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Inspection on 15/06/06 for Sunnyside Residential Home

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

This inspection was carried out on 15th June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

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

Sunnyside has a warm and friendly atmosphere. The staff are friendly, supportive and have a good rapport with service users. Generally, the service is well maintained and provides a good environment for service user to live through regular maintenance of the building and renewal of furnishings. Service users access independently local community services and others with the support of staff regularly.

What has improved since the last inspection?

Since the last inspection, there have been significant improvements in accessing information easily and the new service users plan format being used is easier to understand and provide more information of how the service user needs are to be met. Staff training is ongoing and discussion with the staff and the deputy manager indicated that staff are transferring their learning in their day-to-day practice to improve the quality of the service provided. The home has implemented its quality assurance system and staff are receiving "one-to-one" supervision. A Mobile shop is visiting the home to promote service users independence and choice. Meetings have been arranged with service users and their family to exchange ideas of how the quality of care at Sunnyside could be improved. Follow up meeting to give feedback to service users and their representatives has been arranged.The management has been very pro-active in arranging training courses for the staff to promote service users good health and safety. Generally, the record keeping has improved and information is easily accessible. There is increase communication and discussion with the registered manager and the assistant managers.

What the care home could do better:

All service users should be issued with Sunnyside terms and conditions to promote equality to service users regardless of their funding arrangements. Service users care plans and risk assessments could be more detailed showing how service user needs would be met. The risk assessment of the building must be carried out.

