Inspection on 31/05/07 for Sunnyside Care Home

This inspection was carried out on 31st May 2007.

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 9 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Sunnyside Care Home 19/01/06

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 19 The Crescent West Sunnyside Rotherham South Yorkshire S66 3RE Lead Inspector Ramchand Samachetty Key Unannounced Inspection 31st May 2007 10:45 Sunnyside Respite Service DS0000060444.V330627.R01.S.doc Version 5.2 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.V330627.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 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.V330627.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sunnyside Respite Service Address 19 The Crescent West Sunnyside Rotherham South Yorkshire S66 3RE 01709 532145 F/P 01709 532145 None http/www.milburycare.com/home.html Milbury Care Services Limited 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) Sarah Jackson Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Sunnyside Respite Service DS0000060444.V330627.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th January 2006 Brief Description of the Service: 19 The Crescent West, Sunnyside is known as Sunnyside Respite Service which is a purpose built bungalow opened in 2004. The unit is owned and managed by Milbury, which is part of the Paragon Health Group. Ms Sarah Jackson is the registered manager. 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 en-suite toilets and wash hand basins at ground level. There is ceiling tracking in bedrooms and bathrooms to assist with mobility. There is an area of lawn to the front. The rear garden is landscaped with a patio area and is enclosed to ensure a level of privacy for people using the service. There is limited car parking to the front and side of the building. The service has a statement of purpose and a service user guide. The fees charged currently are £1,780.00 per week. The service is operated under a contract with the local Joint Learning Disability Service. Further information can be obtained from the service manager. Sunnyside Respite Service DS0000060444.V330627.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection was carried out on 31 May 2007, starting at 10.45 hours and finished at 17.30 hours. The service is registered to provide respite care to up to 4 younger adults with Learning Disabilities. There were three people receiving respite care at the time of this inspection and a fourth person was admitted later in the day. The registered manager was present throughout the inspection. All the key national minimum standards for “Care Homes for Adults 18-65” were assessed. The inspection included a tour of the premises, examination of care documents and other records, including those pertaining to staff deployment, complaints, maintenance of equipment and systems, staff records and management of medicines, conversations with relatives, staff, including the manager, and people using the service. The care of one person was tracked and some aspects of care provision were observed. As part of the pre-inspection planning, the completed questionnaire submitted by the manager and other documents, including comment cards received from relatives and other health and social care professionals, were considered. The views and comments expressed in them have been included in this report. The inspector would like to thank all the people using the service, their relatives and staff who helped with this inspection. What the service does well: The atmosphere at the home is friendly and welcoming. People who use the service and their relatives are satisfied. Relatives say that staff provide a “good standard of care and support” to their loved ones and that they also feel well supported by the service. They are satisfied that the respite care is well organised and offers them a valuable service. Relatives and health care and social care professionals have commented positively on the special nursing care that is provided to some people who have complex needs. This is a reflection of the good teamwork that takes at the home. Staff are responsive to the needs of people using the service and they make sure routines are flexible enough to benefit them. Sunnyside Respite Service DS0000060444.V330627.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Although the service provides adequate information to people using it and those who want to use it, its statement of purpose and service user guide require improvement in order to meet the relevant regulations. The complaints procedure needs to be improved to include the timescale in which complaints will be resolved. Recreational and social care needs of people who use the service must be appropriately identified and action taken to make sure they are addressed. People who come for respite stays must be assisted in accessing local community activities and events, if they are capable and if it is their preference to do so. Although the physical environment was comfortable and pleasant, it requires some improvement. Minor repairs are needed to part of a wall in the kitchen. The ceiling tracks need to be repositioned so that they could be appropriately used for the comfort of people who use the service. Also the provision of storage space must be improved. The registered provider must undertake a review of the staffing level and issues of staff deployment for the service, to make sure that needs of people using the service are appropriately met at all times. Although staff training has progressed well since the last inspection, there is a need to prioritise training on adult protection issues for some staff and on improving communications skills for all staff. There is also a need for more support staff to undertake and achieve the National Vocational Qualifications in Care. The staff training and development programme should also include topics on Equality and Diversity. A good practice recommendation has been made for staff to check and record changes that take place in the needs, goals and aspirations of people who use the service regularly, at the start of each respite stay. Sunnyside Respite Service DS0000060444.V330627.R01.S.doc Version 5.2 Page 7 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 Respite Service DS0000060444.V330627.R01.S.doc Version 5.2 Page 8 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.V330627.