Inspection on 13/03/09 for Sunnyside Nursing Home

This inspection was carried out on 13th March 2009.

CSCI found this care home to be providing an Excellent service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Sunnyside Nursing Home 14/03/07

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Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 10/07/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Sunnyside Nursing Home 41 Marshall Terrace Leeds Yorkshire LS15 8EA     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Catherine Paling     Date: 1 3 0 3 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 30 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 30 Information about the care home Name of care home: Address: Sunnyside Nursing Home 41 Marshall Terrace Leeds Yorkshire LS15 8EA 01132602867 01132648110 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Bluebell Care Services Ltd Name of registered manager (if applicable) Mrs Pauline Margaret Breslin Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is: 20 The registered person may provide the following category of service only: Care Home with Nursing - Code N, To service users of the following gender: Either, Whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category - Code OP, maximum number of places 20 Date of last inspection Brief description of the care home Sunnyside has been registered as a care home since 1988. The current owner, Bluebell Care Services Ltd became the registered provider in August 2006. Personal care with nursing is provided at the home with fifteen places for longterm care and five places for intermediate care. People admitted for intermediate care are supported by the community intermediate care team and normally are able to return to their own homes. Permanent accommodation is provided in both single and shared rooms. There are Care Homes for Older People Page 4 of 30 care home 20 Over 65 20 0 Brief description of the care home paved sitting areas in an attractive garden for the residents use. The home is well placed to access the busy local amenities in the Crossgates area of Leeds. There is car parking available for visitors to the home. Information about the service is provided in the form of a statement of purpose and service user guide. The current charges range from 595 pounds to 630 pounds per week with additional charges made for chiropody, physiotherapy and hairdressing. This information was provided in March 2009. The home should be contacted directly for up to date information about charges. Care Homes for Older People Page 5 of 30 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. This was an unannounced visit by one inspector who was at the home from 09:55 until 16:00 on 13th March 2009. The purpose of the inspection was to make sure the home was operating and being managed for the benefit and well being of the people who live there and in accordance with requirements. Before the inspection accumulated evidence about the home was reviewed. This included looking at any reported incidents, accidents and complaints. Care Homes for Older People Page 6 of 30 A number of documents were looked at during the visit and all areas of the home used by the people who lived there were visited. A good proportion of time was spent talking with the people who live at the home, as well as the staff and the manager. The providers were also at the home during the day and contributed to the process. An Annual Quality Assurance Assessment (AQAA) had been completed by the home before the visit to provide additional information. This is a self-assessment of the service provided. This was well completed and gave us all the information we asked for. Survey forms were sent out to the home before the inspection providing the opportunity for people at the home, visitors and healthcare professionals who visit to comment, if they wish. Information provided in this way may be shared with the provider but the source will not be identified. A number of surveys were returned by the time of this visit. Comments received appear in the body of the report. The last visit to this service was 14th March 2007. What the care home does well: What has improved since the last inspection? The provider wrote in the AQAA: Additional resources have been made available in staffing and equipment to the benefit of our residents and visitors. Additional care time and a wider skill mix is available and further nurse management skills have been applied to quality control and service development. Refurbishment and redecoration has improved the environment and reflects the choices made by residents. The new furniture offers a wider range of seating heights and improved pressure relief. We have continued to work on ensuring policies and procedures are effective, relevant and up to date. Similarly, we are evaluating further policies and audit tools to take the work forward. Participation in the CHESS programme has improved our skills, knowledge and practices, and helped our residents and their families to make informed choices about end of life care. Our involvement in LEODIS has improved our links with other health care professionals and given our residents better access to services. The ongoing development of care planning has improved the social input and fostered recognition of the individual and their choices. The approach to the provison of activities and occupation for people has improved Care Homes for Older People Page 8 of 30 since the last visit. Staff take very opportunity to engage with the people they care for and to make sure that they are occupied in the way they want. Computors have been provided and some people have started to use them with help. Care records provide very clear information for staff and give very good evidence of the care provided. Participation in the CHESS programme (Care Homes End of life Support Servcies) has greatly enhanced the approach to end of life care. This means that people can be assured thet they will be looked after in the way they want at the end of their life. