Inspection on 30/11/07 for Sunnyside Nursing Home

This inspection was carried out on 30th November 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Sunnyside Nursing Home 27/08/08

Sunnyside Nursing Home 15/05/07

Sunnyside Nursing Home 27/06/06

Sunnyside Nursing Home 17/01/06

Sunnyside Nursing Home 01/09/05

Sunnyside Nursing Home 31/03/05

Sunnyside Nursing Home 08/11/04

Sunnyside Nursing Home 10/08/04

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

CARE HOMES FOR OLDER PEOPLE Sunnyside Nursing Home 6-8 Oxford Road Dewsbury West Yorkshire WF13 4LN Lead Inspector Tracey South Key Unannounced Inspection 30th November 2007 09.15 X10015.doc Version 1.40 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 Nursing Home DS0000045066.V355945.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 Older People. 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 Nursing Home DS0000045066.V355945.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sunnyside Nursing Home Address 6-8 Oxford Road Dewsbury West Yorkshire WF13 4LN 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) 01924 462951 01924 457870 hayleyglover@tiscali.co.uk Northfields Care Homes Ltd vacant post Care Home 30 Category(ies) of Dementia - over 65 years of age (30) registration, with number of places Sunnyside Nursing Home DS0000045066.V355945.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Can accommodate two named service users under 65 years of age category DE. Can accommodate one named service user aged under 65 years of age category - DE MD PD. Can accommodate two service users under the age of 65 years but no younger than 55 years of age within the category MD DE. 15th May 2007 Date of last inspection Brief Description of the Service: Sunnyside is owned by Northfields Care Homes Ltd and provides nursing care and accommodation for up to 30 people with dementia related care needs. The home is situated on the outskirts of Dewsbury and consists of a large detached building made up of two Victorian semi detached houses and a modern extension. There are single and double bedrooms available. There are four lounges, a dining room and a sun lounge. There is a passenger lift which serves the ground and first floor. There are attractive gardens to the front of the house. Car parking facilities are limited as the road adjacent to the home is unadopted and is in a poor state, making access to the home difficult for people on foot and by car. There is a pedestrian ramp to the main entrance. There are two separate units within the home which accommodate up to six people with challenging behaviour. As at 3/12/07 the current charges at the home range from £461.92 to £1806 per week. Additional charges are made for transport, physiotherapy, dentistry, ophthalmology, personal shopping services, dry cleaning and laundering outdoor clothing, bookshop services, private telephone and television, clinic appointments, telephone in room, cost of external outings, hairdressing, chiropody and toiletries. Sunnyside Nursing Home DS0000045066.V355945.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection included an unannounced visit carried out to the home by two inspectors on 30 November 2007. The visit began at 9.15 am and the inspectors had left the home by 4.15 pm. Since the last key inspection in May 2007, a further visit to the home was carried out in August 2007. The purpose of the visit was check progress as a number of requirements and recommendations were made as a result of the visit in May that required action by the organisation. We found that care plans had improved and people looked better cared for in terms of their appearance. During this visit, the inspectors spoke with some of the people who live at the home, care staff, domestic and kitchen staff, the home’s manager and a visiting specialist nurse. One of the inspectors also spoke with two visiting relatives. Care records were examined and the inspectors audited a sample of medications, reviewed staff recruitment records and looked around the home. One of the inspectors spent two hours sitting in the lounge with the people who live at Sunnyside. The purpose of this was try and get a picture of what it’s like for people living at the home and to see first hand the types of activities they get involved in. The staff at the home also completed an annual quality assurance assessment that was requested by CSCI (Commission for Social Care Inspection) about people who live at the home, the staff that work there, the service provided and any incidents or accidents that have occurred. Prior to this visit, surveys were sent out to obtain the views of people who live at the home and their relatives. Twenty-five surveys were sent out to people living at the home, 2 were returned. The reason for this could be attributed to people’s frailty. Of eighteen surveys sent out to relatives, 6 were returned. There were twenty-six people living at the home on the day of this visit. The inspectors would like to take this opportunity to thank everyone who participated in the inspection process. What the service does well: The manager ensures that each new person is properly assessed before they are offered a place at the home. This is to ensure they are as sure as possible that the home will meet that person’s needs. They, along with their Sunnyside Nursing Home DS0000045066.V355945.R01.S.doc Version 5.2 Page 