Inspection on 10/03/06 for Sunnyside Residential Home

This inspection was carried out on 10th March 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 Residential Home 31/07/07

Sunnyside Residential Home 15/06/06

Sunnyside Residential Home 12/01/06

Sunnyside Residential Home 28/02/05

Sunnyside Residential Home 02/09/04

Similar services:

Chirnside House

Sunny Bank (P.R.S.) Ltd

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Ashwood Court Unit 1

Langrigg House

Parkside

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

CARE HOMES FOR OLDER PEOPLE Sunnyside Residential Home 37 Ullet Road Liverpool Merseyside L17 3AS Lead Inspector Leila Mavropoulou Unannounced Inspection 10th March 2006 11:00 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 Residential Home DS0000025381.V287239.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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 Residential Home DS0000025381.V287239.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Sunnyside Residential Home Address 37 Ullet Road Liverpool Merseyside L17 3AS 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) 0151 733 7070 Mr Wood Mrs Wood Mr Wood Care Home 17 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (1), Old age, not falling within any of places other category (17), Physical disability (17), Physical disability over 65 years of age (17) Sunnyside Residential Home DS0000025381.V287239.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Two named service users under 65 years old, within the overall number of 17. 12th January 2006 Date of last inspection Brief Description of the Service: Sunnyside is a residential care home providing 24 hours personal care and accommodation for 17 older and disabled persons. Sunnyside is located in a quiet residential area of Liverpool close to Sefton Park. The home is within easy access to bus routes, churches, shops and other local amenities. The home is a three-storey building with gardens to the front and rear of the premises. Communal space comprises of two lounge areas and a spacious dining room. Bedroom accommodation is situated on all three floors, which are serviced by a passenger lift. All the bedrooms are single with high quality furniture and fittings. Fifteen bedrooms have en-suite facilities and all bedrooms are connected to a staff call system. Sunnyside Residential Home DS0000025381.V287239.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which lasted for five hours. During the inspection four service users, two staff and the manager were spoken to. A sample of service users and staff files were seen and the building and other records that the home is oblige to keep were inspected. What the service does well: What has improved since the last inspection? 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 Residential Home DS0000025381.V287239.R01.S.doc Version 5.1 Page 6 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 Residential Home DS0000025381.V287239.R01.S.doc Version 5.1 Page 7 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,4,5 Sunnyside staff assess the needs of prospective service users before a place is offered to ensure that the service is able to meet the needs of service users. EVIDENCE: The service has a Statement of Purpose, which provides information about the service offered at Sunnyside, which should enable prospective service user to make an initial decision regarding the suitability of the care home. However, the Statement of Purpose must be reviewed to ensure that it has all of the necessary information required by the Care Homes Regulation 2001. The assistant manager assesses prospective service users before they are offered a place at Sunnyside to ensure that their needs would be met. A service user plan is devised from the information obtained from the preadmission assessment and the Care Management Assessment. The staff at Sunnyside encourage and support prospective service users to visit the service. This is to enable service user to meet other service users, staff and to assess if they would like to live at Sunnyside. Discussion with staff, the Sunnyside Residential Home DS0000025381.V287239.R01.S.doc Version 5.1 Page 8 service Statement of Purpose and the facilities offered would enable prospective service user to assess if their needs would be met at Sunnyside. Prospective service users are able to visit the care home several times before making a decision and a short trial period could be arranged with the manager of the Sunnyside. All service users admitted to the care home is initially on a six weeks trial period. . Sunnyside Residential Home DS0000025381.V287239.R01.S.doc Version 5.1 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10,11 The service users plans should be more detailed to promote service users health and welfare. EVIDENCE: Since the last inspection, efforts have been made to improve the service user plan to reflect their needs and how their assessed needs would be met. However, the format being used need to be review, as it does not provide adequate space to show how the needs are to be met. The format is rigid and does not allow for specific needs relating to individual service user to be included in the service user plan. Currently, the service user plans are not reviewed monthly and information in service users daily records are not being used to reflect changes in their service user plan and risk assessments. The current format being used makes reviewing of individual aspect of the service user plan difficult. In addition, the service user plan is not being developed with the service user or their representative. Inspection of the service users daily records and discussion with the assistant manager clearly show that service users health needs were being met through GP, District Nurse, Continence Adviser, psycho-geriatrician etc. The registered Sunnyside Residential Home DS0000025381.V287239.R01.S.doc Version 5.1 Page 10 person should consider reviewing the recording of visits by health professional to show clearly the purpose and the outcome of the visit. The service maintains a record of all service user medication received into the care home, administered and returned to the pharmacist. The local pharmacist that dispenses service users’ prescription check the home’s medication procedure and provide advice to staff. The storage of medication trolley has been moved as suggested in the previous inspection report. However, where it is stored currently appears to be too hot and staff must monitor the temperature of the cupboard to assess its suitability. Discussion with service users indicated that they are very happy with the care they are receiving and that the staff were very caring. Observation