Inspection on 29/02/08 for Sunrise Operations Bassett Ltd

This inspection was carried out on 29th February 2008.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Sunrise Operations Bassett Ltd 13/08/09

Sunrise Operations Bassett Ltd 16/02/09

Sunrise Operations Bassett Ltd 27/03/07

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 Chris Johnson Unannounced Inspection 29th February 2008 10:00 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.V357005.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.V357005.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 Ltd vacant post Care Home 29 Category(ies) of Dementia - over 65 years of age (29) registration, with number of places Sunrise Operations Bassett Limited DS0000068064.V357005.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th March 2007 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 £945.00 per week to £1316.00 per week. Additional charges are payable for hairdressing, chiropody and newspapers. Sunrise Operations Bassett Limited DS0000068064.V357005.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The purpose of this inspection was to assess how well the home is doing in the meeting of all key National Minimum Standards and to assess what the outcomes are for people who live at this home are in the part of the home known as the ‘reminiscence’ unit. The findings of this report are based on a number of different sources of evidence. These included: An unannounced visit to the home, which was carried out on 29th February 2008. All regulatory activity since the last inspection was reviewed and taken into account including any notifications sent to the Commission for Social Care Inspection. The manager completed an Annual Quality Assurance Assessment (AQAA) prior to the visit. Records, policies and procedures were examined at the home. Surveys were sent to ten members of staff, three of the people who live at the home and two health professionals. Surveys for relatives were sent to the manager to distribute accordingly. At the time of writing this report we had received completed surveys from one relative and three members of staff. During this visit we looked at the physical environment including, people’s bedrooms and all communal areas of the home. Staff and care records were inspected. Some members of staff were spoken with and others were observed during their day-to-day interactions with those living at the home. We also talked to people who live at the home. The manager was present throughout to answer questions and discuss issues. Verbal feedback was provided at the end of the inspection. What the service does well: Before anyone can move into this home they undergo an assessment. This helps to prevent someone moving in whose needs cannot be met and helps people to decide whether the home is right for them. Peoples’ friends and relatives are made to feel welcome in the home and can visit as often as they please. People are free to make their own decisions and choices and receive a healthy diet. The home takes into account a person’s dignity and designs support methods that enhance this. Sunrise Operations Bassett Limited DS0000068064.V357005.R01.S.doc Version 5.2 Page 6 Peoples’ safety is protected and the staff are caring, helpful and thoughtful. They are well trained and undergo a thorough recruitment process. Staff treat people with respect and dignity and ensure that they have access to all medical support as necessary. The home is purpose built and a lot of thought has gone into the environment and it provides a safe and comfortable place to live. The home audits its systems, policies and procedures on a regular basis. This helps them to evaluate the service that they provide to people and to instigate improvements as necessary. 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 Operations Bassett Limited DS0000068064.V357005.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.V357005.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 and 6 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples’ needs are fully assessed prior to admission so that the individual and the home can be sure that the home is right for them and will meet the person’s needs. EVIDENCE: Sunrise does not provide intermediate care. This standard is therefore not applicable and was not assessed. The information in the Annual Quality Assurance Assessment (AQAA) told us that an assessment process continues to be in place as was found at the last inspection of the home. We found sufficient evidence to support this. Pre admission assessments and care notes were looked at for people who had moved into the home since the last inspection. These demonstrated that Sunrise Operations Bassett Limited DS0000068064.V357005.R01.S.doc Version 5.2 Page 9 people had been assessed prior to admission to determine whether the home could meet their needs. All assessments are carried out by a ‘wellness coordinator’ and the manager of the home. A GP report is also requested and used as part of the assessment process. Families and the person themselves are asked to fill out a personal profile. This provides the home with an in depth view of the person, their history, hobbies, and life stories. The home is able to offer people the opportunity to stay for short respite periods and the assessment procedure for these people was found to follow exactly the same process as people moving into the home on a permanent basis. Sunrise Operations Bassett Limited DS0000068064.V357005.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 and 10 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples’ support needs are set out in care plans to guide and inform staff as to how to provide people with the support that they need. The home is aware of the need to include some additional information and this is being addressed. Medication is managed safely and people have access to healthcare support as necessary. EVIDENCE: The care plans of three people were examined during the visit to the home. Each plan contained life stories and personal backgrounds. These provided a lot of detail and provide staff with an overview of the person. The care plans covered all aspects of each person’s physical and personal support needs. Areas covered within the care plan included; bathing, dressing, eating, communication, mobility, continence, medication, the environment, breathing, sleep patterns, their spiritual needs, finances, social activities and behaviour patterns. Care plans had been reviewed on a regular basis and we Sunrise Operations Bassett Limited DS0000068064.V357005.R01.S.doc Version 5.2 Page 11 saw evidence that families and the person themselves are consulted and involved in reviews. Risk assessments had been completed as necessary and risk management plans were in place to address any identified risks regarding a persons personal care needs. Due to the needs of some of the people living at this home they can at times exhibit challenging and or aggressive behaviour. Whilst this is documented within the care plans more detail is required to provide staff with guidance and to ensure that a consistent approach is used. We looked at the care plan of one person who has presented challenging and aggressive behaviour whilst living at the home. Whilst a risk assessment had been completed this did not provide comprehensive instructions on how to deal with the aggression. There was some information on file from the health authority detailing possible triggers to aggressive behaviour and some key terms and phrases to use to reassure the person and de-escalate situations. However this had not been incorporated into the care plan. It was also noted that care plans did not address peoples’ mental health needs. Two peoples assessments referred