Inspection on 15/01/09 for Sunrise House

This inspection was carried out on 15th January 2009.

CSCI found this care home to be providing an Good service.

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 House 20/03/07

Sunrise House 23/03/06

Sunrise House 07/02/05

Sunrise House 09/09/04

Sunrise House 18/03/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 13/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Sunrise House 29 Howard Place Carlisle Cumbria CA1 1HR     The quality rating for this care home is:   two star good service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Margaret Drury     Date: 1 5 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 23 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 23 Information about the care home Name of care home: Address: Sunrise House 29 Howard Place Carlisle Cumbria CA1 1HR 01228527477 Telephone number: Fax number: Email address: Provider web address: acaples@tiscali.co.uk Name of registered provider(s): Name of registered manager (if applicable) Mrs Aida Caples Type of registration: Number of places registered: Mrs Aida Caples care home 3 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: The home is registered for a maximum of 3 service users to include: up to 3 service users in the category of MD (Mental Disorder excluding learning disability or dementia under 65 years of age) Date of last inspection Brief description of the care home Sunrise House is a residential care home registered with the Commission for Social Care Inspection to provide accommodation for three adults. Sunrise House is owned and managed by Mrs Aida Caples who is also the main carer in the home. The home is in a residential area close to Carlisle city centre. Sunrise House is close to local transport routes and the facilities and amenities of the city centre are easily accessible from the home. The premises are a large older terraced property that is in keeping with neighbouring houses. Accommodation for residents is provided in the form of three single bedrooms, shared use of two smoke free sitting rooms and a kitchen with dining area. Mrs Caples aims to provide support in a family type domestic environment Care Homes for Adults (18-65 years) Page 4 of 23 Over 65 0 3 Brief description of the care home and residents live in her family home. The current charge for service users is 310.00p per week. Care Homes for Adults (18-65 years) Page 5 of 23 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This site visit that forms part of the unannounced key inspection took place over one morning in January. We, The Commission for Social Care Inspection (CSCI) had sent an Annual Quality Assurance Assessment (AQAA) to the provider for completion. It is a legal requirement that this document is commpleted each year by all regulated services. It was returned to us within the specified timescale and contained information about what the service has achieved during the past twelve months and what plans are in hand for the next twelve months. Sunrise House is a small home that does not employ staff and currently supports two residents only. Survey forms were not sent out as we planned to speak to the residents and manager about the service on the day of the visit. Care Homes for Adults (18-65 years) Page 6 of 23 We were able to speak to one resident only as the other as away visiting a relative. We spoke to the manager and her husband who are responsible for the operation of the home and toured the premises looking at the environmental standards. Care plans, medication records and other documentation concerning the service were examined. What the care home does well: What has improved since the last inspection? 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 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 23 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 23 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. All prospective residents are fully assessed prior to admission. This ensures their needs and expectations can be met in the most appropriate manner. Evidence: There is sufficient information available about the home for any prospective resident or their family to make an informed choice about whether or not to move in. Each resident is fully assessed prior to a place being offered and copies of the assessments are held on file. The assessments clearly identify the needs and expectations of thse wishing to live in Sunrise House and the information gathered is used as a basis for the individual plan of care. People who live in this home are supported and encouraged to lead fulfilling lives and to retain their independence for as long as possible. Each resident has signed a contact of terms and residency and there is a copy on file for reference. Care Homes for Adults (18-65 years) Page 10 of 23 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Individual outcomes for people using this service are attained through careful care planning and risk taking. Residents retain their independence in a safe and well managed way. Evidence: The manager has developed an individual plan of care for the two people currently using this service. Full details of personal, social and healthcare needs are recorded, together with the way in which these needs are to be met. The manager constantly ensures each resident leads a full life, with involvement in the local community and close contact with their families. Risk assessments are in place and cover all aspects of daily living. This allows those using this service to be supported in a safe and appropriate manner. Care Homes for Adults (18-65 years) Page 11 of 23 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The rights of those using this service are respected and promoted, with community and family links given a high priority at all times. Evidence: There is an individual weekly programme recorded for each resident that outlines their activities at the local day centres and also how they spend their leisure time. The manager considers it very important that peoples preferences and choices are recognised, respected and valued. All those who use this service live their lives as they wish, taking part in activities in the community and keeping in touch with family members by visits, post and telphone calls. Annual holidays and days out are arranged for those living in Sunrise House and the resident we spoke to told us she had been to Scotland last year. She said she was very much looking forward to this years holiday although where they were going had not Care Homes for Adults (18-65 years) Page 12 of 23 Evidence: yet been decided. Both