CARE HOME ADULTS 18-65
Sunnyside Care Home Ltd 13-15 Sunnyside Road Ilford Essex IG1 1HU Lead Inspector
Stanley Phipps Unannounced Inspection 29 September 2005 17:00 Sunnyside Care Home Ltd DS0000050134.V255130.R01.S.doc Version 5.0 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 Care Home Ltd DS0000050134.V255130.R01.S.doc Version 5.0 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 Care Home Ltd DS0000050134.V255130.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Sunnyside Care Home Ltd Address 13-15 Sunnyside Road Ilford Essex IG1 1HU 020 8911 9445 020 8911 9423 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) Sunnyside Care Home Ltd Mrs. Deeba Kazim Care Home 15 Category(ies) of Learning disability (15) registration, with number of places Sunnyside Care Home Ltd DS0000050134.V255130.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 16th March 2005 Brief Description of the Service: Sunnyside Care Home is a care home providing personal care and accommodation for up to fifteen people aged 18 – 65 with a diagnosis of mild to moderate learning disability, who need support in order to live in the community. Care and support is provided on a twentyfour basis. It is privately owned by Mr G Singh, who employs a manager to run the daily affairs of the service. The home is located in Ilford approximately half of a mile away from the Ilford Town Centre. It is situated on a good bus route and service users have easy access to a full range of local facilities, which they are encouraged to use. The home was opened in January 2004 and is a large detached house that is set in its own grounds. All bedrooms are single and contain en-suite facilities. The building is an amalgamation of two houses and there are plans to have an A and B unit. There are bedrooms on both the ground and upper floors and access is via stairs on either side of the building. There are extensive grounds to the rear of the building that allow service users the opportunity to pursue external activities. There are staff on hand night and day to provide care and support to the service users. Sunnyside Care Home Ltd DS0000050134.V255130.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection took place in just over three hours and was timed to coincide with the evening activities, the care and support routines, supper and to monitor the overall progress of the home. The inspection found that the home had demonstrated good progress over the last inspection year and this included the quality and frequency of monthly provider monitoring visits and reports. Most service users bar one looked happy on the day of the visit, as they engaged with staff individually and/or collectively. In discussion with the manager it was deduced that the service user’s unwillingness to contribute to the inspection might have been related to recent medical treatment. An assessment was made of a random sample of care plans and risk assessments, medication records, the staffing rota, meals consumed, activities for service users and policies and procedures. Detailed discussions were held with the manager and registered provider who popped into the home during the visit. Discussions were also held with two staff members, along with observing four service users engage with the staff and their environment. This was followed by a tour of the building to include visits to two unoccupied bedrooms. It was noted that the registered persons took the voluntary decision not to admit new service users until they were themselves satisfied that their management and operational systems were firmly in place to ensure the best possible care delivery at Sunnyside. From this inspection it was deduced that they were getting very close to that point. What the service does well:
The registered persons are proactive in ensuring that staff are adequately prepared and supported in carrying out their duties at Sunnyside. Service users therefore benefit from working with staff who are clear about their roles and responsibilities in providing care and support to them. This also includes the fact that staffing numbers are constantly reviewed to ensure that service user needs are adequately met. There has been evidence that the registered manager is also constantly seeking to develop greater opportunities for service users to engage in activities both internally and externally. The effect of this work potentially provides more stimulation and meaningful experiences for the service user group, which in turn would enhance their quality of life. It has been the case that the nutritional needs of the service users are consistently met at the home and more importantly, this takes into consideration the individual and specific needs of service users for example, service users who may be at risk of choking, while eating. Sunnyside Care Home Ltd DS0000050134.V255130.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection?
