Inspection on 27/03/07 for Sunrise Operations Bassett Ltd

This inspection was carried out on 27th March 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 Operations Bassett Ltd 13/08/09

Sunrise Operations Bassett Ltd 16/02/09

Sunrise Operations Bassett Ltd 29/02/08

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

CARE HOMES FOR OLDER PEOPLE Sunrise Operations Bassett Limited 111 Burgess Road Southampton Hampshire SO16 7AG Lead Inspector Mark Sims Unannounced Inspection 27th March 2007 10:30 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 Operations Bassett Limited DS0000068064.V328570.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 Operations Bassett Limited DS0000068064.V328570.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sunrise Operations Bassett Limited Address 111 Burgess Road Southampton Hampshire SO16 7AG 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) 02380 706050 02380 706051 Sunrise Operations Bassett Limited Mrs Karen Josephine McIvor Care Home 29 Category(ies) of Dementia - over 65 years of age (29) registration, with number of places Sunrise Operations Bassett Limited DS0000068064.V328570.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection NA Brief Description of the Service: Sunrise (Bassett) Senior Living is situated along Burgess Road Southampton and is a large complex offering a variety of services to people, including a social care unit, referred to by the company as ‘Reminiscence’. The ‘reminiscence’ unit is registered with the Commission for Social Care Inspection as a ‘Care Home’ and provides long-term care to people diagnosed with a dementia type illness. The unit is located on the second floor of the complex, referred to by the company as a ‘community’ and offers a variety of single and shared (‘companion’) rooms. Access to the unit is achievable via the stairs or alternatively the passenger lift and the facilities of the entire ‘community’ are available to the ‘reminiscence’ clients, although this is reliant on sufficient staff being available to accompany people outside of the ‘reminiscence’ environment. The fees for accommodation and care at Sunrise (Bassett) Senior Living, ‘reminiscence’ ranges from £750:00 to £1300:00 per week. Sunrise Operations Bassett Limited DS0000068064.V328570.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the first ‘Key Inspection’ for Sunrise Senior Living, a ‘Key Inspection’ being part of the new inspection programme, which measures the service against the core and/or key National Minimum Standards. The fieldwork visits, the actual visits to the site of the ’reminiscence’ unit was conducted over one day, where in addition to any paperwork that required reviewing the inspector met with service users, relatives and staff. The inspection process also involved far more pre fieldwork visit activity, with the inspector gathering information from a variety of professional sources, the Commission’s database and pre-inspection information provided by the service provider. What the service does well: What has improved since the last inspection? What they could do better: The following is an indication of the areas where the service could perform better: The inspector found nothing the service could improve upon that would affect the outcome for service users. Sunrise Operations Bassett Limited DS0000068064.V328570.R01.S.doc Version 5.2 Page 6 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 Operations Bassett Limited DS0000068064.V328570.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 Operations Bassett Limited DS0000068064.V328570.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standard 3 and 6: Prospective clients of the service and/or their representatives are provided with the information needed to make a choice about the home and whether it will meet their needs. They can expect to have their needs assessed and be provided with a contract which clearly tells them about the service the will receive at Sunrise Senior Living. The service does not provide an intermediate care facility. EVIDENCE: Pre-admission assessment/information: The evidence indicates that the ‘reminiscence co-ordinator’ (manager) ensure prospective service users have access to sufficient sources of information prior to admission and that their needs are appropriately assessed. Sunrise Operations Bassett Limited DS0000068064.V328570.R01.S.doc Version 5.2 Page 9 • The fieldwork visit to the ‘reminiscence’ unit dovetailed with the visit to the ‘home help’ service both entities operating out of, or from within the Sunrise (Bassett) Senior Living complex/’community’ and therefore sharing many facilities, services and resources. The report produced following the ‘home help’ service inspection, establishing that the pre-admission assessment process and information made available to prospective clients and/or their relatives was of a high quality: ‘The concept of assisted living, as described or envisaged at Sunrise Senior Living, focuses on the delivery and/or provision of high quality accommodation and comfortable surroundings, combined, where necessary with packages of support that enable the person to achieve activities and tasks associated with a ‘normal daily routine, based on their own needs, wishes and aspirations. To this end the corporation create, for the prospective client, an