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Inspection on 13/11/06 for Sunnyside Residential Home

Also see our care home review for Sunnyside Residential Home for more information

This inspection was carried out on 13th November 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The homes Statement of Purpose and Service User Guide are detailed providing service users and prospective service users with details of the services the home provides enabling an informed decision about the admission to the home. Residents` individual health, personal and social care needs are clearly recorded. This provides care staff with the information they need to meet the residents care needs. Residents have choice and flexibility how they spend their day in the home, and can pursue leisure activities according to their choice and preferences. This allows independence and individuality for each resident. Residents receive a balanced diet offering variety, which reflects the residents` preferences. The home has a satisfactory complaints system with evidence that residents feel their views are being listened to and acted upon. The recruitment practices are adequate and appropriate checks are carried out. This ensures that the resident is not put at risk. The staff training provided ensures that the staff are basically equipped to meet the needs of the service users. The expert by experience noted that this appeared to be a relaxed home and that the staff were caring. The expert by experience noted that the manager was caring and knew the residents well.

What has improved since the last inspection?

Some of the bedrooms and corridors have been redecorated. Criminal Record Bureau checks are completed before new staff are employed. The manager has worked hard to improve conditions at the home and the paperwork has improved.

What the care home could do better:

The issues relating to the environment should be addressed. The expert by experience noted that the environment was "dirty and scruffy". New staff should be given structured induction training. The registered person must ensure that they visit the home monthly and prepare a written report on the conduct of the home. The care staff should be given regular formal supervision and an annual appraisal with a written record made of both.

