Inspection on 21/06/05 for Sunridge Court

This inspection was carried out on 21st June 2005.

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

Sunridge Court 10/05/06

Sunridge Court 06/10/05

Sunridge Court 04/11/04

Sunridge Court 25/05/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE SUNRIDGE COURT 76 The Ridgeway Golders Green London NW11 8PT Lead Inspector Tom McKervey Announced 21 June 2005 @ 09.30 am 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 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. SUNRIDGE COURT G59 S10526 Sunridge Court V221443 21.06.05 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Sunridge Court Address 76 The Ridgeway, Golders Green, London NW11 8PT Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 8458 3389 020 8455 0902 sunridge.court@virgin.net Mr Brian Levy for Sunridge Housing Association Mrs Pamela Darroux PC Care Home only 46 Category(ies) of OP Old Age registration, with number of places SUNRIDGE COURT G59 S10526 Sunridge Court V221443 21.06.05 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1 Eight specified service users who are diagnosed with dementia may remain accommodated in the home for so long as the home is able to meet their needs. 2 The home must advise the registering authority at such times as any of the specified service users vacates the home. Date of last inspection 4 November 2004 Brief Description of the Service: Sunridge Court, which is owned by Sunridge Housing Association, provides care and support for up to 46 older people from the Progressive Jewish Community.The building has three storeys, with accommodation on the first and second floors for the more independent service users. All rooms have ensuite facilities.The majority of this group of service users live quite independently and have a very active lifestyle. Some of these service users still drive their own cars. There is a ten-bedded area, referred to as “the care unit”, on the lower ground floor of the home, which accommodates service users who are more frail, and require more support. Some of these service users have dementia. There is a separate small dining area provided for this group. There is a large dining room, a lounge and conservatory, on the ground floor. The administration area and an office are situated on the second floor. There is a large attractive garden at the rear, and a car park at the front of the premises. The home is situated in a pleasant area of Golders Green, and shops, restaurants and other amenities are a short distance away.The home is easily accessible by public transport. SUNRIDGE COURT G59 S10526 Sunridge Court V221443 21.06.05 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over a period of seven and a half hours. The lead inspector was assisted by another inspector. The registered manager was present throughout the inspection and gave every assistance in the process. The inspection was carried out by touring the premises, speaking to fifteen residents, three relatives and eight staff. These interviews were conducted independently of the managers. In addition, residents’ records and documents relating to the efficient running of the home were examined. Prior to the inspection, fourteen comment cards from service users, five from relatives and three from professional staff who have contact with the home, were sent to the Commission for Social Care Inspection. A sample of their comments have been included in the body of this report. What the service does well: What has improved since the last inspection? Previous inspection reports are now attached to the Service Users Guide, and a better there is a more appropriate approach to personal care issues. There is improved recording of the various activities that the residents take part in, and there is better recording of the testing of fire alarms. New accommodation is being prepared for visitors to the home who need to stay overnight. SUNRIDGE COURT G59 S10526 Sunridge Court V221443 21.06.05 Stage 4.doc Version 1.20 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. SUNRIDGE COURT G59 S10526 Sunridge Court V221443 21.06.05 Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection SUNRIDGE COURT G59 S10526 Sunridge Court V221443 21.06.05 Stage 4.doc Version 1.20 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 standard(s) 2, 3, 4 & 5. Standard 6 does not apply. There is good information available for service users and their representatives to enable them to make a decision about the ability of the home to meet their cultural, social and religious needs. EVIDENCE: The service contracts of four of the most recently admitted service users were examined. They contained terms and conditions of the service and were signed by the appropriate parties. SUNRIDGE COURT G59 S10526 Sunridge Court V221443 21.06.05 Stage 4.doc Version 1.20 Page 9 The four case files sampled, included records of detailed assessments by care managers, where appropriate, and the manager of the home. The home only admits people from the Jewish community, which meets the expectations of the residents, whose religious and cultural needs are met by the provision of appropriate meals and services. Service users and relatives who were spoken to, stated that they were able to visit the home prior to moving in. SUNRIDGE COURT G59 S10526 Sunridge Court V221443 21.06.05 Stage 4.doc Version 1.20 Page 10 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 standard(s) 7, 8, 9, 10 & 11 Service users’ individual needs are addressed through good care plans. However as the care plans are not regularly monitored and reviewed, there is a danger that the service users’ needs may not be met if their needs change. EVIDENCE: Four care plans of recently admitted residents were sampled. The plans were well structured and provided advice for staff about how to meet assessed needs. However, the care plans were not being regularly reviewed. There were records of healthcare appointments being attended by service users, including the G.P, hospital out-patients, dentists and chiropodists. Several service users self-administer their medication, and there were