experience that is both supportive and welcoming, with employees delegated to a variety of roles, all of which are designed to promote an easy transition from the wider community into the ‘Sunrise community’. During the fieldwork visit the inspector was fortunate to meet with several key staff members (co-ordinators), each with a different responsibility but all of whom are likely to be involved with a prospective client and/or their relatives, etc, before entry to the ‘community’. One of the earliest points of contact for prospective clients are the ‘Directors of Community Relations’, who will provide initial information about the services available at Sunrise Senior Living and support visits to the ‘community’, should be wish. Once the decision has been made that the person wishes to reside within the ‘Sunrise community’, arrangements are made with the ‘Assisted Living Co-ordinator (Registered Manager) & Wellness Service Coordinator’, for an assessment visit to be undertaken, when further information about the services offered are provided and prospective clients asked to complete various forms, which are intended to provide the service with details of the person’s abilities, needs and wishes prior to arrival at the complex. • Copies of the forms were provided to the Commission and include: 1. 2. 3. 4. Resident’s Profiles (Reminiscence) Assisted Living Residents Profile Consent to Photograph Residents Inventory DS0000068064.V328570.R01.S.doc Version 5.2 Page 10 Sunrise Operations Bassett Limited 5. 6. 7. 8. 9. Contract Emergency Information Doctor’s Report Release of Confidential Information Direct Debit Mandate. Also contained within the information pack are two self-addressed envelopes for returning the requested information, as well as copies of policy documents covering health and safety, sharing of information, complaints and suggestions, the corporations mission statement, a residents handbook and a brochure leaflet. Once the required information has been returned, the arrangements for overseeing the clients move into the ‘community’ is the responsibility of the ‘Move in Co-ordinator’, who liaises with the ‘Assisted Living Coordinator’ to ensure all arrangements have been made to commence delivering the service prior to arrival and that the accommodation is prepared. • In discussion with the ‘Assisted Living Co-ordinator’ and separately with the ‘Wellness Service Co-ordinator’, it was established that the information gathered and/or provided by the prospective client’s is used to map their general health, the corporation’s philosophy being that early identification of changes in health promote earlier interventions. The ‘Wellness Service Co-ordinator’, then assists in the creation of the person centred plan, which form the basis of the service to be provided and incorporates both health and social care information, the latter identified and planned out by the ‘Assisted Living Co-ordinator’. • On reviewing a number of plans, part of the Commissions’ case tracking programme, it was evident that the information gathered pre-admission is extensively used when populating the persons’ care records and that significant amounts of the original documentation is retained on the clients files for reference purposes’. The only difference between the findings of the reports being that where the above information refers to the ‘assisted living co-ordinator’ the ‘reminiscence co-ordinator’ takes the lead role. Sunrise Operations Bassett Limited DS0000068064.V328570.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards 7, 8, 9 and 10: The health and personal care that people receive is based on their individual needs and the principles of respect, dignity and privacy. EVIDENCE: Care Plan: The evidence indicates that each resident has a care plan based on a needs assessment and considerate of his or her personal needs, wishes and aspirations. • The care records of two clients’, within the ‘reminiscence’ unit were considered during the fieldwork visit. These records were found to be comprehensive documents, which demonstrated clear links to the data gathered as part of the preadmission process and which were plainly reviewed and updated at regular intervals. Sunrise Operations Bassett Limited DS0000068064.V328570.R01.S.doc Version 5.2 Page 12 • Both files were found to contained completed copies of the resident profile, which provides a detailed account of the clients personal history, including: A life story Family background Educational and Occupational achievements Social activities/preferences Daily routines. The files also contained completed reminiscence addendum, which are additional profiling tools used specifically for clients’ moving into the ‘reminiscence’ unit, this document establishing: 1. 2. 3. 4. 5. 1. 2. 3. 