CARE HOMES FOR OLDER PEOPLE Sunnyside Residential Home Adelaide Street Bolton Lancashire BL3 3NY Lead Inspector Lynn Sharples Unannounced Inspection 13th November 2006 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.V308218.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 Residential Home DS0000009306.V308218.R01.S.doc Version 5.2 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 61448 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.V308218.R01.S.doc Version 5.2 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. 21st March 2006 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 Registered Manager Mrs B Hardman runs the home on a day-to-day basis. 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 hand basin. 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. The fees for the home are from £339.74 - £344.74 Sunnyside Residential Home DS0000009306.V308218.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. CSCI are trying to improve the way we engage with people who use services so we gain a real understanding of their views and experiences of social care services. We are currently testing a method of working where ‘experts by experience’ are an important part of the inspection team and help inspectors get a picture of what it is like to live in or use a social care service. The term ‘experts by experience’ used in this report describes people whose knowledge about social care services comes directly from using them. At the time of the visit there were twenty six people living at the home. The home did not know about the visit and it took seven hours. Residents, the manager and the care staff were spoken with; surveys from residents and completed comment cards from relatives were received. The files relating to the service users, staff and the home were read and the premises toured. What the service does well: The homes Statement of Purpose and Service User Guide are detailed providing service users and prospective service users with details of the services the home provides enabling an informed decision about the admission to the home. Residents’ individual health, personal and social care needs are clearly recorded. This provides care staff with the information they need to meet the residents care needs. Residents have choice and flexibility how they spend their day in the home, and can pursue leisure activities according to their choice and preferences. This allows independence and individuality for each resident. Residents receive a balanced diet offering variety, which reflects the residents’ preferences. The home has a satisfactory complaints system with evidence that residents feel their views are being listened to and acted upon. The recruitment practices are adequate and appropriate checks are carried out. This ensures that the resident is not put at risk. The staff training provided ensures that the staff are basically equipped to meet the needs of the service users. The expert by experience noted that this appeared to be a relaxed home and that the staff were caring. The expert by experience noted that the manager was caring and knew the residents well. Sunnyside Residential Home DS0000009306.V308218.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Sunnyside Residential Home DS0000009306.V308218.R01.S.doc Version 5.2 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.V308218.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,4 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The homes Statement of Purpose and Service User Guide are detailed providing service users and prospective service users with details of the services the home provides enabling an informed decision about the admission to the home. The home does not provide intermediate care services (Key Standard 6). This standard does not therefore apply. EVIDENCE: The Statement of Purpose is detailed and contains all the information a prospective resident and their representative would need to make an informed choice about whether to stay at the home. The Service User Guide is also available and on display in the hallway. Sunnyside Residential Home DS0000009306.V308218.R01.S.doc Version 5.2 Page 9 The manager explained that new residents are visited in their own home or hospital. At the hospital the manager would speak with the nurse in charge to see if the home can meet the persons needs. The new resident is then offered the choice to visit the home usually the family visit. The new resident is encouraged to visit for a few hours and then the social worker is contacted to arrange a meeting to discuss the move to the home. At this meeting it is formally agreed with the resident, family and social worker that a trial six week period will start. After the six weeks the resident can then either decide to say or not and this is agreed with the home, family and social worker. Residents who spoke with the expert by experience and the inspector confirmed that they visited the home and were very happy with the care they received. Sunnyside Residential Home DS0000009306.V308218.R01.S.doc Version 5.2 Page 10 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): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ individual health, personal and social care needs are clearly recorded. This provides care staff with the information they need to meet the residents care needs. EVIDENCE: The seven care plans that were looked at contained detailed and comprehensive care needs assessment that explains how best to support the resident with everyday living such as health, personal and social care needs. The plan is reviewed monthly with updates and changes in the residents needs. Some of these are signed by the resident. One resident was subject to the standard Care Programme Approach and had not been reviewed for a year. The manager was asked to contact the Community Psychiatric Nurse to arrange a meeting. Sunnyside Residential Home DS0000009306.V308218.R01.S.doc Version 5.2 Page 11 The care files include details of mobility, hearing and communication, speech, sight, foot care, sleeping, dental care and mental condition. There were also pressure sore, nutrition and moving and handling risk assessments. There was also evidence that professional advice about the promotion of continence is sought and acted upon. There was evidence that residents where necessary visit a psycho-geriatrician. All residents in the home can access their NHS entitlements, which includes dentistry, opticians and chiropody services. The residents spoken with confirmed that if they were unwell or they request it the home would call a doctor. The manager has up dated the files and they are now easy to read and follow. A district nurse spoken with said that the care staff were good and that “they liaise well with us and do what is asked.” One service user at the home self medicates a cream they apply themselves. A member of staff observes this procedure and there are risk assessments in place. The protocols for the receipt, storage, disposal, and documentation of medications in the home are in accordance with the National Minimum Standards (NMS). Controlled drugs are recorded in a Controlled drugs register and were seen to be administered correctly. The staff that administer the medication have received training for this task. Medical examination and treatment are provided in the resident’s own room and this was confirmed by the district nurse. The expert by experience saw the care staff being respectful and knocking on doors before entering. The relatives spoken with confirmed this and said that the care staff are “good” and “know my mother well”. The expert by experience noted that the