Inspection on 15/11/06 for Sunnyview

This inspection was carried out on 15th November 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 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

Sunnyview 21/10/08

Sunnyview 10/12/05

Sunnyview 05/10/04

Sunnyview 21/07/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Sunnyview 25 Doncaster Road Ferrybridge Pontefract West Yorks WF11 8NT Lead Inspector Mr Tony Brindle Unannounced Inspection 15th November 2006 11:30 Sunnyview DS0000006264.V320518.R01.S.doc Version 5.2 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 Sunnyview DS0000006264.V320518.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 Adults 18-65. 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. Sunnyview DS0000006264.V320518.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sunnyview Address 25 Doncaster Road Ferrybridge Pontefract West Yorks WF11 8NT 01977 676530 01977 676530 sunnyview@mcare.info 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) Millennium Care Services Limited Mrs Jean Tovey Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Sunnyview DS0000006264.V320518.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th December 2005 Brief Description of the Service: Sunnyview is situated in Ferrybridge, with easy access to local facilities and Motorway networks. The home provides services to 6 individuals with learning disabilities and associated mental health needs. The home is on two floors, and each service user has their own room. There is an enclosed garden, which appeared to be well maintained. The home is generally well staffed, with service users being supported not just in the home, but to access their local community. Sunnyview DS0000006264.V320518.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. • As part of this full inspection, a visit to the home took place. • The inspector, Tony Brindle, visited the home unannounced. • Whilst at the home, key documents such as care assessments, care plans, daily records and the home’s policies were looked at, and so were the rooms. • 2 service users were spoken with. • 3 members of staff were spoken with, along with the manager. • Comment cards were sent to service users, their relatives and a number of visiting professionals. All the comment cards returned to the Commission prior to the visit-taking place were positive with people saying that they were satisfied with the care provided at Sunnyview. What the service does well: The work of the staff and the systems operated at the home make sure that people only move into the home once assurances have been given that their assessed needs can be appropriately met. Individual decision-making is effectively promoted. Independent risk taking is supported by individual risk assessments based on individual need. The systems and procedures operated by the staff at the home make sure that the assessed needs of the service users are set out in a plan, ensuring that their health, physical and social needs are recorded, along with the actions needed to be taken by the staff. It is clear that the daily routines and rules about living in the home promote independence, and individual choice. The systems and procedures followed by the staff at the home make sure that the healthcare needs of people, including medication requirements, are assessed and recorded, and opportunities are created to make sure these needs are met. Service users receive personal support in the way they prefer and require. Service users are safeguarded by way of excellent systems operated within the home. External agencies such as the Commission and Social Services are kept informed of incidents. The staff are well trained and aware of how to respond to complaints and incidents. Service users live in a clean and comfortable home. People living at the home are supported by a well trained staff team, and they are safeguarded by an efficient staff recruitment system. The health and welfare of the service users and staff is protected by the safety systems operated by the home. Service users experience good quality support and care. The home is run in a manner that ensures the best interests of the service users. Sunnyview DS0000006264.V320518.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Sunnyview DS0000006264.V320518.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Sunnyview DS0000006264.V320518.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The work of the staff and the systems operated at the home make sure that people only move into the home once assurances have been given that their assessed needs can be appropriately met. EVIDENCE: Potential service users and their families are treated as individuals and with dignity and respect. Staff from the home go to visit prospective service users, and obtain as much information as possible from the person and their representative. Evidence of this was seen in people’s individual records. It is clear from the records and people’s comments that the assessment focuses on achieving positive outcomes for people and this includes ensuring that the facilities, staffing and specialist services provided by the home meet the ethnicity and diversity needs of the individual. Sunnyview DS0000006264.V320518.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individual decisionmaking is effectively promoted. Independent risk taking is supported by individual risk assessments based on individual need. The systems and procedures operated by the staff at the home make sure that the assessed needs of the service users are set out in a plan, ensuring that their health, physical and social needs are recorded, along with the actions needed to be taken by the staff. EVIDENCE: Personal plans reflects people’s changing hopes, choices, needs and responsibilities. Staff develop with people living in the home a personal plan that details their needs and preferences. People living at the home can receive a copy of their personal plan to keep. Personal plans are reviewed every month, or sooner if people want. If people want, the staff will support individuals to do this. If a person’s personal plan says an individual should have opportunities for education, training and work, staff will help the person find these. The service user plan is developed in partnership with the service Sunnyview DS0000006264.V320518.R01.S.doc Version 5.2 Page 10 user, based on an efficient assessment. Where people have limited communication, staff are skilled in using other methods of engagement. Sunnyview DS0000006264.V320518.