Inspection on 21/06/05 for Sunnyside

This inspection was carried out on 21st June 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

Sunnyside 31/10/06

Sunnyside 09/03/06

Sunnyside 14/03/05

Sunnyside 11/10/04

Sunnyside 17/03/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Sunnyside Sunnyside Road Droylsden Tameside M43 7QJ Lead Inspector Steve Chick Announced 21 June 2005 st 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. Sunnyside F54 F04 5581 Sunnyside v230748 210605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Sunnyside Address Sunnyside Road, Droylsden, Tameside, M43 7QJ 0161 370 1793 0161 371 1306 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) Tameside Care Limited Enterprise House, Grange Road South, Hyde, Cheshire, SK14 5NY Prabsharon Saund CRH Care Home 40 Category(ies) of DE(E) Dementia - over 65 Number 40 registration, with number OP Old Age Number 40 of places PD(E) Physical Disability - over 65 Number 39 Sunnyside F54 F04 5581 Sunnyside v230748 210605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Service Users to include up to 40 (OP); up to 40 (DE) (E) and up to 39 (PD) (E) Date of last inspection 14th March 2005 Brief Description of the Service: Sunnyside is a two storey building, set back from a main road in Droylsden, close to the Manchester boarder. Bus services to Droylsden town centre, neighbouring towns and Manchester City Centre pass the front of the home. The home offers accommodation to up to 40 older people in single bedrooms, some of which have en-suite facilities.Communal space included three lounges, one smoke room and one hairdressing room. A patio area was also available. The building also accommodated a ‘day care centre’, which was reported to be separately staffed. The day care provision was not the subject of this inspection. The home is run by Tameside Care Ltd, a not for profit organisation, which operates several other care homes. Sunnyside F54 F04 5581 Sunnyside v230748 210605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. During the inspection five service users were interviewed, as were five relatives of service users, one visiting professional and four members of staff. Additionally discussions took place with the manager. The inspector also undertook a tour of the building and scrutinised a selection of service user and staff records as well as other documentation, including staff rotas, medication records and the complaints log. ‘Comment cards’ were received from eight service users, four relatives / visitors and one GP. What the service does well: What has improved since the last inspection? At the previous inspection the manager had only been in post for a few months and consequently it was difficult to assess her impact on the running of the home. Sunnyside F54 F04 5581 Sunnyside v230748 210605 Stage 4.doc Version 1.30 Page 6 The ‘new’ manager has consolidated her leadership position and has maintained the good standards of care at the home. The appropriate vetting of care staff to protect the interests of service users is now undertaken. 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. Sunnyside F54 F04 5581 Sunnyside v230748 210605 Stage 4.doc Version 1.30 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 Sunnyside F54 F04 5581 Sunnyside v230748 210605 Stage 4.doc Version 1.30 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) 2, 3, 4 and 5. Service users have their needs assessed before moving in, are given a copy of the home’s terms and conditions and confirmation that their needs can be met. Service users and their representatives are able to visit the home to assess its suitability for themselves. EVIDENCE: A random selection of service users’ files was scrutinised. All had a copy of an assessment undertaken by an appropriate professional. Similarly all files seen had a copy of the home’s terms and conditions, which had been signed by the service user or a representative of theirs. There was a copy on all files relating to service users who had come to the home recently, of a letter confirming that the home could meet their needs (based on the information in the assessment). Sunnyside has a written policy which encourages prospective service users to visit the home before making a decision to move in. Discussion with several visitors confirmed that this was the practice of the home. Sunnyside F54 F04 5581 Sunnyside v230748 210605 Stage 4.doc Version 1.30 Page 9 Sunnyside does not offer intermediate care. Sunnyside F54 F04 5581 Sunnyside v230748 210605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 and 10. Service users have appropriate written care plans. Staff ensure service users have access to appropriate medical and para medical support which ensures their health needs are met. The home deals with the administration of medication appropriately. Service users are treated with respect and dignity, with their privacy maintained. EVIDENCE: A selection of service users’ files was scrutinised. All had a copy of a care plan, and there was documentary evidence that this was regularly reviewed. The manager reported that service users were always involved in their care planning, subject to their capacity to participate. Most files seen and relatives comment cards confirmed this practice. It was recommended that all service users who were able to sign to confirm their agreement with the plan of care did so. This would ensure the transparency of the system. Service users have access to a local advocacy service. Sunnyside F54 F04 5581 Sunnyside v230748 210605 Stage 4.doc Version 1.30 Page 11 Service users and visitors spoken to were positive about the care offered at Sunnyside. One visitor commented that he had no complaints and the home did an “excellent job all round”. Another commented that his mother “looks better and healthier than before [moving to the home]” and a third commented “Mum