The registered manager has satisfactorily reviewed the service user guide and this included the use of pictures in it. This is positive in that most of the current service users have communication difficulties and rely on non-verbal communication for their daily interaction. The home’s statement of purpose has also been reviewed and now generally satisfies the regulatory requirements, although more pictorials and a larger font is required in some parts of the document. Both current and prospective service users stand to benefit from the review of these documents, as they are more service user friendly. There was a slight improvement in the development of contracts (statement of terms and conditions) in that, whilst they were prepared at the time of the visit, they were not issued to service users with the relevant signatures to confirm their validity. They were, however, satisfactory in content and the registered persons gave the assurance they would be activated within twentyfour hours of the completion of the visit. From assessing the service user files, it was observed that the registered manager had in place updated risk assessments for all service users and this was an improvement from the last visit. This means that staff are in a better position to provide care and support to service users in a manner that minimises risk to service users. Improvement was also noted in relation to the review of the medication policy, which is a working document and again this provides service users with the peace of mind that support with their medication is handled in a safe way. In discussions with the manager and staff it was determined that staff were receiving supervision more regularly now and are in a better position to meet with challenges posed on a daily by service users, whose needs are quite challenging. It is of vital importance that this continues to enable staff to produce a consistently high standard of care in the home. Along with the medication policy, the registered manager also carried out a review of other policies and procedures as outlined in Appendix 2 of the National Minimum Standards for Younger Adults. This now gives staff a solid framework from which they could deliver the service. At the time of this visit, work had started on carrying out a service user survey, but this objective is still a little way from being achieved. Despite this, and in concluding, it was clear that there were a significant number of improvements carried out at Sunnyside aimed at enhancing the quality of care service users receive. Sunnyside Care Home Ltd DS0000050134.V255130.R01.S.doc Version 5.0 Page 7 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 Care Home Ltd DS0000050134.V255130.R01.S.doc Version 5.0 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 Care Home Ltd DS0000050134.V255130.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): (1,5) Prospective service users are guaranteed to have detailed information with regard to what’s on offer at Sunnyside, to assist in enabling them to decide whether the home is right for them. Service users are also reassured that a statement of the terms and conditions in relation to their stay at the home is issued to them. EVIDENCE: A comprehensive statement of purpose was in place, describing the services and facilities on offer at Sunnyside House. This document is available for all prospective service users as well as those who currently reside at Sunnyside. Slight improvements could be made to this document in that the font size could be increased and there is room for more pictorials throughout the document. This was discussed in detail, however the service user guide was really service user friendly and contained all the areas outlined in the national minimum standards for younger adults. As such it was both attractively presented and informative. At the last inspection service current service users did not have the benefit of a statement of terms and conditions, outlining their rights and responsibilities and that of the registered provider. The registered persons prepared one and were in the process of issuing them to the service users. At the time of compiling this report, the registered manager confirmed by phone that all service users were now in possession of their own. Service users are therefore in a better position to determine the full extent of their rights as well as the obligations of the service provider. This is a positive improvement. Sunnyside Care Home Ltd DS0000050134.V255130.R01.S.doc Version 5.0 Page 10 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): (6,8,9) The needs of service users are generally met at Sunnyside and in so doing, their health and welfare is actively promoted there. Risk assessments are an integral part of how service users are supported in the home and this practice enables service users to do things to their fullest potential. Although the views of service users are acquired more needs to be done to increase consultation with them. This would give them a greater say in all aspects of the home. EVIDENCE: There was evidence of good practice in meeting the needs of service users in the home. All service users looked well cared for. This was based on the fact that detailed needs assessments had now been completed on all service users in the home, from which service user plans were developed. In essence this was an improvement since the last inspection and by extension an enhancement in the quality of care given to service users in the home. Staff and the manager worked well in developing knowledge of each of the service users’ individual communication abilities and applied this to determining their choices and preferences. The levels and abilities of each service user was in fact quite varied and different and given the degree of complex needs amongst the group, it is important to carry out a service user survey to gather even more of their