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. It is clear that the daily routines and rules about living in the home promote independence, and individual choice. EVIDENCE: Individual choices of food and drink vary, as do dietary needs. Although individuals are living in a care home, service users continue to be very much part of their own community, and enjoy ordinary daily life. It is clear that the daily routines and rules about living in the home promote independence, and individual choice. The service actively encourages and provides varied opportunities for people to develop and maintain social, emotional, communication and independent living skills. Sunnyview DS0000006264.V320518.R01.S.doc Version 5.2 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The systems and procedures followed by the staff at the home make sure that the healthcare needs of people, including medication requirements, are assessed and recorded, and opportunities are created to make sure these needs are met. Service users receive personal support in the way they prefer and require. EVIDENCE: Personal plans describe the way people will receive the individual support and care that people need. People are registered with their a GP and dentist. If a care review shows that people need help or advice, for example, from a speech therapist, dentist, GP, dietician or someone else, staff will arrange this and help people to follow any advice they have been given. Sunnyview DS0000006264.V320518.R01.S.doc Version 5.2 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are safeguarded by way of excellent systems operated within the home. External agencies such as the Commission and Social Services are kept informed of incidents. The staff are well trained and aware of how to respond to complaints and incidents. EVIDENCE: Policies and procedures are in place with to safeguard people in relation to confidentiality, fire, emergencies and missing persons. Physical intervention is used only as a last resort by trained staff and only then to protect the rights and best interests of the service user. The staff team try to prevent a service user from reaching the point where physical intervention becomes necessary i.e. de-escalation. Concise recordings was seen where any physical intervention had been initiated. Staff have had received training in the use of physical intervention procedures. This was evidenced within the home’s training records. The home has polices and practices that safe guarded the handling of people’s monies. Appropriate policies and procedures in relation to safeguarding people are in place and staff are not employed to work at the home before all appropriate checks have been undertaken. Sunnyview DS0000006264.V320518.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a clean and comfortable home. EVIDENCE: The premises were found to be clean, hygienic and free from offensive odours with systems are in place to control the spread of infection. It is clear from touring the building that the home provides a physical environment that is appropriate to the specific needs of the those who live there. Individuals said that they are encouraged to personalise their bedrooms. The location and layout of the home was found to be suitable for its stated purpose. The building was found to be accessible and well-maintained. A number of service users said that the home was comfortable and homely. Sunnyview DS0000006264.V320518.R01.S.doc Version 5.2 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People living at the home are supported by a well trained staff team, and they are safeguarded by an efficient staff recruitment system. EVIDENCE: The service has a well-developed recruitment procedure. This was evidenced within the records. The service has a well-developed internal training system which compliments formal training. This was evidenced within the records. The roles and responsibilities of staff are clearly defined and understood, which is based on accurate job descriptions and specifications. There are contingency plans for cover for vacancies and sickness and there is little use of any agency or temporary staff. This was evidenced within the records. The interview and selection process is based upon identified criteria that are closely related to the job being advertised and supports the procedure. All elements of recruitment are accurately recorded and the required documentation is always received Sunnyview DS0000006264.V320518.R01.S.doc Version 5.2 Page 16 prior to the employee starting work. Staffing levels reflect the needs of the people living at the home, and rotas are flexible to fit around the lifestyles of individuals. Key workers have specific allocated time to spend with individuals. Staff were seen to have the skills to communicate effectively with people living at the home. Records relating to staff meetings are used for consultation, training and the involvement of staff in the development of the service. Sunnyview DS0000006264.V320518.R01.S.doc Version 5.2 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The health and welfare of the service users and staff is protected by the safety systems operated by the home. Service users experience good quality support and care. The home is run in a manner that ensures the best interests of the service users. EVIDENCE: Weekly health and safety checks are carried out, along with weekly medication checks. Management visits take place on a monthly basis, as do health and safety and medication audits. The home is externally reviewed on a annual basis in relation to health and safety issues. The manager has the required competencies and skills to run the home. The staff said that they feel there is a strong culture of being open and transparent in all areas of running of the Sunnyview DS0000006264.V320518.R01.S.doc Version 5.2 Page 18 home. The service has sound policies and procedures, which the manager and organisation effectively reviews and updates, in line with current thinking and practice. Efficient systems are in place to monitor staff adherence to policies and procedures during their practice e.g. direct observation, supervision and team meetings. The health and safety records were found to be of a good standard and are routinely completed. The service has an annual quality assurance scheme, which involves sending surveys out to people associated with the home. The Commission awaits the results of the annual survey. Sunnyview DS0000006264.V320518.R01.S.doc Version 5.2 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 4 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 4 X Sunnyview DS0000006264.V320518.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? 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 Sunnyview DS0000006264.V320518.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection St Paul’s House 23 Park Square South Leeds LS1 2ND 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. 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