Inspection on 13/12/05 for Sunnyside Residential Home

This inspection was carried out on 13th December 2005.

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 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 Residential Home 25/06/08

Sunnyside Residential Home 16/10/07

Sunnyside Residential Home 13/11/06

Sunnyside Residential Home 21/03/06

Sunnyside Residential Home 02/12/04

Sunnyside Residential Home 16/07/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Sunnyside Residential Home Adelaide Street Bolton Lancashire BL3 3NY Lead Inspector Stuart Horrocks Unannounced Inspection 13th December 2005 09:30 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 DS0000009306.V271746.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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 DS0000009306.V271746.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Sunnyside Residential Home Address Adelaide Street Bolton Lancashire BL3 3NY 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) 01204 653694 01204 653694 Parfen Limited Mrs Beverley Hardman Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27) of places Sunnyside Residential Home DS0000009306.V271746.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. That the home is registered for a maximum of 27 service users to include: Up to 27 service users in the category OP (Old Age, not falling within any other category). The service should at all times employ a suitably qualified and experienced Manager who is registered with the Commission for Social Care Inspection. 2nd December 2004 2. Date of last inspection Brief Description of the Service: Sunnyside is operated as a limited company by the owner Mr A Jonas and Mr Jonas’s family.The home is run on a day-to-day basis by the Registered Manager Mrs B Hardman. The home can provide 24 hour care for up to 27 older people. The property is on Adelaide Street in Bolton and is about two miles from the town centre. There is a bus stop on the main road that is fairly close to the home and there are shops nearby. The accommodation is provided on three levels with a lift giving access to all floors including the basement. The home has 25 single bedrooms and one room that is shared;three bedrooms have an en-suite toilet and handbasin. There is a comfortable lounge,a dining room and a conservatory that can be used all year round. Toilets and bathrooms are provided on all floors. The home has a garden area with seating that can easily be reached from the conservatory. Sunnyside Residential Home DS0000009306.V271746.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and was started at 9.30am.It took place on one day and it lasted for about five and a half hours. The time was split between talking to the manager and checking records, and looking around the home, watching what was happening and talking to residents, a visitor and other staff. Five residents, one visitor and three staff were spoken with. What the service does well: What has improved since the last inspection? What they could do better: Although the paperwork that describes how the residents should be cared for is generally satisfactory the inspector suggests that this could be looked at to see if some of the information can be shown more clearly. The inspector also suggests that the staff should continue to look for different ways of providing the less able residents with fulfilling and stimulating activities. Sunnyside Residential Home DS0000009306.V271746.R01.S.doc Version 5.0 Page 6 Although staff recruitment is generally satisfactory the manager must make sure that all of the required checks on new staff are completed so making sure that the residents are being looked after by staff who are suitable to carry out care work. A lot of staff training has been provided at Sunnyside, but the training for new staff that shows them how to do the work should be made better. The manager needs to look at ways to make sure that meetings with individual staff happen regularly, so that they are able to discuss their work and the things that are important to them. 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 DS0000009306.V271746.R01.S.doc Version 5.0 Page 7 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 DS0000009306.V271746.R01.S.doc Version 5.0 Page 8 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): 3 Pre-admission visits, and the initial assessment process, enable all parties, including potential residents and their relatives, to reach a decision as to whether the home will be able to meet their needs. Sunnyside does not provide intermediate care services (key Standard 6). This standard does not therefore apply. EVIDENCE: Looking at the care files of four residents showed that their needs had been fully assessed before they came to live at the home. From this information the home is then able to decide whether these people’s needs can be met and a care plan is then put together. The manager said that new residents and their families are welcome to visit the home where they can spend some time, meet the residents and the staff, and have a meal before deciding to live there. The manager usually visits new residents either at home or in the hospital as a part of the assessment process. Sunnyside Residential Home DS0000009306.V271746.R01.S.doc Version 5.0 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 and 9 Individual care plans are in place, which were up to date, regularly reviewed and generally provided the staff with the information they needed to give a good standard of care. Proper arrangements are also in place that ensures the residents health care needs are monitored and met. The medication arrangements are properly managed thus ensuring that residents receive their medicines as prescribed. EVIDENCE: The care files of four residents were looked at. Each of these files contained a detailed and comprehensive care needs assessment that describes the help that the resident needs with everyday living including health, personal and social care needs. All of this paperwork had been reviewed at the required monthly interval using a separate document that described any changes in the way that the resident needed to be looked after The required risk assessments are also in place; all of these had been reviewed regularly with the information being up to date. Sunnyside Residential Home DS0000009306.V271746.R01.S.doc Version 5.0 Page 10 Those staff that the inspector spoke with