Inspection on 31/10/06 for Sunnyside

This inspection was carried out on 31st October 2006.

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 09/03/06

Sunnyside 21/06/05

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 Unannounced Inspection 31st October 2006 12:30 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 Sunnyside DS0000005581.V317970.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. Sunnyside DS0000005581.V317970.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sunnyside Address Sunnyside Road Droylsden Tameside M43 7QJ 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) 0161 370 1793 0161 371 1306 Tameside Care Limited Prabsharon Saund Care Home 40 Category(ies) of Dementia - over 65 years of age (40), Old age, registration, with number not falling within any other category (40), of places Physical disability over 65 years of age (39) Sunnyside DS0000005581.V317970.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service Users to include up to 40 (OP); up to 40 (DE) (E) and up to 39 (PD) (E) 2nd July 2002 Date of last inspection Brief Description of the Service: Sunnyside is a two storey building, set back from a main road in Droylsden, close to the Manchester border. 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. Two patio areas were 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. The fees charged at the time of this visit (October 2006) ranged from £323.66 to £356.66. Sunnyside DS0000005581.V317970.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection included an unannounced site visit to the home, followed by a further visit to interview staff and service users. All key standards were assessed. For the purpose of this inspection three service users were interviewed in private, as were eight relatives of service users and one visiting professional. Additionally discussions took place with the manager and three staff members were interviewed. The inspector also undertook a tour of the building and looked at a selection of service user and staff records as well as other documentation, including staff rotas, medication records and the complaints log. What the service does well: Sunnyside created a warm and welcoming atmosphere for service users and visitors. All service users and visitors spoken to during the visit were positive about the care provided at Sunnyside. The physical environment is clean, hygienic and well maintained. The assessment of service users’ needs is undertaken thoroughly to ensure Sunnyside can meet their needs. The staff team were perceived by service users and visitors to be approachable and competent. Staff were described by one visitor as “very friendly”, and by a service user as “out of this world … I like to talk and have a laugh … the staff have a laugh.” Sunnyside staff are responsive to ‘complaints’. Visitors said they would be comfortable about raising concerns and one relative said “ … a quiet word and it is sorted.” One service user, who had some experience of other care homes, said “the best move I made was to come to Sunnyside.” Another service user, when asked what the best thing about Sunnyside was, replied “everything is great here, if you want anything they will get it for you”. Sunnyside DS0000005581.V317970.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Sunnyside DS0000005581.V317970.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 Sunnyside DS0000005581.V317970.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 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ needs are appropriately assessed and they, or their representatives, are able to visit before a decision is made that the home is appropriate for them. EVIDENCE: A selection of service users files was looked at. All had a copy of an assessment undertaken by an appropriate professional. There was also documentary evidence that the manager complemented external assessments with the home’s own comprehensive pre admission assessment. Sunnyside DS0000005581.V317970.R01.S.doc Version 5.2 Page 9 There was documentary evidence that the home considered its ability to meet the needs of any individual service user and confirmed their ability to do so, in writing. The home has a written policy which encourages prospective service users, or their representatives, to visit the home before making a decision to move in. This was confirmed as actually happening by visitors spoken to during the visit. Sunnyside does not offer intermediate care. Sunnyside DS0000005581.V317970.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 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ have individual plans of care which are regularly reviewed to ensure they reflect current physical needs. Service users have access to appropriate community based medial services to ensure their health needs are met. The home’s procedures in connection with administration of medication are not always implemented to the benefit of the service users. Practices in the home promote the dignity of service users. EVIDENCE: A selection of service users’ files was inspected. All had a written copy of a care plan and there was documentary evidence that the plan was reviewed at Sunnyside DS0000005581.V317970.R01.S.doc Version 5.2 Page 11 appropriate intervals. There was evidence of service user involvement in the planning, although this was not always documented. Most visitors spoken to were aware of care planning at Sunnyside, and were able to confirm that they had been involved in discussions about the nature of their relative’s needs. Service users and relatives were confident that appropriate medical support was accessed when necessary. Staff who were spoken to also expressed confidence that medical support was obtained in a timely manner. There was documentary evidence to support this. There was documentary evidence that service users had appropriate access to the full range of medical and para medical services available in the community. It was reported by the manager and some visitors that obtaining NHS dental support was proving difficult, but this was not for the want of the home trying. The home uses a pre dispensed monitored dosage system to administer service users’ medication. Medication was seen to be appropriately and securely stored. A selection of medication administration records was looked at and presented as being appropriately maintained. One example was seen where the medication system had been seriously compromised by breaking the seals to add more medication after the