Inspection on 11/09/07 for Sunrise Care Home

This inspection was carried out on 11th September 2007.

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

Sunrise Care Home 26/05/06

Sunrise Care Home 12/01/06

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Sunrise Care Home 10 Amen Place Little Addington Kettering Northants NN14 4AU Lead Inspector Kim Cowley Unannounced Inspection 11th September 2007 11:00 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 Sunrise Care Home DS0000065878.V342059.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. Sunrise Care Home DS0000065878.V342059.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sunrise Care Home Address 10 Amen Place Little Addington Kettering Northants NN14 4AU 01933 650794 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) veganarainen@aol.com Le Flamboyant Limited Vacant Care Home 20 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (10) of places Sunrise Care Home DS0000065878.V342059.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. The total number of residents must not exceed 20 No residents within the category of DE(E) (dementia) may be admitted to the home where there are already 10 such residents. No residents within the category of OP (Older People) may be admitted to the home where there are already 10 such residents. The 4 existing residents within the category of PD(E) (physical disability) may remain in the home. The 1 existing resident within the category of MD (mental disorder) may remain in the home. 26th May 2006 Date of last inspection Brief Description of the Service: Sunrise Care Home accommodates up to 20 older people, some of whom suffer from dementia. The home is owned by Le Flamboyant Ltd, and situated in the rural village of Little Addington in East Northamptonshire. The premises consist of a detached house, which has been extended. There are eighteen single bedrooms and one double. All bedrooms except two are located on the ground floor and nine have en-suite facilities. Access to the first floor bedrooms is via the stairs and would require good mobility. The home and gardens look out over open countryside. The home is easily accessible by car but there is no public transport to Little Addington. Visitors without a car would have to go by public transport to Irthlingborough then take a taxi to the village. Fees range form £331 to £420 per week depending on care needs. Inspection reports are available at the home, or can be accessed via the CSCI website: www.csci.org.uk. Further information about the home is available from the Registered Manager. Sunrise Care Home DS0000065878.V342059.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection that included a visit to the home and inspection planning. Prior to the visit, the inspector spent half a day reviewing information relating to the home. During the course of the inspection, which lasted four hours, the inspector checked the ‘key’ standards as identified in the National Minimum Standards. This was achieved through a method called case tracking. Case tracking means the inspector looked at the care provided to three residents living at the home by meeting them; talking with the staff who support their care; checking records relating to their health and welfare; and viewing their personal accommodation as well as communal living areas. Other issues relating to the running of the home, including health and safety and management issues, were examined. The inspector also met three other residents, two visitors, the Deputy Manager, and one member of the care staff team. What the service does well: What has improved since the last inspection? Sunrise Care Home DS0000065878.V342059.R01.S.doc Version 5.2 Page 6 A new quiet lounge has been created and can be used for private visits. One bathroom has been completely refurbished and turned into a shower room/toilet that is suitable for residents with disabilities. There are new carpets in ground floor communal areas and a number of bedrooms have been refurbished. All staff have achieved NVQ Level 2 (or above) in Care and completed a course in Dementia Awareness, which will help them to provide appropriate care to residents who are confused. The Registered Manager has acheived NVQ level 5 in Care and the Deputy has achieved NVQ level 4 (Registered Managers Award). 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. Sunrise Care Home DS0000065878.V342059.R01.S.doc Version 5.2 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 Sunrise Care Home DS0000065878.V342059.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Residents’ needs are assessed prior to admission to ensure the home is suitable for them. This judgement has been made using available evidence including a visit to this service. (Standard 3 was inspected.) EVIDENCE: The home has a statement of purpose, which provides prospective residents and their families with information about the home, the services provided, and the people staff are able to care for. Prospective residents are encouraged to visit the home prior to admission so they can make an informed choice about moving in. There is an initial trial period of one month, which allows time for the resident and their families and the staff at the home to decide if it is suitable. Residents’ needs are assessed prior to being offered a place in the home to ensure as far as possible that their needs can be met. The assessment consists of gathering detailed information from residents, their families, and (where Sunrise Care Home DS0000065878.V342059.R01.S.doc Version 5.2 Page 9 applicable) placing authorities and relevant health professionals regarding a resident’s needs and preferences. Three recent assessments were inspected and found to be comprehensive and to provide a good basis for the provision of care. (Standard 6 was not inspected as this home does not offer intermediate care.) Sunrise Care Home DS0000065878.V342059.