Inspection on 26/09/07 for Sunrise of Fleet Limited

This inspection was carried out on 26th 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 of Fleet Limited 20/04/06

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Sunrise of Fleet Limited Reminiscence Neighbourhood Church Road Fleet Hampshire GU51 4NB Lead Inspector Laurie Stride Unannounced Inspection 26th September 2007 10:50 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 of Fleet Limited DS0000066526.V344289.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 of Fleet Limited DS0000066526.V344289.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sunrise of Fleet Limited Address Reminiscence Neighbourhood Church Road Fleet Hampshire GU51 4NB 01252 617657 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) FLEET.ED@SUNRISESENIORLIVING.COM Sunrise Operations Fleet Limited Care Home 28 Category(ies) of Dementia - over 65 years of age (28), Old age, registration, with number not falling within any other category (28) of places Sunrise of Fleet Limited DS0000066526.V344289.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th April 2006 Brief Description of the Service: Sunrise Reminiscence Neighbourhood is a purpose built care home offering support to 28 older people or older people who have dementia. The home is one of the services offered by Sunrise on the same site and is situated on the third floor of the building. Two lifts are provided to reach the unit. Entry to the home is by coded keypad on the two doors. Bedrooms are single with en suite facilities and for people who wish to share there are suites that have two bedrooms and a shared lounge. The communal areas include a kitchen, lounge and dining room. In addition, the wide corridors are furnished with numerous alcoves and areas where people may sit or use the memorabilia scattered throughout the home. There is a small patio area that service users may use freely and they may also use the ground floor garden that is shared with the sheltered housing scheme. Some people may need staff to go with them to use the ground floor garden. The home is located a few minutes walk from the town centre. The current range of fees is £750 - £1,100 per week, depending on assessed needs. This information was obtained at the time of the inspection visit. Members of the public may wish to obtain more up-to-date information from the care home. Additional charges apply for hairdressing, chiropody, newspapers, personal toiletries and ironing. Sunrise of Fleet Limited DS0000066526.V344289.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second unannounced key inspection for this service, which opened in January 2006. It took one inspector seven hours to complete. The key standards were assessed by case tracking three residents and talking with two of the people currently living in the home. Time was also spent observing staff practice and talking with three of the care staff. Some time was spent reviewing documentation and a partial tour of the premises was carried out. Information used in this report was also obtained from the homes’ annual quality assurance assessment (AQAA), postal survey questionnaires received from two residents, three relatives, a general practitioner and another external health professional. The reminiscence co-ordinator, who is applying for the post of registered manager, assisted throughout the inspection. People who live in the Reminiscence Neighbourhood are called ‘residents’ so this term has been used throughout this report. What the service does well: The home provides an excellent environment and stimulating daily lives for residents. The service is good at promoting choice and maintaining the motivation and independence of people who have dementia. The various dietary needs of the people who use the service are well catered for. Staff levels in the home ensure that who use the service receive support well trained to enable them to meet staff recruitment procedures ensure quality time can be offered and people when they need it. Staff in the home are the needs of people who live there and the people are protected. Residents told us that the home is well run and the staff are good. One said the ‘staff will do anything for you.’ A residents’ relative commented that ‘senior management through to all staff members demonstrate true caring for both cared for and the family. They meet and greet with a warm welcome and a smile, whether they are very busy or not’. Another relative said ‘I feel that my mother is being taken care of well and she is a lot calmer and looks well’. A general practitioner stated that they are satisfied with the overall care provided for people within the home. Sunrise of Fleet Limited DS0000066526.V344289.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Sunrise of Fleet Limited DS0000066526.V344289.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 of Fleet Limited DS0000066526.V344289.