care staff appear “friendly and caring.” Sunnyside Residential Home DS0000009306.V308218.R01.S.doc Version 5.2 Page 12 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): 12,13,14,15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents have choice and flexibility how they spend their day in the home, and can pursue leisure activities according to their choice and preferences. This allows independence and individuality for each resident. Residents receive a balanced diet offering variety, which reflects the residents’ preferences. EVIDENCE: The expert by experience said that some residents prefer to stay in their own bedrooms and do not join in with activities. The home must ensure that these residents are offered other forms of stimulation and that care staff should visit them on a regular basis and this should be recorded. One resident said that they “do join in activities if I am feeling well enough.” The care files include a section on activities and interests regarding what activities the resident would like to do and what they do not like to do. The residents spoken with said that they can decide what to wear and what time they go to bed. Some residents said that they would like to “go out on Sunnyside Residential Home DS0000009306.V308218.R01.S.doc Version 5.2 Page 13 trips.” The residents who spoke with the expert by experience said that they enjoyed living at the home and the staff were “friendly and kind.” Some relatives spoken with said that the staff made them feel welcome and that their relatives were well looked after. The home does not employ an activities coordinator, carers undertake to organise the social activities. A woman does provide two one hour sessions a week to assist with activities; on the day of the visit she was engaging residents in a sing a long and armchair exercises. A priest visits the home and provides communion to the residents who request this service. Other activities include bingo, dominoes; one resident was knitting on the day of the visit. When residents participate in social activities, it should be recorded in their daily record sheet, how they participated in the activity. This is to ensure that there is recorded evidence of how the resident coped or responded in the activity, and to their mood, emotions, physical dexterity. The recordings of the resident activities helps to complete a “full picture” of the residents progress, or even identify developing care needs. Visitors are allowed in the home at any reasonable time of day and residents may entertain their visitors in the communal lounge, or in their own bedroom. On the day of the visit guests were seen at the home and they confirmed that they called at the home on a regular basis. Resident’s bedrooms contained personal possessions. There was a discussion about advocacy services and having the contact details available for all to read. The menus looked at offer a varied, wholesome and nutritious diet. The expert by experience and inspector ate lunch with the residents, warm food is always offered at midday. The residents said that the food was good and tasty and that “ you always get enough to eat.” The residents confirmed that that they can have something else if they do not want what is on offer on the main menu. Relatives also confirmed that the food was good and that they can eat with their relative for a small charge. The expert by experience said that the food was served in a relaxed unhurried manner and the food was hot. But they were concerned that a resident with a visual impairment who had had a stroke was struggling having soup in a bowl and wanted to know if alternatives of serving the soup had been explored; this was discussed with the home. Sunnyside Residential Home DS0000009306.V308218.R01.S.doc Version 5.2 Page 14 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): 16,18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints system with evidence that residents feel their views are being listened to and acted upon. The home’s policy and training programmes for adult protection and whistle blowing ensure that the homes residents are protected from abuse. EVIDENCE: The home has a complaints procedure that is included in the Statement of Purpose and is displayed in the home. The home has received two complaints since the last visit and the home has investigated these complaints and has provided evidence that these have been dealt with. No complaints have been made to the CSCI since the last visit. The residents spoken with said that if they had any concerns or complaints they would talk to either their relative or the manager. The relatives spoken with said that they had “ no complaints” but said that if they did they would raise this with the manager. Sunnyside Residential Home DS0000009306.V308218.R01.S.doc Version 5.2 Page 15 The home has a copy of the Bolton inter- agency adult protection policy that provides staff with the guidance they would need should an abuse situation arise. There is also a document about “whistle- blowing” that advises staff what they should do if they have such a situation. Most of the staff have received training in Protection Of Vulnerable Adults training. The staff spoken with were able to demonstrate an awareness of the different forms of abuse and how to act as an alerter in terms of adult protection. Sunnyside Residential Home DS0000009306.V308218.R01.S.doc Version 5.2 Page 16 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): 19,21,24,25,26 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The standard of decoration and cleanliness at the home does not promote a safe and comfortable living environment for people who live at the home. EVIDENCE: The grounds are kept tidy and attractive and both the residents and the staff said that they spent time outside in the gardens during the summer months. The overall appearance inside the building is poor. The carpets in several bedrooms and the lounge is threadbare and poses a risk to the residents from tripping over. Some redecoration is evident, the wallpaper in some bedrooms has been repainted and some wallpaper borders have been added; members of staff completed this task. The lift was dirty and the floor needed cleaning and a hoist was dirty and needed cleaning. Some of the chairs in the lounge need replacing; they were dirty and had an unpleasant odour. Sunnyside Residential Home DS0000009306.V308218.R01.S.doc Version 5.2 Page 17 The toilets were clean and liquid soap and paper towels were provided. However, there was a smell of urine in the toilets that came from the flooring. The toilet flooring should be replaced with appropriate flooring to ensure that the toilets can be kept clean and free from odour. In one residents bedroom there was a gap in the bottom of the window, this should be addressed as a matter of urgency. The duvet covers in some bedrooms were thin and two residents spoke of being cold, one resident’s hands were cold to touch. The home should ensure that all residents are sufficiently warm and provide evidence that they are warm at night. Some of the carpets needed cleaning as they had food on the floor. The lighting in the main lounge was not bright and could pose a risk to residents. There were notices above the lights in the corridor asking staff to turn the lights off. When the lights were turned off it was dark; the owner said that these notices would be removed and the lights in the corridor kept on at all times. Emergency lighting is provided in the home and water is stored at a temperature to prevent risks of Legionella. The laundry facilities are located in the basement and the washing machines have the specified