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 30 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 30 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The admission process is good and whenever possible includes introductory visits. Peoples needs are assessed thoroughly and met by well informed and knowledgeable staff. Evidence: The provider wrote in the AQAA: We welcome enquiries and visits at any time, without appointments and provide additional information about the Home such as sample menus, programmes of activities and the current newsletter in addition to the standard welcome pack. The latest inspection report is made available. We encourage trial visits where possible so that the prospective resident is able to join us for a meal, particpate in activities, chat to staff, residents and visitors, and experience daily life in the Home.We recommend other agencies or charities for advice as appropriate. We are listed in the Leeds social services directory, the Leeds Care Associations web site, Yellow Pages and the National a to z of Care Homes. The responsible individuals meet Care Homes for Older People Page 11 of 30 Evidence: all new residents during the first week of residence to introduce themselves and ensure the admission process is running properly. We assess each residents needs to ensure the service we can provide is suitable, and to ensure all necessary equipment, staff skills or additional services are available from the outset. We advice on other options where needs fall outside our remit, or where potential residents wish to visit other care homes and we direct enquiries to other agencies when appropriate. Regular care plan reviews and monitoring identify instances where assessed needs have changed and impacted on the suitability of existing provision, in any such cases outside skills such as CPN services are brought in and the resident and their representative are consulted and included in any discussions about future care provision. We saw very detailed and informative pre-admission assessments completed by the manager. The format clearly identifies the main areas of support and care needed on admission to the home. People admitted via the intermediate care service can be admitted to the home at very short notice. Information is provided by the intermediate care team who are responsible for planning the care to be given to someone admitted to the home for rehabiliation and care on a short term basis. This service is well established at the home and works well getting people back home wherever possible. Care Homes for Older People Page 12 of 30 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans contain detailed information for staff so that they know how to look after people properly. People living at the home get the care they need and are treated with respect. People are protected by safe medication practices. Evidence: The provider wrote in the AQAA: Our care plan are comprehensive and inclusive and are continually developing on a personal basis with the involvement of residents, their representatives and other members of the multi disciplinary team. Other para medical teams are referred to and accessed as appropriate. The initial assessment includes a visit by a registered physiotherapist. Good quality personal and health care is provided to meet the assessed needs of individuals and promote access to other services. The community matron takes an active part in the continued assessment of residents during her weekly visits, supported by the GP Leodis scheme to facilitiate access to services and provide continuing health care services on a regular basis. Professor Mulley visits weekly to review intermediate care residents and visits permanent residents on a domiciliary basis on request. We have a good rapport with relatives who Care Homes for Older People Page 13 of 30 Evidence: are keen to attend care planning reviews and contribute constructive comments and praise. End of life choices are sought and respected promoting dignity in the final days of life and enabling residents to exercise their choices for place of care. Dignity and privacy are promoted and respected at all times, in all aspects of our care delivery. This is reflected in the care plan and is at the core of our induction training. We promote independence as much as possible for all residents, utilising the skills acquired from our dealings with the intermediate care team to ensure all residents are encouraged and facilitated to maximise their abilities. Clinical audits inform us of trends on which to act and plan management strategies. We are particpating in the GP Leodis scheme which has improved services for service users, including the resolution of previous difficulties in the ordering of medicines and the benefits of weekly visits by the community matron and the GP. People said: Most staff are very kind and helpful. In particular the matron and more long serving members of staff understand my needs and care for me very well. I have difficult night times and get very anxious. I sometimes think the night staff ignore me. It is very important I get my medication at regular times and this seems to present a problem for staff at times. Wouldnt have her anywhere else Looked after very well in every way Staff marvellous Healthcare professionals said: residents receive imaginative and optimum care. A highly personalised service where individuality is respected. Experienced team who know when to ask for help Appropriate threshold for specialist referrals Staff are v sensitive to individual needs Holistic, truly comprehensive assessment and care Excellent home, with patients best interests at the core of their service delivery. Privacy and dignity respected. I have inputted into the home for last 8 years and seen it improve and prosper and embrace new changes. We looked in detail at the care of three people at the home including one person admitted