Inspection on 20/03/07 for Sunrise House

This inspection was carried out on 20th March 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 House 15/01/09

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 09/07/2008.

CARE HOME ADULTS 18-65 Sunrise House 29 Howard Place Carlisle Cumbria CA1 1HR Lead Inspector Cath Wilson Unannounced Inspection 20 and 21st March 2007 01:00p th Sunrise House DS0000022590.V326779.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 Sunrise House DS0000022590.V326779.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. Sunrise House DS0000022590.V326779.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sunrise House Address 29 Howard Place Carlisle Cumbria CA1 1HR 01228 527477 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) acaples@tiscali.co.uk Mrs Aida Caples Mrs Aida Caples Care Home 3 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (3) of places Sunrise House DS0000022590.V326779.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. To accommodate three people under the age of 65 in the category of mental disorder, excluding learning disability or dementia (3 MD). 23rd March 2006 Date of last inspection Brief Description of the Service: 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 and residents live in her family home. The current charge for service users is £292.00p per week. Sunrise House DS0000022590.V326779.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection to the home that was undertaken during the afternoon periods of the 20th and 21 March 2007. During these two visits I was able to meet the three service users and managers. In addition and prior to these visits I had received questionnaire feedback forms from service users and the manager had completed a pre-inspection questionnaire. This assisted me in verifying information throughout this inspection. A tour of the premises was undertaken and records and administration files were assessed. What the service does well: What has improved since the last inspection? The home continues to meet the individual needs of people in a sensitive and nurturing manner and maintain a comfortable and safe environment. Sunrise House DS0000022590.V326779.R01.S.doc Version 5.2 Page 6 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 House DS0000022590.V326779.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 Sunrise House DS0000022590.V326779.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): 1, 2 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has good procedures and documentation in place to ensure appropriate referrals and they admit people to the home whose needs they can meet. EVIDENCE: There is a Statement of Purpose and Service User Guide available as well as other information about the home’s provision of services and care. There are systems in place to ensure that these documents are kept up-to-date. Individual assessments are undertaken for service users and this information is used to make sure people’s care needs are clearly identified and informs the care planning system used in the home. People in the home are supported to lead fulfilling lives in an encouraging, sensitive and stimulating environment. Each person has an individual contract of terms and conditions of residency. Sunrise House DS0000022590.V326779.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, 8 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are very focussed on achieving the individual outcomes for people. This is carefully monitored through a developed system of care planning. Risk taking is well managed and a good balance is achieved between promoting independence and ensuring the well-being and safety of people during their stay. EVIDENCE: The manager and staff had developed individual care plans for people. Individual ways of communicating are included and staff are constantly seeking ways of furthering people’s involvement in their daily lives. Good use is made of graphics in the planning of care. Information is kept up-to-date and very person centred. The information is regularly monitored and assessed and reviewed. Risk assessments had been undertaken and are integrated into the everyday life experiences of people. This allows people to be appropriately supported to be included in events in their lives in a safe, manageable and balanced manner. Sunrise House DS0000022590.V326779.R01.S.doc Version 5.2 Page 10 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 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s rights are very much promoted and their individuality respected. EVIDENCE: People’s leisure and community involvement is detailed in their personal record and people are very supported and encouraged to attend these. People’s individuality, preference and choice are an essential part of their life style and this is upheld in the manner in which they are respected and valued. Mealtimes are arranged with individuality in mind and menus are varied and nutritional. People are very much encouraged to make their own decisions and their rights and choice are recognised and promoted whether this be in the home or community. It is clear that this is one of the underpinning values of this home. Sunrise House DS0000022590.V326779.R01.S.doc Version 5.2 Page 11 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 and 20 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Health care matters are very well managed and documented. EVIDENCE: Mr and Mrs Caples are very knowledgeable of peoples needs including their health care arrangements. They have access to and work very positively with the local health care professionals to offer a responsive and supportive approach in assisting people to maintain and receive the right attention. Specialist assistance and guidance is incorporated into the home’s approach and practices and actions regularly reviewed. The records assessed at this inspection were very good clearly showing that individual outcomes are met in a planned manner. Policies and procedures for medicines handling are in place and are appropriate for the home. Records indicated that much work is being achieved in supporting people in their health care needs and individuality is sensitively attended to ensure people’s dignity is upheld. Sunrise House DS0000022590.V326779.R01.S.doc Version 5.2 Page 12 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. The home’s complaints system is available to both service users and/or their representatives and arrangements for safeguarding adult procedures are well managed. . EVIDENCE: Information is available regarding complaints and service users, or representatives have access to this. Staff are informed of the policies and procedures relating to adult protection matters and how to safeguard the health and welfare of people in the home. Mr and Mrs Caples are familiar with the multi-disciplinary guidance and this included arrangements for training to be appropriately renewed. Sunrise House DS0000022590.V326779.R01.S.doc Version 5.2 Page 13 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, 25, 26, 27 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People benefit from living in a well-maintained and safe environment with which they feel comfortable and relaxed. EVIDENCE: Arrangements are in place for the health and safety of people in the home and for their environment. Guidelines are followed and records are kept up-to-date regarding environmental health and fire safety. Each resident has their own bedroom and arrangements are in place to upgrade and replace furnishings and décor when needed. People in the home and Mr and Mrs Caples work together to provide a very comfortable, pleasant and well-maintained environment and one they feel very proud of. The outside area to the home is also very well maintained. Sunrise House DS0000022590.V326779.R01.S.doc Version 5.2 Page 14 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 good. This judgement has been made using available evidence including a visit to this service. Mrs Caples provides accommodation in her family home and is the registered manager. Care staff are not employed. EVIDENCE: Mr and Mrs Caples have clearly defined roles in the care, support and encouragement they provided for people in the home. Whilst not employing staff they do have the required training, qualifications and practices for their roles and responsibilities. Their own training and development programme is being transferred to computer records. Sunrise House DS0000022590.V326779.R01.S.doc Version 5.2 Page 15 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 good. This judgement has been made using available evidence including a visit to this service. People in the home benefit from an organised, nurturing and well ran home that places their care and overall welfare first. EVIDENCE: There are good systems in place that attend to and support the comprehensive needs of service users. The manager is organised and focussed in her responsibilities and maintained systems in the home that benefited the service users. Arrangements in the home were very focussed on meeting the needs, wishes and aspirations of the people living here. The home are developing and strengthening their methods of Quality Assurance. General health and safety matters are attended to. The records examined on the day of the inspection were well ordered and confidentially stored. Sunrise House DS0000022590.V326779.R01.S.doc Version 5.2 Page 16 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 3 2 3 3 X 4 X 5 3 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 4 25 3 26 3 27 3 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 3 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 4 4 4 X 4 X 3 X X 3 X Sunrise House DS0000022590.V326779.R01.S.doc Version 5.2 Page 17 N/A 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 Sunrise House DS0000022590.V326779.R01.S.doc Version 5.2 Page 18 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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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