4. Mealtime preferences Preferred clothing Behaviour Patterns Sensory profile: a. Sight b. Hearing c. Taste d. Touch e. Smell. The corporation, via its brochure documentation, undertakes to provide: ‘care programmes designed to stimulate memories, ensure hydration and nutrition, special therapeutic features and family members involvement programmes’, which given the general evidence is a commitment they are delivering upon. • Health Care: The evidence indicates that the health and welfare needs of the service users are well managed at Sunrise Senior Living. • There is a strong commitment to monitoring the health and well being of all Sunrise Senior Living clients, the contract/terms and conditions documents making clear reference to ‘monthly health and wellness check’, assistance with medications, assistance with bladder and bowel incontinence and close monitoring of residents physical condition (reminiscence)’. The pre-admission information also focuses heavily on obtaining and/or creating a comprehensive picture of a prospective clients’ health, with a detailed ‘doctors report’ request from each client prior to admission. The role of the ‘wellness service co-ordinator’ and team, are also vital components of the service provided at Sunrise Senior Living, the ‘wellness service co-ordinator’ involved in all pre-admission assessments, DS0000068064.V328570.R01.S.doc Version 5.2 Page 13 • • Sunrise Operations Bassett Limited as highlighted earlier in the report and also involved in the care planning process and ongoing monitoring of all clients. • The residents handbook, also provides instructions on how and where to book consultations with the ‘wellness service co-ordinator’ or a member of her team, their office being situated on the first floor and accessible via the passenger lift. During the fieldwork visit the inspector spent sometime talking to the ‘wellness service co-ordinator’ who discussed her role in generally monitoring people’s health care needs and in the early detection of ill health and the prompt intervention of services. The ‘wellness service co-ordinator’ was also clear that her role is monitoring and promoting wellbeing and that the remit of the team did not extend to treatment, this being undertaken by the appropriate professionals, with whom the service has good relations, according to the ‘wellness co-ordinator’. The pre-inspection questionnaire, does evidence that service users are involved with a number of health care professionals, including primary care and mental health services. • • • Medication: The evidence indicates that the service users medication needs are appropriately handled by the home and/or care staff. • The pre-inspection questionnaire (PIQ), returned by the ‘reminiscence Co-ordinator’, establishes that staff complete medication training and in discussion it is only those staff that are allowed to support the clients with their medication needs. It was also established during a conversation with the ‘reminiscence coordinator’ that the ‘wellness services team’ oversee the ordering and accounting/auditing of the clients medications, ensuring the ‘care managers’ undertake the administration safely and effectively. The PIQ also establishes that medication administration guidance is available for staff and that this was drafted and/or last reviewed on the 26th December 2005. Medication was stored securely and administration records were found to be in good order and accurately maintained. • • • Privacy and dignity: The evidence indicates that the service is committed to ensuring that the clients’ rights to privacy, dignity and respect are upheld. Sunrise Operations Bassett Limited DS0000068064.V328570.R01.S.doc Version 5.2 Page 14 • The corporations core principles, as set out within the pre-admission documentation include: 1. 2. 3. 4. 5. 6. Preserving dignity Nurturing the spirit Celebrating individuality Enabling freedom of choice Encouraging Independence Involving family and friends. • Within the ‘reminiscence’ unit this is achieved via a number of different processes: 1. The pre-admission documentation and the ensuing care plans, which focus heavily on the person as an individual, as established above. 2. The availability of single bedrooms or companion rooms, if chosen, all of which are fitted with locks and all of which have a memory boxes displayed outside the room filled with small personal items of interest or importance to the occupant. One of the ‘directors of community relations’ explaining that the boxes are intend to generate discussion between people with shared experiences, etc and to help familiarise and orientate the person to their surroundings, the familiar objects aiding the identification of their room, etc. 3. A tour of the unit and observations undertaken during the tour established that staff knock doors before entering people’s suites and that people are spoken to in a polite and appropriate manner. 4. Time spent in the ‘reminiscence’ unit also allowed the inspector to observe people undertaking some activities or continue with activities commenced in the morning and was privy to clients’ approaching staff asking when the trip out they had arranged was to leave. The latter indicating that people feel able to approach the staff and discuss issues openly and that choices with regards to outings, etc are positive choices undertaken by the client group. Sunrise Operations Bassett Limited DS0000068064.V328570.R01.S.doc Version 5.2 Page 15 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards 12, 13, 14 and 15: People who use services are able to make choices about their life style, and supported to develop their life skills. Social, educational, cultural and recreational activities meet individual’s expectations. EVIDENCE: Entertainments and Social Activities: The evidence indicates that the social activities programme is meeting the needs of the people