of staff assisting service users with activities of daily living showed that their right to privacy and dignity were being upheld. Service users who are terminally ill or dying would be cared for at Sunnyside as long as their needs could be met with the support from the specialist health professionals. Sunnyside Residential Home DS0000025381.V287239.R01.S.doc Version 5.1 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Sunnyside staff supports service users to maintain their independence and to access community facilities. EVIDENCE: Discussion with service users and staff showed that service users exercise choice and make decisions about their lives such as: accessing community facilities independently, how to spend their day, when and where to have their meals etc. This was confirmed though a tour of the building as many service preferred to be in their bedroom and one service user kept a bird in her bedroom. A range of activities is provided to service users by staff such as: shopping trips, visit to the local pub and local club at least once a week, singa-long, bingo, etc. A record must be kept of service users participation in activities to demonstrate that their social needs are met. The service has an unrestricted visiting policy and service users are able to choose where to see their visitors. Some service users manage their own finances. Where service users requires assistance in managing their personal allowance a record is kept of all incoming and outgoings of service users monies. Sunnyside Residential Home DS0000025381.V287239.R01.S.doc Version 5.1 Page 12 A tour of the building showed that many of the service users have brought into the care home some of their furniture to make their personal space more homely with their own belongings. Mealtimes at Sunnyside are flexible and service users are able to choose where and when to have to their meals. Mealtimes at Sunnyside are pleasant as the environment where service users have their meals is well decorated and the tables are well presented with clean tablecloths, condiments, serviettes etc. Service users are given a choice of meals. However, the diary where the food provided to service users is recorded does not show alternative meals provided to service users. The registered person should record snacks and alternative meals provided to service users. At the time of the inspection, there was no evidence of food temperatures being taken before they are served. Sunnyside Residential Home DS0000025381.V287239.R01.S.doc Version 5.1 Page 13 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17 Service users are protected from abuse and are able to raise concerns through the service’s policies and procedures. EVIDENCE: Sunnyside has a complaints procedure, which is displayed in a prominent position. No formal complaints have been received in the past twelve months. Discussion with the assistant manager indicated that any concerns service users or their representative have, are raised informally and are dealt with immediately. The registered person should consider keeping a record of concerns raised with the management of the home to assess the frequency and evaluate to assess if improvements could be made in that particular of the service delivery. Information of Liverpool inter–agency protocol on abuse is available to all staff. Training for staff on abuse and managing physical and verbal aggression have been organised which should be completed in the next six months. Sunnyside Residential Home DS0000025381.V287239.R01.S.doc Version 5.1 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25,26 The physical environment is well maintained to promote a comfortable and homely environment for service users. EVIDENCE: The care home is well maintained both internally and externally. A tour of he building showed that the service users bedrooms are regularly decorated and that renewal of furnishings are made to provide a quality environment for service users. CCTV cameras are used at the main entrance to promote the safety of service users and staff. The care home has two lounges on the ground floor with one being designated a smoking lounge. There is also a separate dining room. All of the communal rooms are furnished with good quality domestic type furniture. The rooms are bright and well lit and could be used for a variety of purposes as required to meet service users needs. Sunnyside Residential Home DS0000025381.V287239.R01.S.doc Version 5.1 Page 15 Most of the bedrooms have an en-suite and assisted baths and showers are available to promote service choice. Various aids are provided at Sunnyside to promote service user independence and safety such as: passenger lift, call system in every bedroom, grab rails, assisted baths etc. All of the bedrooms are single occupancy. However, at the time of the inspection a couple were sharing a bedroom and the second bedroom was being used as a private sitting room. The quality of the furnishings in the bedrooms is good and many of the bedrooms are furnished with service users own furniture. Service users are given a key to their bedroom if they wish. The care home is centrally heated throughout and service users are able to adjust the heating in their bedroom to meet their requirement. Inspection of the fire record showed that the emergency lighting is tested at regular intervals. The care home laundry facility is sited in the basement away from the food preparation area and policies and procedures are in place to minimise the spread of infection. Sunnyside Residential Home DS0000025381.V287239.R01.S.doc Version 5.1 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 The staffing levels at Sunnyside meet the assessed needs of service users. EVIDENCE: The staffing rota and observation of staff on duty showed that the staffing level is sufficient to meet the needs of service users, as the dependency level of many service users is low. In addition to the care staff ancillary domestic and catering staff are employed to ensure that service users dietary needs are met and to maintain the cleanliness of the building. At the time of the inspection, the care home was found to be clean and free from malodour. Many of the care staff have completed their NVQ level 2,3, and 4 award. Training has been organised for staff to work towards their NVQ level 2. Inspection of a sample of staff files showed that two written references were obtained and a Criminal Records Bureau check were obtained for staff before they commenced employment at Sunnyside. Currently, staff receive a basic induction from the assistant manager at Sunnyside which covers health and safety aspect of the care home. However, the staff induction must be reviewed to meet the meet the Skills