Inspection on 21/03/06 for Sunnyside Residential Home

This inspection was carried out on 21st March 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.

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 13/12/05

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 21st March 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.V286336.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Sunnyside Residential Home DS0000009306.V286336.R01.S.doc Version 5.1 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.V286336.R01.S.doc Version 5.1 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. 13th December 2005 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. Sunnyside Residential Home DS0000009306.V286336.R01.S.doc Version 5.1 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 six 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 and other staff, five residents, two relatives and three staff were spoken with. What the service does well: What has improved since the last inspection? What they could do better: The training for new staff, that shows them how to do the work, should be made better. The manager needs to look at ways of 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. Sunnyside Residential Home DS0000009306.V286336.R01.S.doc Version 5.1 Page 6 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.V286336.R01.S.doc Version 5.1 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.V286336.R01.S.doc Version 5.1 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): The above key Standard 3 was not examined at this inspection. It should however be noted that this standard was checked and met at the time of the previous inspection (December 2005). Sunnyside does not provide intermediate care services (key Standard 6). This standard does not therefore apply. EVIDENCE: Sunnyside Residential Home DS0000009306.V286336.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 and 10 Individual care plans are in place, which were up to date, regularly reviewed and provided the staff with the information they needed to give a good standard of care. Improvements to the care plans have enhanced the way that the residents care needs are described and provided. Care practices in the home ensure that the residents are treated with respect and their privacy and dignity is upheld. The above key Standards 8 and 9 were not examined at this inspection. It should however be noted that these Standards were met at the time of the previous inspection. 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 and updated at the required monthly intervals. Sunnyside Residential Home DS0000009306.V286336.R01.S.doc Version 5.1 Page 10 At the time of the previous inspection the inspector and the manager discussed the home’s method of writing down how care to the residents should be provided. The inspector then felt that when needs or risk assessment showed that changes were needed to the way care should be given that this was 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. A recommendation was then made that the manager should consider using a clearer way of describing residents care needs. The manager has since revised and improved a number of the residents care plans that now describe a clear step-by-step way of both providing and reviewing care needs with the information being laid out in a logical and easy to follow arrangement. Following discussion at the time of this inspection it was agreed that the above-described format would now be used for all of the residents care plans. Records looked at emphasised the need for the residents privacy and dignity to be respected at all times, and the staff gave examples of how the residents privacy and dignity were promoted in the home, such as when giving personal care. Residents said that the staff treat them with respect and that their dignity is valued, for example they said that the staff knocked on their bedroom doors before entering. Those residents spoken with said that the staff were “respectful”, “considerate”, “pleasant” and that “they (the staff) talk to us properly”. The staff were seen to have a good relationship with the residents, speaking to them in a natural, caring and friendly manner. Sunnyside Residential Home DS0000009306.V286336.R01.S.doc Version 5.1 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13 and 14. The visiting arrangements are flexible thus enabling residents to have good contact with family and friends as they please. Residents have choice about their daily routines, spending their time doing whatever they prefer. Where residents are unable to make choices the staff offer support in such a way that promotes the residents dignity and independence. The above key Standards 12 and 15 were not examined at this inspection. It should however be noted that these Standards were met at the time of the previous inspection. EVIDENCE: From talking with residents, relatives and staff the inspector confirmed that the visiting arrangements are flexible with these being described in the resident’s information guide. Those residents spoken with said that they “were free to see their visitors wherever they wanted to”. They described taking visitors to their bedrooms for privacy or seeing them in the main lounge. The residents said that visitors are made welcome and the visitors spoken with said that they are regularly offered refreshments. Sunnyside Residential Home DS0000009306.V286336.R01.S.doc Version 5.1 Page 12 The issue of residents being able to make choices is described in the home’s Statement of Purpose and also the Service User Guide. Due to their condition some of the residents have a limited ability to make decisions and choices about their day-to-day living arrangements. In discussion the staff said that they try to assist the residents with this by offering them choices about such things as what clothing to wear, when to rise and retire and helping to choose from the menu. The inspector saw this in the early afternoon when he spent some time in a lounge near to the dining room when the staff were seen to offer the residents assistance with deciding what they wanted to do and with what they wished to drink. Those residents that the inspector spoke with said that they made choices about what they wanted to do during the day, what time they got up or went to bed, and whether they spent time alone or with others. They said that were comfortable living at the home and that the home was “relaxed” and that “you can do what you like”. The residents are able to, and do bring personal items in to the home such as televisions, radios, photographs, pictures and mobile ‘phones. Sunnyside Residential Home DS0000009306.V286336.R01.S.doc Version 5.1 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The above key Standards 16 and 18 were not examined at this inspection. These Standards were assessed as being satisfactory at the time of the last inspection It should however be noted that in the period since the last inspection one complaint has been made directly to the CSCI.This has been fully investigated with some elements of the complaint not being upheld whilst others were unresolved. The home has taken appropriate action to deal with any issues arising. EVIDENCE: Sunnyside Residential Home DS0000009306.V286336.