Sunnyside Care Home Ltd DS0000050134.V255130.R01.S.doc Version 5.0 Page 11 views. These views, once gathered, should promote more involvement in all aspects of the home, which could only be a positive outcome for the service user group. It was clear that a key part of supporting the service users to lead as full a life as possible, requires updated risk assessments to be undertaken on all service users living in the home. This was done by the manager and staff. It is positive to have seen, for example, one service user who could not go into the community without two staff members present, now comfortably going out with only one member of staff, thereby increasing and promoting her independence. Another good example was where freedom passes have been obtained for all service users, who in turn have been inducted into using public transport. The current position is one where public transport in not only more frequently used, but safely so. This is really positive for all concerned i.e. service users and staff. Sunnyside Care Home Ltd DS0000050134.V255130.R01.S.doc Version 5.0 Page 12 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): (11,13,14,15,17) Sunnyside offers service users opportunities to participate in activities of their choice and suited to their interests, and this enables them to live as full a life as possible in the community that they are a part of. Where possible family and friends are encouraged to maintain positive networks with service users and meals are generally satisfactory in meeting the dietary needs of the service user group. EVIDENCE: From assessing records, talking to the manager and the staff it was established that each service user has their own personal interests and is encouraged to pursue this, whether it is in the home or in the community. Internally, service users experiment with play dough where they make various shapes in colours that they prefer e.g. red or green. They are also involved in other forms of art and one of the recent pieces of work seen, was the service user’s interpretation of the staff team, which was very interesting. It was indeed a pleasure to observe the work of service users with good support from the staff team in providing them with meaningful stimulation. A great example of individuality could be drawn from the fact that one service user loves feathers of various birds. With staff support various types were collected and he then proceeded to artistically design pictures, carefully arranging the feathers on a
Sunnyside Care Home Ltd DS0000050134.V255130.R01.S.doc Version 5.0 Page 13 piece of hard paper backing. The end product was both attractive and interesting and credit should again be given to the manager and staff for the time and effort they put into getting service users to meaningfully express themselves. Service users share the experience of bowling at City Limits, usually on a Saturday, for about two and a half hours and from reports most of them enjoy the experience. They also attend birthday parties, day trips out and visits to pubs. At the time of the visit the manager informed that they are continually looking for more opportunities that are specific to the needs and interests of the service user group. From an examination of the diary and service user plans it was clear that service users are provided with meals that were specific to their individual needs. The menu for the day was chicken and vegetable pie with potato with yoghurt as the choice of desert. The meal was attractively presented and nutritious in content. Staff were sensitively providing support to the service users, who seemed pleased with the support they were given at supper. What was missing from the dining area was a menu plan, which would give service users a sense and reassurance as to what is to be served on the day. Records of menus are held, but they are kept in a diary in the kitchen and are not usually and easily accessed by service users. This was discussed with the manager for improvement, which could also entail the use of photo – menus for the benefit of the service user group. Sunnyside Care Home Ltd DS0000050134.V255130.R01.S.doc Version 5.0 Page 14 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): (18,19,21) Service users receive good support generally from a dedicated manager and staff team. This includes physical, emotional and personal support, based on need, in the promotion of their health and welfare. However a policy needs to be in place to support staff and service users should an individual service user die in the home. EVIDENCE: From observation service users were in receipt of personal support from the staff at a time and manner that left them reassured, safe and comfortable. Post-supper routines were observed and they were carried out in a dignified manner by the staff on shift that evening. Adequate systems were also in place to promote the health and welfare of service users. They were all registered with a GP and all appointments are diarised and recorded in their case files in the health profile section. Service users also have the benefit of one to one meetings with their key-workers as and when required, where additional support is offered e.g. when a service user becomes upset and/or anxious and this was evident on the night of the visit. Although the handling of medication was not assessed in the detail, the storage and recording was found to be satisfactory and this is also a positive element in the promotion of the health and welfare of service users living in the home. The registered manager was required to develop a death and dying policy and this was not completed at the time of the visit. The manager
