Inspection on 25/06/08 for Sunnyside Residential Home

This inspection was carried out on 25th June 2008.

CSCI found this care home to be providing an Adequate service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Sunnyside Residential Home 16/10/07

Sunnyside Residential Home 13/11/06

Sunnyside Residential Home 21/03/06

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 28/09/2008.

CARE HOMES FOR OLDER PEOPLE Sunnyside Residential Home Adelaide Street Bolton Lancashire BL3 3NY Lead Inspector Grace Tarney Unannounced Inspection 25th June 2008 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.V366464.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.V366464.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.V366464.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 27 Date of last inspection 16th October 2007 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 27 single bedrooms; three bedrooms have an en-suite toilet and hand basin. There is a comfortable lounge, a dining room and a conservatory that is the designated smoking area. Toilets and bathrooms are provided on all floors. The home has a pleasant garden area with seating that can easily be reached from the conservatory. The fees for the home are £358 68 a week. For a room with an en-suite toilet the fees are £366.68. Additional charges are made for private chiropody, hairdressing and newspapers. This information was received on the 25th June 2008. A copy of the most recent inspection report is displayed in the entrance hall. Sunnyside Residential Home DS0000009306.V366464.R01.S.doc Version 5.2 Page 5 Sunnyside Residential Home DS0000009306.V366464.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. The home was not told that this inspection was to take place although many weeks before the inspection, questionnaires (comment cards) were sent out to the residents, their relatives and the staff. The questionnaires asked what people thought about the care and quality of the service provided. 13 were received from residents, 7 from relatives and 4 from staff. What they felt about the care and services provided is written in different sections throughout this report. Also before the inspection we (The Commission) asked the manager of the home to complete a form called an Annual Quality Assurance Assessment (AQAA) to tell us what they did at present, what they felt they did well and what they needed to do better. This helps us to determine if the management of the home see the service they provide the same way that we do. We spent 8 hours at the home and during this time we examined care and medicine records to make sure that the health and care needs of the residents were being met. We also looked around the building at all of the bedrooms, bathrooms, toilets and sitting areas to check if they were clean, warm and well decorated. We also looked at the menus and looked at what the residents had for their breakfast, lunch and evening meal. We also checked how many staff were provided on each shift to make sure the residents needs were being met, and also looked at how management recruit and train their staff. We also looked at how management check that the care and services that they provide is what the residents and their relatives want, or expect. How the home manages the residents’ spending money was also looked at. In order to get further information about the home we also spent time speaking to 2 residents and 2 care staff. What the service does well: Sunnyside Residential Home DS0000009306.V366464.R01.S.doc Version 5.2 Page 7 The manager makes sure that the staff only care for those people whose needs they can meet. The residents’ care plans contain a lot of important information about what they need help with, and how they are to be cared for. Residents feel that they are well looked after by the staff and residents and relatives made the following comments: • The day-to-day care is very good. Staff always show concern for the residents. • They always offer a cheerful yet compassionate friendly service. • The care home is clean and friendly and the staff look after the residents very well. I have no complaints whatsoever. • It makes a happy friendly atmosphere at all times. • Sunnyside has very good staff who care about their charges. The meals provided are varied and nutritious and the residents have a good choice of menu. In order to protect the residents from harm, management make sure that they check people out properly and safely before offering them a job. What has improved since the last inspection? What they could do better: They must continue with the redecoration and refurbishment programme so that the residents can live in pleasant surroundings. To protect the privacy and dignity of the residents they need to make sure that over riding safety locks are fitted to all bathroom and toilet doors. More attention must be paid to reducing the risk of infection/contamination by making sure that staff hand washing equipment is in place wherever personal care is being given and clinical waste is handled properly. Sunnyside Residential Home DS0000009306.V366464.R01.S.doc Version 5.2 Page 8 Management must make sure that the residents are protected from harm by making sure that hazardous substances are always locked away. They must also make sure that the hot water heaters in the toilets are always working efficiently and do not discharge water that is too hot. 