programming ability to meet disinfection standards. The home was not clean and free from odour on the day of the visit. The expert by experience and other health professionals commented that the environment “let the home down” and “it was scruffy.” Sunnyside Residential Home DS0000009306.V308218.R01.S.doc Version 5.2 Page 18 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): 27,28,29,30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The recruitment practices are adequate and appropriate checks are carried out. This ensures that the resident is not put at risk. The staff training provided ensures that the staff are basically equipped to meet the needs of the service users. EVIDENCE: The rotas indicate that there are sufficient care staff on duty to meet the residents needs. On the day of the visit there were enough staff on duty to meet residents care needs. There is usually five staff on duty in the morning, 4 in the afternoon and three waking night staff. Some of the staff has worked at the home for many years, this provides continuity. Staff spoken with said that they enjoyed working at the home and that it was a “good team”. The expert by experience noted that this appeared to be a relaxed home and that the staff were caring. Relatives and health professionals confirmed that the staff team were good. Of the 26 care staff at the home 17 have the NVQ level 2 in care and two staff are studying the NVQ level 2. The care staff were observed being respectful and communicating effectively with the residents. They were friendly and there Sunnyside Residential Home DS0000009306.V308218.R01.S.doc Version 5.2 Page 19 was a relaxed atmosphere in the home. The care staff spoken with were able to demonstrate a good understanding of the needs of the residents. An examination of a sample of staff records indicated that all staff had two references, enhanced CRB checks, statements of terms and conditions on their personnel file. The training records showed that the staff have received training in food hygiene, fire training and moving and handling. The staff would benefit from training in mental health and dementia to ensure that they can meet the changing needs of the residents. The training was dated in the files but not all the certificates were on file. There was a discussion with the manager about ensuring that certificates were provided for training and if these were not forwarded by the training organisation the home should follow this up. The home provides an on the job induction, the staff confirmed that they have a full day induction and then one week where they “shadow” another care staff and follow the member of staff observing their practice. The home must ensure that new staff are provided with induction and foundation training that meets the “Skills for Care” specification. Sunnyside Residential Home DS0000009306.V308218.R01.S.doc Version 5.2 Page 20 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): 31,33,36,38 Quality in this outcome area is poor This judgement has been made using available evidence including a visit to this service. The record of self-review by the registered provider is infrequent and does not provide the home with adequate quality assurance. EVIDENCE: The manager has many years experience in the caring profession and has the NVQ level 4 in management. The staff spoken with said that the manager was approachable and supportive. The residents said that the manager was” friendly and caring.” The expert by experience noted that the manager was caring and knew the residents well. In discussion with the manager it was evident that they knew both the residents and staff well and that it was a relaxed, friendly home. Sunnyside Residential Home DS0000009306.V308218.R01.S.doc Version 5.2 Page 21 The manager has worked hard to improve conditions at the home and the paperwork has improved. However, as addressed previously in this report, the standard of décor and cleanliness at the home are poor; the manager and responsible individual must develop a programme of refurbishment and address all issues as identified in this report. Systems for maintaining acceptable standards of cleanliness at the home must be reviewed to ensure that adequate standards are achieved and maintained. The responsible person has only one recorded visit to the home this year. They should visit once a month and prepare a written on the conduct of the home each month and these should be made available to the CSCI. The home would benefit from a resident survey and this should be published and made available to residents and their representatives. The residents would benefit from regular residents meetings when they can air their views about the home, it would be useful if these were chaired by an advocate to ensure that the residents were free to express their opinions. The records indicated that the staff have only received at the most two supervisions this year and one of those was the annual appraisal. The home must ensure that all care staff are provided with formal and recorded individual supervision at regular intervals. It is important that the staff team receive regular recorded supervision so that the manager can discuss all aspects of practice and the philosophy of care in the home and career development needs. The home has current certificates in respect of electrical and gas safety. A current certificate of employer liability was displayed. The records stated that both the day and night staff have received one fire drill this year. There was a discussion with the manager to ensure that day staff receive at least two fire drills a year and that night staff receive three fire drills a year. Sunnyside Residential Home DS0000009306.V308218.R01.S.doc Version 5.2 Page 22 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 3 X 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X 2 X X 2 2 2 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 1 X X 2 X 3 Sunnyside Residential Home DS0000009306.V308218.R01.S.doc Version 5.2 Page 23 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 OP19 OP21 OP24 OP25 OP26 OP30 Regulation 23 Requirement The registered person must ensure that the issues relating to the environment are addressed. Timescale for action 27/03/07 2 18 The registered person must ensure that new staff are given structured induction training. (e.g. Skills for Care format). (This requirement remains outstanding timescale 30/06/06 unmet). The registered person must ensure that they visit the home monthly and prepare a written report on the conduct of the home. The registered person must ensure that the care staff are given regular formal supervision and an annual appraisal with a written record made of both. (This requirement remains DS0000009306.V308218.R01.S.doc 27/02/07 3 OP33 26 27/02/07 4 OP36 18 27/02/07 Sunnyside Residential Home Version 5.2 Page 24 outstanding timescale 30/06/06 unmet). 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 Refer to Standard OP12 OP14 OP30 Good Practice Recommendations It is recommended that when residents participate in activities and these are recorded in their daily record sheets. It is recommended that the home has available the contact details of local advocacy groups. It is recommended that staff receive training in mental health and dementia. Sunnyside Residential Home DS0000009306.V308218.R01.S.doc Version 5.2 Page 25 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: 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 Residential Home DS0000009306.V308218.R01.S.doc Version 5.2 Page 26 - 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. 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