CARE HOME ADULTS 18-65
Sunrise House 29 Howard Place Carlisle Cumbria CA1 1HR Lead Inspector
Paula Malaney Unannounced Inspection 23rd March 2006 9:00 Sunrise House DS0000022590.V281875.R01.S.doc Version 5.1 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.V281875.R01.S.doc Version 5.1 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.V281875.R01.S.doc Version 5.1 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) 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.V281875.R01.S.doc Version 5.1 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). 14th October 2005 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 which 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 services provided in Sunrise House are similar to those registered in other areas as Adult Placement Schemes. As Cumbria County Council does not operate an Adult Placement Scheme the home is registered as a residential care home and subject to the Care Homes Regulations 2001 and National Minimum Standards for Adults (18 - 65). Sunrise House DS0000022590.V281875.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection was unannounced and was carried out on 22nd March 2006. The inspection focussed on how well the home meets the needs of the people living there. This was assessed by speaking to the residents and the manager, observing activity in the home and examining the records which care homes are required to keep. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office.
Sunrise House DS0000022590.V281875.R01.S.doc Version 5.1 Page 6 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.V281875.R01.S.doc Version 5.1 Page 7 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 3. Residents’ needs are met by the support provided in the home. EVIDENCE: Residents’ needs are identified and known to Mrs Caples. Residents are given the support they need to live independently within the supported environment provided in the home. Support is provided in a manner which promotes residents’ rights and independence. Sunrise House DS0000022590.V281875.R01.S.doc Version 5.1 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 and 9. Residents’ needs are identified and they receive the support they require. EVIDENCE: The support residents need is identified and recorded in their individual records. Residents receive the care they need in a manner which promotes their rights and independence. Residents’ independence and skills have increased since moving into the home. Sunrise House DS0000022590.V281875.R01.S.doc Version 5.1 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 17. Residents are supported to take part in a range of activities and have opportunities for recreation and stimulation. Residents receive a varied and well balanced diet. EVIDENCE: Residents are supported to follow a range of activities of their choice. The activities residents follow give them opportunities for recreation and to develop relationships with people from the local community. In keeping with the character of the home meals are organised in a domestic manner. Residents’ preferences are taken into account when planning meals. Residents said the meals are “very nice”. Sunrise House DS0000022590.V281875.R01.S.doc Version 5.1 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 and 19. Residents receive a high standard of care which meets their needs and respects their choices. EVIDENCE: Mrs Caples is knowledgeable about residents’ needs and provides the support they require to maintain their health and well-being. Residents are supported to self-care as far as they are able and their independence and skills are promoted. Care is provided in a manner which respects residents’ privacy and preferences. Residents are supported to attend routine and specialist health care appointments as they require. Sunrise House DS0000022590.V281875.R01.S.doc Version 5.1 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22. Residents know their views are listened to and they can affect how their care is provided. EVIDENCE: The home has a clear complaints procedure which is included in the information given to residents. The atmosphere in the home is relaxed and informal and Mrs Caples aims to resolve any concerns in an informal manner. Residents are comfortable raising concerns with Mrs Caples and know action will be taken to resolve any issues they raise. Sunrise House DS0000022590.V281875.R01.S.doc Version 5.1 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Residents live in a safe, clean and comfortable environment which is suitable to meet their needs. EVIDENCE: Sunrise House is Mrs Caples’ family home and residents live in a domestic, family type environment. The home is clean and well maintained. Advice has been taken from the local fire and environmental health officers regarding providing a safe environment. The furniture and furnishings in the home are of a high quality and suitable for the character of the home. Sunrise House DS0000022590.V281875.R01.S.doc Version 5.1 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards are not applicable to Sunrise House. No care staff are employed in Sunrise House and these standards do not apply to the home. EVIDENCE: Mrs Caples provides accommodation to residents in her family home and is the sole carer. No staff are employed in the home and these standards do not apply. Sunrise House DS0000022590.V281875.R01.S.doc Version 5.1 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38 and 42. Residents benefit from living in a well run home where their rights, safety and interests are protected. EVIDENCE: Mrs Caples has a clear sense of direction for the home which focuses on promoting residents’ rights and independence. Mrs Caples is knowledgeable about residents’ needs and provides a high standard of care. Support is provided in a manner which promotes residents’ independence, increases their skills and respects the choices they make about their lives. Advice has been taken from appropriate agencies regarding maintaining a safe environment for residents to live in. Sunrise House DS0000022590.V281875.R01.S.doc Version 5.1 Page 15 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 X 2 3 3 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 X ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 N/A 32 N/A 33 N/A 34 N/A 35 N/A 36 N/A CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 X X 3 3 X X X 3 X Sunrise House DS0000022590.V281875.R01.S.doc Version 5.1 Page 16 Are there any outstanding requirements from the last inspection? Not applicable. 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.V281875.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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