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Staff in the home, and in the wider community, meet residents’ health and personal care needs. Some care plans are in need of improvement. Medication is safely managed and administered. Residents are treated with respect. This judgement has been made using available evidence including a visit to this service. (Standards 7, 8, 9, and 10 were inspected.) EVIDENCE: Care plans, which set out how residents’ needs are to be met, were wellorganised and clear. They are person-centred, beginning with This is your life, a section which looks at residents’ history including their schooldays, favourite things, careers, and family life. This is good practice as it encourages staff to focus on the person and not just their disabilities. Most care plans were of a good standard, although some relating to residents with dementia were in need of improvement. For example, in one care plan staff were instructed to look out ‘signs of frustration’ in a particular resident, but did not say what those signs were. Another care plan told staff to ‘familiarise (a recently admitted resident) with the new environment, but did not say how. These and similar care plans should be rewritten to give staff Sunrise Care Home DS0000065878.V342059.R01.S.doc Version 5.2 Page 11 more detailed instructions as to how to care for residents with dementia. This will help staff to ensure all their needs are met. Records showed that residents’ health is monitored and local health care services accessed as necessary. Residents at the home are registered with one local GP surgery, which also provides District Nurse services. A private chiropodist visits the home every six weeks and charges £16.00 per resident for those who want an appointment. Medication is well-managed and kept securely. All care staff who administer medication have been trained by the home’s pharmacist, who also carries out inspections of the home’s medication systems (the last one being in March 2007). At present no residents self-medicate. Discussions with staff confirmed that they have a good understanding of residents’ individual needs and personalities. Staff were seen to provide care discreetly and to treat residents with warmth and respect. Sunrise Care Home DS0000065878.V342059.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Residents have the opportunity to take part in a range of one-to-one and group activities. Visitors are made welcome at the home and residents are pleased with the food provided. This judgement has been made using available evidence including a visit to this service. (Standards 12, 13, 14, and 15 were inspected.) EVIDENCE: There is a plan of activities, preferences on the day. Group music, and visiting entertainers were playing a beanbag game in which is flexible and altered according to activities such as floor games, sing-a-longs, are provided. During the inspection residents the main lounge with a member of staff. Once a month a visiting tutor provides an activity session for residents. This changes every time and past activities have included quizzes, games, crafts, and cookery. There is a Church of England service in the home once a month and residents’ choose whether to join in. Individual activities are provided every Thursday by a volunteer and include manicures and crafts. This gives residents the opportunity to spend time with someone on a one-to-one basis and to chat. Some residents like to help Sunrise Care Home DS0000065878.V342059.R01.S.doc Version 5.2 Page 13 around the home and staff encourage this by giving them tasks. There is a small library of books (including large print) in the dining room. Visitors can come to the home at any time and see residents in one of two lounges, the dining room, or in the resident’s bedroom. The new small lounge that has been created since the last inspection is popular for private visits. Most of the food served is homemade. Shopping is done in the village and at local supermarkets, and mainly fresh produce is used. Staff sit with residents at mealtimes and help them to eat where necessary. Residents help to choose the home’s menus and their wishes are respected. Records showed that residents had asked for homemade soup and this is now on the menu. All residents interviewed praised the food and one commented, The food here is very good. There is a large well-equipped kitchen off the main lounge with a serving hatch. Sunrise Care Home DS0000065878.V342059.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Residents feel able to talk to staff about any concerns they might have. This judgement has been made using available evidence including a visit to the service. (Standards 16 and 18 were inspected.) EVIDENCE: The home has a complaints procedure. All residents interviewed said they would be willing to speak out if they had a complaint. One said, ‘If I had something to complain about I’d tell the staff. That wouldn’t be a problem at all and I think they would sort it out.’ All residents and their representatives receive a copy of the home’s complaints procedure (which is in the service users guide), and it is displayed on the notice board in the main lounge. There is also a ‘suggestion box’ and ‘complaints book’ which residents and visitors can use to bring matters to the attention of the management. Since the last inspection the home has received one (anonymous) complaint. This was thoroughly investigated and not upheld. Staff are trained in the safeguarding of vulnerable adults and have appropriate policies and procedures to follow where necessary, including one on ‘whistle blowing’ (speaking out if any resident is treated badly). Staff interviewed were aware of their responsibilities in this area and knew what to do should they have concerns about any resident’s care. Sunrise Care Home DS0000065878.V342059.