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The information provided in the statement of purpose and service user guide was insufficient and could affect the choice that people make about the service. Full assessment of needs were carried out before people were admitted to the service, in order to make sure that such needs could be met. EVIDENCE: The service has developed its statement of purpose and service user guide. Both documents were available to people who use the service and their representatives. However, the statement of purpose did not include sufficient information on the complaints procedure of the service. The service user guide did not include a copy of the last inspection report. The information in the service user guide was made more accessible to people who use the service, by the use of pictures. Sunnyside Respite Service DS0000060444.V330627.R01.S.doc Version 5.2 Page 10 The care files of two people using the service were checked. They showed that an assessment of their needs was carried out by the placing social workers and health care professionals from the local primary care trust, prior to their admission to the service. However, the assessments seen were generic in nature and did not specifically relate to the respite service. Sunnyside Respite Service DS0000060444.V330627.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People using the service had care plans in place to support them with their daily activities and their goals, in the way they like. However, care plans lacked details of social care needs and how they should be catered for. Individuals were supported in taking reasonable risks to enable them to enjoy a good a quality of life. However, in some cases, the management of risks was not satisfactorily recorded. EVIDENCE: The care records of two persons, who were receiving respite care, were examined. They had care plans and these were based on their assessed needs and were developed in line with the person centred approach. There was evidence that care plans were developed with the involvement of relatives and relevant health care professionals. However, in one instance the assessment of Sunnyside Respite Service DS0000060444.V330627.R01.S.doc Version 5.2 Page 12 needs had been carried out over two years ago. A review of this person’s needs, under the care management approach, had taken place and staff were waiting for the outcome. The manager stated that staff would always consult with carers, at each respite stay, to find out if there were changes that could affect their care. However, details of these contacts were not always recorded. The care plans contained all the relevant information about how physical and health care needs should be met. In contrast, social care needs were inadequately addressed. Although staff were fully aware of the needs of people who regularly use the service, areas of risks that they faced in their daily activities were not always clearly recorded and therefore actions to be taken to manage them were not clearly stated. People who were using the service had complex needs and their ability to make choices were limited. Staff worked closely with their carers and other professionals to make sure that they could still be cared for and supported in the way they preferred. One relative commented in our survey that her daughter was extremely limited in her communication but staff would always consult her when making decisions that affect her wellbeing and happiness. Sunnyside Respite Service DS0000060444.V330627.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People using the service were supported in maintaining their lifestyles as far as possible. They were satisfied with most aspects of their stays. However, opportunities to benefit from community activities were very limited and therefore this could lead to their social exclusion. EVIDENCE: On the day of this inspection, there were three people receiving their planned respite care. They spent most of their time, in between care interventions and meal times, in the lounge in the company of care staff. Most of the people using the service had complex physical, health care and communication needs, which in effect determined their lifestyle. However, they were able to benefit from social interaction and stimulation. Care plans did not always clearly Sunnyside Respite Service DS0000060444.V330627.R01.S.doc Version 5.2 Page 14 indicate the capabilities and preferences of people using the service, in relation to their social needs and how they could be catered for. One relative stated that her loved one was always keen to come for respite, as this was a time to meet other people and staff at the home. Staff explained that not every one could access day care services or other community educational or recreational facilities, because of their disabilities and dependency. Relatives and staff stated that people using the service had very little access to relevant community activities due to the difficulties in getting both sufficient nursing and care staff to accompany individuals. These issues were highlighted in the service users ’ survey and by health care professionals, who work closely with the people concerned. One relative stated that her loved one was “ an out and about person and I usually take him out for a walk, but he can’t have this here as there is not enough staff to take him out”. It was noted that the service had its own minibus but that there was a lack of staff who could drive it. The manager stated that some transport was also provided by the NHS ambulance service, when individuals had to travel with medical equipment. During the inspection, staff were observed spending time with each person on a one to one basis. One person had her hair styled and her nails decorated by a member of staff and She was