6 relative/friend, are then invited to visit the home to view the accommodation and meet staff and other people living there. Care plans provide good information to enable staff to deliver the right level of care to each person that takes into consideration their needs and preferences. People living at Sunnyside are free to walk around the home safely. The home has a locked door policy. Relatives feel that the home is good at caring for people and providing good food. One relative said she has peace of mind when she leaves her father, knowing that he is being well cared for. Visitors are made to feel welcome when they visit Sunnyside; those visiting on the day of this inspection confirmed this. What has improved since the last inspection? The registered owner, manager and staff team have worked hard over the past six months in addressing the shortfalls identified in the last inspection report, dated May 2007. Care plans have improved and closer attention is being made to people’s personal appearance. Some staff were observed interacting very positively with people, showing respect towards them and a caring attitude. Excellent progress has been made in providing people at Sunnyside with a more comfortable place to live. The majority of carpets have been replaced with non-slip flooring and, whilst this may not be everyone’s choice, it is functional and hygienic. To avoid the home looking sparse and somewhat ‘clinical’, the Manager should consider using soft furnishings and pictures to create a more ‘homely’ environment. One relative said, “The improvement is so good, it is nice to visit and not have a bad smell to face each day.” Health assessments that ensure people are receiving the right level of treatment and support are now being reviewed on a monthly basis. The visiting specialist nurse said she was happy with how the home is providing treatment to those people with pressure sores. Following the last inspection, the registered owner was asked to review the staffing levels to ensure they were appropriate in meeting people’s needs. This was done and, as a result, the night time staffing levels have increased to one nurse and four care staff. Sunnyside Nursing Home DS0000045066.V355945.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Sunnyside Nursing Home DS0000045066.V355945.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Sunnyside Nursing Home DS0000045066.V355945.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People are properly assessed prior to moving into the home to ensure that their needs can be met. EVIDENCE: The manager is responsible for assessing people who have been assessed by Social Services or the Health Authority as needing the type of care provided at Sunnyside. The pre-admission assessment process involves visiting the person at their home or in hospital, whichever is applicable at the time, to obtain up to date information about their needs. When there is a funding authority involved, information is received by way of a Community Care Assessment, which outlines the person’s needs and the type of support they will require. The manager then makes a decision as to whether Sunnyside is able to meet this person’s needs. Sunnyside Nursing Home DS0000045066.V355945.R01.S.doc Version 5.2 Page 10 The manager explained that he encourages people to visit the home prior to them moving in as it gives them an opportunity to view the accommodation and to meet other people and members of the staff team. The manager explained that, due to people’s frailty and memory problems, it is usually the person’s relative who will visit on their behalf. Two people’s care records were examined and there was good evidence that each person had been properly assessed before being offered a place at the home. Sunnyside Nursing Home DS0000045066.V355945.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The level of care people need, which includes their health, personal and social care needs are clearly highlighted within their care plan. People are treated with respect. EVIDENCE: Five relatives who completed surveys said that they feel the care home ‘always’ meets the needs of their relative. One relative said it ‘usually’ does. Relatives who spoke with the inspector during this visit said they are happy with the care their relative receives. One person said she has total peace of mind, knowing that when she leaves the home her father is well cared for. She went on to say that, whenever she visits, he always looks well groomed and she has no complaints whatsoever. Another visitor said, although she is happy with the care her husband receives, she isn’t always sure if the staff offer him enough to drink and encourage him to take part in activities. Sunnyside Nursing Home DS0000045066.V355945.R01.S.doc Version 5.2 Page 12 Three people’s care records, including their individual care plan, were examined in detail. All three people moved into the home within the last three months. One person transferred from another home within this organisation, that is, Northfields Care Homes Ltd, as they required more specialist care. This person’s care plan had not been updated to reflect this and the manager was advised to revisit this person’s plan to ensure it fully reflects this person’s current and specialist needs. The remaining two care plans were very detailed and gave a good insight into the level of care and support each