for Life requirements. Sunnyside Residential Home DS0000025381.V287239.R01.S.doc Version 5.1 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36,37,38 The service provides a good quality of care. However, the administrative systems must be improved to promote the safety of service users and the provider of the service. EVIDENCE: The registered manager oversees the day-day management of the care home. However, a significant proportion of the managerial function of the care home has been delegated to one of the assistant manager who has completed the NVQ level4 care and management award. Both the registered manager and assistant manager are accessible to service users and staff. The style of management promoted at Sunnyside is open and accepting of suggestions from any stakeholder on how the service could be improved. Questionnaires have been recently devised to enable stakeholders Sunnyside Residential Home DS0000025381.V287239.R01.S.doc Version 5.1 Page 18 to provide their comments formally. In addition, service users meetings are held every three months. A current Public Liability Insurance was displayed and records are kept of financial transactions for accounting purposes. Discussion with the assistant manager showed that individual staff supervision has not been implemented. However, staff are supervised in their day-to-day work. The record keeping in the care home could be improved to ensure information is readily accessible. It is recommended that the filing of information be reviewed. The service carries out regular fire checks and some staff have received training in food hygiene, fire awareness, first aid and moving and handling. However, the staff training in these areas must be reviewed to ensure that their knowledge and skills is current. The registered provider promotes the health and safety of service users by ensuring that equipment used in the care home is regularly serviced. The registered person must ensure that a risk assessment of the building is carried out to promote the health and safety of service users and staff and that this is reviewed regularly. The registered person must ensure that the care home has a current electrical wiring certificate and that hot water temperature checks are carried out regularly to minimise risks from Legionella by ensuring that hot water is stored and distributed at correct temperatures. The registered person must ensure that all accidents/incidents to service users and staff are recorded in the accident book and where necessary the Commission is notified. Sunnyside Residential Home DS0000025381.V287239.R01.S.doc Version 5.1 Page 19 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 2 X 3 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 2 3 X 1 2 2 Sunnyside Residential Home DS0000025381.V287239.R01.S.doc Version 5.1 Page 20 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 OP1 Regulation 4 Requirement The registered person must update the Statement of Purpose to include all the required information as listed in schedule 1. This is outstanding from the previous inspection. The registered person must ensure that the service user plans reflect the individual care needs are to be met and how identified risks would be minimised. The registered person must ensure that wherever possible the service user plan is to discuss and develop with the service user or their representative. 3 OP15 13 & 17 The registered person must 30/05/06 ensure that food temperatures of are recorded at the time of serving. The registered person must ensure that a record is kept of alternative meals provided to service users. The registered person must DS0000025381.V287239.R01.S.doc Timescale for action 30/05/06 2 OP7 15 30/05/06 4 OP30 18 30/05/06 Version 5.1 Page 21 Sunnyside Residential Home ensure that staff receive suitable training and are inducted into their role to promote the health and safety of service users. 5 OP31 8(1)(b)(iii ) The registered persons must 28/05/06 ensure that the requirement of regulation 8(1)(b)(iii) &8(2): of the Care Homes Regulation 2001 is met. This regulation states that where the provider is not, or does not intend to be, in fulltime day-to-day charge of the care, a manager is appointed and the Commission is notified of this appointment. The registered person must develop a quality assurance system to monitor and review the quality of service provided. The registered person must ensure that staff are appropriately supervised to ensure that they have the knowledge and understanding in meeting service users needs. The registered person must ensure that service users, staff and other records required to be kept at the care home are accurate and well maintained. The registered person must ensure that all staff receive and maintain their knowledge and skills in: food hygiene, moving and handling, first aid and fire awareness by appropriate and relevant training. The registered person must ensure that required safety certificates are obtained and copies forwarded to the CSCI. Outstanding from previous 28/05/06 6 OP33 24 7 OP36 18 28/05/06 8 OP37 17 28/05/06 9 OP38 13(3)(4)( 5) 28/05/06 7. OP38 13(4),17, 37 28/05/06 Sunnyside Residential Home DS0000025381.V287239.R01.S.doc Version 5.1 Page 22 requirement. The registered person must ensure that the premises is free from risks so far as possible by carrying out a risk assessment of the building and reviewing it at regular intervals. The registered person must ensure that all accidents to service users and staff are recorded in the accident book. The registered person must ensure that the Commission is notified of significant incidents to service users and staff as well as any part of the operation of the service that affects the service users for a significant period. 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 3. 4 5 Refer to Standard OP8 OP9 OP12 OP16 OP37 Good Practice Recommendations The registered person should review the recording of health professional visits to the care home to show the purpose of and outcome of the visit. The registered person should monitor the temperature of the cupboard where the medication trolley is stored. The registered person should record service users participation in social activities provided by staff at the care home. The registered person should maintain of concerns raised by service users and their representative and its outcome. The registered person must review the service policies and procedures to ensure that they continue to reflect current legislation and good practice. Sunnyside Residential Home DS0000025381.V287239.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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. 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