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 26. Sunnyside provides safe, clean, comfortable and friendly surroundings for the people living there. EVIDENCE: Sunnyside is generally properly maintained to both the inside and the outside. The conservatory, a lounge and the dining room have recently been fully redecorated with the carpets in these rooms having been deep cleaned. The inspector is of the opinion that decorative condition of some of the bedrooms, bathrooms, toilets and corridors is looking rather tired and that some of the furniture appears to be well used. These issues were discussed with the manager and one of the owners with the inspector suggesting that consideration be given to the development of an early refurbishment programme to address this work therefore ensuring that these areas are well presented The home has a garden area with seating that can easily be reached from the conservatory. Sunnyside Residential Home DS0000009306.V286336.R01.S.doc Version 5.1 Page 15 The home has acted upon any recommendations made by the local fire service and environmental health department thus everyone’s ensuring safety. The home has a properly equipped laundry and information regarding the control of infection is available. Residents clothing is marked to enable easy identification and the residents had no complaints about the laundry service provided by the home. The home was clean and tidy throughout and was free from any offensive odours therefore providing a pleasant place to live. Sunnyside Residential Home DS0000009306.V286336.R01.S.doc Version 5.1 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27. Enough staff are provided to make sure that the residents are properly looked after. Key standards 28, 29and 30 were examined at the time of the last inspection and they were largely met. These standards were therefore not checked in full at the time of this visit, but the requirements made previously regarding Standards 29 (Staff recruitment) and 30 (Staff training) were followed up. EVIDENCE: Looking at staff rotas showed that as well as employing care staff, the home also employs domestic and catering staff Many of the staff team have worked at the home for a considerable time, which ensures that residents are cared for by people they know and are familiar with. Staff morale was good with staff saying that “there is a good atmosphere” and that “we work together well as a group”. The residents said that the staff are “kind”, “happy to help” and that they were “patient and considerate”. 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 were Sunnyside Residential Home DS0000009306.V286336.R01.S.doc Version 5.1 Page 17 clear in stating that in their opinion there was enough staff to meet the needs and dependency levels of the residents living at the home. The staff were seen to have a natural and comfortable understanding with the residents and they had time to sit and talk with them. A requirement made at the time of the previous inspection (Standard 29) was that “The registered person must ensure that Criminal Record Bureau checks are fully completed before new staff are employed”. Random examination of three staff files showed that this requirement has been complied with. A further requirement made at the time of the previous inspection (Standard 30) was that “The registered person must ensure that new staff are given structured induction training” (e.g. Skills for Care format). At the time of the last inspection the home was looking at how such training should be provided. The manager told the inspector that the home has since decided to use the training facilities of Bolton Social Services Department to provide this instruction; this requirement is therefore repeated and progress with this will be checked at the next inspection. A recommendation made previously was that “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”. Examination of paperwork showed that this recommendation has been complied with. Sunnyside Residential Home DS0000009306.V286336.R01.S.doc Version 5.1 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): 33,35, 36 and 38. The home consults the residents and their families about the way that the service is run so that both improvements can be made and problems can be dealt with. A satisfactory accounting method is used which protects the resident’s interests. The staff are not being regularly offered formal supervision; therefore they are not being provided with the opportunity to discuss their work, development and possible training needs. Procedures and practices within the home promote and safeguard the health, safety and welfare of the people living and working in the home. The above key Standard 31 was not examined at this inspection. It should however be noted that this Standard was met at the time of the previous inspection. Sunnyside Residential Home DS0000009306.V286336.R01.S.doc Version 5.1 Page 19 EVIDENCE: A requirement of Standard 33 is that care homes must use quality assurance systems that are largely based on seeking the views of residents to measure their success in meeting the home’s aims and objectives. In August 2005 the home sought the views of both residents and their families by the use of survey questionnaires. The manager told the inspector that the home was in the process of repeating such a survey at the time of this inspection. The manager is reminded that when these questionnaires are returned the answers must be brought together in the form of a report so that both good and not so good comments are highlighted and steps can then be taken to deal with any issues. The home also undertakes twice yearly internal quality audits that cover a range of services and functions provided at the establishment. A report is produced and if necessary action is taken to deal with any shortfalls. The home holds money for a number of residents for safekeeping. This system was checked with the details found to be properly written down and with the correct amounts of money kept. Secure storage is available for the safekeeping of money and of any valuable items. At the time of the previous inspection a requirement was made that the care staff of a home must be given the opportunity to meet with their manager at regular intervals to discuss their work, development and possible training needs. The manager told the inspector that the home is in the process of developing a method of providing the staff with regular formal recorded supervision and a recorded annual appraisal of their work. Progress with this work will be checked at the next inspection. The home is safely maintained with fire precautions tests done weekly. Looking at records and maintenance certificates showed that these were up to date and the examination of paperwork and conversations with staff also confirmed that they had been provided with the necessary training so that they can work safely. The windows on the upper floors of the home are made in such a way as to stop them being opened too widely thus preventing the risk of accidents. Hot water temperatures at sinks are controlled so as to ensure that the water is not too hot. Sunnyside Residential Home DS0000009306.V286336.R01.S.doc Version 5.1 Page 20 The details of accidents are properly recorded. Sunnyside Residential Home DS0000009306.V286336.R01.S.doc Version 5.1 Page 21 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 1 X 3 Sunnyside Residential Home DS0000009306.V286336.R01.S.doc Version 5.1 Page 22 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 OP30 Regulation 18 Timescale for action The registered person must 30/06/06 ensure that new staff are given structured induction training (e.g. Skills for Care format). The registered person must 30/06/06 ensure that the care staff are given regular formal supervision and an annual appraisal with a written record made of both. Requirement 2 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 Refer to Standard OP19 Good Practice Recommendations The registered person should give consideration to the development of a decorating and furniture refurbishment programme therefore ensuring that the home is well presented. Sunnyside Residential Home DS0000009306.V286336.R01.S.doc Version 5.1 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.V286336.R01.S.doc Version 5.1 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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