very pleased with the results. Staff stated that there were some in-door games, videos and a computer that were available for use by people who come in for respite care. A ‘sensory’ room was being reorganised to ensure that its features could be beneficial to the people who use the service. Staff were observed safeguarding and promoting the privacy and dignity of people using the service. Staff asked permission before entering peoples’ bedrooms and addressed them with respect. People using the service appeared happy with staff’ interactions. The pre-inspection questionnaire stated that there were set menus, but staff explained that these were often amended to take into account the food preferences of people who come for respite care. Staff were observed preparing a meal, which was well liked, by the group of people in residence. They were also appropriately assisted with their meals. Sunnyside Respite Service DS0000060444.V330627.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The health and personal care needs of people using the service were well catered for and this made sure that they could continue to enjoy a good quality of life. EVIDENCE: The personal and health care needs of individuals were well set out in their care plans. There was information about what personal and nursing care interventions were required and the manner in which these were to be provided. Relatives and staff confirmed that the service was provided in a flexible way, for example, the varying times individuals could get up and retire to bed and to eat. People receiving respite care at the time of this inspection, had special nursing needs. These included specialist nursing and therapeutic interventions like the care of individuals with tracheotomy, special feeding regime and the prevention of pressure sores. These needs were clinically Sunnyside Respite Service DS0000060444.V330627.R01.S.doc Version 5.2 Page 16 assessed and provided for by a team of experienced nursing staff, with the support of other community health care professionals, such as physiotherapists, occupational therapists and community nurses. There were clear records of what actions were taken to meet the health care needs of each individual. In one instance, the records showed that a comprehensive review had taken place with regards to the health plan of a person who was receiving respite care. Three completed surveys were received from health care professionals as part of this inspection. They confirmed that staff were skilled in and committed to their work. They were working well together to continually improve the service. The receipt, handling, storage and administration of medicines were checked. Medicines brought in by relatives at the start of a respite stay were appropriately recorded and stored. A protocol had been agreed with relatives to make sure that all medicines were appropriately labelled with the prescribers’ instructions. Medicines were kept in a locked cupboard. Medicines were administered by registered nurses. The medicines administration records (MAR) were checked and they were satisfactorily maintained. The manager stated that she carried out regular audits of medicines at the home. Records of such audits were seen. Sunnyside Respite Service DS0000060444.V330627.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Staff was proactive in dealing with issues raised by relatives and therefore these did not end up as complaints. The complaints procedure itself was not robust enough, as it did not state the timescales involved in resolving complaints. Appropriate procedures were in place to make sure that people using the service are protected from harm and abuse. Staff were aware of adult protection policy and could implement it, if necessary, in order to protect people who use the service. EVIDENCE: The service had use of a corporate complaints procedure, which was issued by the parent company, Milbury Care Services limited. A copy of this procedure was included in the statement of purpose. However, it gave no detail about the timescales within which complaints would be resolved. The pre-inspection questionnaire indicated that no complaints had been received by the service. Relatives and health and social care professionals who completed a CSCI survey prior to this inspection, expressed satisfaction with the way staff responded to any concerns and issues. They stated that staff Sunnyside Respite Service DS0000060444.V330627.R01.S.doc Version 5.2 Page 18 were always willing to listen. There was excellent communication between staff and relatives and this helped to make sure that any matter that worried relatives and people who use the service, were addressed promptly. Relatives also stated that they were aware of the complaints procedure and would use it if necessary. One relative said “ when I raised a matter with the staff, they have acted immediately to sort it out to my satisfaction”. An adult protection policy was in place. There had been no adult protection issues in the service. Staff spoken to, were aware of the policy and procedures and could implement them if required. Sunnyside Respite Service DS0000060444.V330627.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 29 and 30. People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People who have respite stays at the home and their relatives were pleased with the accommodation provided, which they said was “comfortable and pleasant”. However, some of the built in equipment to move and handle people with very limited mobility was not being used due to faulty installation. This meant that staff had to use mobile hoists, which in some instances were not comfortable for the individuals concerned. There was a lack of storage facility, in particular for the hoists. The inappropriate use of a bathing facility for storage purposes was an inconvenience for people living at the home. EVIDENCE: Sunnyside is a large purpose built bungalow. Except for some communal toilets and a bathroom, the building is wheelchair accessible. The bedrooms are all en-suite and there are ceiling tracks designed to assist in the moving Sunnyside