person requires. The manager is commended on the amount of time and effort he has spent in addressing shortfalls in the care plans as highlighted in previous inspections to this home. People now have care plans in place that describe the type of care they require which inform and assist staff to deliver the right level of care to each person. The manager was advised of minor points to consider in respect of the three people’s care records looked at by the inspector. For example, it was not clear whether one person had any religious needs that they wished to fulfil and, although the person had a risk assessment regarding their epilepsy, this was not mentioned in their care plan. Daily reports completed by staff do not describe in enough detail how people’s needs have been met or how they have spent their day. The manager acknowledges that this is an area of development for staff. Staff must clearly describe how people’s needs, highlighted in their care plan, have been met. Risk assessments have been carried out to identify any risks to the individual, for example, when a person is at risk of falling. Where a risk has been identified, a care plan is produced to minimise the risk. Plans used to identify the support people require with their mobility describe in detail the assistance required so staff are clear about what is expected from them and people are helped in a safe manner. There was good evidence in people’s care records that they are able to access health care services, such as the dentist, chiropodist, optician, and everyone living at the home is registered with a doctor. Health care assessments are being reviewed each month, which is an improvement on the last inspection when such assessments were not being kept up to date. A sample of three people’s medication was checked during the visit. This showed there to be good systems in place for the recording, storing, administration and disposal of medications. The medication record sheets were neat, tidy and easy to follow. There were a number of administrative errors in respect of one person’s medication that were pointed out to the manager during the visit in order for them to be put right. The list of authorised signatures should be updated to include all staff who are currently responsible for administering medication so that it is possible to easily identify who has given what medicines. Sunnyside Nursing Home DS0000045066.V355945.R01.S.doc Version 5.2 Page 13 There were some very positive moments of care practice, observed during this visit, by staff in the way they interacted with people. The manager was advised of those staff who showed real compassion and respect towards people they spoke with. Sunnyside Nursing Home DS0000045066.V355945.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, and 15 People who use the service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People living at the home are not being offered a range of stimulating activities but they are able to make their own choices about how they spend their time. Meals provided are good, varied and served in a pleasant environment. EVIDENCE: Although it was not possible to get feedback from people living at the home as to whether they are able to make their own choices about how they spend their time, there was evidence from observing care practice that people are free to walk around the home. The inspector who spent time observing care practice in one of the communal lounges witnessed positive interaction between certain members of staff and people living at the home. However, there were other staff that did not engage with people who were sitting in the lounge and, on occasions, staff walked in and out of the lounge without making eye contact or speaking to anyone at all. People in the lounge were not engaged in any type of activity Sunnyside Nursing Home DS0000045066.V355945.R01.S.doc Version 5.2 Page 15 apart from one lady who was given a newspaper to read, which she studied for some time. The television was on but the picture quality was poor and the sound was quiet making it difficult for most people, including the inspector, to hear clearly. The manager explained that there is a problem with the reception and the TV aerial company has been requested to visit to rectify the problem. The home employs an activities co-ordinator for 3 hours per day, 5 days a week. There was evidence of some activity sessions taking place and one person had enjoyed an outing to the pub. The activity sessions included nail painting, people having their hair done and watching a movie. Whilst this is a positive step in the right direction, it should be an area of development for the home in ensuring that people are able to take part in stimulating activities that they enjoy and have a genuine interest in. One visitor said she has brought in items for her relative to keep them occupied but wasn’t sure, apart from when she visits, whether these are offered to him. Surveys sent to relatives asked if they felt that the care home supports people to live the life they choose. Two relatives responded ‘always’, two said ‘usually’ and one relative did not think the question applied to them. Relatives are welcome to visit the home at any reasonable time and those who visited during the day of the inspection were made to feel welcome by the staff on duty. One relative said, “We are allowed to visit at any time which I consider a good point. The attitude of the staff is always welcoming; their attitude to the residents is caring, friendly and respectful. I would not accept anything less for my mother.” Staff were observed serving lunches to people and supporting those who need help with their meals in an appropriate manner. The atmosphere at lunchtime was relaxed and unrushed. Two people living at the home completed surveys and one person said they ‘always’ like the meals at the home. The other person said they ‘usually’ like them but they don’t eat vegetables. Sunnyside Nursing Home DS0000045066.V355945.