Inspection on 26/07/05 for Sunnymeade

This inspection was carried out on 26th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 22/02/07

Sunnymeade 23/01/06

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 PL6 8AE Lead Inspector Sheila Giblin Unannounced 26th 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 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 D52-D04 S3470 Sunnymead V235134 260705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Sunnymeade Address 323 Tavistock Road, Derriford, Plymouth, Devon, PL6 8AE 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) 01752 781811 01752 781811 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)Age Sunnymeade D52-D04 S3470 Sunnymead V235134 260705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Age 60 Date of last inspection 30th November 2004 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 which should be completed at the end of 2005. 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 ensuite rooms are now ready for occupation and residents currently living in the home have been given the choice of moving into these rooms. Sunnymeade D52-D04 S3470 Sunnymead V235134 260705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection. The Owner/Registered Manager Mrs Wendy Dunn, was on duty with the deputy care manager and two carers. There were 17 residents in the home at the start of the inspection at 3pm but two more returned to the home later. The inspection included listening to residents’ views about the home and the services they receive, a tour of the premises to look at the progress of the building project, talking to staff and managers and viewing a sample of Care Plans, the menu plan. A visiting relative was happy to talk to the inspector. What the service does well: What has improved since the last inspection? The progress of the building work, refurbishment and completion of some en suite bedrooms is continuing to improve the facilities. Sunnymeade D52-D04 S3470 Sunnymead V235134 260705 Stage 4.doc Version 1.40 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 D52-D04 S3470 Sunnymead V235134 260705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Sunnymeade D52-D04 S3470 Sunnymead V235134 260705 Stage 4.doc Version 1.40 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 standard(s) 1, 3, 6 Prospective residents and their relatives can be confident they will receive the information to enable them to make a choice about coming into Sunnymeade. EVIDENCE: The Statement of Purpose and Service User Guide are being reviewed as the extensions and ongoing changes occur to the building. Once the work is complete they will be updated. Samples of residents’ Care Plans, assessments and reviews were seen. Most of the residents in the home have degrees of dementia, memory loss and confusion and could not remember choosing the home for themselves. A relative spoke to the inspector and gave a positive account about the choice of the home, admission process and ongoing care being provided. The home does not provide intermediate care services. Sunnymeade D52-D04 S3470 Sunnymead V235134 260705 Stage 4.doc Version 1.40 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 standard(s) 7, 10 Residents can be confident that they will be treated with respect and dignity. EVIDENCE: Staff were observed working alongside residents, providing the evening meal and socialising with them. During this time residents were treated kindly, with respect and given every consideration. Some residents were unsettled and continually sought reassurance about their whereabouts. Staff responded with patience. Mrs Dunn and the deputy care manager provided information repeatedly and supported residents unsure about their circumstances. Those care plans seen contained all the information needed for staff to provide personal care. The daily record had been maintained in individual files. Some recently admitted residents did not have a photograph on their files. Sunnymeade D52-D04 S3470 Sunnymead V235134 260705 Stage 4.doc Version 1.40 Page 10 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 standard(s) 12, 13, 15 Residents with dementia can be assured of an interesting life in Sunnymeade where the choice of activities is varied. EVIDENCE: Those Service Users’ able to give an account of the lifestyle in the home spoke positively about their wishes and preferences in relation to getting up and going to bed. Some Service Users with memory loss, although unable to describe their routines, were very happy and contented with the arrangements and services being provided. Detailed daily care plans showed each person’s routine. The Home had planned daily activities and the deputy care manager has become the Activities Co-ordinator. Service Users confirmed that they were able to choose what activities they would like to participate in. Activities took place on a daily basis, usually between 2pm and 4pm. An activities list for each week was displayed and Service Users were informed verbally of what was happening both in advance and on the day. A visiting Minister held Church Services, with communion, once a month. In house activities include board games, bingo, sing-a-longs, craft work, knitting, sewing, and quizzes including reminiscence. Some new activities have been well received including musical movement and a talk from a person from the dogs and cats home who visited the home and brought some pets. The Home arranges parties for significant events, birthdays, high days and holidays. Planned trips to the Marine Aquarium and pub lunches were advertised on the notice board. The Sunnymeade D52-D04 S3470 Sunnymead V235134 260705 Stage 4.doc Version 1.40 Page 11 Home has recently started an amenities fund for the Service Users as they have received donations from relatives. A table top sale was being planned for the August bank holiday weekend. All the Service Users spoken with expressed satisfaction with the type and frequency of activities. Residents able to give an account of the services provided said they could go to bed and get up when they wanted. The visitors book showed records of visitors to the home. During the inspection visitors were entertained by their relative in the smokers’ lounge. They said they were always made to feel welcome, knew who to speak to if they had any concerns about the services provided but had never had to make a complaint. They expressed their satisfaction with the home and staff. The evening meal was served during the inspection. It was a substantial nutritious meal and residents said they had enjoyed it. A choice of food was offered and second helpings were available. Staff assisted and encouraged some residents sensitively. Hygiene was observed when the meal was finished. The menu plan was seen and one recently admitted resident was interested to read about forthcoming meals and clearly stated her likes and dislikes. Sunnymeade D52-D04 S3470 Sunnymead V235134 260705 Stage 4.doc Version 1.40 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 standard(s) 16 Residents can be confident that their complaints will be treated seriously and their wishes taken into account when care is being provided. EVIDENCE: The home has a complaints procedure included in the Service Users’ Guide and also posted on the notice board. Two complaints