Respite Service DS0000060444.V330627.R01.S.doc Version 5.2 Page 20 and handling of people who have severe mobility difficulties. However, in practice very little use is made of the ceiling tracks as they are positioned too close to the walls to allow their ease of use. There were two mobile hoists in use at the home, to help with the manual moving and handling of people who use the service. However, these were kept in individual bedrooms depending on who required the equipment. There was no alternative storage space for the equipment. At the time of this inspection, there was construction works being undertaken at the back of the home, for the provider, so the entrance drive was shared with the builders. It was noted that the ground around the concrete ramp was getting uneven and could pose some difficulty for wheelchair users. Staff were aware of this issue and were taking appropriate measures to protect wheelchair users. There was a patio at the back and it was surrounded by walls and fences, which made the area private. The building was relatively new and was in good state of repair and was well decorated. There was, however, a small area of loose plaster in the kitchen. This had been repaired on a previous occasion but has now fallen off again. The bedrooms and the communal areas were all tidy, well decorated and pleasant. One relative spoken to said that her loved one was “always happy with whatever bedroom he gets”. The lounge appeared rather small to accommodate the three extended wheelchairs that were being used by individuals on respite care. The manager explained that it was intended to remove one of the settees and to make more rooms for the wheelchairs. The dining room was well laid out and had appropriate furniture. The kitchen was domestic in style and was clean and tidy. The laundry was rather small and was fitted with one washer, which had a sluice programme for dealing with soiled linen. Staff stated that separate washes for each person, were carried out in order to control infection. The shower room was used for the storage of several items. Staff said that there was a shortage of storage space at the home. Sunnyside Respite Service DS0000060444.V330627.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33,34, 35 and 36. People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. There was not always sufficient staff to fully meet the needs of people using the service and this has led in some instances to inadequate provision of social and recreational activities. Although staff were provided with training opportunities, the development of their communication skills was not progressed well enough for the benefit of people using the service. EVIDENCE: On the day of this inspection, there were 3 people receiving respite care. The planned admission of a fourth person took place in the afternoon. They all had high dependency needs. There was one first level nurse and three support workers on duty, apart from the registered manager. The manager and staff confirmed that people who use the service tended to have complex needs and most often required two persons to assist in their moving and handling and to provide some aspects of their nursing care. She Sunnyside Respite Service DS0000060444.V330627.R01.S.doc Version 5.2 Page 22 stated that the staffing ratio used at the home was 2.5 staff to 4 people using the respite service at any one time. There was no evidence that this staffing level was calculated according to needs dependency, daytime activities and an assessment of potential risks. Staff explained that some people who use the service did not access day services and therefore needed care and supervision at all times. It was noted that care staff were also expected to provide domestic and catering assistance to people using the service. These additional tasks were not necessarily part of any developmental programmes for those using the respite service. The duty rota submitted as part of the pre-inspection information gathering and the ones checked at the home, showed that on occasions, when there were two or three people using the respite service, only one registered nurse and one support worker was deployed during day time. This practice meant that if a nursing procedure were needed to be carried out, there would be only one other worker to attend to the needs of the other people at the home. It was also noted that people who use the service were not able to participate in and benefit from activities or events held within the local community, mainly because of insufficient staff. Staff were observed to be courteous and friendly in their interactions with people living at the home. Relatives spoken to, confirmed that staff attitudes and approach to working with their loved ones, were based on respect for the individual. One relative said, “My son is always keen to come for his respite stay as he likes the staff here and relates well to them”. Staff spoken to, were knowledgeable about learning disability issues. Staff stated that they had received training on various topics, including moving and handling, food hygiene, first aid, infection control and protection of vulnerable adults. However, although some of the training consisted of refresher courses, there were some staff members who had not received training on the protection of vulnerable adults. Only two support workers out of eight had achieved the “National Vocational Qualification (NVQ) level 2 in Care. It was also noted that no specific training had been organised to equip staff with improving their communication skills. One member of staff (part-time) said that she had received some training in makaton from her main employment and was observed communicating with a person who was receiving respite care. The lack of communication skills within the staff team was also reflected in one of the monthly reports from the operations manager. She had stated that the section relating to the interview with a resident was not applicable because of his “lack of verbal communication or comprehension”. Sunnyside Respite Service DS0000060444.V330627.R01.S.doc Version 5.2 Page 