CARE HOMES FOR OLDER PEOPLE Sunnyside Residential Home 37 Ullet Road Liverpool Merseyside L17 3AS Lead Inspector Leila Mavropoulou Key Unannounced Inspection 15th June 2006 10:30 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 DS0000025381.V296515.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 DS0000025381.V296515.R01.S.doc Version 5.2 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.V296515.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Two named service users under 65 years old, within the overall number of 17. 10th March 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.V296515.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which lasted for five and half hours. During the inspection four service users, three staff and the deputy manager were spoken to. In addition four service users files and five staff files were examined to ensure that the necessary records that the home is required to keep were obtained and where necessary reviewed. Also, other records relating to promoting service users and staff health and safety were inspected. A tour of the building was also carried out to assess the quality of the accommodation provided to service users. What the service does well: What has improved since the last inspection? Since the last inspection, there have been significant improvements in accessing information easily and the new service users plan format being used is easier to understand and provide more information of how the service user needs are to be met. Staff training is ongoing and discussion with the staff and the deputy manager indicated that staff are transferring their learning in their day-to-day practice to improve the quality of the service provided. The home has implemented its quality assurance system and staff are receiving “one-to-one” supervision. A Mobile shop is visiting the home to promote service users independence and choice. Meetings have been arranged with service users and their family to exchange ideas of how the quality of care at Sunnyside could be improved. Follow up meeting to give feedback to service users and their representatives has been arranged. Sunnyside Residential Home DS0000025381.V296515.R01.S.doc Version 5.2 Page 6 The management has been very pro-active in arranging training courses for the staff to promote service users good health and safety. Generally, the record keeping has improved and information is easily accessible. There is increase communication and discussion with the registered manager and the assistant managers. 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.V296515.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 DS0000025381.V296515.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5, “Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service.” The service ensures that the service and facilities offered at Sunnyside meet the needs of the service user through their admission procedure. EVIDENCE: The service has recently reviewed its Statement of Purpose to ensure that the information contained in it remains current and reflect accurately the services provided to service users at Sunnyside. Examination of four service users files showed that the staff at Sunnyside assessed the needs of the service users before they are offered a place at Sunnyside. Entries in one service user file showed that service users are encouraged to visit the home before making a decision about the suitability of the service. Evidence that the home promotes trial visits is also, shown in the home’s Statement of Purpose. From the information obtained in the pre-admission Sunnyside Residential Home DS0000025381.V296515.R01.S.doc Version 5.2 Page 9 assessment service user plans and risk assessments are devised showing how the staff would meet the assessed needs of the service user. All service users have a written terms and conditions relating to their stay at Sunnyside. Currently, service users that are not self-funding are not given Sunnyside written terms and conditions. However, they have a tri-party contract between the funding authority, the service user and the home. The registered provider should consider giving all service users the home’s contract to promote equality amongst the service users. Observation of staff and discussion with service users show that staff have the necessary skills and competency to meet the needs of the service users. Sunnyside Residential Home DS0000025381.V296515.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 at least once during a 12 month period. 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.” Service users health needs are met through constant monitoring by the care staff and where necessary input from other health professionals. EVIDENCE: Examination of a random sample of service user files showed that they had a current service user plan showing how their assessed needs would be met. Since the last inspection, the format used for recording service user plans and risk assessments have changed. The plans are clearer and easy to understand. However, the plans should be more detailed to reflect how the care would be delivered and by whom. The service user files and discussion with the acting manager showed that service user health needs are met through regular visits by the chiropodist, dentist, optician and are supported and encouraged to maintain the same service provider prior to admission to the care home. Visits by the dentist, optician to the care home is arranged for those service users unable access Sunnyside Residential Home DS0000025381.V296515.R01.S.doc Version 5.2 Page 11 these services easily. Service users records show that specialised input from Community Psychiatric Nurse, District Nurse, Continence Adviser are obtained to promote and maintain service users good health. One of the service user file showed they were referred to the psychogeriatrician to ensure that their health needs are met. Observation on a tour of the building showed that pressure relieving aids are used to minimise the development of pressure sores. The District Nurse assesses and provides aids used by service users. Staff have been booked to attend a course on Mental Health in Older People to increase their understanding and improve the quality of care provided to service users that have poor short-term memory. The service uses a monitored dosage system for the storage and administration of service users medication. The service maintains a record of all service user medication received into the care home, administered and returned to the pharmacist. . Examination of service users medication records and stock balance of medication showed that two service users were given medication, which were not signed as given on their medication record and another service user medication received, was not entered on their medication record. The local pharmacist dispenses service users’ prescription checks the home’s medication procedure and provides advice to staff. Staff must monitor the temperature of the cupboard where the medication trolley is stored to assess its suitability. Discussion with service users and feedback from the completed service users questionnaires indicated that they are very happy with the care they are receiving and commented 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. Sunnyside Residential Home DS0000025381.V296515.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 “Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service.” Service users are integrated into community life by accessing a wide range of community facilities and are supported by staff to maintain personal relationships. 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 evidenced through observation throughout the inspection by service users going to the office to inform the deputy manager of where they were going e.g. to the local café and shops. A tour of the building showed that service users exercise choice as to how to spend their day, either in the communal rooms or in their bedroom, as some service users were watching television and reading in their bedroom. One service user chooses to spend all of her time in her bedroom. A range of activities is provided to service users by staff such as: shopping trips, visit to the local pub, sing-a-long, bingo, beauty therapy etc. A record is kept of Sunnyside Residential Home DS0000025381.V296515.R01.S.doc Version 5.2 Page 13 service users participation in activities to demonstrate that their social needs are met. Since the last inspection some service users have been to Speke Hall for afternoon tea and an independent mobile sweet shop visit the home once a week since the beginning of June to promote service users choice and independence; as they are able to choose their sweets and purchase small presents for family and friends. 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. 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 their meals as evidence whilst walking around the building. The dining room is a pleasant room. Service users use the room throughout the day. The meals are well presented and the tables are laid with tablecloths, condiments, serviettes etc. to promote service users choice and alternative meals would be provided. However, a record is not kept of alternative food provided to service users. The registered person should record snacks and alternative meals provided to service users. The inspector from the Food Hygiene Agency visited the home on 5th April 2006 and the home has complied with recommendations made from the visit. The service has implemented the Safe Food for Better Business to promote the health and safety of service users. There is ongoing training for staff to complete the records required for Safe Food for Better Business. The service would cater for service users requiring a special diet as evidenced by one service users changing to a vegetarian diet. Sunnyside Residential Home DS0000025381.V296515.