Sunnyside Care Home Ltd DS0000050134.V255130.R01.S.doc Version 5.0 Page 15 explained that though she was willing to carry this out, time did not allow her complete it. It is important and in the interest of service users and staff that this is completed as soon as feasibly possible, so that staff are aware for example, as to what the protocols to follow in the case of a death in the home. It would also be useful should a service user become terminally ill, that their wishes and preferences are observed and honoured as far as feasibly possible. Sunnyside Care Home Ltd DS0000050134.V255130.R01.S.doc Version 5.0 Page 16 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): (23) The management and staff at Sunnyside are equipped with the skills and knowledge to ensure that service users are protected from all forms of abuse. EVIDENCE: A satisfactory adult protection policy/procedure is in place in the home and is accessible to all staff. Most of the staff have had adult protection training and in discussions held with those on duty, it was clear that they were capable of promoting the safety of service users in terms of recognising abuse and dealing with allegations of abuse. The manager has also a key role in ensuring that staff are kept updated of changes in adult protection protocols and she has been instrumental in making early interventions to preserve the safety of service users in the home. This include taking disciplinary action against staff where required to protect vulnerable service users. There is an outstanding adult protection matter that is well over one year and she was advised at the visit, of her responsibility to actively play her part e.g. taking part in strategy meetings etc. to conclude this matter. In concluding, there was confidence that the interests of service users are positively promoted to ensure their protection from abuse. Sunnyside Care Home Ltd DS0000050134.V255130.R01.S.doc Version 5.0 Page 17 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): (25,27,28,29,30) The home is fit for its purpose, i.e. providing service users with a homely, clean, safe and warm environment in which they could live leisurely, comfortably and have their needs met, despite the limitations of their individual illness. EVIDENCE: Sunnyside is a well-maintained and presented home that provides service users with an environment in which their needs, expectations and interests are generally safely met. Each of the bedrooms are personalised to the taste of the individual service user and this is done in collaboration with the service users’ wishes. All of the private spaces have en-suite facilities and the communal toilet and bathing facilities are designed to promote safety and comfort of the service user group. They are all lockable with an override facility, for health and safety purposes and service users were observed accessing them with ease. There are adequate communal spaces as the building is a combination of two large buildings with a huge garden to the rear. There is also a patio area and this is also well maintained and used by service users. One service user spent some time there during the visit and it is an advantage to have such a large space. Service users at times may find the internal environment too stimulating then this provides them with an immediately accessible space in the rear garden as an option to finding some peace and quiet.
Sunnyside Care Home Ltd DS0000050134.V255130.R01.S.doc Version 5.0 Page 18 On the day of the visit service users were in both lounges although more were concentrated in the lounge closer to the staff office and main kitchen. In speaking with the manager she was contemplating some reorganisation to utilise the spaces more effectively, but would be doing so in consultation with the registered provider, service users and, where possible, relatives. The home was clean and hygienic throughout the duration of the visit and there were routine maintenance systems in place to ensure this. Sunnyside Care Home Ltd DS0000050134.V255130.R01.S.doc Version 5.0 Page 19 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): (33,36) EVIDENCE: JUDGEMENT A dedicated manager and staff team is on hand to provide care and support to all service users living at Sunnyside. They have an added advantage of receiving care and support from an experienced team that is in receipt of regular supervision and guidance. However this support could be enhanced through conducting staff appraisals. EVIDENCE There are currently five service users in the home and there was evidence from the rotas that adequate numbers of staff were on hand to provide care and support to the service user group. As stated earlier in this report the registered persons have taken the voluntary decision not to admit any more service users until they were satisfied with the managerial and operational systems are effective in providing effective support to the service user group with challenging needs. The current staffing structure includes the manager, a vacant deputy’s post, a senior tier of staff (3) and junior carers (9 - 6 full time and 3 part time). An administrator working part time hours is now on hand to provide administrative support to the manager and this frees up a bit more time to develop staff and the overall service. This is a positive move not only for the service users, but the service as a whole. It was observed that the manager had been busy with disciplining staff in order to stamp out bad practice in the home.