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Sunrise provides homely, comfortable and clean accommodation for residents. This judgement has been made using available evidence including a visit to this service. Standards 19 and 26 were inspected. EVIDENCE: The home is situated on the edge of a small rural village and backs on to open countryside. There are spectacular views from some of the rooms and from the gardens. The interior of the home is well decorated and homely. Residents’ bedrooms are personalised and comfortable. Some have pictures of things they like on the door, which helps them to find their rooms. The range of communal areas means residents have a choice as to where they sit. Upstairs are two single bedrooms that are currently not used, as residents need good mobility to get to them. All other rooms are on the ground floor and accessible to disabled residents, as is the garden. The home has good security to prevent residents from wandering including pressure mats by some of the beds to alert staff if a resident gets up in the night. Sunrise Care Home DS0000065878.V342059.R01.S.doc Version 5.2 Page 16 Since the last inspection a number of improvements have been made to the home including the following: • • • • A new lounge has been created at the front of the home. This is used as a quiet lounge, or for private visits. One bathroom has been completely refurbished and turned into a shower room/toilet that is suitable for residents with disabilities. New carpets have been fitted in ground floor communal areas Some bedrooms have been refurbished. The home has a designated cleaner and all areas inspected had been cleaned and tidied to a high standard. Both residents and visitors commented on the cleanliness of the home and how fresh it was. Sunrise Care Home DS0000065878.V342059.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. A team of well-trained, friendly and professional staff provide care to residents at the home. This judgement has been made using available evidence including a visit to this service. (Standards 27, 28, 29, and 30 were inspected.) EVIDENCE: Sunrise Care Home has a friendly and welcoming atmosphere and the staff are caring and professional. All residents interviewed praised the staff team and the following comments were made: The staff are charming. The staff are pleasant. Very helpful, friendly staff. Staff recruitment procedures and records were inspected. The Deputy confirmed that appropriate checks, including POVA and CRB, are carried out for new staff and two references obtained. Some staff are recruited via an agency which carries out its own reference checks. The Deputy was reminded that the Owning Body was still responsible for ensuring these staff were suitable to work in the home. Staff at the home are well trained and supervised. Since the last inspection NVQ training has been underway and all staff have now achieved NVQ Level 2 (or above) in Care. They have also completed a course in Dementia Sunrise Care Home DS0000065878.V342059.R01.S.doc Version 5.2 Page 18 Awareness, which will help them to provide appropriate care to residents who are confused. Staff are well supported by the management and receive regular supervision sessions. One staff member told the inspector, ‘I am very happy working here. The training is good and the residents are lovely.’ Sunrise Care Home DS0000065878.V342059.R01.S.doc Version 5.2 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Residents live in a home that is safe and well managed. This judgement has been made using available evidence including a visit to this service. (Standards 31, 33, 35 and 38 were inspected.) EVIDENCE: Both the Acting Manager and the Deputy are qualfied nurses and have substantial experience of providing care. Since the last inspection the Acting Manager has completed NVQ level 5 in Care and the Deputy has completed NVQ level 4 (Registered Managers Award). The Deputy told the inspector he is currently applying to CSCI to become the Registered Manager of the home. All residents and visitors interviewed said they thought the home was well managed. One resident said, The Deputy is very nice and you can talk to him. Hes here every day and even on his days off he comes in. Sunrise Care Home DS0000065878.V342059.R01.S.doc Version 5.2 Page 20 Resident’s meetings are held every few months and give those who live in the home the opportunity to comment on how it is run. Eleven residents and four staff attended the last meeting on 17.07.07. Minutes showed that menus and social events were planned and the views of all residents present were sought. Quality assurance questionnaires are also given out to residents and visitors so they can give written feedback on the service the home provides. Staff will look after small amounts of cash for residents with appropriate records kept. Records showed that policies and procedures are in place to protect the health, safety and welfare of residents and staff. Since the last inspection radiators have been covered and new smoke detectors fitted. A Fire Risk Assessment (dated 23.03.07) has been completed and seen by the Fire Department. The home’s Environmental Health Officer has inspected the kitchen and given the home a ‘four stars’ (high standard) rating. Staff have attended training courses in food hygiene, manual handling, health and safety, and first aid. These actions will help to keep the home safe for residents and staff. Sunrise Care Home DS0000065878.V342059.R01.S.doc Version 5.2 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. 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 3 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 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 3 3 X X X X X X 4 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Sunrise Care Home DS0000065878.V342059.R01.S.doc Version 5.2 Page 22 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. 1 Refer to Standard OP7 Good Practice Recommendations Care plans for residents with dementia should be more detailed to ensure that staff meet all their needs. Sunrise Care Home DS0000065878.V342059.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 Sunrise Care Home DS0000065878.V342059.R01.S.doc Version 5.2 Page 24 - 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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