cassette had been received by the home. Whilst the intention was understandable (antibiotics, prescribed after the cassette had been made up by the pharmacist, had been added by a staff member), the action seriously undermined the safety of the system. By the return visit to the home to complete the inspection, this had been satisfactorily resolved by the home and the pharmacy. There was good documentary evidence that Sunnyside regularly monitors the weight of service users to enable early identification of any significant weight loss or gain. Observation and discussion with service users visitors and staff indicated that service users were treated with respect, and that their dignity was maintained. The only issue to detract from this was the observation made by some visitors that their relative’s clothes sometimes went missing, or that they were wearing someone else’s clothes. The manager was aware of this issue and reported that she was working on addressing it. Service users and visitors to the home who were spoken to, were all positive about the quality of care offered at Sunnyside. Communication between the home and relatives was described, by relatives, as good. One service user commented that “They are very kind … they go out of their way to help.” Three separate visitors commented on how pleased they were with the improvement in their relatives functioning since moving to Sunnyside. In each case this was seen as being due to staff’s appropriate encouragement. One visitor reported, in the context of positive encouragement, that they liked the fact that staff did not “mollycoddle nor patronise” their relative. Sunnyside DS0000005581.V317970.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. An appropriate range of activities was available for service users to participate in if they wished, which enhanced their fulfilment and social stimulation. Visitors are welcome in the home, to maintain community and family links for the benefit of service users. Service users are able to maximise their autonomy within the context of community living. The provision of food to maintain service users’ health and well being is good. EVIDENCE: A range of activities were reported as being available for service users to participate in if they wished. These were reported as recently including a ‘Casablanca’ evening, armchair exercise, ‘monster ball’, dominoes, music and outings for a pub lunch. A race afternoon (as in Ascot) was planned for the Sunnyside DS0000005581.V317970.R01.S.doc Version 5.2 Page 13 near future. Service users at Sunnyside were also able to access the daily activities held in the ‘day care’ facility, in a self contained part of the building. The activities were advertised on notice boards in the home. A Halloween party, including an external entertainer, took place during this visit. Service users spoken to expressed satisfaction with the activities and confirmed they were able to participate, or not, as they preferred. Some visitors questioned if there should be more activities. The home has a policy of allowing visitors at any reasonable time. This was confirmed by visitors spoken to during the visit, who said they felt welcomed at the home. One visitor, when asked what was the best thing about the home, cited “the atmosphere, which is very non threatening”. Observation and discussion with service users and staff indicated that service users were able to exercise personal choice and autonomy within the context of communal living. Service users were free to use their own rooms or any of the communal areas and were free to get up and go to bed when they chose. One service user commented that he liked the fact that staff didn’t “mither” him and said …”I can choose how I spend my time, I’m not overly sociable. I like it very much here.” One meal was sampled during the site visit. This was tasty and pleasantly presented. All service users spoken to were positive about the provision of food at Sunnyside. Service users spoken to confirmed that there was a choice at meal times. One service user said “the meals are marvellous, excellent.” Visitors who were asked were also positive about the food provided for their relatives. Sunnyside DS0000005581.V317970.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are confident that any complaint they may have would be dealt with appropriately. Service users are protected from abuse or exploitation by the homes policies and practices. EVIDENCE: The home has an appropriate complaints procedure which is communicated to all service users, and was seen on the home’s notice board during this visit. This document was not looked at in detail at this inspection as it has been found to be appropriate on previous occasions. Sunnyside keeps a record of complaints, which presented as being appropriately maintained. Observation of staff interaction with service users indicated that appropriate relationships were maintained. All service users who were asked, expressed the view that if they did have a complaint staff would respond appropriately. Staff who were interviewed also expressed the view that the management team treated complaints seriously. Sunnyside DS0000005581.V317970.R01.S.doc Version 5.2 Page 15 All service users and visitors who were asked, expressed the view that people were safe at Sunnyside and protected from abuse or exploitation. It was reported by the manager that staff receive training around issues relating to elder abuse. Staff who were interviewed demonstrated an understanding of the need to be vigilant about the possibility of abuse, and of appropriate action to take. This included the ‘whistle blowing’ procedure. Sunnyside DS0000005581.V317970.R01.S.doc Version 5.2 Page 16 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, 20, 21, 23, 24, 25 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is appropriately maintained, decorated and cleaned to enable service users to live in a pleasant, safe and hygienic environment. Suitable toilet and bathing facilities are available to enable service users to maintain their personal hygiene in a dignified manner. EVIDENCE: A tour of the building identified that the home presented as being appropriately maintained and decorated, with no issues identified for remedial action. Sunnyside DS0000005581.V317970.R01.S.doc Version 5.2 Page 17 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. Sunnyside had adequate bathing and toilet facilities, including a range of aids for service users with restricted mobility. A patio