Sunnyside Care Home Ltd DS0000050134.V255130.R01.S.doc Version 5.0 Page 20 It was also positive to see that staff have been in receipt of more regular supervision when compared to the last inspection, as the manager has managed to get close to achieving the statutory minimum of six sessions per annum for staff. However staffing appraisals have not taken place and the service is in its second year of operation. This needs to improve. It was discussed with the manager and registered provider that consideration be given to delegating some of the supervisory responsibility for junior carers to the senior tier of staff. The registered manager stated that this was her intention, but she intends to ensure that they have supervisory training prior to taking on this responsibility. Service users are however provided with care and support from a diverse staff team, which is reflective of the local area and in some respects – the home. It should be noted however that the registered persons are only providing a service to thirty three and one third percent of it operating capacity and as such the true impact of the staff mix, once the home is filled would be easier to accurately assess. It must be stated that the cultural needs of the current group are satisfactorily met e.g. food, preference of dress. Sunnyside Care Home Ltd DS0000050134.V255130.R01.S.doc Version 5.0 Page 21 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): (38,39,40,41,42) Improving management systems are being put in place to ensure that the overall quality of service provision at Sunnyside is of a high standard. A dedicated manager is in place to support and guide staff to achieve this and in so doing service users would benefit from any improvements to the service. Action needs to be accelerated to ensure that health and safety, staffing appraisals and service users views are addressed in order to add to a better quality service overall. EVIDENCE: It was clear from observing the interaction between the manager, staff and service users that they (service users) benefit from the openness and clear direction of the manager. She is in tune with the needs of service users and has an established rapport with them. She leads by example and apart from her hectic schedule gets on to the floor at the direct end of the service delivery and this is positive for the culture of the home. There was an improvement with regard to the quality assurance mechanisms of the service in that the monthly provider visits required by Regulation 26 of the Care Homes Regulations 2001 were undertaken frequently, with the reports sent to the Commission. This gives the registered person a good Sunnyside Care Home Ltd DS0000050134.V255130.R01.S.doc Version 5.0 Page 22 opportunity to meet with service users, relatives, observe practice, meet with staff and report his findings. It was noted that although the manager was in tune with the needs of the service user group, she had not yet conducted a service user survey and hence limited the range of consultation with service users in the development aspect of the home. This has been discussed as an area for improvement as it was previously indicated to her at the last inspection. Improvement was noted in the reviewing of the home’s policies and procedures, which are in the main in line with the national minimum requirements for younger adults (Appendix 2). Staff, therefore have clear and updated systems to carry out their work and this would enhance the quality of service delivery in the home. There is a small but important piece of work to be completed on aggression, with particular reference to aggression towards staff. The manager is aware of the significance of this piece of work and is prepared to have it completed. On assessing the home’s records and policies and procedures, there were improvements when compared to the last inspection. This included both the quality and accuracy of the documents seen. Service users can now be reassured that staff are not only guided by updated policies, but are themselves maintaining records that accurately reflect the care and support given to them. Finally, although there was evidence that the health and safety practices in the home promotes the safety of service users and staff, more needed to be done to ensure that risks are kept to an absolute minimum. At the last inspection the registered manager was required to conduct risk assessments on the safe working practice topics outlined in Standards 42.2 and 42.3 of the National Minimum Standards for Younger Adults and this had not been complied with. It is therefore imperative that this work is carried out for the reasons stated above. The previous requirement would therefore be repeated in this report with a shorter timescale for compliance. Sunnyside Care Home Ltd DS0000050134.V255130.R01.S.doc Version 5.0 Page 23 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 3 X X X 3 Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 x 3 3 x Standard No 24 25 26 27 28 29 30
STAFFING Score X 3 X 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 X 13 3 14 3 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X X 3 X X 2 CONDUCT AND MANAGEMENT OF THE HOME 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Sunnyside Care Home Ltd Score 3 3 x 2 Standard No 37 38 39 40 41 42 43 Score X 3 2 3 3 2 x DS0000050134.V255130.R01.S.doc Version 5.0 Page 24 YES 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 YA17 Regulation 12,13 Requirement The registered persons are required to develop menus that are appropriate to the service users e.g. with pictorials. The registered persons are required to develop a policy on death and dying. (This is a previously made requirement). The registered manager is required to carry out staff appraisals on all care staff. The registered persons are required to conduct a service user survey and publish its findings. (This is a previously made requirement). The registered persons are required to conduct risk assessments on all safe working practice topics covered in NMS 42.2 & 42.3 and keep records of any significant findings. Timescale for action 02/12/05 2 YA21 12,13 02/12/05 3 4 YA36 YA39 12 24 29/09/05 31/12/05 5 YA42 17 02/12/05 Sunnyside Care Home Ltd DS0000050134.V255130.R01.S.doc Version 5.0 Page 25 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 Care Home Ltd DS0000050134.V255130.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford IG1 4PU 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 Care Home Ltd DS0000050134.V255130.R01.S.doc Version 5.0 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