have been received by CSCI which were partly substantiated and resolved. Residents able to give an account of themselves said they would tell Mrs Dunn or the deputy care manager if they had a problem. A visitor in the home was clear about how to make a complaint but said she had never had to make one. Sunnymeade D52-D04 S3470 Sunnymead V235134 260705 Stage 4.doc Version 1.40 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 standard(s) 19, 20, 21, 22, 23, 24, 25, 26 Residents can look forward to living in an attractive, safe, modern, spacious and comfortable home when the alterations have been completed EVIDENCE: Sunnymeade has been the subject of major alterations and modernisation programme for the past eighteen months. The completion date has been estimated for January 2006 when 35 mainly en suite rooms will be available. Three double rooms will be registered and the total number of residents will be forty one. Sunnymeade is located on the Tavistock Road, in the Derriford area of Plymouth. Parking is available in the grounds. The home stands in its own grounds with accommodation set out on two floors. A new passenger lift links all floors. Major work has been completed to provide en suite bedrooms, more communal areas and to reorganise the layout of the building to provide ease of access to modernised facilities. The rear garden has been landscaped to provide secure outdoor space easily accessed by level approaches suitable for mobile residents and wheelchairs. Sunnymeade D52-D04 S3470 Sunnymead V235134 260705 Stage 4.doc Version 1.40 Page 14 There are level walkways, raised flowerbeds and a fountain. Patio furniture encourages residents to sit out in good weather. New and refurbished bedrooms have been furnished and decorated to a very high standard with coordinated soft furnishings and bedding. Mrs Dunn has taken the opportunity to include the latest designs that are easy to use and are suitable for older people with physical disabilities and dementia. All rooms have appropriate locks, lockable spaces, call bells, soft lighting and temperature regulation valves. Windows on the upper floors have restricted openings. En suites have been installed in all new bedrooms consisting of a toilet, hand basin and shower unit with regulated water temperatures. All new radiators have low surface temperatures and the older ones have been covered. The home was clean and tidy throughout. Bedrooms and bathrooms were fresh smelling. As rooms have become available they have been offered for occupation. Residents and their families have brought in their own furniture and personal effects. Rooms on the ground floor have wide patio doors with level access out into the garden. Sitting rooms have been reviewed and will provide a number of separate rooms for activities, watching TV etc and receiving visitors. One will be available which will be designated for people who may need close supervision by staff during mealtimes and relaxation. The other new dining room will provide additional space for activities and social events. An Occupational Therapist has assessed the premises in October 2004 and made recommendations that have been incorporated in the new building. Sunnymeade D52-D04 S3470 Sunnymead V235134 260705 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, Residents can be confident that they will be cared for by kind efficient staff. EVIDENCE: During this inspection the home was quite busy with unplanned events eg the unannounced inspection at 3pm and two residents who had gone home for a trial period for six weeks decided to return to the home without notice during the early evening. The managers and staff team dealt with these in a calm and efficient way. Staff continued with their usual routines and the Owner and deputy care manager organised transport for the return to the home. In the meantime, residents’ were served their evening meal and were attended to in a calm and unhurried manner. There were a number of confused and unsettled residents who needed individual attention which was provided by Mrs Dunn and the deputy care manager. Had they gone off duty at their rota’d time at 5pm/6pm two care staff would have had to cope with these extra demands on their time. I would require, therefore, that an extra member of staff be on duty after 6pm until residents go to bed, to ensure that residents’ emotional as well as their physical wellbeing is assured. Sunnymeade D52-D04 S3470 Sunnymead V235134 260705 Stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 38 Residents can be confident that Sunnymeade is managed by well qualified and experienced people. EVIDENCE: The home is managed by the owner who is also the Registered Manager. Mrs Dunn is a Level 1 Registered Nurse. She holds the English National Board 941 Certificate (Nursing the Elderly), has approximately 20 years experience owning and managing care homes, undertakes periodic training and has now completed the NVQ4 Registered Manager’s Award. Lines of accountability within the home were clearly understood by senior staff. The current refurbishments were being well managed with the minimum of disturbance to Service Users. The deputy care manager has been employed in the home for three months. He was knowledgeable about the Residents and their care needs. The residents spoke highly of the quality of care they receive. Records were well maintained and up to date in an efficient system that allowed easy access to information. Sunnymeade D52-D04 S3470 Sunnymead V235134 260705 Stage 4.doc Version 1.40 Page 17 Health and Safety has been of paramount importance during the building work. Mrs Dunn has ensured the safety of residents by implementing risk assessments, policies and procedures to cover the building period. The builders have been made aware of the vulnerability of the residents and the essential safety of staff under the Health and Safety at Work Act 1974. New rooms, walkways, corridors, halls, stairs and landings have been remodelled with the minimum disturbance to residents. All the Building Regulations have been followed during the work. Equipment has been installed that meets current legislation with regards to safety and risk assessment. This includes plumbing, heating and water supply, electrical wiring, fittings and fixtures. The fire alarm and call bell systems have been modernised and at present exist alongside the old system awaiting completion of the work. The laundry has been relocated with new machines installed. The laundry floor is to receive an impermeable covering to ensure hygiene and prevent cross infection. Sunnymeade D52-D04 S3470 Sunnymead V235134 260705 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 4 3 3 4 3 3 3 STAFFING Standard No Score 27 2 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x 4 x x x x x x 4 Sunnymeade D52-D04 S3470 Sunnymead V235134 260705 Stage 4.doc Version 1.40 Page 19 NO 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 27 Regulation 18(1)(a) Requirement A third member of staff must be available from 6pm until residents have gone to bed to ensure staff have the time to spend with confused and unsettled residents as well as carrying on the routine evening tasks Timescale for action 1st September 2005 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. 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