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): 3 & 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their families are given the information to enable them to make a choice about whether they wish to live in the home. They can also be confident they will only be offered a placement if the service is able to meet the resident’s identified needs. The service does not provide intermediate care, therefore this standard does not apply. EVIDENCE: Three residents were case tracked and all had signed and dated copies of contracts, which, together with the service user’s guide, gave them information about the service they would receive. Information was given about what would not be included in the fee. The annual quality assurance assessment stated that residents and their families are involved throughout the assessment, care planning and review Sunrise of Fleet Limited DS0000066526.V344289.R01.S.doc Version 5.2 Page 9 process. Monthly, 3 monthly and 6 monthly meetings are held to review progress and re-assess as necessary. We saw that all three residents case tracked had comprehensive assessments completed prior to admission, which had been completed with input from the individual’s relatives or representatives. The home’s assessment format was comprehensive, providing details of individuals’ past occupation and life history, preferred routines, religion/spirituality, interests and dietary requirements. The assessments also identified any potential risks, such as a history of falls, and what steps would need to be taken to minimise them on admission. Residents were required to provide written information about their health needs from their doctors. All were being kept under review. As identified at the previous inspection, all admissions have a month’s trial period before the placement is reviewed and made permanent. Two residents and three relatives who returned survey questionnaires confirmed they received enough information about the home before they moved in, to help them make decisions. Both residents said they always receive the care and support they need. Comments received from the three relatives confirmed that they also felt that the home meets the needs of individuals. An external health professional commented that the home does well at providing care for clients and evaluating needs. Sunrise of Fleet Limited DS0000066526.V344289.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): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Health and personal care services are based on individual needs and the principles of respect, dignity and privacy are put into practice. EVIDENCE: Three care plans were seen. These gave detailed information and guidance about residents’ needs and how they should be met. They identified what individuals could do for themselves and what they needed help with. They gave clear guidance to enable staff to support residents whilst maintaining their independence. Relatives or representatives of the individuals concerned had completed and signed sections of the care plans, demonstrating their involvement. Each plan included risk assessments and contained evidence that it was regularly reviewed in accordance with the procedure recorded in the service users’ guide and stated in the annual quality assurance assessment. This says that there are thirty day and six monthly reviews. The reminiscence coSunrise of Fleet Limited DS0000066526.V344289.R01.S.doc Version 5.2 Page 11 ordinator confirmed that residents’ families were invited to attend review meetings, subject to the residents’ agreement. We spoke with three members of staff during a handover, who were able to describe the support needed by residents who were case tracked. They confirmed they got the information they needed from the care plan and from the daily handover and daily records. Two residents who returned survey questionnaires said that staff listen and act on what they say and that staff are always available when residents need them. Residents also confirmed they receive the medical support they need as and when required. Comments received from residents’ relatives confirmed that they are always kept up to date with important issues affecting individuals receiving care. All said that the home gives the support and care to individuals that they expect or agreed. One relative said ‘Sunrise make every effort to keep myself and my family involved and updated with any changes taking place. The management and staff deliver 100 to the resident and family exactly as promised and agreed’. Separate health care records were kept on residents’ files of anything relating to health care needs. One resident said that staff are friendly and respectful and always respond if anyone is feeling unwell. Daily records evidenced that residents had access to health care services such as opticians, chiropodists and dentists. One G.P. visited the home on a weekly basis to see anyone with minor health issues, and residents said they could also see the doctor whenever they wished. Medication is kept in a locked trolley in a locked room when not in use. Staff confirmed that only staff who have completed the three-day training give out medication, in accordance with the procedure. We saw a sample of medication administration records, which had been completed correctly with the exception of one unexplained gap. A member of staff said she would complete a medication error report and explained how the management use this process for monitoring purposes. There are no residents who currently manage their own medication. Comments received from an external health professional indicated that individuals’ health care needs are met by the home and that residents’ privacy and dignity is respected. A general practitioner stated that the home communicates clearly and works in partnership with them and that resident’s medication is appropriately managed. Also that staff demonstrate a clear understanding of the care needs of residents and that the management take appropriate decisions when they can no longer manage individuals’ needs. Sunrise of Fleet Limited DS0000066526.V344289.