is much better, [they] look after her really well”. Of the comment cards received one service user reported being well cared for “sometimes”, but all the others reported positively on the care offered. Records relating to contact with medical and para medical personnel presented as being appropriately maintained. Service users and visitors expressed confidence that medical support was appropriately sought. The doctor’s comment card expressed satisfaction with the overall care provided. The home used a pre dispensed monitored dosage system to administer service users’ medication. Medication was seen to be stored appropriately. Medication administration records presented as being appropriately maintained, including weekly auditing by the manager. Some service users were administering their own medication. Where this was the case an appropriate risk assessment had been undertaken. All comment cards received confirmed that the home upheld the privacy of service users. Similarly all service users, visitors and staff who were asked, expressed the view that service users were treated with respect and dignity. Sunnyside F54 F04 5581 Sunnyside v230748 210605 Stage 4.doc Version 1.30 Page 12 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, 14 and 15. Sunnyside provides a range of social activities and there are no unreasonable restrictions on visitors. Service users are able to exercise choice and control over their lives within the context of communal living. Sunnyside provides appropriate food. EVIDENCE: A range of social activities were reported as being available for service users to participate in if they wish. These included a range of board games, musical bingo, manicure sessions, occasional outings and the celebration of different festivals. One visitor observed that his mother was unwilling to leave the home at Christmas as she did not want to miss the party. There was evidence that activities are discussed at service users’ meetings and the manager reported being open to suggestions about outings and activities. Service users who were asked during the inspection, expressed satisfaction with the availability of activities. Service users’ comment cards reflected a different picture. In response to the question “Does the home provide suitable activities?” one reported ‘yes’, three ‘no’ and four “sometimes”. Sunnyside F54 F04 5581 Sunnyside v230748 210605 Stage 4.doc Version 1.30 Page 13 All visitors confirmed that they could visit at any reasonable time. One visitor spoke of the “helpful and friendly” staff who made her feel welcome at the home. All respondents to the ‘relatives comment cards’ reported that the staff welcomed them to the home at any time. Service users and staff reported that people had appropriate choice, within the context of communal living. This included choice about when they got up and went to bed and how they spent the day. Records of service user meetings and the complaints log indicated that there had been dissatisfaction with the food, earlier in the year. There was evidence that these issues had been addressed. One service users spoken to during the inspection said she did not like the sandwiches, but confirmed that there was a choice of other food. Other service users spoken to expressed satisfaction with the food. As with the activities, service user comment card responses were more negative. In response to the question, do you like the food, three said yes, two no and three sometimes. Sunnyside F54 F04 5581 Sunnyside v230748 210605 Stage 4.doc Version 1.30 Page 14 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 and 18. The home maintains appropriate procedures and attitudes towards complaints. Service users are protected from abuse. EVIDENCE: The home had appropriate written procedures in connection with dealing with complaints and the protection of vulnerable adults. Staff confirmed that they had received training in connection with the identification of possible abuse, and what steps to take, including an understanding of the organisation’s ‘whistle blowing’ policy. All visitors, service users and staff spoken to during the inspection reported that service users were safe at the home. All comment cards also reported that the respondents felt safe in the home. The records of complaints presented as being appropriately maintained. All people spoken to during the inspection expressed the view that any complaint would be listened to and responded to appropriately. Sunnyside F54 F04 5581 Sunnyside v230748 210605 Stage 4.doc Version 1.30 Page 15 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, 23, 24, 25 and 26 The home presented as appropriately maintained, safe, clean and tidy. The control of odour in some service user’s rooms could be improved. Service users’ bedrooms were appropriately personalised. EVIDENCE: A tour of the building identified that the home was appropriately maintained and decorated, with no issues identified for remedial action. The home presented as clean and tidy, with no unpleasant odours in the communal areas. This was reported by service users and visitors to be the usual state of the building. A sample of service users’ bedrooms was inspected. These demonstrated that service users were able to personalise their rooms. A small number of individual rooms did have some unpleasant odours, which were reported as Sunnyside F54 F04 5581 Sunnyside v230748 210605 Stage 4.doc Version 1.30 Page 16 being due to severe continence management problems experienced by the occupants. Sunnyside had adequate bathing and toilet facilities, including a range of aids for service users with restricted mobility. A patio area was available in the front of the building. There was also an area to the rear of the building which could provide a pleasant sitting area but was effectively unusable by service users. The manager reported that she was trying to get