for intermediate care. We saw very detailed care plans with enough information for staff to know how to look after a person properly. There was a daily comment for each care plan as well as a detailed monthly review of the effectiveness of the plan. We saw that a range of risk assessments are completed for people and care plans were in place where risk had been identified. There was excellent personal background with social care plans and clear information about family contacts. We saw very good end of life plans with clear evidence that individual wishes were clearly documented about how people wanted to be cared for at the end of their life. Care Homes for Older People Page 14 of 30 Evidence: Records demonstrate a person centred approach to care meaning that people are cared for in an individual way. We saw good records for people admitted for intermediate care with clear detail about the reasons for admission and rehabilitation plans. There is excellent support for people at the home from other healthcare professionals and their input is clearly documented in records. We saw safe medication practices. Records included clear instructions for staff about any particular issues they needed to be aware of, for example, there was a note about one person being particularly slow to swallow and another who preferred to take medicines from a spoon. Care Homes for Older People Page 15 of 30 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are encouraged to make their own decisions about their lifestyle. Family and friends are welcomed at the home. People are provided with a varied diet taking into account personal preferences. Evidence: The provider wrote in the AQAA: Residents are encouraged to plan their time according to personal choice including the times of rising and retiring, menu choices and participating and chosing activities. Care plans include pen pictures or life diaries and inform conversation and reminiscence. Family and friends contribute and staff use them to identify personal preferences and interests and to inform the provision of individual and group activities. Family units and other representatives are involved in activities and social events to promote inclusion and support networks and fun. Meetings for residents and their relatives are held regularly and keep everyone informed of developments, as well as providing an opportunity to chose and suggest activites, outings, events and this years charity. ICT residents are involved in the daily life of the Home and enabled to participate in accordance with their wishes. Menus are reviewed at least twice a year to reflect the likes and dislikes of residents. Options are available at each meal to maximise choice. Independence is promoted through the Care Homes for Older People Page 16 of 30 Evidence: provision of appropriate cutlery and crockery. We have good links with local clergy. Contact is maintained with local clubs. Residents enjoy outings individually and in groups. Residents are encouraged to maintain and forge links with the local community. Social events are held regularly and are well attended. A newsletter is produced with significant input from residents and relatives and is distributed widely. Seasonal activities are organised, such as bonfire night celebrations, an annual Christmas dinner for family and friends, and valentine,s day dinner for couples where one or both is a resident. Entertainment is also brought in to include music, pantomime and exercise. Friendships are fostered and promoted. Newspapers, magazines and periodicals are provided. The additional care staff time provided is allocated to improving daily living by providing an additional resource for individual and group activities and outings. People said: I have very limited ability to join in with activities but particularly enjoy the visits from singers and musical entertainment. The meals are very good xxxx has cheered me up when I have felt down We saw that staff relate very well to the people they care for and never overlook an opportunity to engage with them. People told us that they could spend their time in the way they want and we saw that visitors are made very welcome at the home. Social care plans showed us that staff know about peoples interests and we saw staff organising a craft session with several people during the afternoon. They were busy making gifts and cards for an Easter coffee morning. One person had made the flyers for the coffee morning using one of the two home computors set up for use by the people living at the home. The computors had large clear keyboards and mouses that could be easily handled. There were plans to enable one person to keep in touch by email with relatives living overseas. One person had felt very isolated when they had first moved into the home due to hearing probelms. Records showed us that staff had worked with other healthcare professionals to resolve the probelms and this person had now been fitted with hearing aids. Hearing was still a bit of a problem and so staff had come up with the idea of accessing podcasts from the internet and enabling them to listen to news programmes by means of an ipod. Staff are committed to making sure peoples social needs are fulfilled. People at the home are also involved in fundraising for the home but also for their nominated charity. Each year as many people as possible take part in a sponsored walk. Staff and relatives get involved in pushing wheelchairs and everybody enjoys a pub lunch on completion of the walk. Six hundred pounds was raised in 2008. Care Homes for Older People Page 17 of 30 Evidence: The lunchtime meal was well managed and people ate in a relaxed and unhurried atmosphere. There is choice on the menu and the chef works hard at making sure people are satisfied with the food. One person had been underweight on admission to the home but had gained a significant amount of weight in a short time. Care Homes for Older People Page 18 of 30 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are