Inspection on 19/01/06 for Sunnyside Care Home

This inspection was carried out on 19th January 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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Sunnyside Care Home 31/05/07

Sunnyside Care Home 13/09/05

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 Service The Crescent West Sunnyside Rotherham South Yorkshire Lead Inspector Alan Bartrop Unannounced Inspection 19th January 2006 12:30 Sunnyside Respite Service DS0000060444.V276422.R01.S.doc Version 5.1 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 Respite Service DS0000060444.V276422.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 Adults 18-65. 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 Respite Service DS0000060444.V276422.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Sunnyside Respite Service Address The Crescent West Sunnyside Rotherham South Yorkshire 01709 375355 01709 721727 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) londonroad@tiscali.co.uk Milbury Care Services Limited Sarah Jackson Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Sunnyside Respite Service DS0000060444.V276422.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13/09/06 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 processed. The 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 Service DS0000060444.V276422.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out when there was one service user present in the home. The inspection included a tour of the building, reading of care files and other documentation, discussions with the manager and staff, and talking to and observing the care of the resident. The resident was at ease with the different staff members who involved him at all stages of planning his activities. There was a friendly atmosphere throughout the inspection with a lot of interaction between the service users and the staff. What the service does well: What has improved since the last inspection? There has been work done to improve the environmental standards and remove the potential tripping hazard where the carpet was missing near the lounge door. The manger continues to assess the systems of recording and implementing more effective ways of developing a picture of what the service users need and enjoy. Sunnyside Respite Service DS0000060444.V276422.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 Respite Service DS0000060444.V276422.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Sunnyside Respite Service DS0000060444.V276422.R01.S.doc Version 5.1 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 the following standard(s): 2,5 The details of the residents needs at the point of assessment to see if they are suitable for the care the home can offer need to be improved. EVIDENCE: Assessments seen, that had been produced by Occupational Therapists that only gave general advice on care issues and did not give a clear indication of what care the person needed. Assessments done by the home appeared to be written in a way that staff who knew the resident could follow but not written for people who did not know the person. Copies of the homes terms and conditions for the service users have been produced and given to all relevant parties. The staff are very aware of the needs of the service users and in many cases have known them for some years. Sunnyside Respite Service DS0000060444.V276422.R01.S.doc Version 5.1 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 the following standard(s): 7,9 The service users are involved as much as possible in making decisions that effect their daily lives. The residents are able to take some risks within a safe environment and these are detailed in their care files. EVIDENCE: Staff were constantly talking to the service users and asking him what he wanted to do. Care files contained information about the preferences of service users and how these preferences were to be met. There are risk assessments placed in the care files covering the different activities that the individual resident enjoys doing. There is a mini bus that is used to maximise the integration between the service users and the community, there are risk assessments to cover this activity. Sunnyside Respite Service DS0000060444.V276422.R01.S.doc Version 5.1 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 the following standard(s): 12,15 There are activities provided for the service users according to their preferences. The residents maintain relationships with their friends and families through different experiences. EVIDENCE: There are different communal areas within the home that are used activities and this means that different activities can be accommodated at the same time. There is a sensory room that is well used and the facilities in the room are continually being improved. The communal areas are well laid out so that service users who have mobility problems are not disadvantaged in any way. Sunnyside Respite Service DS0000060444.V276422.R01.S.doc Version 5.1 Page 11 The care files contained information about the different activities and interests that the service users have. As all the service users attend Sunnyside on a respite basis their relationships with other people are developed at home and through different external agency provision as this constitutes the majority of their time. Sunnyside Respite Service DS0000060444.V276422.R01.S.doc Version 5.1 Page 12 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 the following standard(s): 19,20 The home caters for both the physical and psychological needs of the service users. The home administers medication in an appropriate manner. EVIDENCE: The care files contain information about both the physical needs of the service users and their psychological needs. Risk assessments were seen that referred to the possible negative results from the behaviours of the service users in the community. The staff were aware of the service user’s moods and were able to take appropriate action to maximise their enjoyment of their day. The medication for the service users is administered by Registered Nurses in an appropriate manner. Sunnyside Respite Service DS0000060444.V276422.R01.S.doc Version 5.1 Page 13 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 the following standard(s): 22 The views of the service users are listened to and acted on by the staff. EVIDENCE: The staff gave the service users ample time to communicate their wishes. The staff were able to anticipate what the service user wanted and provide choices in a way that he could cope with. There is information in the care files indicating what the service user’s preferences are. The procedures in the home are not understood by the service users but these are discussed with advocates. The families of the service users are invited into the home and are able to contribute to the care plan for their resident. The majority of the financial management is taken care of by the families of the residents. Sunnyside Respite Service DS0000060444.V276422.R01.S.doc Version 5.1 Page 14 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 the following standard(s): 24 The home is relatively new and in reasonable order but there appears to be a problem with the plaster falling off the walls. EVIDENCE: The carpet in the entrance to the lounge has been repaired as has the plaster damage to the lounge wall. Plaster has now fallen off the wall in the kitchen and this needs to be attended to quickly as the area cannot be maintained in a hygienic condition. The garden is well maintained and the service users have access to safe areas. The garden is accessible to service users who use wheel chairs or have mobility problems. Sunnyside Respite Service DS0000060444.V276422.R01.S.doc Version 5.1 Page 15 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 There is a clear structure of responsibility within the staff group. EVIDENCE: There is always a registered nurse on duty who is competent to carry out the care needs of the residents. The care staff work under the supervision of the register nurses and are aware of their role in the care of the individuals. The staff were observed to be working as a team. Sunnyside Respite Service DS0000060444.V276422.R01.S.doc Version 5.1 Page 16 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,42 The management of the home is developing well as the home settles into it’s new routine. EVIDENCE: The manager is implementing a range of new systems that will benefit both the staff and the service users. The families of the service users have had to adjust to a new way of caring for their relative and this has taken some time. The health and safety of service users is promoted by staff having a good awareness of their needs and anticipating what the person wants. There were not issues of health and safety identified that need immediate attention. Sunnyside Respite Service DS0000060444.V276422.R01.S.doc Version 5.1 Page 17 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 Standard No Score 1 2 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 X ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 3 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 3 x 3 X X X X 3 X Sunnyside Respite Service DS0000060444.V276422.R01.S.doc Version 5.1 Page 18 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 YA2 Regulation 14 Requirement Service users must not be accepted into the home without a full assessment that gives details of the care they need and how this should be delivered. The areas where the plaster is away from the walls be made good Timescale for action 01/03/06 2. YA24 37 01/04/06 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 YA24 Good Practice Recommendations Storage for hoists be increased Sunnyside Respite Service DS0000060444.V276422.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Doncaster Area Office 1st Floor, Barclay Court Heavens Walk Doncaster Carr 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 Service DS0000060444.V276422.R01.S.doc Version 5.1 Page 20 - 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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