appropriate documents in place to support this. However, the medication standard was not being met, because, the records of administration of medicines did not always have the correct code entered when a medication was not given, and the temperature of the medication cupboard in the care unit was regularly too high. Staff were observed interacting with residents in a friendly and appropriate manner. Service users and relatives informed the inspector that they were always treated with respect, and their dignity was safeguarded, especially when personal care was being given. SUNRIDGE COURT G59 S10526 Sunridge Court V221443 21.06.05 Stage 4.doc Version 1.20 Page 11 The case files which were sampled, included the wishes of service users in the event of their death. SUNRIDGE COURT G59 S10526 Sunridge Court V221443 21.06.05 Stage 4.doc Version 1.20 Page 12 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 standard(s) 12, 13, 14 & 15 Service users enjoy a good quality of life in the home, and find their cultural, social and religious needs are consistently being met. The food provided is of a high standard, and the range of choice available to residents is excellent. EVIDENCE: SUNRIDGE COURT G59 S10526 Sunridge Court V221443 21.06.05 Stage 4.doc Version 1.20 Page 13 Service users informed the inspector that an outside entertainer provides music sessions once a month, which they enjoy. During the inspection, a discussion group was taking place, chaired by an occupational therapist. This takes place twice a week. Service users attend religious services that are held in the home and the local synagogue. The inspector was informed that, since the last inspection, residents from the care unit, are much more involved in activities in the main area of the home. The visitors book contained many entries of visits by friends and relatives. The inspector met with three relatives during the inspection. Service users who have mental capacity, manage their own financial affairs. Records showed that relatives or other appointees, manage the affairs of service users who are unable to. There was evidence in service users’ bedrooms that they were able to bring personal possessions with them to the home. The home has a policy about the Data Protection Act for service users to have access to personal records. Many service users described their experience as being, “like living in a hotel”. Comment cards from service users sent to the Commission for Social Care Inspection prior to the inspection, were very complimentary about the home; for example, “We are very lucky, there are absolutely no other homes like this.” The inspectors joined the service users for lunch, which was very nutritious and attractively presented. The menus showed a good variety of meals with plenty of choice. There were forms available each day in the dining room, for service users to indicate their preferred alternative to the planned meals. Service users stated that they could have meals provided in their rooms if they preferred. The dining room provided a pleasant environment and there were side tables containing various condiments to supplement the meals. There was a fridge in the dining room for residents to store personal items of food. All of these elements contribute to this standard being exceeded. SUNRIDGE COURT G59 S10526 Sunridge Court V221443 21.06.05 Stage 4.doc Version 1.20 Page 14 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 standard(s) 16 & 18 There are good systems and there is staff training in place to address complaints and to safeguard service users’ interests and welfare. EVIDENCE: The complaints procedure includes the Commission for Social Care Inspection’s contact details. Service users and relatives stated that they were very satisfied with the service, and the complaints book showed that eight complaints received in the past year, were recorded and addressed appropriately. The home has an appropriate policy on abuse and Barnet’s Adult Protection Procedure. Staff who were spoken to, showed a good understanding of their responsibilities in relation to reporting suspected abuse, and there were records of training in adult protection. Service users’ financial affairs are either managed by themselves or their representatives. The manager is not an appointee for any service user. SUNRIDGE COURT G59 S10526 Sunridge Court V221443 21.06.05 Stage 4.doc Version 1.20 Page 15 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 standard(s) 19, 23, 24 & 26 Service users live in a home that is clean and generally well maintained, and enjoy a comfortable and pleasant environment. EVIDENCE: SUNRIDGE COURT G59 S10526 Sunridge Court V221443 21.06.05 Stage 4.doc Version 1.20 Page 16 The home is purpose-built, and is very accessible by public transport . The home employs its own maintenance person who is responsible for general upkeep of the building. Outside contractors are also engaged for more specialist jobs. A tour of the premises, showed that the home was generally well maintained and the standard of décor was good. However, a screw was sticking out from a cupboard door on the first floor corridor, which could cause an injury. Eleven bedrooms were visited. Service users are accommodated within single en-suite rooms, which were spacious, light and well ventilated. There was a good standard of decoration and evidence of plenty of personal items of furniture, pictures and mementoes. The residents who were spoken to, said they were very pleased about the accommodation. There is a separate team of cleaning staff. At the time of the inspection, the home was very clean and tidy and there were no offensive odours. There is a control of infection policy in place and staff were observed wearing disposable gloves and aprons. However, the inspector noted that the waste bin in the care unit bathroom, did not have a pedal-operated lid. This is not hygienic. SUNRIDGE COURT G59 S10526 Sunridge Court V221443 21.06.05 Stage 4.doc Version 1.20 Page 17 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 & 30 Service users’ needs are generally being met, but there is a risk that the otherwise