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People living in the home are protected from abuse and they can be confident that their complaints will be listened to and acted upon. EVIDENCE: Five relatives said that they are aware of how to make a complaint. One relative said they didn’t. It may be useful to remind all relatives of how they can make a complaint. The complaints procedure is displayed in the front entrance of the home and is available in the home’s Statement of Purpose. In August 2007 the CSCI received a call from someone who was concerned about the staffing levels at Sunnyside. The matter was looked into and we were satisfied that staffing levels were appropriate in meeting the needs of people living at the home. According to the home’s staff training matrix, all staff have received safeguarding (adult protection) training and the home has policies and procedures to guide staff about who they should alert when an allegation of abuse is made. Staff explained that the training consists of watching a DVD about safeguarding matters, followed by a questionnaire which they are expected to complete demonstrating the knowledge and understanding. Sunnyside Nursing Home DS0000045066.V355945.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home offers people a comfortable and clean environment. EVIDENCE: Excellent progress has been made in terms of upgrading the home. Major refurbishments have been ongoing and rooms have been redecorated. The standard of cleanliness in the home has greatly improved and there were no unpleasant odours noted in any part of the home. The atmosphere on the day of the visit was warm and friendly and people looked comfortable whilst sitting in various parts of the home. It is commendable the amount of work which has taken place within the last six months in making Sunnyside a more comfortable place for people living there. Relatives agreed that the fabric of the home has greatly improved. Sunnyside Nursing Home DS0000045066.V355945.R01.S.doc Version 5.2 Page 18 The home employs designated laundry staff who are responsible for the laundering of all washing, including people’s clothing. One of the inspectors looked around the home, including the laundry area, which looked very well organised. Sunnyside Nursing Home DS0000045066.V355945.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 People who use the service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The staffing levels are appropriate to meet people’s needs but people may be at risk from potentially unsuitable staff if the home’s recruitment procedure is not followed consistently. EVIDENCE: Relatives’ surveys asked if the care staff have the right skills and experience to look after people properly. Three responded ‘always’, one relative said ‘usually’. Comments received include, “I have no knowledge as to the experience of the members of staff. The ones I have met appear very caring.” Relatives who spoke with the inspector were complimentary about the staff saying they are kind and caring. One relative said she was more than happy with Sunnyside and, whenever she visits her Dad, he always looks well cared for. There are currently twenty-six people living at the home, 6 of whom live between two separate units based within different parts of the building; these particular people require more direct supervision and the staffing levels reflect this. The duty rota confirmed there to be one nurse and six care staff on duty Sunnyside Nursing Home DS0000045066.V355945.R01.S.doc Version 5.2 Page 20 between the hours of 9 am and 9 pm. Staffing levels at night have increased since the last inspection to one nurse and four care staff. Care staff are supported by domestic, laundry and kitchen staff. The manager’s hours are supernumerary so are not included in the hours provided for direct care. Information provided in the home’s quality assessment indicated that 64 of the care staff have achieved NVQ (National Vocational Qualification) level 2 in care. However, the home’s staff training matrix records that only nine out of twenty four (37 ) staff have the qualification. The manager was asked to look into this and inform the CSCI of the correct figure. The organisation should continue working towards achieving at least 50 of its workforce qualified at this level. The recruitment files of three members of staff were audited in detail; all but one contained the required information and employment checks. One person’s file contained only one employment reference instead of two. The manager said he was confident that two references had been obtained although the second reference could not be located. Thorough recruitment procedures are necessary to help protect people from potentially unsuitable staff. Three staff personnel files were