work done on this area. Sunnyside F54 F04 5581 Sunnyside v230748 210605 Stage 4.doc Version 1.30 Page 17 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, 28, 29 and 30. Staffing was provided in adequate numbers. Staff have access to an appropriate range of training and opportunities to gain professional qualifications. The home’s recruitment procedures serve to protect the interests of service user. EVIDENCE: The staff rota for the week beginning 06/06/05 was scrutinised. This demonstrated that staff cover was maintained between 07:00 and 20:30 at the rate of between five and seven carers. Three carers were on duty between 20:30 and 07:00. Additionally the manager was on duty between 07:30 and 15:30 Monday to Friday. Domestics and cooks were also on duty during the week. Service users were complimentary about staff attitude and competency. Similarly visitors spoke positively about the staff team. One visitor reported that his mother particularly liked the staff, who were “fantastic”. Another reported that the staff were “excellent and sociable” and that he believed they did an “excellent job all round”. The manager provided information indicating that 58 of permanent care staff had NVQ II or above. This figure rose to 70 if casual staff are included in the Sunnyside F54 F04 5581 Sunnyside v230748 210605 Stage 4.doc Version 1.30 Page 18 calculation. Staff who were interviewed confirmed that the organisation’s commitment to training was being maintained, with a wide range of relevant training opportunities for the care staff. A selection of files relating to recently appointed staff was scrutinised. These all indicated that appropriate vetting had been undertaken before the person commenced work. Sunnyside F54 F04 5581 Sunnyside v230748 210605 Stage 4.doc Version 1.30 Page 19 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, 32, 35,36,37 and 38. The management approach within the home promotes the interests of the service users. Service users’ financial interests are protected. Staff receive an appropriate level of supervision. Some aspects of record keeping need more rigor. The home’s policies and practices promote and protect the health and safety of service users. EVIDENCE: Sunnyside F54 F04 5581 Sunnyside v230748 210605 Stage 4.doc Version 1.30 Page 20 The manager had been registered with the Commission for Social Care Inspection since the previous inspection. She held the Registered Managers Award, and demonstrated a good understanding of the needs of older people. Records of service users’ meetings indicated that these took place approximately every three months, with an appropriate range of issues being discussed. Service users, visitors and staff all described the management team at Sunnyside as being approachable, supportive and open to ideas. One service user described the manager as good at listening and “sorting things out” and went on to say “[I] can’t give her anything but a good name.” Staff who were interviewed confirmed that they had regular one to one supervision from a senior member of staff. A random selection of records relating to money held by the home on behalf of service users was examined. These presented as being appropriately maintained to protect the interests of the service users. The majority of records presented as being appropriately maintained. Some records were seen which would be improved by more rigorous dating. While this would have no immediate impact on service users, it would ensure improved transparency and accountability. Some records would benefit from more detail. In particular this related to requests for “observation” following an accident, where insufficient observation was recorded, and a failure to note in the daily records when certain aspects of the care plan had been carried out. The health and safety of service users presented as being promoted. Many staff had attended specific health and safety training. Staff confirmed that disposable gloves and apron were always available and their use was mandatory. There was documentary evidence of maintenance contracts for equipment in the home. Records relating to fire detection and protection equipment and procedures presented as being appropriately maintained. No obvious hazards to the health and safety of service users was identified at this inspection. Sunnyside F54 F04 5581 Sunnyside v230748 210605 Stage 4.doc Version 1.30 Page 21 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 x 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 2 3 x 3 3 3 3 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 Standard No 16 17 18 Score 3 x 3 3 3 x x 3 3 2 3 Sunnyside F54 F04 5581 Sunnyside v230748 210605 Stage 4.doc Version 1.30 Page 22 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 37 Regulation 17 Requirement The Registered Person must ensure that daily records are maintained to enable the confirmation of actions taken in response to identified issues in the care plan or other significant events. The registered person must ensure that all service user rooms are free from odours Timescale for action immediate 2. 26 23(2) (d) 31/10/05 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. Refer to Standard 7 Good Practice Recommendations The registered person should ensure that service users or their representative, confirm in writing that they have been consulted about their care plan and any subsequent changes to the plan. The registered person should ensure the garden area to the rest of the home is usable by service users. 2. 20 Sunnyside F54 F04 5581 Sunnyside v230748 210605 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection 2nd Floor, Heritage Wharf Portland Place Ashton under Lyne OL7 0QD 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 Sunnyside F54 F04 5581 Sunnyside v230748 210605 Stage 4.doc Version 1.30 Page 24 - 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!