CARE HOMES FOR OLDER PEOPLE
Sunnyside Residential Home Crewkerne Road Chard Somerset TA20 1EZ Lead Inspector
Michelle Oliver Announced Inspection 6 October 2005
th 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 DS0000057862.V249967.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Sunnyside Residential Home DS0000057862.V249967.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Sunnyside Residential Home Address Crewkerne Road Chard Somerset TA20 1EZ 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) 01460 61623 Mrs Shirley Ann Pontefract Mrs Shirley Ann Pontefract Care Home 14 Category(ies) of Old age, not falling within any other category registration, with number (14) of places Sunnyside Residential Home DS0000057862.V249967.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. One named service user under the age of 65 Date of last inspection 10th March 2005 Brief Description of the Service: Sunnyside provides services for up to 14 service users under the registration category of Older people. The registered provider and manager is Mrs Ann Pontefract. The home is close to the centre of Chard. There is a large supermarket nearby and the amenities of the town centre are within walking distance for those physically fit and who have awareness of dangers from traffic. The home provides residential services on two floors. The first floor is accessed by a passenger lift. The registered manager lives on the floor above. Outside there is a drive leading to the front door and car parking area. There is a small garden area with a patio at the end of the drive. This area is protected from the main road by a high hedge. The main garden is at the back of the property with access on both sides. Side paths have been made safe with gates because of the busy road. Sunnyside Residential Home DS0000057862.V249967.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection took place on Thursday 6th October 2005 from 9.30am to 2.pm. The provider/manager, Mrs Ann Pontefract was present throughout the inspection. The inspector spoke to 8 residents on this visit. All members of staff on duty also took part in the inspection. The atmosphere in the home was warm, welcoming and friendly and residents were relaxed, content and spoke highly of the care they received in the home. The inspector looked around the home, a number of records were inspected, which included pre inspection questionnaire, residents care plans and staff files. The manager and staff were very helpful on the day of the inspection and a lot of positive discussions, advice and suggestions took place throughout the inspection. What the service does well: What has improved since the last inspection?
The laundry room has been refurbished and now includes a double sink supplied with hot water. Bath taps have been fitted with thermostatic valves to ensure that residents risk of scalding are minimised. A storage unit has been constructed outside providing storage for non-perishable foods and two freezers. Residents are now able to choose to take part in a variety of activities on a daily basis. At the time of the inspection residents were enjoying a game of bingo and looking forward to a general knowledge quiz in the afternoon. Sunnyside Residential Home DS0000057862.V249967.R01.S.doc Version 5.0 Page 6 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 DS0000057862.V249967.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Sunnyside Residential Home DS0000057862.V249967.R01.S.doc Version 5.0 Page 8 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 &6 Service users benefit from good admission and assessment practice that ensures that the home is able to meet their needs. EVIDENCE: Residents’ care needs are well met through a full assessment process that is carried out before a resident decides to live at the home. Care plans are completed from this information. A comprehensive assessment was seen for two residents recently admitted to the home. The home does not admit residents for intermediate care. Sunnyside Residential Home DS0000057862.V249967.R01.S.doc Version 5.0 Page 9 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 & 8. Residents’ health and social care needs are well met and promoted by good planning arrangements. Residents’ privacy and dignity are met and promoted by the staff and management team at Sunnyside. EVIDENCE: Records are properly kept for each resident. They include good guidance on help needed with mobility and risk of falls. Staff showed clear respect for residents’ privacy, for example they knocked on bedroom doors and waited to be asked in before entering. The home promotes residents’ welfare in cooperation with families and health care professionals. Sunnyside Residential Home DS0000057862.V249967.R01.S.doc Version 5.0 Page 10 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): 14 & 15. Residents are encouraged to maintain their independence, exercise choice and take control of their lives. A variable, nutritious diet is provided at the home. EVIDENCE: Staff and management at Sunnyside encourage residents to make decisions about the ways in which they like to live their daily lives. All the residents spoken to said that they live their lives as they like and that routines are kept to a minimum. Many commented that mornings times tended to be busy but afternoons could be quiet. All residents living at the home spoken to said that the ‘food is good’ and that they liked the daily choices offered. For example one resident said, “If you don’t like something they’ll change it”. Menus showed a varied, balanced and nutritious diet. The meal on the day of inspection reflected this. Sunnyside Residential Home DS0000057862.V249967.R01.S.doc Version 5.0 Page 11 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16. The home has a robust complaints procedure and residents feel they can raise any issues or concerns and these will be taken seriously and acted upon. EVIDENCE: The home has a detailed complaints procedure. No complaints have been made since the last inspection. Residents say that any minor ‘niggles’ or ‘moans’ are acted upon immediately. Sunnyside Residential Home DS0000057862.V249967.R01.S.doc Version 5.0 Page 12 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): 21, 25 & 26 The standard of the environment within the home is very good providing the residents with an attractive and homely place to live. Residents’ rooms suit their needs and have been personalised. Attention has been made to the safety of residents and staff. EVIDENCE: The property is very well maintained, with homely and comfortable communal spaces. Residents confirmed that they felt that they were safe and that the home is well maintained. The home was attractively decorated and well maintained internally and externally. The standard of furniture, furnishings, fittings and equipment is of a high quality. Residents’ rooms were personalised with sentimental items, photographs and small pieces of furniture and all expressed their satisfaction with the accommodation provided. The home was very clean and free from offensive odours throughout. The laundry facilities were well organised and met the National Minimum Standard. Sunnyside Residential Home DS0000057862.V249967.R01.S.doc Version 5.0 Page 13 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 Residents benefit from having skilled, experienced and friendly staff who have a good understanding of their needs. EVIDENCE: The manager aims to provide 3 carers on duty between 8am-2.30pm, 2 between 2.30pm and 8.30pm and 1 sleeping and waking carer on duty between 8.30 pm an 8.am. The manager is currently recruiting two carers to join the existing team. A resident said, “ This is my home. All the staff and manager do everything they can to make it a happy one”. During the visit staff spent time with residents and responded to their needs promptly. Sunnyside Residential Home DS0000057862.V249967.R01.S.doc Version 5.0 Page 14 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, 36, & .38 The manager provides clear leadership and guidance to staff to ensure that residents receive consistent care in a safe environment. EVIDENCE: Residents and staff confirmed that the manager is approachable and seeks to ensure that all their needs are met. The systems for residents, staff and relatives consultation are good with evidence that indicates residents’ views are both sought and acted upon. Safe working practices are employed and risk assessments are undertaken. Records show that staff undertake regular training in the prevention of fire. All staff were up to date with mandatory training. Safety checks to the fire equipment and system were maintained. Gas and electric systems, mobile equipment and mobile hoist had been serviced. Risk assessments relating to health and safety issues were completed.
Sunnyside Residential Home DS0000057862.V249967.R01.S.doc Version 5.0 Page 15 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 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 X 11 X X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X X X 3 X X X 3 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 X 3 X 3 Sunnyside Residential Home DS0000057862.V249967.R01.S.doc Version 5.0 Page 16 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. Standard Regulation Requirement Timescale for action 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 DS0000057862.V249967.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Exeter Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY 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 DS0000057862.V249967.R01.S.doc Version 5.0 Page 18 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
