Inspection on 13/09/05 for Sunnyside Care Home

This inspection was carried out on 13th September 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

Sunnyside Care Home 31/05/07

Sunnyside Care Home 19/01/06

Sunnyside Care Home 08/03/05

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood Hall

Muston Road (70)

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

CARE HOME ADULTS 18-65 SUNNYSIDE RESPITE CENTRE The Crescent West Sunnyside Rotherham S66 Lead Inspector Alan Bartrop Unannounced 13 September 2005 12:30. 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 RESPITE CENTRE 20050913 Sunnyside X00023 UN Stage 4 S60444 V215987 J55.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Sunnyside Respite Address The Crescent West Sunnyside Rotherham 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) 01709 375355 01709 721727 Milbury Care Services Limited Ms Sarah Jackson Care Home with Nursing 4 Category(ies) of Learning Disability: 4 registration, with number of places SUNNYSIDE RESPITE CENTRE 20050913 Sunnyside X00023 UN Stage 4 S60444 V215987 J55.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 08 March 2005 Brief Description of the Service: 19 The Crescent West, Sunnyside is known as “Sunnyside Respite Service” which is purpose built bungalow in 2004. The unit is owned and managed by Milbury, which is part of the Paragon Health Group. Ms Sarah Jackson is the appointed manager and her application to be registered is being processedThe service offers respite care for families and carers who support people with nursing needs relating to their learning difficulties and/or associated physical disabilities. The service is for younger adults between the ages of 18 and 60 years. There is a criteria for admission and this is by referral through the Rotherham Community Learning Disability Team.“Sunnyside Respite Service” is situated on a residential estate with local facilities nearby. It comprises of lounge, relaxation room, dining room, kitchen, laundry, office, assisted bathroom/shower, WCs, four bedrooms all of which have ensuite toilets and wash hand basins at ground level. There is ceiling tracking in bedrooms and bathrooms. There is a lawned area to the front, the rear garden is landscaped with a patio area and is enclosed to ensure a level of privacy for service users. There is limited car parking to the front and side of the building. SUNNYSIDE RESPITE CENTRE 20050913 Sunnyside X00023 UN Stage 4 S60444 V215987 J55.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of Sunnyside, it was done over a period of 4.25 hours and included speaking with/observing residents, discussions with staff and the manager, the reading of documents, and a tour of the building. The staff were very open and willing to discuss the care needs of the residents and were able to describe the different approaches to the way care was offered on an individual basis. Residents were at ease with the different staff members who involved them at all stages of planning for the evening’s activities. What the service does well: What has improved since the last inspection? There has been a lot of work done to increase the detail and quality of the care planning and recording of the care provided. These systems are still being developed and amended to meet the specialised needs of a respite service. SUNNYSIDE RESPITE CENTRE 20050913 Sunnyside X00023 UN Stage 4 S60444 V215987 J55.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. SUNNYSIDE RESPITE CENTRE 20050913 Sunnyside X00023 UN Stage 4 S60444 V215987 J55.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection SUNNYSIDE RESPITE CENTRE 20050913 Sunnyside X00023 UN Stage 4 S60444 V215987 J55.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 5 The relatives do not have a copy of the terms and conditions of the contracts. EVIDENCE: The terms and conditions are being reviewed and this is due to be completed by the end of October 2005. It is planned that the relatives will be given a copy when the review and revision is completed. SUNNYSIDE RESPITE CENTRE 20050913 Sunnyside X00023 UN Stage 4 S60444 V215987 J55.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,8 The service users are consulted about aspects of their daily lives and the care that they are about to receive. Staff carry out a full assessment of care needs prior to the resident being admitted into the home and this is reviewed on a monthly basis. EVIDENCE: Relatives are invited to contribute to the residents care plan and there is evidence that this offer had been taken up. Staff were talking to the residents frequently and telling them what was about to happen as well as friendly banter to involve them as much as possible in the life of the home. Comprehensive assessments were seen in the residents files and there were care plans that identified needs. This system was being reviewed to fine tune the information that was written in and the way it can be retrieved for assessment on a monthly basis. SUNNYSIDE RESPITE CENTRE 20050913 Sunnyside X00023 UN Stage 4 S60444 V215987 J55.doc Version 1.40 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 13,14,16 The respite service works closely with the other people, who promote the residents welfare, to ensure that a varied activity program is offered to each service user. The rights of the service users are maintained, these rights are overseen by the parent or guardian. EVIDENCE: There are assessments as to how much communication residents have and their ability to make informed judgements. These assessments are backed up with care plans that detail the action