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.V366464.R01.S.doc Version 5.2 Page 9 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.V366464.R01.S.doc Version 5.2 Page 10 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): 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are properly assessed before they are admitted to the home and this gives an assurance to everybody that a person is only admitted if the staff can meet their needs. EVIDENCE: Before any resident was admitted to the home a senior member of staff from the home undertook an assessment of their needs. The assessment looks at what help and support the prospective resident needs in all aspects of daily life. The 2 assessments looked at were detailed and gave a clear indication of the residents’ needs and what they could and could not do for themselves. Comments from residents were: • The care manager and the carer visited me in hospital prior to my admission. They brought me a leaflet and my family also viewed the home before I decided to go to the home. Sunnyside Residential Home DS0000009306.V366464.R01.S.doc Version 5.2 Page 11 • My family came to visit and the manager showed us round. I was also invited to spend a day at Sunnyside before my admission if I wished. Standard 6 does not apply. The home does not provide Intermediate Care. Sunnyside Residential Home DS0000009306.V366464.R01.S.doc Version 5.2 Page 12 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. The care plans show what care needs the residents have and care practices ensure that their needs are met in a safe and caring way. EVIDENCE: Individual care plans were in place for each resident. The care plans of 3 of the residents were looked at. They were detailed and gave clear instruction and guidance on how the care needs of the residents were to be met. They also provided a lot of information about the residents’ daily routine, their past life and their interests. The care plans were reviewed regularly so that any change in their condition could be identified and appropriate action taken. One of the care plans was not as up to date as it should have been. The needs of the resident had changed and although she was being cared for properly the care plan did not show the change in the care being provided. The manager agreed to update the care plan the following day. Sunnyside Residential Home DS0000009306.V366464.R01.S.doc Version 5.2 Page 13 The care plans detailed the religious and cultural needs of the residents. One resident was of the Muslim faith and her cultural and dietary needs were being met. Staff were aware of what she could eat and she was served Halal food. The staff were able to communicate with her as she was English speaking. Another resident was Italian and could speak some English. A member of the staff was also able to speak with her in Italian. The staff looked at whether or not there was any risk in relation to the residents developing pressure sores, any risk of falling and also if they were at risk due to problems with their diet and fluid intake. They also looked at and they wrote down how any resident was to be assisted with being moved around and by how many members of staff and what equipment, if any, was to be used to assist in safe moving and handling. The care plan of one of the residents did not have any of the above risk assessments in. We were told that a resident had removed them. The manager agreed to make sure that they were in place the following day The care files also contained a transfer form with the residents’ details on so that in the event of an emergency admission to hospital all the relevant information would be available very quickly. That is really good practice. Inspection of the care files showed that the residents had access to health care professionals, such as dentists, opticians, district nurses and chiropodists. The following were some of the comments made by relatives and residents: • The staff are always understanding of my needs. • If I feel ill the staff get the doctor to visit. • I can confirm that the care home provide excellent support to my relative. A safe system of medicine management was in place. Medicines are kept in a locked room in locked cupboards and a medicine trolley. The medication keys were held securely and the trolley was secured to the wall when not in use. Controlled drugs were stored and recorded, correctly and safely. Only staff who are suitably trained in medicine management handle the medicines. The following needed putting right: • A prescription for a painkiller stated that the resident was to take one or two every four to six hours when required. Staff were not always writing whether either one or two had been given. It is important to do this to ensure that staff are aware of just how much pain killer the resident has had. Staff were discreet when providing assistance to the residents. Staff spoke to the residents in a quiet and respectful way. Staff confirmed that the importance of ensuring privacy, respect and dignity is part of their initial Sunnyside