accommodated. • The pre-inspection questionnaire (PIQ) included details of the activities arranged for the forthcoming month, within the Sunrise Senior Living ‘community’, activities available to everyone residing within the ‘community’. In addition to the monthly programme of events the PIQ also establishes that outings are undertaken twice a week, one such trip observed by the inspector, when local garden centres, parks or tourist attractions, etc are visited. • Sunrise Operations Bassett Limited DS0000068064.V328570.R01.S.doc Version 5.2 Page 16 • During the tour of the unit, as discussed above, the inspector witnessed people continuing with activities commenced in the morning and was also able to speak briefly with a service user and their relative about the gardening session they had participated in before lunch. People’s care records also reflect the type’s of activities they enjoyed/enjoy and entertainments undertaken/attended. • Visiting Arrangements: The evidence indicates that the visiting arrangements at Sunrise met both the service users and/or their relatives/visitors needs. • As indicated above the corporations, within its pre-admission documentation and general information leaflets, set out for prospective clients’ and/or their relatives their commitment to involving families/friends in the ‘community’ experience. Throughout both the fieldwork visit days, visiting the ‘home help’ service and the ‘reminiscence’ unit the inspector witness numerous people visiting the ‘community’, taking refreshments in the ‘bistro’, staying for lunch, socialising in the units or taking their next of kin out. In discussion with visitors to the ‘community’ it was established that they are always made to feel welcome and offered hospitality on arrival and that the staff are considered approachable and helpful. During a conversation with a Sunrise Senior Living ‘Community’ client, it was mentioned how their partner had resided within the ‘reminiscence’ unit and that staff had taken them up to the unit everyday to visit them. • • • Choice and Independence: The evidence indicates that service users are being provided with the opportunities to make choices and independent decisions on a daily basis. • Several examples of choice being provided to people have been identified within the report: 1. 2. 3. 4. • Locks on doors Activities Visiting arrangements Choice of accepting offer of accommodation. In addition to the information already contained within the report the inspector also found that choice was promoted for people through: Sunrise Operations Bassett Limited DS0000068064.V328570.R01.S.doc Version 5.2 Page 17 1. Meal and Menu options, with staff taking sample plates of the meals to people with limited capacity, in order to help promote choice and self-determination. 2. Choice of communal setting, with the unit offering a large lounge area, sensory room, balcony, several seating areas and a dining room. 3. The personalisation of the suites and the creation of the memory boxes. 4. The availability of the therapeutic or activities centres (a work bench, cloth stand, etc) enabling people to occupy their time through familiar pursuits should they so wish. Meals and Menus: The evidence indicates that the mealtime experience for clients is positive and affords them both choice and variety. • As stated above the inspector observed the lunchtime arrangements within the ‘reminiscence’ unit and witnessed ‘care manager’s’ taking sample plates to each table for the people to choose, which of the options they preferred. The meals are prepared in the main kitchens and transported to the unit via a heated trolley, where all food safety measures are undertaken, probing of food, etc. The meals served were well presented; and during a brief discussion with the ‘catering co-ordinator’ understood to be based on good nutritional advice and current best practice guidelines, as well as the wishes and requests of the clients. Snacks and drinks are available throughout the day to clients, with a small kitchenette included in the design of the dining room, plus the bistro available on the ground floor, if people are available to escort clients to this facility. • • • Sunrise Operations Bassett Limited DS0000068064.V328570.R01.S.doc Version 5.2 Page 18 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards 16 and 18: People who use the service are able to express their concerns and have access to a robust, effective complaints procedure, are protected from abuse, and have their rights protected. EVIDENCE: Complaints and Concerns: The evidence indicates that the service users and/or their relatives are confident that in raising concerns or complaints, these will be effectively managed. • As identified earlier within the report, each prospective service user and/or their relative if appropriate, is provided with an information brochure, ‘Moving In’, which includes details of the company’s complaints process and people’s right to bring any unresolved concerns to the attention of the Commission. Evidence taken from the pre-inspection questionnaire (PIQ), which includes a summary of the ‘home help service’ recent complaints activity indicates that: • 1. No complaints have been received 2. No complaints have been partially substantiated 3. No complaints have been substantiated Sunrise Operations Bassett Limited DS0000068064.V328570.R01.S.doc Version 5.2 Page 19 4. No complaints were responded to within the twenty-eight day timescale, as none were received. 