examined; these people commenced work at the home between July and October 2007. There was no evidence in two of the personnel records that they have received induction training. One person who had completed the training was signed off as completing the induction standards in one day. Guidance from the National Training Organisation states that the new staff are expected to complete the standards over their first twelve weeks of employment. This was explained to the manager during this visit. Staff who spoke with the inspector said they have completed various training courses such as manual handling, safeguarding, infection control, health and safety and dementia care. The home’s staff training record indicates that the majority of people are up to date with the mandatory training they need to do their job properly. The training matrix highlights those staff who have not attended health and safety and food hygiene training. The organisation should ensure that this training is provided to those staff as identified. Sunnyside Nursing Home DS0000045066.V355945.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is well managed and the health, safety and welfare of people living at the home, and staff, is promoted and protected. EVIDENCE: The current manager at Sunnyside is Mr Rod Turner. Mr Turner has worked for this organisation for a number of years and is experienced in caring for people with mental health problems. Mr Turner is a qualified nurse. The company that owns the home should make arrangements for Mr Turner to undertake the Registered Manager’s Award. Sunnyside Nursing Home DS0000045066.V355945.R01.S.doc Version 5.2 Page 22 The manager is supported by the Operations Manager who is responsible for carrying out monthly management visits at the home on behalf of the company that owns the home. The purpose of the visit is to check that the home is operating well and time is spent talking with people who live at the home as well as to staff. There is a quality assurance system operated by the home that seeks the views of people who live at Sunnyside, their relatives and visiting professionals such as the district nurse and GPs. Satisfaction questionnaires are sent out to people each year and, as this quality system is in its first year, it was not possible to look at any published reports. The organisation needs to ensure that it shares the findings of satisfaction questionnaires with all interested parties. Some people have small amounts of personal money that is held safely at the home. Records are available to show when money is deposited on behalf of people. The records show the individual cash balance for each person and how their money is used on their behalf, including receipts for goods and items purchased. Three people’s finances were checked during the visit and were found to be correct. One other person’s money was being kept in the safe but to date staff had not implemented a balance sheet. The manager was asked to ensure that a balance sheet is used to ensure that all monies deposited or debited from accounts can be accounted for. The home’s quality assurance assessment indicates that routine maintenance and servicing of equipment takes place. Records examined confirmed that fire alarm tests take place on a weekly basis and staff are involved in fire drills periodically to ensure they know what to do in the event of a fire. Sunnyside Nursing Home DS0000045066.V355945.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 x x N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Sunnyside Nursing Home DS0000045066.V355945.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes 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 OP12 Regulation 16 Requirement People must be given the opportunity to engage in stimulating activities that meet their expectations. The registered person must not employ a person to work at the care home unless two written references are received and, where applicable, one must relate to the person’s last period of employment of not less than three months’ duration. Timescale of 30/08/07 not met. All new staff must receive induction training in line with Skills for Care Common Induction standards within their first three months of employment. Timescale for action 30/12/07 2 OP29 19 30/12/07 3 OP30 18 30/12/07 Sunnyside Nursing Home DS0000045066.V355945.R01.S.doc Version 5.2 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. 1 2 Refer to Standard OP7 OP9 Good Practice Recommendations Daily reports should describe how people’s needs have been met as well as outlining how they have spent their day. Staff should take greater care when recording medication received in the home ensuring the correct amount is entered on the medication administration record. The list of authorised signatures should be updated to include all staff who are currently responsible for administering medication so that it is possible to easily identify who has given what medicines. The organisation should continue working towards 50 of the care team having a NVQ qualification. The company that owns the home should make arrangements for Mr Rod Turner to undertake the Registered Manager’s Award. 3 4 OP28 OP31 Sunnyside Nursing Home DS0000045066.V355945.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 Nursing Home DS0000045066.V355945.R01.S.doc Version 5.2 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!