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5 “Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service.” Service users are protected from abuse through the service policies and procedures and staff that understand the various forms of abuse. 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 deputy manager indicated that concerns service users or their representative have, are dealt with informally and immediately. The registered person should consider keeping a record of concerns raised with the management of the home to assess the frequency and evaluate if improvements could be made in that particular of the service delivery. The questionnaires returned and discussion with service users indicated that service users know who to discuss any concerns they may have regarding any aspect of their care. This was evidenced in the completed service user questionnaires. The service has not received any formal complaints since the last inspection. The service users are able to participate in the political process through postal voting or by going to the polling station with a member of staff. Information of Liverpool inter–agency protocol on abuse is available to all staff. Since, the last inspection seven staff attended training on understanding Sunnyside Residential Home DS0000025381.V296515.R01.S.doc Version 5.2 Page 15 abuse. Discussion with the deputy manager indicated that this is ongoing and it is expected that all staff would receive this training within the next twelve months. Sunnyside Residential Home DS0000025381.V296515.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 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 “Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service.” 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 the 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 a dining room and two lounges on the ground floor with one being designated a smoking lounge. There is a small hairdressing room on the first floor. All of the communal rooms are furnished with good quality domestic type furniture. The rooms are bright and well lit and could be used Sunnyside Residential Home DS0000025381.V296515.R01.S.doc Version 5.2 Page 17 for a variety of purposes as required to meet service users needs. The bedrooms on the upper floors are easily accessed by the passenger lift. 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: call system in every bedroom, grab rails, ramp to front door etc. Equipment used in the care home is serviced regularly as evidenced in the Pre-Inspection Questionnaire and certificates seen at the inspection. These are: lift test (14/06/06), Portable Appliance Test (15/01/06), Fire Equipment (03/02/06), Hazardous Waste Registration and Certificate (04/06/06). All of the bedrooms are single occupancy with most having an en-suite. At the time of the inspection, a couple were sharing one 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. Since, the last inspection one bedroom carpet on the ground floor and the flooring in the dining room have been replaced. 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 and that last fire drill was carried out on the 28th April 2006. 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.V296515.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): “Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service.” The service ensures that the staff have the necessary skills and knowledge to perform their job role by providing appropriate training. EVIDENCE: The staffing rota and observation of staff on duty showed that the care staff level is sufficient to meet the needs of service users throughout the day and night, as the dependency level of most service users is low. The PreInspection Questionnaire confirms this. The questionnaires and discussion with service users showed that the service users are very happy with the care and cleanliness of the building. Ancillary domestic and catering staff are employed to ensure that service users dietary needs are met and to maintain the cleanliness of the building. The care home was found to be clean and free from malodour on the day of the inspection. Many of the care staff have completed their NVQ level 2,3, and 4 award. Since the last inspection, 3 staff have started their NVQ 2 in care and six have enrolled to commence the NVQ 2 Care Award on the 21/06/06. The service is working towards 50 of its staff achieving the NVQ level 2 Care Award. There has been significant amount of in house training provided by external trainers to ensure that staff training in the following is current: First Aid, Fire Safety Sunnyside Residential Home DS0000025381.V296515.R01.S.doc Version 5.2 Page 19 Awareness, Load Management, and Food Hygiene. This is to comply with the Skills for Life requirement induction. Inspection of a sample of staff files showed that two written references and a Criminal Records Bureau check were obtained for staff before they commenced employment at Sunnyside. Staff files showed that they receive a basic induction from one of the assistant managers at Sunnyside which covers health and safety aspect of the care home, until they are able to attend a more in depth certificated course. Discussion with the deputy manager indicated that staff induction is completed within four days of commencing employment. Sunnyside Residential Home DS0000025381.V296515.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): “Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service.” The management of the service has improved since the last inspection as evidenced through the significant changes in the record keeping, staff training, quality assurance and other systems implemented. EVIDENCE: The registered manager was on holiday on the day of the inspection. Discussion with the deputy manager indicated that there is more discussion with the registered manager and an action of plan has been developed to improve the quality of the service. There has been significant improvement with the organisation of records, staff training and development, supervision, staff meetings and implementation of the home’s quality assurance system. Sunnyside Residential Home DS0000025381.V296515.R01.S.doc Version 5.2 Page 21 The registered manager must undertake appropriate training to maintain their knowledge and skills. Questionnaires have been sent out to service users and their family/representatives and a meeting has been arranged to provide feedback. The first meeting was held on 24th May 2006 and it is anticipated that these meetings would be approximately every three months. Some of the service policies have been reviewed to ensure that they reflect current legislation and best practice. Both the registered manager and assistant managers 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 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. Examination of staff files and discussion with staff confirm that individual staff supervision is provided to staff as well as ongoing supervision of their day-today work. All staff are having quarterly appraisal and this is linked to achieving targets. The record keeping in the care home has improved and information is readily accessible. The service carries out regular fire checks and most staff have received training in food hygiene, fire awareness, first aid and moving and handling. 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 has arranged for fire officer to visit the service at the beginning of September 2006 to review the home’s fire risk assessment. The home maintains a record of all accidents to service users and staff and a record is kept of incidents. The Commission has been notified of one incident at the care home. The service has a current Public Liability Insurance and records are kept of incoming and outgoing expenditure at the care home for accounting purposes. Sunnyside Residential Home DS0000025381.V296515.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 3 3 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 3 3 3 3 3 3 Sunnyside Residential Home DS0000025381.V296515.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 OP9 Regulation 13 Requirement The registered person must ensure that an accurate record is maintained of all service user medication administered. The registered person must ensure that a record is kept of alternative meals provided to service users. The registered person and registered manager undertake from time to time such training to ensure he has the necessary skills and experience for managing the care home. Timescale for action 30/07/06 2. OP15 13 & 17 30/07/06 3 OP31 10 30/07/06 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 Refer to Standard OP2 Good Practice Recommendations The registered provider should give each service user a copy of the home’s terms and conditions to promote equality amongst service users. DS0000025381.V296515.R01.S.doc Version 5.2 Page 24 Sunnyside Residential Home 2. OP6 The registered person should review the service user plans to provide staff with details of how to deliver service user needs and where necessary provide information on how to manage service user behaviour to promote consistency of care. The registered person should monitor the temperature of the cupboard where the medication trolley is stored. The registered person should maintain of concerns raised by service users and their representative and its outcome. 3. 4. OP9 OP16 Sunnyside Residential Home DS0000025381.V296515.R01.S.doc Version 5.2 Page 25 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. Extracts may not be used or reproduced without the express permission of CSCI Sunnyside Residential Home DS0000025381.V296515.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. 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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