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): 12, 13, 14 & 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents may be confident that staff will support them so that they are enabled to live their lives in the way they wish. Residents are offered choice in all aspects of their daily living and have opportunities and support to participate in activities they enjoy. EVIDENCE: The previous inspection report identified that the service provided excellent outcomes through the quality of individual’s daily lives within the home. We saw evidence during our visit of this continuing for people who live there. The three residents who were case tracked had life histories, completed by themselves and their families prior to admission. This information was used to ensure activities and experiences were offered that would meet their needs. A planned weekly programme of short activities is in place. This is appropriate for people who have dementia and who may not be able to concentrate for long periods or in large groups. There was opportunity for staff to spend time with individual residents. Staff were observed talking with residents and doing individual manicure sessions in the lounge. Sunrise of Fleet Limited DS0000066526.V344289.R01.S.doc Version 5.2 Page 13 The environment is arranged into a number of reminiscence areas where residents may sit and put on makeup or jewellery, write letters or type them, spend time looking after a ‘baby’ or just walk round touching the sensory pictures throughout the unit. The home has a specialist relaxation room called a ‘Snoozelem’. Residents said they felt able to make choices about how they spent their day. One person said she liked to get up early and could make a cup of tea if she wanted one and have something to eat between meals if desired. The staff asked what her interests are and the home provides suitable things to do if she wishes to take part. Two residents who returned survey questionnaires also said there are activities arranged by the home that they can take part in. One said they ‘really enjoy dominoes, the musical entertainment, singing and dancing and cooking. Comments received from the three relatives confirmed that the home always helps individuals to keep in touch with them. One said ‘visiting is allowed at any time’. Relatives also said that the service supports people to live the life they choose and that the home provides stimulation for people with dementia. The daily routine of the home is centred on the needs and wishes of residents. Care plans identified individual daily routines and residents were encouraged to participate in familiar tasks such as folding towels, setting tables and dusting. The home does not currently have a pet, but is regularly visited by a dog that lives in the sheltered housing scheme. Main meals are provided from a central kitchen situated in the sheltered housing scheme. Staff can also provide light meals and hot drinks from the kitchen in the home. The menu plan evidenced a wide range of food choices with hot meals available for lunch and evening meal. Residents were observed being shown the menu and the two plated options of main meal. They were then able to select one of the two choices or choose something else. Meal times were very relaxed and unhurried. Bowls were used for the main meal where residents had difficulty with flat plates to help them maintain their dignity. Residents we spoke with thought the food is good and liked the choices. Both residents who returned questionnaires said they like the meals at the home, one said there is ‘good variety’ and they ‘love the puddings’. Sunrise of Fleet Limited DS0000066526.V344289.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): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a robust complaints procedure so that residents can be confident their complaints will be taken seriously by the home and that appropriate action will be taken, which will be improved through better record keeping. The homes’ policy and procedure, together with the training provided for staff, ensures that residents are protected against the risk of abuse. EVIDENCE: The home has a policy and procedure for recording and dealing with complaints. Copies are given to residents and their families on admission. Since the last inspection, the Commission for Social Care Inspection had received details of concerns raised by two staff members and two residents’ relatives. These had been forwarded to the senior management for the home, who had responded in writing. This had occurred before the current reminiscence co-ordinator took up post. The annual quality assurance assessment stated that complaints had been responded to and within timescales set within the policy. There is a logbook where complaints are recorded with the outcomes, however details of the concerns mentioned above were not recorded in the current logbook. The reminiscence co-ordinator said this would be done, therefore a requirement has not been made. The reminiscence co-ordinator said there have been no other complaints received by the home, although there is a comprehensive complaints form and Sunrise of Fleet Limited DS0000066526.V344289.R01.S.doc Version 5.2 Page 15 procedure to follow in the event of complaints being made. Those residents spoken with said they had no complaints, but felt