was available for service users in the front of the building. There was also an area to the rear of the building which allowed access for service users to an outside area which is more secluded that the front patio. All service users who were asked, said they liked their room. One service user said “The home is spotless -- could not fault it. Fabulous rooms, they are forever polishing.” One relative cited the environment as the best thing about the home with its homely feel. This visitor said “Sunnyside is clean and friendly, … not institutionalised”. Sunnyside DS0000005581.V317970.R01.S.doc Version 5.2 Page 18 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 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The numbers and skills mix of staff on duty promotes the independence and well being of service users. Recruitment and vetting procedures are effectively applied to minimise the risk to service users of inappropriate staff being employed. EVIDENCE: The staff rota for the week beginning 23rd October 2006 was examined. This demonstrated that staffing levels were maintained at a minimum of five carers between 08:00 – 20:00, with frequent periods when there were more. Three carers were on duty at night. The manager’s hours are not included in these numbers. In addition to the carers and manager, the home provides an appropriate number of auxiliary staff including cooks and domestic staff. Sunnyside DS0000005581.V317970.R01.S.doc Version 5.2 Page 19 A selection of documentation relating to the recruitment of staff was looked at. These documents provided evidence that appropriate vetting procedures had been followed before the staff started work at Sunnyside. The manager reported that 81 of the care staff held NVQ II or higher. A random selection of certificates was seen to confirm this. Previous experience of Sunnyside has demonstrated a commitment to staff training. This was confirmed as continuing by staff spoken to and by the manager. At the time of this visit a number of staff were undertaking dementia awareness training. It was reported by the manager that the deputy manager was a moving and handling facilitator, and that there was always a trained ‘first aider’ on duty. Specific documentation was not looked at to confirm this at this site visit. All service users and visitors were, overall, positive about the staff team’s competence and attitude. Visitors and service users’ comments included:“staff are very approachable”; “I dont think you get people as nice as you get here”; “[staff are] very friendly, very helpful”; “staff are busy but pleasant … staff will sit with the residents if they have the time, and it is easy to find a staff member … Staff respond well to the alarm call”; “She likes the staff who are nice and treat her well”. Sunnyside DS0000005581.V317970.R01.S.doc Version 5.2 Page 20 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 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is appropriately experienced and qualified to run a care home for the benefit of service users. Quality Audit processes provide a framework to further improve services for the service users. Service users’ financial interests are protected by the home’s procedures and practices. Service users and staff are protected by the implementation of the home’s health and safety procedures. Sunnyside DS0000005581.V317970.R01.S.doc Version 5.2 Page 21 EVIDENCE: The manager has an appropriate professional qualification. There was ample evidence through documentation, observation and discussion with service users and visitors that she has consolidated her management position and style, effectively. Staff reported that the management team were open and supportive. Several service users and visitors spoken to specifically mentioned the manager, saying “the manager is very very good”, “the matron is very good” “[the manager is ] approachable and competent.” There was documentary evidence that the manager periodically audited internal procedures such as medication administration records and money held on behalf of service users. Tameside Care Group undertake a range of Quality Audit and Quality Monitoring exercises. A report of the latest Quality Audit, undertaken with service users earlier this year, was available, and included an action plan for areas of improvement. A selection of records relating to money held by Sunnyside on behalf of service users was looked at. The records presented as being predominantly appropriately maintained to safeguard the interests of the service users. One example was seen where toiletries had been purchased for a service user, but no receipt was available. Staff who were interviewed confirmed that the use of equipment such as disposable gloves and aprons, to minimise the risk of cross infection, was mandatory. Previous site visits to Sunnyside have confirmed good standards of the maintenance of equipment for health and safety purposes. Similarly there has been a regular routine of testing fire alarm and detection equipment. The manager reported that the company was maintaining all appropriate health and safety testing and compliance. A small sample of this documentation was looked at and indicated these standards were being maintained. Sunnyside DS0000005581.V317970.R01.S.doc Version 5.2 Page 22 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 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 X 3 3 3 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 2 X X 3 Sunnyside DS0000005581.V317970.R01.S.doc Version 5.2 Page 23 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. Standard Regulation Requirement Timescale for action 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 OP7 Good Practice Recommendations The registered person should ensure that documentary evidence is maintained to demonstrate that service users and when appropriate representatives of service users, are involved in the care planning process The registered person should ensure that the home’s medication procedure is rigorously followed at all times. This includes staff not tampering with the sealed cassettes provided by the pharmacist. The registered person should ensure that receipts are obtained for all purchases made on behalf of service users. 2 OP9 3 OP35 Sunnyside DS0000005581.V317970.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD 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 Sunnyside DS0000005581.V317970.R01.S.doc Version 5.2 Page 25 - 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!