unable to understand the inspection process, and 4 staff. There were 46 residents at the Home, with 1 in hospital and 3 vacancies. The day care service was also in use. This runs Monday to Friday for up to 8 residents with allocated carers. At the time of arrival residents were relaxing in the lounges in each unit and the reception smoking area and chatting to staff. There was a lively atmosphere with people coming and going. What the service does well: What has improved since the last inspection? There were only two recommendations made during the last inspection and both of these have been addressed. No requirements were made, which is commendable. Sunnymeade DS0000016081.V256155.R01.S.doc Version 5.0 Page 6 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. Sunnymeade DS0000016081.V256155.R01.S.doc Version 5.0 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 DS0000016081.V256155.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not judged on this occasion. See previous report. EVIDENCE: Sunnymeade DS0000016081.V256155.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 The staff have a good understanding of the health and personal care needs of residents and these are well met whilst promoting dignity and independence. Bathing risk assessments and resident/representative involvement in the care planning process could be improved. EVIDENCE: Four care plans were looked at. These were very detailed with regular reviews. There were excellent social histories, activities, day and night needs and mental health. Involvement with family was also recorded although resident/representative involvement in the actual care planning process was not clear. Carers were seen to refer to the plans. The Home operates a key worker system with designated staff for each resident. Although residents did not always know names they felt that there was a staff member to assist them when they wanted. There are 25 residents who are living with dementia/confusion. Staff were respectful and residents were able to move around, as they wanted with staff very visible. Dementia updates for all staff is planned. The Home has detailed lists of each resident’s health professional contacts and these visits were well recorded. Continuing physiotherapy and Sunnymeade DS0000016081.V256155.R01.S.doc Version 5.0 Page 10 manual handling plans were excellent and staff were seen to carry these out. Medication systems were good. Self-medication was well managed. The pharmacist had just visited and staff have attended training and updates. One resident said to a carer ‘you’re very good to me’. All residents were positive about the care they received. A carer reassured a resident not to hesitate to pull the call bell and carers were very gentle and caring when transferring a resident to a chair. Most residents said that they are not left to bath alone but thought that they could if they asked. The bathing policy does not include privacy and risk assessments. Sunnymeade DS0000016081.V256155.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 Social activities are well managed, creative and provide daily stimulation and interest for residents living in the Home. Residents are encouraged to maintain their independence, exercising choice and control over their lives. EVIDENCE: The Home has an activities plan and there is an activities organiser. There are two activities a day four days a week. Evidence was seen of residents’ artwork and other activities. There is a church service every Sunday and various activities such as Tescos shopping trips, outings, musical evenings, bingo, games, weekly hairdresser, fetes and clothes sales as well as others. One resident said that the Home had a good reputation in the area and a local society came in to judge the gardening competition. The staff and residents said that family and friends can visit at any time and that there are often events to which the community are invited. Residents were seen to be able to make choices throughout the inspection about how they wanted to spend their day and live their lives. All residents spoken to say that they could do what they liked whenever. They did not have to join in if they chose not to and made their own routines. Sunnymeade DS0000016081.V256155.R01.S.doc Version 5.0 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Complaints are handled thoroughly and well recorded with residents having confidence that they are listened to. Residents are protected from abuse by sound procedures and practices in place. EVIDENCE: The Home has dealt with two complaints during the last two months. These were well managed and good records are kept. Residents felt that they could tell staff anything and that they would be listened to. The complaints procedure is clearly displayed on the notice boards. All staff have undergone a Protection of Vulnerable Adults check. The Home’s POVA policy was last reviewed in 2005 as all other policies and staff have undergone training in this topic. Sunnymeade DS0000016081.V256155.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 23, 24, 25, 26 The standard of the environment is good providing residents with a clean, attractive and homely place to live. EVIDENCE: The Home is all on one level apart from the four rooms upstairs for more able residents. There is a large bright dining room and lounges in each unit, which give a homely feel. Patio doors lead onto patios and into enclosed gardens. The Home has a maintenance programme and chairs and a new carpet were imminent. The area manager has done an environmental audit and items have been prioritised. The décor is very homely and domestic. All bedrooms are well personalised and all residents were happy with their space, some showing the inspector around their rooms. The Home was very clean and hygienic Sunnymeade DS0000016081.V256155.R01.S.doc Version 5.0 Page 14 throughout. Equipment has regular deep cleans. One resident said that they enjoyed chatting to staff when they made their bed. Sunnymeade DS0000016081.V256155.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 30 Residents benefit from experienced, friendly staff in sufficient numbers to meet their needs. EVIDENCE: The staffing levels were satisfactory and all residents and staff spoken to felt that needs were able to be met within these levels. Staff rotas were seen for four weeks for each staff position and levels were raised by the Home last year. Staff were also very visible throughout the Home. The Home has clear guidelines for areas of senior staff responsibility including Manual Handling training, NVQ assessors, Health and Safety and designated units. All supervisors hold First Aid certificates and all staff training certificates are displayed in the corridor. Those staff with NVQ total over 50 . All staff have received statutory training, except fire training, and also in other relevant topics. The manager will devise clear individual staff training files for clarity. All staff, including the manager, were well informed of residents’ needs and were seen giving individualised care. The staff turnover rate is low and all staff said that they enjoyed working there. A recent team building event and resident activity has seen unit staff competing in a gardening competition with residents to design each unit gardens. Sunnymeade DS0000016081.V256155.R01.S.doc Version 5.0 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 34, 35, 37, 38 Staff ensure that residents receive consistent care but not always in a safe environment. EVIDENCE: The fire equipment is regularly checked and there are regular fire drills and lectures. Not all staff have attended these and the manager is following this up as a priority. The Home has a current electrical wiring certificate. Hoists were being serviced on the day of the inspection. There are COSHH substances assessments although the safe storage of these and safety of hot pipes must be more robust. Radiators are all covered and there are window restrictors in place. The accident book is audited 2 monthly but does not always include details of action taken. Policies and procedures are corporate and kept up to date. The home receives internal company quality assurance audits and these can be unannounced. The area manager completes a Regulation 26 visit report after visiting the home on a monthly basis and annual quality assurance questionnaires. There are 4 Home newsletters a year and 2 family/residents’ meetings. Service users personal monies management was discussed with the Sunnymeade DS0000016081.V256155.R01.S.doc Version 5.0 Page 17 administrator and managers and the accounting methods observed. The home has safe systems for protecting and accounting for service user’s monies going in and out of the home and now invests service users’ monies into a ‘pooled’ resident’s account which is non-interest bearing. The Home has looked into many ways of banking for residents and although individual residents do not have their own account, the Home have excellent individual records including when residents become ‘overdrawn’ and relatives are asked to top up the accounts as able without compromising care needs. This is satisfactory. One resident does manage their own finances. Sunnymeade DS0000016081.V256155.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 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X 3 3 3 X 3 STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X 3 1 Sunnymeade DS0000016081.V256155.R01.S.doc Version 5.0 Page 19 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 OP38 Regulation 13 (4) C Requirement You shall ensure that unnecessary risks to the health or safety of residents are identified and so far as possible eliminated. This relates to staff fire training and storage of COSHH substances/risk assessments and accident book records. Timescale for action 25/12/05 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 2 Refer to Standard OP7 OP10 Good Practice Recommendations It is recommended that residents and/or representatives are included in the care planning as they wish and that this is recorded. It is recommended that the bathing policy includes risk assessments relating to bathing in privacy. Sunnymeade DS0000016081.V256155.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Exeter Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY 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 Sunnymeade DS0000016081.V256155.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. 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