5. No complaints were resolved, as none were received. • As indicated earlier within the report, clients of the ‘reminiscence’ unit seemed both comfortable and able to approach staff with concerns or queries, one person noted to ask the staff on several occasions about the precise timing of the days outing. Safeguarding Adults: The indication is that the corporation ensure the staff of Sunrise are equipped to manage and/or address issues of protection and that service users are provided with suitable means/opportunities raise concerns. • The pre-inspection questionnaire (PIQ) establishes that staff have access to policies and procedural guidelines on the disclosure of abuse and bad practice. The PIQ also identifies that staff receive training during their induction on and around adult protection, this statement supported by finds during the fieldwork visit, as the database maintained by the ‘administration coordinator’ lists the dates and venues for ‘Protection of Vulnerable Adults’ training undertaken by staff. A comment card returned by a ‘care manager’ (care worker), provided further evidence of the existence of policies and procedures designed to promote safeguarding of vulnerable adults, the comment carded ticked ‘yes’, in response to the question: ‘do you know about the policies and procedures on safeguarding adults (protection policies)’. The PIQ also provides a clear statement of the fact that within the last twelve months no adult protection incidents have been referred to the local authority for investigation/consideration. • • • Sunrise Operations Bassett Limited DS0000068064.V328570.R01.S.doc Version 5.2 Page 20 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards 19 and 26: The physical design and layout of the home enables people who use the service to live in a safe, well-maintained and comfortable environment, which encourages independence. EVIDENCE: Environment and cleanliness: The evidence indicates that all service users live within a well-maintained, clean and tidy environment that meets their immediate and long-term care needs. • The tour of the ‘reminiscence’ unit highlighted no concerns with all areas of the unit being well maintained, decorated and furnished throughout, although as the complex is newly built this is no a surprise. Sunrise Operations Bassett Limited DS0000068064.V328570.R01.S.doc Version 5.2 Page 21 • A maintenance team are available on site to address all remedial, decorative and health and safety issues, the ‘maintenance co-ordinator’ observed around the complex during both visits to the ‘community’. As discussed earlier, when describing the efforts made by the corporation to promote choice and independence, many of the ‘suites’ visited during the tour of the unit have been personalised by the occupant, creating a sense of ownership and belonging. However, where people decided not to bring in items personal to them the layout and furnishing of the ‘suites’ undertaken by the staff of Sunrise is of the highest quality. • Cleanliness: The evidence indicates that the complex is clean, tidy and free from odours throughout. • Again the tour of the ‘community’ raised no concerns with regards to the cleanliness of the home, housekeeping staff observed undertaking their duties during both fieldwork visit days. People spoken with during the fieldwork visits also felt the home was clean and tidy and that the housekeeping arrangements were fine. The corporation setting out in the ‘residents handbook’ how: ‘Inclusive in your accommodation fee is housekeeping. This is provided once a week and includes: • • 1. A change of bed sheet and towels 2. Cleaning of your kitchenette and all living areas 3. Sanitising your bathroom and floor surface. Spot cleans are carried out by the care staff on every day of the week (this includes emptying bins, making your bed and sanitising your bathroom). All communal areas are cleaned on a daily basis. • The PIQ established that the ‘care managers’ have access to infection control guidelines, which were last reviewed and updated on the 30th December 2005. Whilst information gathered from the ‘administration co-ordinator’ established that training is made available to both care staff and housekeeping staff around the management of infectious materials, agents and housekeeping duties/roles/responsibilities. • Sunrise Operations Bassett Limited DS0000068064.V328570.R01.S.doc Version 5.2 Page 22 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards 27, 28, 29 and 30: Staff are trained, skilled and employed in sufficient numbers to support the people who use the service, in line with their terms and conditions, and to support the smooth running of the service. EVIDENCE: Training and Development: The evidence indicates that the training and development opportunities for the staff are good. • Staff working within Sunrise Senior Living ‘communities’, regardless of the area within which they work, are provided with exactly the same training and development opportunities. All staff required to complete the corporation’s induction programme, referred internally as ‘Sunrise University Training’, which includes: 1. 2. 3. 4. 5. 6. 