they could express any concerns to staff if they felt the need to and that staff would respond appropriately. Two residents who returned survey questionnaires confirmed that they know who to speak to if they are not happy and both they and three relatives said they know how to make a complaint. One residents’ relative said ‘the complaint procedure was explained to me in detail on the first visit to Sunrise’. All relatives who gave comments indicated that the home responded appropriately to any concerns raised about individual’s care. The home had a policy and procedure in relation to the protection of vulnerable adults. We advised that this is reviewed to ensure it complies with the requirements of Hampshire County Council’s latest Safeguarding procedure. The staff training records showed that staff receive training in recognising and responding to suspected abuse. This was confirmed by staff spoken with, who demonstrated knowledge of the procedures. The annual quality assurance assessment confirmed there have been no safeguarding referrals and investigations. Sunrise of Fleet Limited DS0000066526.V344289.R01.S.doc Version 5.2 Page 16 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): 19 & 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The attention paid to the design of the building means that residents are able to live in a clean, comfortable and safe environment that meets their needs. EVIDENCE: The home has been designed to meet the needs of residents who have dementia and has been sensitively furnished. Corridors are light and spacious and provide numerous alcoves with seating so that residents may move freely around the home. Every area is designed to stimulate and provide people with opportunities to revisit stages of their lives. Bedrooms are unfurnished until the resident has decided what belongings they wish to bring. The home then provides any other furniture that is required. Each room has a number and the name of the person living there and, if required, something that helps the person recognise the room, for example a photo board or a familiar painting. Sunrise of Fleet Limited DS0000066526.V344289.R01.S.doc Version 5.2 Page 17 Every room has en suite facilities and there are two communal bathrooms. There is a lounge, dining room and kitchen. Radiators are covered and all hot water outlets have thermostatic control valves fitted to protect residents from the risk of accidental burns or scalds. There is a small outside area that residents may access freely. The laundry is situated off one of the corridors and has a washing machine that has a temperature programme to clean soiled linen. Laundry is undertaken individually and an ironing service is available if desired. The home employs cleaners who work to a cleaning schedule that ensures every bedroom is cleaned thoroughly each week in addition to the daily cleaning. Personal Protective Equipment is available for staff as needed. All potentially hazardous cleaning substances are held safely under lock and key. Residents felt the cleaning was completed to a high standard. Two residents who returned survey questionnaires confirmed that the home is always fresh and clean. One said ‘It is very clean, I don’t think I have ever seen it dirty.’ Sunrise of Fleet Limited DS0000066526.V344289.R01.S.doc Version 5.2 Page 18 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): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Suitably qualified and supervised staff are employed in sufficient numbers to ensure the individual needs of residents can be met at all times. Appropriate training is provided to enable staff to develop skills that help them meet the needs of the service user group. A robust employment procedure ensures that residents are protected. EVIDENCE: The homes’ rota was seen, which showed that there are usually three staff members on duty on each of the early and late shifts. Two staff members cover the night duty. During the visit, staff were observed spending time with residents. The reminiscence co-ordinator said that staffing levels are adjusted to reflect changes in the number of residents and/or individual needs. The home has recently recruited two new staff and one of these was working in a supernumerary capacity on the day of the visit, to enable her to work alongside experienced staff as part of her induction. A handover period between shifts ensures that information is shared and that staff members have the time to read the daily notes. The three members of staff we spoke with during a handover demonstrated good knowledge of dementia issues and of individual residents’ strengths, needs and preferences. Sunrise of Fleet Limited DS0000066526.V344289.R01.S.doc Version 5.2 Page 19 We saw that pre-recruitment checks had been carried out in respect of the two new staff members and the recently recruited reminiscence co-ordinator. Their individual files contained completed job application forms, two written references and evidence of Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) checks. This demonstrates that residents are protected by the home’s procedures. There is a training record for each member of staff, showing when they had attended courses. Training includes moving and handling, first aid, medication, fire safety, abuse awareness, dementia, inductions and National Vocational Qualifications (NVQ). The home receives a monthly email from the training department giving dates when training