to be taken in these situations. Activities are planned around the likes and dislikes of the residents so that they can live as fulfilled a life as possible. Many of the activities are provided in house and centred around providing sensory stimulation for the residents. SUNNYSIDE RESPITE CENTRE 20050913 Sunnyside X00023 UN Stage 4 S60444 V215987 J55.doc Version 1.40 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 Personal support is offered to residents in private and in a way that does not draw undue attention to the fact that they need this level of care. Service users are informed of the care that they are going to receive so that they can be prepared and understand what is happening. EVIDENCE: Staff were very discreet in the way they identified a need for the residents and the way they took them to a private area maintained their dignity. The residents were seen to be comfortable in drawing the staff’s attention to the fact that they wanted attention. There was a good rapport between the different members of staff and the residents. SUNNYSIDE RESPITE CENTRE 20050913 Sunnyside X00023 UN Stage 4 S60444 V215987 J55.doc Version 1.40 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 23 There have been no adult protection issues identified. EVIDENCE: The home has a policy for dealing with allegations of adult abuse that follow the same guidelines as Rotherham Metropolitan Borough Council. The company is aware of the agencies that must be informed should an allegation be made at any time in the future. The procedures to be followed in the event of an allegation being made are available to all staff within the home. SUNNYSIDE RESPITE CENTRE 20050913 Sunnyside X00023 UN Stage 4 S60444 V215987 J55.doc Version 1.40 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 There is a shortage of storage space. The repairs to the building should not be left so long before they are attended to. EVIDENCE: There was a large area of plaster that had come away from the wall in the lounge. An area of plaster was coming away from the wall of the toilet near the dining room. The lounge doors had been changed into double doors in May 2005 and the carpet has not been fitted to the new structure. This could be a tripping hazard, especially for people with limited mobility. Due to the lack of storage there was a hoist left in one of the corridors restricting access to a quiet lounge/sensory room. Several areas of minor damage were noted that detracted from the homeliness of the premises. Alternative provision should be made for the ‘Emergency Trolley’. SUNNYSIDE RESPITE CENTRE 20050913 Sunnyside X00023 UN Stage 4 S60444 V215987 J55.doc Version 1.40 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 The staff are adequately trained and experienced to meet the needs of the client group. EVIDENCE: The staff team consists of an appropriately qualified nurse on duty at all times assisted by care staff who have a good knowledge of the resident group. The staffing rota showed that there is an adequate number of staff on duty at all times that there are residents in the home. The staff were able to talk knowledgably about the care needs of the residents and how these were to be delivered. Trainee staff were employed and given special tasks as part of their training to develop both themselves and the service offered to the residents. SUNNYSIDE RESPITE CENTRE 20050913 Sunnyside X00023 UN Stage 4 S60444 V215987 J55.doc Version 1.40 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39 The views of the resident’ families are actively sought and put into practice within the home. EVIDENCE: Survey forms that had been completed by families had been collected and their contents acted upon. There was evidence in the case files that the way care had been amended for residents was due to input from the families to help maintain consistency of care in different settings. Families have contributed to the care planning process and are invited to the meetings on a regular basis. SUNNYSIDE RESPITE CENTRE 20050913 Sunnyside X00023 UN Stage 4 S60444 V215987 J55.doc Version 1.40 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x 2 Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x 3 x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x x Standard No 11 12 13 14 15 16 17 x x 3 3 x 3 x Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 SUNNYSIDE RESPITE CENTRE Score 4 x x x Standard No 37 38 39 40 41 42 43 Score x x 4 x x x x 20050913 Sunnyside X00023 UN Stage 4 S60444 V215987 J55.doc Version 1.40 Page 17 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 5 Regulation 5 Requirement The home must give copies of the terms and conditions of the contract to service users/relatives The carpet in the lounge where the doors have been altered be made to fit and not be a tripping hazard The areas where the plaster is away from the walls be made good Timescale for action 1 January 2006 1 November 2005 1 November 2005 2. 24 37 3. 24 37 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard 24 24 Good Practice Recommendations Storage for hoists be increased Alternative provision for the Emergency Trolley be made SUNNYSIDE RESPITE CENTRE 20050913 Sunnyside X00023 UN Stage 4 S60444 V215987 J55.doc Version 1.40 Page 18 Commission for Social Care Inspection First Floor, Barclay Court Heavens Walk Doncaster DN4 5HZ 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 RESPITE CENTRE 20050913 Sunnyside X00023 UN Stage 4 S60444 V215987 J55.doc Version 1.40 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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