7. Moving & Handling Personal Care The Aging Process Adult Protection Health & Safety Alzheimer’s/Dementia Care Activities DS0000068064.V328570.R01.S.doc Version 5.2 Page 23 • Sunrise Operations Bassett Limited 8. House Keeping. • In addition to the induction training staff, can also expect to be offered the opportunity to undertake: 1. 2. 3. 4. Medications Training First Aid Equalities Training Mini Modules. Mini Modules being in house training events, devised and arranged by the ‘wellness service co-ordinator’ and covering a variety of topics, including: 1. 2. 3. 4. • Use of hoisting equipment Use of the spa bath Reporting and Recording Affective Handover, etc. Staff after six months are offered or become eligible to enrol upon a National Vocational Qualification’s (NVQ) course at level two, or three if applying to become a ‘lead care manager’. Data taken from the PIQ indicates that currently five of the ‘reminiscence’ units’ twelve care staff possesses an NVQ at level two or above giving the unit a 42 percent ratio of staff possessing an NVQ qualification. At present the target ratio is fifty percent, as set out in the National Minimum Standards, although this is a relatively new service with the recruitment and training of staff a continuous process. • Recruitment and Selection: The evidence indicates that the recruitment and selection process of the corporation is well structured and effectively operated at Sunrise Senior Living, Bassett. • The recruitment and selection process operates in accordance with the company model, a manual is provided to the ‘co-ordinators’ to guide them through the procedure. During the fieldwork visit several ‘co-ordinators’ discussed the recruitment strategy of the ‘community’, which follows a very rigorous process and commences from the ethos that: ‘Sunrise recruits staff to meet the needs of the service users’. Vacancies are normally highlighted by the ‘co-ordinators’ responsible for that section/area of the service/complex and this is communicated to the ‘administration co-ordinator’. Sunrise Operations Bassett Limited DS0000068064.V328570.R01.S.doc Version 5.2 Page 24 Adverts can be placed externally if required however, weekly the service arranges group interviews, which are the starting point for all prospective candidates, people expect to either complete an application form prior to commencing the interview process or to have collected and returned an application prior to attending the group interview session. Candidates who successful complete the first phase of the recruitment and selection process are then invited to attend more formal one-to-one interviews, which are undertaken by members of the ‘co-ordination team’, often the person who is in charge of the area the candidate is being recruited to and a colleague, records of the interview are maintained. Successful candidates are then contacted by the ‘administration coordinator’, who will have started processing their details and invited to undertake a shadowing shift, which is intended to introduce them to the role and responsibilities they will be asked to undertake. This shift does not involve working with clients directly, however, the corporation might need to consider the implications of allowing individuals, without Criminal Record Bureau (CRB) and Protection Of Vulnerable Adults (POVA) clearance to have access to people, even if shadowed, especially should the person undertaking the shadowing role be called away in an emergency, etc. • During the fieldwork visit the files of four recently appointed staff were reviewed and found to contain the following information: 1. 2. 3. 4. 5. 6. 7. 8. 9. • An application form Details of interview Contracts Employment correspondence Two references Protection Of Vulnerable Adults (POVA) clearance Criminal Records Bureau (CRB) check outcome Supporting identification and documents Induction Programme outcomes. The indication from the staff, via the comment card system, is that the recruitment and selection process was viewed favourably: a staff member ticking ‘yes’ in response to the question: ’do you think that your recruitment was done fairly and thoroughly’. Staff also found the induction process useful, indicating that it covered ‘most’ areas they need to do the job properly, the files/database maintained by the ‘administration co-ordinator’ establishing that all new • Sunrise Operations Bassett Limited DS0000068064.V328570.R01.S.doc Version 5.2 Page 25 staff complete the induction programme, devised and implemented by Sunrise Senior Living’. Sunrise Operations Bassett Limited DS0000068064.V328570.R01.S.doc Version 5.2 Page 26 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards 31, 33, 35 and 38: The management and administration of the unit is based on openness and respect and has effective quality assurance systems, which are overseen a competent manager. EVIDENCE: Management: The evidence indicates that the home is well run and managed. • The ‘reminiscence’ unit has been without a ‘registered manager’ for several months, although a new ‘reminiscence co-ordinator’ has been appointed and was available during the fieldwork visit. In discussion with the ‘co-ordinator’ it was established that she had commenced the registration process and was in the midst of collating the Sunrise Operations Bassett Limited DS0000068064.V328570.R01.S.doc Version 