courses are being delivered. Out of thirteen care staff, five have NVQ level 2 or above awards and a further four staff are working toward obtaining the qualifications. Staff we spoke with confirmed they found the training helpful. The reminiscence co-ordinator said she has identified the need for staff to have training updates in food hygiene, as they assist with lunches, and has taken this to the executive director. Therefore a requirement has not been made. Staff records also contained evidence of formal staff supervision and appraisals. Supervisions take place approximately every six to eight weeks and there is supervision training planned for team leaders to be able to assist the reminiscence co-ordinator in this task. Comments received from three residents’ relatives and an external health professional showed that they feel that care staff have the right skills and experience to look after people properly. One relative said ‘all the care staff appear to be well selected and trained to look after the residents’. Sunrise of Fleet Limited DS0000066526.V344289.R01.S.doc Version 5.2 Page 20 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): 31, 33, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems are in place to monitor the quality of the service and to ensure residents’ needs and wishes are taken into consideration. The health and safety of residents is safeguarded. EVIDENCE: The home has not had a registered manager since April 2006. The reminiscence co-ordinator has been in post since 02/07/07, is currently undertaking the NVQ level 4 Registered Manager Award and has day-to-day management responsibility in the home. She also has an NVQ Assessor Award said she would be submitting an application to register. Residents we spoke to felt that the home is well run. Sunrise of Fleet Limited DS0000066526.V344289.R01.S.doc Version 5.2 Page 21 The annual quality assurance assessment (AQAA) had been completed fully but was returned late and the reminiscence co-ordinator said this was due to the recent day-to-day management changes. The previous inspection report identified that the home had systems in place to monitor the quality of the service and to ensure residents’ needs and wishes were taken into consideration. The report also noted that the environment was well monitored and well maintained so that the health and safety of residents was safeguarded. The AQAA stated that monthly visits by the service providers are undertaken and there is an annual quality service audit in place, in order to maintain and to monitor the service and standards of care provided. We saw written reports of the service providers’ monthly visits and a compliments file containing letters and thank you cards from residents’ families. The home holds family meetings one month after the residents move in, followed by three monthly and six monthly meetings, to enable the staff team, residents and their family to discuss the transition process and reassess any change in care needs. Residents’ care plans are reviewed on a regular basis with the residents and their families in order to maintain continuity of care. The home also holds a Residents Council Meeting once a month in order to maintain effective communication between staff, residents, their families and other departments. A Gallup Poll is conducted on a yearly basis in order to assess and evaluate the views of the residents and their families. Maintenance requirements are met via the homes’ maintenance coordinator. The reminiscence co-ordinator confirmed that the arrangements for handling residents’ money remain the same as at the last inspection. Residents’ expenses are paid for by the home and an invoice is sent to the residents’ relative or representative. Records of all transactions are kept. We saw evidence that safe working practices are upheld and promoted within the home. The maintenance coordinator for the home confirmed all equipment and utilities were regularly serviced. We saw a number of service contracts during the inspection visit. These included invoices for the recent servicing of the lifts, assisted baths, fire alarm and extinguishers. The maintenance coordinator said he completed visual checks of all small electrical appliances on a monthly basis and completed a health and safety check for each room. A fire risk assessment for the home had recently been reviewed. The fire logbook was seen. Weekly tests were completed for fire alarms and fire doors. Fire drills were carried out at least monthly and the fire safety staff orientation policy and procedure had recently been reviewed. Staff completed mandatory training such as first aid and moving and handling before being required to carry out any tasks that related to it. Sunrise of Fleet Limited DS0000066526.V344289.R01.S.doc Version 5.2 Page 22 Sunrise of Fleet Limited DS0000066526.V344289.R01.S.doc Version 5.2 Page 23 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 X 3 X X N/A 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 4 13 3 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Sunrise of Fleet Limited DS0000066526.V344289.R01.S.doc Version 5.2 Page 24 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. Refer to Standard Good Practice Recommendations Sunrise of Fleet Limited DS0000066526.V344289.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 of Fleet Limited DS0000066526.V344289.R01.S.doc Version 5.2 Page 26 - 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!