Random inspection report
Care homes for older people
Name: Address: Sunnyside Rest Home Coupland Close Whitworth Lancashire OL12 8QQ one star adequate service 24/06/2009 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Susan Hargreaves Date: 2 9 0 9 2 0 0 9 Information about the care home
Name of care home: Address: Sunnyside Rest Home Coupland Close Whitworth Lancashire OL12 8QQ 01706659917 01706659917 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Whitworth Elderly And Disabled Care Trust care home 11 Number of places (if applicable): Under 65 Over 65 11 old age, not falling within any other category Conditions of registration: 0 The registered person may provide the following category 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: 11 Date of last inspection Brief description of the care home Sunnyside is a purpose built care home situated near to the local amenities in Whitworth. The home has a small garden for residents who wish to sit outside when the weather permits. There is also a small car park for staff and visitors. Sunnyside offers 24-hour personal care for up to 11 residents. Accommodation is provided in single and twin-bedded rooms. Communal rooms include a lounge and dining room. Sunnyside is linked to a busy and thriving day care centre, which plays an active part
Care Homes for Older People Page 2 of 8 2 4 0 6 2 0 0 9 Brief description of the care home in the close knit local community. Residents from Sunnyside are invited to participate in the activities available at the day care centre. The current fees charged at Sunnyside are £400 per week. Additional charges are payable for hairdressing and newspapers. A copy of the statement of purpose and service user guide is available to prospective service users and their relatives on request. Care Homes for Older People Page 3 of 8 What we found:
The reason for this random inspection was to monitor the progress made with meeting the requirements about care planning and the management of medication issued at the last key inspection of 24 June 2009. We looked at the care plans of five people using the service. These plans identified the health and personal care needs of each person and provided clear directions for staff to follow to ensure their individual needs were met in the way they preferred. The care plan for a person who could become frustrated advised staff to speak calmly to them. Another care plan directed staff to carry the persons handbag so that she had both hands free to hold a walking frame. Some of the care plans were not dated or signed on the day they were written. The manager was advised to ensure all care records are dated and signed so that members of staff and other healthcare professionals can tell if these are up to date. Although care plans were not routinely reviewed every month they were updated when the needs of the person changed. However, a new style of care plan was gradually being introduced and this included space for writing a review of the care provided. Appropriate risk assessments including ones for falls, nutrition and the development of pressure sores were in place. These were usually up to date and there was evidence that some had been reviewed monthly. Guidance for staff to follow about how to manage identified risks was also included in the care plans. Medication was stored correctly and administered by members of staff who had been trained in the management of medication. At the key inspection of 24 June 2009 only one member of staff who worked night shifts was qualified to administer medication. The manager explained that all the night staff were doing medication training and when they have been assessed as competent they will be allowed to give out medication. This will ensure that people using the service will not have to wait until the day staff come on duty to be given medication that has to be taken before breakfast. We checked a sample of medication records and stock but found it difficult to account for some medication. This was because some packets of medication were not dated on opening and the amount of medication left over from the previous month was not always recorded on the new medication administration record. Keeping detailed and accurate records help prevent the mishandling of medication. However, members of staff were recording when a variable dose of medication had been given for example one or two tablets. A number of people were prescribed medication to be taken when required. Clearly written instructions were in place for staff to follow stating if the person was able to tell them when they needed their medication or what signs and symptoms they displayed if they could not. This ensures people using the service are given their medication when they need it. The manager said that her deputy was responsible for auditing the management of
Care Homes for Older People Page 4 of 8 medication. However, it was unclear what this involved and there were no records to support this process. The manager then explained that the person who was currently providing the medication training was going to help the deputy manager to develop an effective system for checking medication. The manager said she had discussed with the trust the possibility of her having additional time to fulfill her managerial responsibilities when she was not required to provide hands on care. This had resulted in allowing her more supernumerary time when necessary. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 9 24 A system must be put in place to regularly audit all aspects of the management of medication including staff competence. This will ensure medication is managed safely. 25/09/2009 2 38 37 The registered manager must ensure that the Commission is notified of all occurrences listed under regulation 37 of the Care Homes Regulations 2001. This will enable the Commission to monitor any issues in order to ensure that they are being managed correctly. 14/08/2009 Care Homes for Older People Page 6 of 8 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 7 All care plans and risk assessments should be reviewed monthly in order to ensure the information they contain is up to date. All care plans should be signed and dated on the day they are written. All containers of medication should be dated when they are opened and the amount of medication left over from the previous month should be recorded on the new medication administration record. This will ensure medication is managed correctly and enable accurate checks to be made. 2 9 Care Homes for Older People Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 8 of 8 - 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!