said that the residents care files were always available for them to read and that they used them so that they knew what care the residents required. The inspector and the manager discussed the home’s present method of writing down how care to the residents should be provided. The inspector felt that when needs or risk assessment showed that changes were needed to the way care should be given that this is not so easy to see in the care file. The inspector gave advice regarding this and a sample of a different care recording document was provided. However it should be noted that the residents care files do contain a lot of useful and valuable information that is laid out on a page-by-page basis. Talking to residents, the manager and the staff and looking at records showed that the resident’s health care needs are taken care of and that when necessary health workers such as doctors, nurses and opticians are called. Looking at records also showed that the weight of the residents’ is regularly checked. Suitable equipment is available for the treatment and prevention of pressure sores and the treatment and progress of pressure sores is correctly recorded. In the period since the last the home has changed the medication arrangements to the system supplied by Boots Chemist. The medicines are now provided in pre-filled blister packs with pre-printed prescription/recording sheets also provided. The CSCI pharmacist checked the home’s medication arrangements at the time of the last inspection when a number of requirements regarding improvements were made. All of these requirements have now been dealt with, largely by the change to the above-mentioned Boots system. The home’s medicines were seen to be properly and safely stored. All medicine when given is recorded on the residents’ drug sheets, these records were properly filled in and they were up to date. Those staff that give out medicines have been given the necessary training for this task. Sunnyside Residential Home DS0000009306.V271746.R01.S.doc Version 5.0 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 and 15 The home offers a number of leisure activities, which help to keep some of the residents interested and stimulated. The meals at this home are good, offering choice and variety, and catering for individual dietary needs. EVIDENCE: The residents have choice about their daily routines thus they are able to spend their time as they wish. Those residents spoken with said that they decide about such things as going to bed and getting up times, which clothes to wear, which lounge they sat in and how they spent their day. They said that were comfortable living at the home and that the home was “friendly” and “relaxed”. The home provides a number of recreational and stimulating activities (e.g. exercises, reminiscence sessions, outings to a garden centre, sing-a long and armchair aerobics) that the residents are encouraged to join in with. However, the manager told the inspector that due to their condition, a number of residents are unable or are unwilling to take part in the above activities. The home should continue to look for other forms of stimulation for those residents who are less able. Sunnyside Residential Home DS0000009306.V271746.R01.S.doc Version 5.0 Page 12 The home uses a four-weekly menu that offers a variety of good nourishing food. Warm food is always offered at midday and a warm choice is also often available at teatime. The inspector saw that the midday meal was well presented and looked appetising. The residents said that the food “good”, “appetising”, that “you get enough to eat” and that “you can have something else” if you don’t want what in on the main menu. The residents also said that drinks and snacks were available at most times if the day. The visitor spoken with said that they had seen the food provided and that in their opinion the food was satisfactory. Meals were seen to be presented in an appealing manner with good portions offered. They are eaten in a comfortable dining room. Sunnyside Residential Home DS0000009306.V271746.R01.S.doc Version 5.0 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 and 18 The home has a clear complaints system ensuring that concerns are speedily dealt with. Protection of vulnerable adults guidance is available and staff training in this topic ensures residents are protected from abuse. EVIDENCE: The home has a straightforward complaints procedure, which is displayed in the home and is also available in the home’s Statement of Purpose. A book for recording complaints is kept at the home. Two complaints have been made directly to the home since the last inspection in December 2004.Both of these complaints have been investigated by the manager; some parts of them were found to be upheld with steps having been taken to put things right. No complaints have been made to the CSCI during the above period of time. The residents said that if they had any concerns they would “talk to Bev” (the manager) or to the staff. The relative that the inspector spoke with also said that they would have no anxiety about raising concerns with either the manager or the staff although they said that they were “ satisfied” with the care provided. It was clear in discussion with staff that they also knew what steps to take should a resident make a complaint. Sunnyside Residential Home DS0000009306.V271746.R01.S.doc Version 5.0 Page 14 The home has a full copy of the Bolton area inter-agency adult protection policy that gives good, clear and sound guidance to the staff should an abuse situation arise. This, and another available document also advises the staff about “whistle-blowing” if they were to find themselves in such a situation. Looking at records showed that the staff had been given training in adult protection procedures. In discussion the staff confirmed that they had received such training and they were aware of the different sorts of abuse and they also understood what they should do if they suspected that someone was being abused. Sunnyside Residential Home DS0000009306.V271746.R01.S.doc Version 5.0 Page 15 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): The above key standards were not examined at this inspection. They will be checked at the next inspection. EVIDENCE: Sunnyside Residential Home DS0000009306.V271746.R01.S.doc Version 5.0 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 and 30 Staffing levels are satisfactory therefore ensuring