23 Documents relating to the recruitment and selection procedures used for two members of staff who had joined the team since the last inspection, were checked. The service had use of the company’s recruitment policy, which included guidance on the practice of equal opportunities. It was noted that the equality and diversity monitoring details in relation to job applicants did not include factors of disability, sexual orientation and religion. It was also noted that staff had not received any training on equality and diversity issues. The recruitment procedures were satisfactorily used and the necessary preemployment checks were appropriately completed. Records showed that the two members of staff had received appropriate induction and support. Staff spoken to, said that they were receiving regular planned supervision and appraisals from the manager. Sunnyside Respite Service DS0000060444.V330627.R01.S.doc Version 5.2 Page 24 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The home is well managed. Efforts are made to get the views of people who use the service, in order to continually improve it. The safety and welfare of people who use the respite service, is safeguarded and promoted to enhance their quality of life. EVIDENCE: Relatives commented that the respite service provided by Sunnyside was of great help to them as it gave them a chance to take a break from caring. They stated that the respite care is well organised and well managed. Sunnyside Respite Service DS0000060444.V330627.R01.S.doc Version 5.2 Page 25 Relatives and staff commented that the manager was ‘very committed’ to her work and always approachable’. She is a registered nurse in the field of learning disability and has experience in managing care services. She is currently studying for the Registered Care Manager’s Award and for a management development programme. The manager commented that she was in regular communication with the relatives of people who were receiving respite care. This enabled her and the staff team to get continual feedback about the service and to act on any issues that are subsequently raised. The service had developed an annual ‘user satisfaction survey’ for relatives and had recently sent out a number of questionnaires out. The manager was awaiting their responses. Quality issues were also monitored through the use of a number of internal audits, such as accident analysis, including falls, medicines records and health and safety measures. The provider was also carrying out monthly visits to the service and compiling a report for each of these visits. Copies of these reports were seen. There was a development plan in place for the service, for the year 2006-2007, to provide a guide to further improvement of the service. Although people who come for respite stays do not always bring money which required safekeeping for them, there was a procedure to make sure any money that is received for safekeeping or for staff to manage on behalf of a person, was appropriately recorded. Accounts were kept with evidence of transactions undertaken. The pre-inspection questionnaire indicated that maintenance of equipment and health and safety checks were undertaken as required. These included fire safety tests and fire drills. Maintenance records were checked and they were satisfactory. Sunnyside Respite Service DS0000060444.V330627.R01.S.doc Version 5.2 Page 26 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 3 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 2 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 2 30 3 STAFFING Standard No Score 31 X 32 3 33 2 34 3 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 2 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Sunnyside Respite Service DS0000060444.V330627.R01.S.doc Version 5.2 Page 27 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 YA1 Regulation 4 Requirement The statement of purpose and service user guide must contain appropriate information as set out in the relevant regulations. Social care needs of people using the service must be appropriately identified and addressed in their individual plans of care. Appropriate arrangements must be made for people using the service, to access local community activities/events, in line with their preferences and capabilities. The complaints procedure must be improved to include the timescales for resolving any complaint. The area of damaged plaster must be repaired and decorated. The shower room used for storage purposes must be returned to its normal use. Storage space must be improved in order to allow an appropriate location for keeping the two mobile hoists. The ceiling tracks must be positioned in a way that allows DS0000060444.V330627.R01.S.doc Timescale for action 30/07/07 30/07/07 2. YA6 15 3 YA13 16 30/07/07 4 YA22 22 30/07/07 5 6 YA24 YA24 23 23 10/08/07 10/08/07 7 YA29 23 07/09/07 Sunnyside Respite Service Version 5.2 Page 28 8 YA33 18 9 YA35 18 its use for the benefit of people who use the service. The staffing level must be reviewed to make sure that deployment of appropriate staff is in line, at all times, with the needs dependency, activities and risk assessments of people who use the service. Staff training and development must be improved to ensure that topics relating to adult safeguarding procedures and on specialised communication skills are provided in order to further improve the service. Support staff must be provided with adequate training to allow them to progress to their R/NVQs. 30/07/07 10/08/07 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 YA6 Good Practice Recommendations Details of changes in needs, goals and aspirations of people who regularly use the service, should be appropriate checked and recorded at the start of each respite stay. Training on issues relating to Equality and Diversity should be provided to all staff. 2 YA35 Sunnyside Respite Service DS0000060444.V330627.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Respite Service DS0000060444.V330627.R01.S.doc Version 5.2 Page 30 - 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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