Residential Home DS0000009306.V366464.R01.S.doc Version 5.2 Page 14 training. The residents looked clean and comfortable and were suitably dressed. We were concerned to find that some of the toilets and bathrooms were either without a lock or had a broken lock on the doors. The failure to provide these compromises the privacy and dignity of the residents. We discussed this with management and they agreed to fit new locks as soon as they could. Sunnyside Residential Home DS0000009306.V366464.R01.S.doc Version 5.2 Page 15 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 good. This judgement has been made using available evidence including a visit to this service. Residents are able to exercise choice and control over their lives and are given a choice of well-balanced and nutritional meals. EVIDENCE: The residents’ routines of daily living and their social interests were recorded in their care plans. Some of the residents spent most of the day in their rooms. They told us that this was their choice and that they were free to come and go as they pleased. An activities co-ordinator is employed by the home and works 2 days a week. The residents can enjoy armchair aerobics as well as arts and crafts. During the inspection visit we saw that the residents were doing baking with salt dough and were enjoying themselves. We were told that every month the residents have either a film show or a musical afternoon. A big-screen television has recently been bought for their enjoyment. Sunnyside Residential Home DS0000009306.V366464.R01.S.doc Version 5.2 Page 16 The majority of residents had a Church of England or Roman Catholic religious faith and staff told us that the clergy visit the home on a regular basis and will also visit on request. We saw visitors coming and going but were not able at the time to chat to them. We were told that the residents may handle their own finances if they are able and wish to do so, although most are dealt with by their families. We did not eat with the residents but saw what they were having for lunch. The meal served was home cooked, plenty of it, and it looked appetising and nutritious. The residents have a choice of food at breakfast, lunch and teatime. They have the main meal at lunchtime and the lighter meal in the evening. Inspection of the menus and a discussion with the cook showed that there is always a choice of menu. Fresh fruit was available and hot and cold drinks were served throughout the day. Any cultural or dietary needs, likes and dislikes were looked at when a resident is first admitted to the home. Comments from relatives and residents were: • They do good home cooking. • The food is good and varied and Mum enjoys it. Sunnyside Residential Home DS0000009306.V366464.R01.S.doc Version 5.2 Page 17 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 lack of safeguarding training puts the residents at risk of harm. EVIDENCE: A detailed complaints procedure was in place and was displayed in the reception area. The complaints procedure was also included in the Service User Guide. It is easy to understand and gives an assurance that complaints will be responded to within 28 days. No complaints have been made to us or to the home since the last inspection. We saw that documents were in place to record any complaint that may be made and includes details of the investigation and any action that would be taken. Comments from relatives and residents were: • I know how to complain. • No complaints or concerns so far. I would see the ladies in blue if I needed to complain. A discussion with management and inspection of the training files showed that not all the staff had received training in the safeguarding of vulnerable adults. To make sure that the residents are cared for properly and safely the staff must be properly trained. Management agreed to sort out the training and Sunnyside Residential Home DS0000009306.V366464.R01.S.doc Version 5.2 Page 18 they did contact us a few days later to tell us that training has been arranged with Bolton Local Authority. Sunnyside Residential Home DS0000009306.V366464.R01.S.doc Version 5.2 Page 19 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 20 21 24 25 &26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The residents live in suitably adapted surroundings that, in parts are in need of redecoration and refurbishment. The lack of good infection control procedures puts the residents at risk of harm. The lack of locks on toilet and bathroom doors does not protect the dignity and privacy of the residents. EVIDENCE: The home has a well laid out enclosed garden to the front of the home that had seating for the residents. There is also plenty of parking. Sunnyside Residential Home DS0000009306.V366464.R01.S.doc Version 5.2 Page 20 Accommodation is provided on three floors and can be reached either by a lift or stairs. The corridors throughout the home had grab rails in place to help any resident with a mobility problem. Downstairs there is one large lounge, a smaller lounge and a large dining room. There is also a conservatory that is the designated smoking area. The conservatory did not have a call bell in place. As it is not permissible by law for the residents to be physically supervised in a smoking