confident in raising concerns on a day to day basis and have access to a formal complaints procedure. People are protected by staff knowledge and understanding of safeguarding. Evidence: The provider wrote in the AQAA: We have a rigorous recruitment policy that includes internal and external advertisements, face to face interviews, employers references and enhanced criminal records disclosures prior to new staff starting work. Employment status and PIN checks are also carried out as appropriate. Staff undergo induction training which includes recognising abuse, whistle blowing and our complaints policy. Rights and responsibilities, equality and diversity, privacy and dignity, abuse and whistle-blowing and the Protection of Vulnerable Adults are all covered in our on going training for care and support staff. All care staff contracts include a requirement to undertake NVQ 2 level training. We facilitate voting at local and general elections and local councillors are invited to social events at the Home. All residents have a lockable drawer and personal money is kept safe and regularly checked for those who choose to store it in our safe or are unable to manage it themselves. These accounts are audited. We do not manage any funds for residents beyond personal allowances. The complaints procedure is accessible to all, both on the notice board and in service users guides which are placed in their rooms. The whistle blowing procedure is similarly promoted to staff and other stakeholders. Our open door Care Homes for Older People Page 19 of 30 Evidence: policy enables residents, their families and other stakeholders to raise concerns in a timely matter so that issues are resolved quickly. All complaints are taken seriously and relatives express confidence that their concerns will be dealt with timeously. We have a suggestion box for comments. CPN involvement is sought in any cases where assessment of mental capacity is required. We saw information in the entrance area inviting comments and the complaints procedure is displayed. There was also information for people regarding the Mental Capacity Act 2005 and deprivation of liberties. A log is kept of any complaints or concerns and records showed us that they are dealt with properly. Care Homes for Older People Page 20 of 30 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a safe, comfortable and well maintained environment. Evidence: The provider wrote in the AQAA: The ongoing bedroom refurbishment and redecoration programme has continued. New furniture, carpets, curtains and sink units have been installed as required. The communal areas, entrance hall, downstairs corridor and stairs have been redecorated and carpeted. And all the living and dining area furniture has been replaced, residents enjoyed choosing the colour schemes and the furnishings from sample books and brochures. An air conditioning unit has been installed in the Conservatory area. We have begun work in the kitchen and ground floor bathroom. Future plans for improvement: The ground floor bathroom is currently been refurbished to include the provision of a ceiling hoist. Arrangements are also in hand for the continued refurbishment of the kitchen over the next month or two. We have two plans for an extension linking our building with one we own next door. Planning permission has now been awarded on the first scheme and a planning panel hearing will decide on the slightly smaller alternative this month (February). Work has started in the adjacent building and, whichever plan is implemented, work will continue through the coming year. The enlarged Home will have designated treatment and Care Homes for Older People Page 21 of 30 Evidence: training rooms, increased office, kitchen and staff room facilities and, more importantly will offer enlarged communal areas, more single bedrooms and ensuite bathrooms. And additional parking. People said: New furniture and carpets have improved the general appearance Cleanliness is mostly OK. We visited all areas of the home used by the people who live there. All areas were clean and fresh smelling. The redecoration and refurbishment done since the last visit has greatly improved the facilities for people and the appearance of the home. The laundry was clean and well organised. There were good infection control practices in place at the home, protecting people against the risk of infection. The plans for the redevelopment of the service were underway and people are being kept informed of the plans and progress. The completed works will greatly improve the service and facilities available to people at the home. Care Homes for Older People Page 22 of 30 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are cared for by trained and competent staff. People are protected by robust recruitment procedures. Evidence: The provider wrote in the AQAA: Staffing numbers are set in line with the Residential Forum guidance. Additional resources have been allocated to provide an additional care assistant during the 12 hour day shift. Additional time is allocated for off site activities, social events and training. Recruitment and selection procedures are adhered to and pre-employment checks carried out as required. Induction training and all mandatory training and updates are provided. Training opportunities are sought and offered to staff inclusively. New care staff are contractually required to complete NVQ 2 level training. Staff are encouraged to extend their role following appropriate training and development. The relevant skill mix is used on each shift. Performance reviews are held annually and supervisions at least 6 times a year to highlight ambition, and development and training needs. Absences are monitored using the bradford factor to ensure health needs are identified and to minimize the disruption caused by frequent short absences. Staff meetings are held regularly and staff are surveyed periodically, they are consulted and encouraged to make comments