that the residents are properly cared for. Staff morale was good with the staff saying that they enjoyed their work at the home. Although the manager generally follows recognised recruitment procedures; the home must ensure that all of the required checks are done when employing staff, therefore making sure of the safety and protection of the residents. Staff training is on the whole sufficient to make sure that the residents are provided with a good standard of care. EVIDENCE: A number of the staff have worked at the home for a considerable time. This helps provide continuity and a good standard of care for the residents. The residents said that the staff were “easy to get along with” and that they were helpful and considerate. Staff morale was good with staff saying that “we work together well as a team”. Both residents and staff said that Sunnyside was a “happy home”. On the day of this inspection enough staff were on duty to meet residents care needs. Rotas showed that staff were regularly available in sufficient numbers to ensure that care was properly provided. The staff and the manager said that Sunnyside Residential Home DS0000009306.V271746.R01.S.doc Version 5.0 Page 17 in their opinion there was enough staff to meet the needs and dependency levels of the residents living at the home. The staff was seen to be carrying out daily tasks but they also had time to sit and talk to the residents. Of the 27 care staff employed at the home 14 have got a National Vocational Qualification at Level 2. Three staff are presently undertaking NVQ assessment at Level 2. Looking at four staff files showed that they had in the main been properly recruited apart from one person where although a police check had been applied for the result had not been received. This practice must cease; new staff must not be employed until a satisfactory police check has been obtained. Looking at staff training records and talking to the staff showed that they had been given training in subjects such as safe moving and handling, health and safety, food hygiene, fire safety and first aid. The manager has developed a “tick box” type collective training record that shows what sort of training the staff have been given and it also shows any gaps in staff training. The inspector strongly recommends that this record should also show the actual date when training was provided so that it can easily be seen when such training needs to be updated. The inspector was told that new workers do go through induction to the job training that has been provided by an outside training organisation. The inspector was also told that this organisation has not provided any record or certification of the content of this training. The home is now looking at an alternative organisation to give new staff such training. In the meantime the home must make sure that new staff are provided with induction and foundation training that meets the “Skills for Care” (formerly TOPPS) specification. It should be noted the home does have an induction checklist for new staff, which although useful does not meet all of the required parts. The inspector provided the manager with written information and advice about the above induction training. Sunnyside Residential Home DS0000009306.V271746.R01.S.doc Version 5.0 Page 18 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 and 36 The manager of the home provides leadership and support for the staff to ensure that the residents receive a good standard of care. Progress must made in providing the staff with formal supervision; otherwise the staff may not be fully supported and supervised. EVIDENCE: The manager (Mrs Hardman) has considerable experience in caring for older people. Since approval and registration with the CSCI (autumn 2004) the manager has continued to develop her skills and Mrs Hardman told the inspector that she expects to complete the required NVQ 4 qualification in management and care early in 2006. Discussion showed that Mrs Hardman knows the residents and the staff well. Both residents and staff said that the manager and the owners were approachable and would listen to any suggestions and comments. Sunnyside Residential Home DS0000009306.V271746.R01.S.doc Version 5.0 Page 19 The inspector was shown some forms that had been filled in for a number of staff where their work performance standard and training needs had been assessed. These were appraisal forms that were being used once every year. These appraisal forms were however the only evidence that the staff were receiving formal, face-to-face supervision interviews about their work by the manager. The home must therefore ensure that all of the care staff are provided with formal and recorded individual supervision at regular intervals as required under Standard 36. Sunnyside Residential Home DS0000009306.V271746.R01.S.doc Version 5.0 Page 20 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 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X X 1 X X Sunnyside Residential Home DS0000009306.V271746.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP29 Regulation 19 Timescale for action The registered person must 31/01/06 ensure that Criminal Record Bureau checks are fully completed before new staff are employed. The registered person must 28/02/06 ensure that new staff are given structured induction training (e.g. Skills for Care format). The registered person must 28/02/06 ensure that the staff are given regular formal supervision and an annual appraisal with a written record made of both. Requirement 2 OP30 18 3 OP36 18 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 OP12 Good Practice Recommendations The registered person should consider using a clearer way of describing residents care needs. The registered person should continue to look for different ways of providing the less able residents with fulfilling and DS0000009306.V271746.R01.S.doc Version 5.0 Page 22 Sunnyside Residential Home 3 OP30 stimulating activities. The registered person should consider filling in the staff training record so that actual dates are recorded (instead of ticks) so that it can easily be seen when such training needs to be updated. Sunnyside Residential Home DS0000009306.V271746.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Sunnyside Residential Home DS0000009306.V271746.R01.S.doc Version 5.0 Page 24 - 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. 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