area, it is essential to have a call bell, so that the residents can summon help if necessary. Toilets were close by to bedrooms and lounge areas. Most of the toilets and 2 of the bathrooms were either without a lock or had a broken lock on the door. This fails to protect the privacy and dignity of the residents. We looked at all of the bedrooms. They were clean and some had been redecorated. Many of the bedrooms were very sparse and some were in need of redecoration. Several had low metal-framed beds and 1 of the bed headboards had paint on it. Some of the bedrooms had a bolt on the outside of the door and we were told that these had been on for a long time but were not used. One of the bedrooms also had a star lock on. Management were asked to remove them as soon as possible. We were assured that they would be removed and we were told that they had probably been put on to stop residents wandering in other peoples ‘rooms. Some of the bedrooms had an over riding safety lock on the door. The locks however did not have a key. This meant that a resident could not lock their door when they left their room. We discussed this issue with management and it was agreed that on admission, a resident would be asked if they would like an overriding safety door lock with a key. A comments from a relative was: • The home is always kept clean and tidy and free from nasty smells. The radiators throughout the home were suitably covered and we were informed that thermostatic control valves were fitted to baths and showers. This reduces the risk of residents being harmed by protecting them from accidental burning or scalding. Some of the hot water heaters for the sinks in the toilets were faulty. They were either not providing hot water or the water was too hot. This puts the health and safety of the residents at risk. Management arranged for a plumber to come to sort out the problems. The plumber visited the home whilst we were there and made the water heaters safe. Early the following week we were told by management that the heaters had either been replaced or repaired. We did see issues of concern in relation to the control of infection. Sunnyside Residential Home DS0000009306.V366464.R01.S.doc Version 5.2 Page 21 The home either did not have bins for clinical waste in areas where it was being handled or where they were in place, they were without a lid. Clinical waste needs to be put into bins that are pedal operated to reduce the chance of staff touching the surface of the bin and therefore spreading infection. We also saw sponges in the bathroom that were in general use. This is not good practice and can lead to the spread of infection. Staff hand washing equipment such as liquid soap and paper towels was not available in bedrooms and in one of the bathrooms. . To help prevent the spread of infection they should be in places where personal care is being delivered and clinical waste is handled. The laundry looked well organised and had enough equipment to provide an efficient laundry service. Sunnyside Residential Home DS0000009306.V366464.R01.S.doc Version 5.2 Page 22 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 good. This judgement has been made using available evidence including a visit to this service. The residents’ needs are met by enough staff that are suitably experienced and safely recruited. EVIDENCE: Inspection of the duty rotas and a discussion with staff and information from the surveys returned showed that there was enough staff on duty over a 24hour period to meet the needs of the residents living in the home. The following comments were made in the surveys received: • The staff are very understanding and when I get down because of my situation they are kind and always make me smile. • Sunnyside has very good staff who care about their charges. • The staff are all helpful and friendly. • They always offer a cheerful yet compassionate friendly service. The information from the AQAA document sent to us, and the information that we looked at in the training file, showed that 75 of the staff had obtained their NVQ level 2 in care. This is really good progress. Sunnyside Residential Home DS0000009306.V366464.R01.S.doc Version 5.2 Page 23 The personnel files of 2 staff members were inspected. All were in order and these staff had been properly and safely employed. This helps protect residents from being cared for by unsuitable people. The information received from the AQAA document sent to us, and the training file that we looked at, showed that management provide a detailed staff induction programme for all newly employed staff. This is to make sure that they understand what is expected of them and that people are cared for properly and safely. The information received from the AQAA document also told us about the training that the staff received. From a discussion with the manager and inspection of the records we saw that a wide range of appropriate and ongoing training in moving and handling, dementia care, basic food hygiene, fire safety, health and safety, medicine management and other relevant topics are provided to staff at the home. Management are aware however that there has been insufficient training in the safeguarding of adults and they have now secured