5.2 Page 27 information required for submission with the Commissions’ application, medical reference, Criminal Records Bureau check and supporting documents. It was also ascertained that the ‘co-ordinator’ has enrolled upon and commenced the ‘Registered Managers Award’ and that she has experience of working for Sunrise (Bassett) senior Living, her previous role being that of a ’lead care manager’. • Discussions with current ‘lead care managers’ established that the ‘coordinator’ is a well liked and respected person, who staff believe has the clients’ best interests at heart and who will become and effective and efficient manager. In discussion with the ‘Executive Director’, ‘Assisted Living Co-ordinator’ and ‘Reminiscence Co-ordinator’ it was confirmed that following the registered manager resignation the ‘reminiscence’ unit has been run by the ‘lead care managers’ overseen by the ‘Assisted Living Co-ordinator’, who is on site daily. However, since the permanent appointment of the new ‘Reminiscence co-ordinator’ the overseeing role has become a supportive role, although all ‘co-ordinators’ are expected to operate as a team. Quality Audit and Assurance: The evidence indicates that service users and/or their relatives are afforded the opportunity to comment on the service provided at the home. • The evidence within the brochure documentation/ ‘residents handbook’ is that resident council meetings are to be arranged monthly to discuss issues concerning service users. Evidence that these meetings take place were seen during the tour of the ‘community’ complex, when notices of the forthcoming meeting dates were observed. In conversation with ‘community clients’ it was established that meetings are reasonably well attended, although it is felt sometimes the people speaking are always the same. If the resident’s, are unable to attend the meetings, which would/could be the case for some clients of the ‘reminiscence’ unit, the handbook makes clear that a relative/advocate can attend in your place, all meetings are minuted. • • • • Sunrise Operations Bassett Limited DS0000068064.V328570.R01.S.doc Version 5.2 Page 28 • During a discussion with the ‘reminiscence co-ordinator’ the possibility of arranging meetings just for the ‘reminiscence’ cliental was discussed, which the ‘co-ordinator’ is to consider. The corporation also monitor and/or audit each ‘community’ setting and it is understood that the Sunrise (Bassett) Senior Living ‘community’ is shortly to undergo a stringent review/audit. • Service users finances: The evidence indicates that appropriate arrangements are made to support service users with their finances. • The ‘administration co-ordinator’ explaining that it is the practice of the corporation not to become involved in managing the finances of the services users, although people are offer the opportunity to have some items added to their bill, which must be settled on payment of the monthly invoice. Whilst no direct reference to the managing of people’s monies could be found within the contract/terms and conditions or ‘residents handbook’ the latter document does state: ‘hairdressing bills should be settled directly with the hairdresser or can be included on your monthly billing account’, which establishes the use of the billing system to pay for services. No issues or concerns with regards to this system of managing people’s monies has been brought to the attention of the Commission, either prior to the inspection or during the fieldwork visits. • • Health and Safety: The evidence indicates that the health and safety of the service users and staff is being appropriately managed. • The pre-inspection questionnaire (PIQ) provides evidence of the fact that new employees receive induction training, which includes a health and safety, food hygiene and infection control elements. The PIQ for the ‘reminiscence’ unit also indicate that health and safety policies and procedures are in place and were last reviewed, updated in the July of 2005. • During the fieldwork visits, as discussed above the inspector was introduced to the maintenance co-ordinator, who has responsibility for overseeing the safety and maintenance of the premise, as well as providing instruction and training to staff on matters of a health and safety nature. The complex (community) also as stated early is a relatively new building and is in a good state of repair, throughout. The ‘suites’ are DS0000068064.V328570.R01.S.doc Version 5.2 Page 29 • Sunrise Operations Bassett Limited spacious with wide doorways and good light sources and the staffed concierge desk ensures no one enters the home unannounced. Sunrise Operations Bassett Limited DS0000068064.V328570.R01.S.doc Version 5.2 Page 30 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 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 Operations Bassett Limited DS0000068064.V328570.R01.S.doc Version 5.2 Page 31 Are there any outstanding requirements from the last inspection? N/A 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 Operations Bassett Limited DS0000068064.V328570.R01.S.doc Version 5.2 Page 32 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 Operations Bassett Limited DS0000068064.V328570.R01.S.doc Version 5.2 Page 33 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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