residents attend church on Sunday and enjoy a social event at the church in the week. This ensures that spiritual support is available when needed. Each of the residents keeps their own room tidy and are able to make drinks and snacks when they wish. The manager confirmed that the social and communication skills of those living in the home have improved over time and everything that can be done, is done to encourage this. We discussed the meals with one of the residents and she informed us that Aida (manager) is a good cook and that she always enjoys her meals as she can choose what she wants to eat. Care Homes for Adults (18-65 years) Page 13 of 23 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Healthcare and emotional needs are met in the best way possible whilst allowing the residents to retain their independence. Evidence: The registered manager and her husband have a wealth of experience in caring for people. They know the residents well, having cared for them for many years and provide excellent personal, healthcare and emotional support to those living in Sunrise House. The home is run on family lines with the residents experiencing a warm, family life. They are part of the family and as such take some responsibility for the way in which they receive care and support. Comments from those living in the home included,it is like living in my own home, I can see my doctor when I want to, I sort out my own tablets but Aida (manager) helps me when I ask her and I have lived here for a long time and I love it. Healthcare needs are met through good working relationships with the local surgery and other professional healthcare advice is available if required. Annual reviews are completed by health and social services to ensure all needs are being met appropriately. There are policiea and procedures in place regrding medication that are Care Homes for Adults (18-65 years) Page 14 of 23 Evidence: in keeping with the homes philosophy of care. Both residents take their own medication and there is a detailed risk assessment in place to ensure medication is dealt with in a safe manner, whilst still allowing the residents to retain their independence. Care Homes for Adults (18-65 years) Page 15 of 23 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has an appropriate complaints procedure and those living in the home know any issue they raise will be listened to and acted upon. Residents are safeguarded at all times. Evidence: Information about how to make a complaint is available to the residents, their families and any friends. Residents have access to this but in discussions during our visit we were advised that they would discuss any problem with the manager or her husband. This has never been necessary, because the home is run on family lines and any issues are dealt with as soon as they occur. Both the registered manager and her husband have completed training in adult protection and Mrs Caples has also attended training in The Mental Capacity Act. They are both familiar with the guidance provided by Cumbria Social Services and knew what to do if any untoward incident happened especially when the residents are at the day centres or out in the community. Care Homes for Adults (18-65 years) Page 16 of 23 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using this service benefit from a home that is well maintained, warm, comfortable and provides an environment they know will meet their expectations and needs. Evidence: Sunrise House is a large three storey property situated close to the cente of Carlisle. Residnts rooms are on the first floor and they are spacious and comfortable. They are personal to the individual with pictures, ornaments, television and music centres. The resident we spoke to was pleased to show her room and told us she was delighted with it. On the ground floor there is a front lounge, a rear lounge with a dining table and a kitchen that also has a dining table. All the communal space is available to the residents who live very much as part of the family. Since the last inspection a new ground floor cloakroom has been installed. There is a bathroom and toilet on the first floor. The home is extremely clean and hygienic. Care Homes for Adults (18-65 years) Page 17 of 23 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents are cared for in a family setting by people who have their best interests at heart. Care staff are not employed. Evidence: This service does not employ care staff but is run by the registered manager and her husband who are both qualified mental health nurses. They are both well able to provide the required care and support to the two people currently living in Sunrise House. As qualified nurses they are mindful of healthcare needs and ensure these are met by professional healthcare specialists. Both have enhanced Criminal Records Bureau checks in place, which ensures the safety of the residents in their care. Care Homes for Adults (18-65 years) Page 18 of 23 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Those who use this service benefit from a home that is well run by a competent, caring and experienced manger. Health and safety measures ensure the safety of all those living in the home. Evidence: This home is run on family lines and residents benefit from the warm relaxed atmosphere provided by the registered manager. She is well organised and both her and her husband are focussed on meeting the needs and expectations of those in their care. The residents consider both Mr and Mrs Caples to be part of their family and because of their care and support have been able to maintain their independence within the community. All the equipment in the home is well maintained through annual contracts and all fire safety measures are in place. A fire risk assessment has been completed that was accepted by the fire safey officer. Health and safety measures ensure the safety of all who live in Sunrise House. Care Homes for Adults (18-65 years) Page 19 of 23 Care Homes for Adults (18-65 years) Page 20 of 23 Are there any outstanding requirements from the last inspection? Yes £ No R 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, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 21 of 23 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, Care Homes 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 Care Homes for Adults (18-65 years) Page 22 of 23 Helpline: 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 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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 23 of 23 - 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!