and suggestions both within those arena and through daily contact with members of the management team. Care Homes for Older People Page 23 of 30 Evidence: Staff said: Training always on going very good. Good communication keeps us up to date with everything. There were enough staff on duty to look after people properly. The nurses and the care staff are well supported by a team of ancillary staff including domestic, laundry and kitchen staff. Staff feel well supported by the management of the home. There is a training plan in place and the training given to staff means that they have the skills they need to look after people. The manager told us that she is planning to develop a system where identified staff develop additional skills in a specific area and become Champions. This will mean that certain staff will build up expertise in particular areas of care, for example nutrition, to advise their colleagues and to make sure that people are getting high quality care. We looked at a sample of recruitment files and these showed us that all the required checks are completed before people start work at the home. Care Homes for Older People Page 24 of 30 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is very well managed and is run in the best interests of the people who live there. Evidence: The provider wrote in the AQAA: The registered manager has many years experience in working with the elderly and managing a care setting. She has the requisite qualifications. She has a detailed job description which feeds into the performance appraisal process and which provides the responsibilities and capabilities to meet the requirements of the associated standards. There is a clear management structure with accountability to and support from the responsible individuals who are in frequent contact with the Home and who visit several times a week. The senior management team have an open door policy. We actively promote and encourage equal opportunities, transparent operations, pro active planning and devlopment and initiative, and innovation from any of those associated with the Home. The quality assurance system is effective and multi-faceted bringing together, clinical audits, Care Homes for Older People Page 25 of 30 Evidence: monitoring, supervision, outcome measurements and feedback from stakeholders. Complaints, comments and suggestions are fed into this process for consideration. The home has recognised policies and procedures in place to advise staff and inform other stakeholders. These are subject to review as required due to regulatory changes, advice from relevant bodies and as part of an annual review process. Comprehensive insurance cover is in place. Full accounts are kept and maintained by a director who is an experienced chartered accountant, this director also prepares an annual business and financial plan in consultation with the management team and with regard to feedback received. This plan is available. Residents are encouraged and supported to handle their own affairs independently or with the assistance of their appointed representative. We do not handle any residents affairs other than holding personal monies for those who cannot or would rather not hold their own. All such monies are held separately, individually and securely and properly accounted for. All care staff receive supervision regularly and other staff are supervised as part of the management teams normal duties. The registered manager has overall responsibility for the performance review cycle and the associated staff training and development. A comprehensive induction programme is in place. The manager ensures that those policies and procedures adopted by the Home, are promulgated, put into practise and adhered to, and that the philosophy of the Home is maintained. All those records required by regulation or statute to protect service users, visitors and employees and ensure the Home is run efficiently and effectively are maintained timeously and accurately. Service users are able to examine the information held about them and contribute to it. Records are held securely and staff are aware of the provisions of the Data Protection Act. The registered manager, protects the health and safety, and welfare of residents, employees and visitors. She has line management responsibility for the maintenance manager and ensures compliance with regulatory requirements and good practice. Staff training is comprehensive and appropriate. The registered manager also takes the lead in ensuring appropriate risk assessments are completed and acted upon. People said: Sunnyside is a well run home, all staff is very caring and experienced. Everything first class and all staff excellent Wonderful, outstanding The manager is very experieneced and has been the registered manager of the service for some years. She provides continuity and stability at the home as well as clear direction and leadership to the staff. She and the providers have a clear committment to the continued development of the service and facilities to make sure that people receive high quality care. The manager and the providers monitor the service through an established system of audits and other methods such as seeking the views of people who use the service, Care Homes for Older People Page 26 of 30 Evidence: and through the effective supervision of staff. The manager now has a deputy manager which allows her more time for her managerial duties and responsibilities but she remains accessible to people. Although she has allocated a specific time so that relatives know when they can reliably contact her, she is also contactable on an ad hoc basis at other times. Care Homes for Older People Page 27 of 30 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 28 of 30 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 29 of 30 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 30 of 30 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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