good quality of service could deteriorate at weekends, when there are insufficient numbers of staff available to meet their needs. In addition, there is a potential risk to service users’ safety and welfare from staff not having a current CRB clearance. EVIDENCE: SUNRIDGE COURT G59 S10526 Sunridge Court V221443 21.06.05 Stage 4.doc Version 1.20 Page 18 The staff rotas were seen. There is normally five staff on in the morning, three in the evening and three waking night staff plus a senior carer on duty, during the week. In addition, there are cleaning staff, a cook, a maintenance person and an administrator. An occupational therapist is employed for three sessions per week. However, the care staff rota, indicated that staffing levels often reduce at the weekend, although there was no evidence that workloads decrease. The staff expressed concern about this, and also stated that some of the senior carers did not help out when they were short-staffed. Some service users also complained to the inspector about staff shortages at the weekend, and said that consequently, their call bells sometimes took a long time to be answered. A requirement is made for staff levels to be maintained at the weekends, unless there is a significant reduction in workload. Nine care staff have attained NVQ 2 and five others were about to complete their training. This will result in 90 of the staff achieving the NVQ target for the home by the end of 2005. Seven staffs records were examined. They showed evidence that proper recruitment protocols had been followed, including Criminal Record Bureau (CRB), clearance. However, in three instances, the CRB documents were not current and had been brought from previous employers when these staff were recruited. There were records of induction and training in the mandatory subjects, food hygiene, first aid etc, as well as training in dementia care and adult protection. SUNRIDGE COURT G59 S10526 Sunridge Court V221443 21.06.05 Stage 4.doc Version 1.20 Page 19 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 34, 35 & 38 The manager provides good leadership to the staff, and service users and relatives are confident that the home is run efficiently and in their best interests. EVIDENCE: The registered manager has been in post for approximately two years. She has obtained the Registered Managers Award at NVQ level 4. Service users relatives and staff who were spoken to, confirmed confidence in the manager’s competence in running the home. Various management responsibilities are delegated to senior carers. Service users, relatives and staff were very complimentary about the manager’s competence and her approachability. A member of staff stated, “ The manager is a good listener and encourages us”. Another said, “Before the manager came there was very little training provided”. SUNRIDGE COURT G59 S10526 Sunridge Court V221443 21.06.05 Stage 4.doc Version 1.20 Page 20 At the time of the inspection, there was a relaxed and friendly atmosphere in the home. The residents’ personal finances are usually managed either by themselves or relatives. Some money is held on behalf of one service user, and the inspector examined the records of transactions made and found them to be in order. The inspector was given a copy of a detailed business plan, which identified and costed, areas for development over the coming year. There were records to show that the manager has implemented regular supervision for the senior carers, who are responsible for supervising their specific group of care staff. However, it appeared that not all care staff were yet receiving regular supervision. There were certificates of safety relating to gas, water supply, fire and electric installations. Portable electrical appliances had been tested, and the home had a current employer’s liability insurance certificate. The fire log showed that fire alarms were tested weekly and drills took place. The home was inspected by a fire safety officer in June 2005. Several requirements were made to improve fire safety. The inspector was shown an action plan to address all the requirements within the timescale set in the report. Staff records showed that training in health and safety had been provided. SUNRIDGE COURT G59 S10526 Sunridge Court V221443 21.06.05 Stage 4.doc Version 1.20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION 2 x x x 3 3 x 2 STAFFING Standard No Score 27 2 28 4 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 x 3 3 2 x 3 SUNRIDGE COURT G59 S10526 Sunridge Court V221443 21.06.05 Stage 4.doc Version 1.20 Page 22 No 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. 1. Standard 7 Regulation 14(2)(a)( b) 13(2) Requirement The registered person must ensure that care plans are reveiwed at least on a monthly basis. The registered person must ensure that the correct codes are entered in the MAR sheets when medication is not given. The registered person must ensure that the cupboard door on the first floor corridor is made safe. The registered person must ensure that the waste bin in the care unit is replaced with a pedal-type bin. The registered person must ensure that there are always sufficient numbers of staff available to meet service users needs, especially at weekends. The registered person must ensure that all staff have a current CRB certificate. Timescale for action 31/8/05 2. 9 31/8/05 3. 19 13(13(4)( a) 13(3) 31/8/05 4. 26 31/8/05 5. 27 18(1)(a) 31/8/05 6. 7. 29 19(1)(a) Sch 2 31/8/05 SUNRIDGE COURT G59 S10526 Sunridge Court V221443 21.06.05 Stage 4.doc Version 1.20 Page 23 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 29 Good Practice Recommendations The registered person should encourage the senior carers to assist care staff when required. SUNRIDGE COURT G59 S10526 Sunridge Court V221443 21.06.05 Stage 4.doc Version 1.20 Page 24 Commission for Social Care Inspection Solar House 1st Floor, 282 Chase Road Southgate London N14 6HA 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 SUNRIDGE COURT G59 S10526 Sunridge Court V221443 21.06.05 Stage 4.doc Version 1.20 Page 25 - 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!