Inspection on 09/03/06 for Sunnyside

This inspection was carried out on 9th March 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 31/10/06

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 9th February 2006 12:00 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.V280426.R01.S.doc Version 5.1 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.V280426.R01.S.doc Version 5.1 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.V280426.R01.S.doc Version 5.1 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) 21st June 2005 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. 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 DS0000005581.V280426.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. During the inspection three service users were interviewed in private, as were four visitors to service users and two visiting professionals. 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, medication records and the complaints log. Service users and visitors to the home were positive about the standard of care offered. One service user commented that “nothing is too much trouble for them [the staff]”. One relative said that all the family members who had visited felt “comfortable with Sunnyside.” Not all the standards were assessed at this inspection. It is recommended that this report is read in conjunction with the previous report from the inspection in June 2005. What the service does well: What has improved since the last inspection? Improvements were noted in most aspects of administration and record keeping. The good standards of care identified in the previous report had been maintained. Sunnyside DS0000005581.V280426.R01.S.doc Version 5.1 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. Sunnyside DS0000005581.V280426.R01.S.doc Version 5.1 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.V280426.R01.S.doc Version 5.1 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): 3, 4, 5 and 6. The admission procedures in operation at the home enable service users to be confident that the home can meet their needs. EVIDENCE: A random selection of service users’ files was scrutinised. All had an appropriate assessment undertaken before a decision was made that the home was suitable to meet the service user’s needs. There was documentary evidence that service users coming to the home more recently, had been given written confirmation of the home’s ability to meet their needs. Sunnyside has a written policy of encouraging service users or their representatives to visit the home before making a decision to move in. The manager reported that this policy was put into practice whenever possible. Relatives spoken to during the inspection confirmed that they had visited the home and found it to be a useful aid to their decision making. Sunnyside does not offer intermediate treatment. Sunnyside DS0000005581.V280426.R01.S.doc Version 5.1 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 and 9. The written care planning process makes a positive contribution to ensuring that service users’ care needs are met. More rigour is needed in connection with medication records to minimise any risk to service users. EVIDENCE: A random selection of service users’ files was scrutinised. All had a written plan of care which had been regularly reviewed and amended when necessary. There was documentary evidence that service users were involved in the care planning process. Visitors who were asked, reported that communication from the home was good. Service users and visitors spoken to expressed a high level of satisfaction with the care offered at Sunnyside. Written medication procedures were not scrutinised at this inspection, but had been found to be appropriate on previous occasions. Sunnyside DS0000005581.V280426.R01.S.doc Version 5.1 Page 10 Sunnyside 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 predominantly well maintained, with documentary evidence of regular auditing by the manager. However one example was seen relating to the controlled drug register, where the records did not accurately reflect the amount of medication actually held. Following the inspection this matter was investigated by the manager, who concluded that the anomaly was caused by an initial counting error. Given the fact that there was more medication in the home than indicated by the records, and the service user was reported as able to confirm no medication had been missed, this seemed the most likely explanation. Sunnyside DS0000005581.V280426.R01.S.doc Version 5.1 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): 13. Service users are able to maintain contacts with friends and relatives to enhance their social and emotional well being. EVIDENCE: The home has a written policy which encourages visitors at any reasonable time. Visitors to the home who were spoken to during the inspection, all confirmed that there were no restrictions on visiting. Several visitors also commented on the welcoming atmosphere and the positive staff. Sunnyside DS0000005581.V280426.R01.S.doc Version 5.1 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 and 19. Sunnyside has an appropriate complaints procedure which is put into practice in a way which enables service users to express their views. All reasonable steps are taken to minimise the possibility of service users being abused or exploited at the home. EVIDENCE: The home has an appropriate complaints procedure which is communicated to all service users. This document was not scrutinised at this inspection. Sunnyside keeps a record of complaints which presented as being appropriate maintained. Information relating to an advocacy group was publicised in the entrance foyer. Observation of staff interaction with service users indicated that appropriate relationships were maintained. Service users expressed the view that if they did have a complaint staff would respond appropriately. One visitor reported that their relative would say if she were not happy, and commented - “X says herself “Oh, they do look after me.” 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. Sunnyside DS0000005581.V280426.R01.S.doc Version 5.1 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): 20, 21, 22, 23 and 26. Sunnyside provides a safe and clean environment with access to outdoor areas and is designed to offer ease of access for service users with limited mobility. EVIDENCE: A tour of the building identified that the home presented as being 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. Sunnyside had adequate bathing and toilet facilities, including a range of aids for service users with restricted mobility. The manager reported that she was able to obtain specialist equipment to assist with mobility if necessary. She Sunnyside DS0000005581.V280426.R01.S.doc Version 5.1 Page 14 cited physiotherapists visiting to assess some service users on the previous day as an example of the home initiating action in this context. Similarly a visiting social care professional confirmed that she was aware of appropriate aids being obtained for service users. There was documentary evidence that the hoists had been serviced on the morning of this unannounced inspection. 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 had been significantly improved to allow access for service users which is more secluded that the front patio. Work had also been undertaken to improve one of the lounges. It was reported by the manager that service users had been very positive about these improvements to the environment. Sunnyside DS0000005581.V280426.R01.S.doc Version 5.1 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): 28 A sufficient number of staff are appropriately qualified to assist in the promotion of good quality outcomes for service users. EVIDENCE: The manager reported that twenty three of the thirty two care staff had obtained NVQ II or higher. This represented 72 of the care staff holding an appropriate qualification. A random selection of certificates was scrutinised to verify this information. This was indicative of the home’s continued commitment to supporting staff to pursue appropriate training. All service users and visitors to the home who were spoken to during the inspection were positive about the attitude and competence of the staff team. A visiting professional reported good communication with the staff team, who were “on the ball”. One service user said “they are not staff, they are your friends.” Sunnyside DS0000005581.V280426.R01.S.doc Version 5.1 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 and 37. The Quality Monitoring and Quality Audit systems do not give service users sufficient information to confirm that action will be taken to reflect their views and improve the services. Records are maintained to enable the level of service offered to service users to be monitored. This transparency of service provision assists appropriate standards to be maintained. EVIDENCE: There was documentary evidence of a range of Quality Audit and Quality Monitoring systems in operation within the home. These included internal audits overseen by the home’s manager and Quality Audits managed by the Company. Sunnyside DS0000005581.V280426.R01.S.doc Version 5.1 Page 17 The analysis from the questionnaires returned by service users following an audit in June 2005 were available in the foyer. However, there was no written action plan to indicate how the outcome of the survey was to be taken forward. Discussion with the manager indicated that this was effectively an administrative oversight and that action had been taken based on the views expressed. There was some evidence to back this up, for example in the minutes of a service users’ meeting. A sample of documents was scrutinised including the accident records and daily records in connection with individual service users. These had improved since the previous inspection. There were better notes of observations being made following an accident or concerns about the health of a service user. Sunnyside DS0000005581.V280426.R01.S.doc Version 5.1 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 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X 3 3 3 3 X X 3 STAFFING Standard No Score 27 X 28 4 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 2 X X X 3 X Sunnyside DS0000005581.V280426.R01.S.doc Version 5.1 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 OP9 Regulation 13 (2) Requirement Timescale for action 01/04/06 2 OP33 24 The registered person must ensure that the controlled drug register is maintained with more rigour. The registered person must 01/06/06 ensure that quality audits include an action plan which identifies how areas for improvement are to be addressed. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Sunnyside DS0000005581.V280426.R01.S.doc Version 5.1 Page 20 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: 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 DS0000005581.V280426.R01.S.doc Version 5.1 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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