training places for their staff. To ensure that the staff have the knowledge to care for and protect the residents, this has to be provided. Sunnyside Residential Home DS0000009306.V366464.R01.S.doc Version 5.2 Page 24 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 35 & 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Some areas of the home are not as safe as they should be thereby putting the health and safety of the residents at risk of harm. EVIDENCE: The registered manager has extensive experience in the care home sector and has been the manager of the home for 4 years. She holds a management qualification and keeps herself regularly updated with training, both in management and care issues. Staff and relatives spoke positively about her. They said that she was open, friendly, knowledgeable and approachable. Sunnyside Residential Home DS0000009306.V366464.R01.S.doc Version 5.2 Page 25 Management have developed their own quality assurance system within the home so that they can regularly check on the care and facilities they provide. The administrator is responsible for checking on lots of things within the home. She works alongside the manager and the owner. She then records her findings. We saw evidence of her reports on some of the following: Staff Records, Health and Safety, Hygiene Control, Catering, Resident Contracts, Residents records, Medications and Fire Doors. Management also send out survey forms every year to residents and relatives asking what they think of the services and facilities that they provide. The system for the safekeeping of residents’ money was good. Management only handle any “spending money” brought in by relatives. Individual records are made of all transactions and balances. Receipts are held for any purchases made and receipts are given to relatives when they deposit any money for their relative Information received from the AQAA sent to us and from random checking of the servicing records for the gas and portable appliances, showed that the homes’ fixtures, fitting and equipment are properly maintained and regularly serviced. We saw that regular weekly checking and testing of fire detection system, fire exits and emergency lights was undertaken and documented. We did see that the sluices on each floor were unlocked and they contained hazardous substances that could be harmful to health. Management were reminded of the dangers and they were told that the doors had to be kept locked. We were informed earlier the following week that bolts had been fitted to the sluice doors and that they were being kept locked. As previously stated in the Environment section of this report issues of concern were identified in respect of the following: • Health and safety issues. The risk of scalding from the hot water heaters in the toilets. • Infection control issues: The home either did not have bins for clinical waste in areas where it was being handled or, where they were in place, they were without a lid Staff hand washing equipment such as liquid soap and paper towels was not available in bedrooms and in one of the bathrooms. . To help prevent the spread of infection they should be in places where personal care is being delivered and clinical waste is handled. Sunnyside Residential Home DS0000009306.V366464.R01.S.doc Version 5.2 Page 26 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 1 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 2 2 3 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 3 x 3 x x 2 Sunnyside Residential Home DS0000009306.V366464.R01.S.doc Version 5.2 Page 27 Are there any outstanding requirements from the last inspection? NO 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 OP18 Regulation 13(6) Requirement To ensure that the safety of the residents is protected, staff must have training in the safeguarding of vulnerable adults. To protect the privacy and dignity of the residents, over riding safety door locks must be fitted to toilet and bathroom doors. You must make sure that residents are protected from avoidable risks to their health and safety. A call bell must be fitted in the conservatory. To protect the residents from harm, substances that are hazardous to health must be kept locked away. To protect the health and safety of the residents management must make sure that the hot water heaters in the toilets are always working efficiently and do not discharge water that is too hot. Timescale for action 31/10/08 2 OP21 12(4)(a) 31/07/08 3 OP22 13(4)(a) 31/10/08 4 OP25 13(4)(a) 25/06/08 5 OP25 13(4)(a) 25/06/08 6 OP26 13(3) To prevent the spread of 31/10/08 infection, wherever personal care is being delivered and clinical DS0000009306.V366464.R01.S.doc Version 5.2 Page 28 Sunnyside Residential Home waste is handled, staff and resident hand washing facilities such as liquid soap and paper towels must be provided. Clinical waste must also be handled safely. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Sunnyside Residential Home DS0000009306.V366464.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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.V366464.R01.S.doc Version 5.2 Page 30 - 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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