to mental health issues and neither of these had been addressed within the care plan. This was brought to the acting manager’s attention. We saw that a report by a senior manager within the organisation had recently identified that care plans needed to be more specific and in discussion with the acting manager we were told that this was due to be rectified. It was agreed that all care plans would be reviewed and priority would be given to those that had higher behaviour support needs. The manager felt that all care plans could be completely reviewed within eight weeks. Peoples’ health care needs are recorded and there is evidence that these needs are met. Records were available to demonstrate that people have access to a range of services such as GP’s, Dentists, Chiropodists and District nurses. The home carries out regular health checks and clear records are kept to demonstrate that health care needs are monitored closely and action is taken promptly to address any concerns. Evidence was also seen to demonstrate that the home liaises with health professionals appropriately and supports people to attend appointments. The medication records for three people were examined during the visit to the home and we observed the administration of medication. From examination of the records it was evident that staff were following correct administration recording procedures and medication was stored safely and correctly. The home has a written medication policy and clear procedures. All staff undergo training before being able to administer any medication. Observation of the administration of medication provided additional evidence to support this. The staff member administering the medication followed procedures as per the policy and was observed to carry out the procedure in an unhurried manner and dignified manner. They took time to explain to each person what medication was being given and ensured that it was taken. It was noticed that another person living at the home constantly interrupted the staff member Sunrise Operations Bassett Limited DS0000068064.V357005.R01.S.doc Version 5.2 Page 12 during this process. Although the staff member coped well there were not any other staff in the near vicinity to assist with this. It would be advisable to always have another staff member nearby during medication times to assist with this. The home does have quite a lot of surplus medicines stored. This is largely due to the way that the current dispensing pharmacist supplies the medicines. The acting manager explained that they were making changes to the their current supplier and that this would address this. During the visit to the home staff were observed to be patient and respectful and show consideration towards the people living at the home. In discussion with people living at the home we were told that staff respected their privacy and always knocked on their doors before entering their rooms. This was our observation and we observed people to be spoken to in a polite and appropriate manner. Sunrise Operations Bassett Limited DS0000068064.V357005.R01.S.doc Version 5.2 Page 13 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 and 15 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at this home can receive visitors as often as they please and keep in touch with their family and friends. People are supported to make their own decisions and choices and they receive a healthy diet. Consideration is given to people who need assistance with eating. EVIDENCE: On the day of the visit to the home eight people went out for a trip in the homes’ minibus. In discussion with people they said that they enjoyed these trips and had the opportunity to go out frequently. The home provides a regular activities programme and on the day of the visit staff were involved in one to one activities in the morning and group activities in the afternoon. Several people got involved in a crossword quiz whereby staff read out the clues from a crossword in a daily newspaper and people joined in with solving the clues. The staff were observed to include and engage with quite a few people at the same time and from observation people were enjoying taking part. Other people not taking such an active role were in the Sunrise Operations Bassett Limited DS0000068064.V357005.R01.S.doc Version 5.2 Page 14 near vicinity and were showing interest and seemed to be occupied in watching others taking part or engaged in their own choice of activities such as reading books or newspapers. We saw evidence that people can receive visitors as often as they please and relatives confirmed this. The one person who returned a survey said that they were kept up to date with important issues affecting their relative. In response to the question, ‘What do you feel the care home does well?’ A relative commented, ‘Food, flexibility, range of activities, caring staff, good happy atmosphere, welcoming visitors including children, pets, cleanliness, and supporting relatives’. The home has various articles to use for reminiscence purposes such as clothing, objects and artefacts and people are free to make use of these as they please. There were not any reported restrictions placed upon people in the home and people were observed to be able to decide for themselves whether they wished to get involved in an activity or not. People told us that they were free to do as they pleased. The unit has a kitchen area upstairs to prepare snacks and drinks and these are available throughout the day. The main meals are prepared downstairs and brought up on heated trolleys whereby the temperature of the food is monitored. People reported that they were happy with the standard of food provided and we saw that there is always a choice of meal. Staff take sample plates of each menu choice to each table for the people to choose which of the options they prefer. It was explained that as many of the people experienced short-term memory loss this had been proven to be the best way of ensuring that people had the meal of their choice. The homes’ policy is that staff sit and eat their meal at the same time with the people living at the home. The manager explained that this enabled the staff to assist anyone who needed assistance with feeding in a discreet and dignified way. One staff member said that they valued being able to do this, as it resembled what people did in their own homes. Sunrise Operations Bassett Limited DS0000068064.V357005.R01.S.doc Version 5.2 Page 15 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 and 18 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Satisfactory systems are in place for people to address any concerns or complaints that they may have. Procedures are in place to offer them protection. EVIDENCE: The home has an adult protection policy, which guides the procedure should there be any allegations of abuse. From examination of staff records we saw that staff had received training in abuse awareness during their induction training and this was confirmed in discussion with individual members of staff. Staff spoken with demonstrated that they were clear about reporting any concerns or complaints to the manager. Results of staff surveys were that all staff responded that they knew what to do if anyone had a concern about the home. The Commission for Social Care Inspection had not received any complaints about this home since the last inspection. Information in the AQAA told us that the home had only received one complaint in the last year. We examined the complaints log at the home and saw that this had been recorded and dealt with in line with the homes’ complaints policy and that the issue had been dealt with and responded to appropriately. Sunrise Operations Bassett Limited DS0000068064.V357005.R01.S.doc Version 5.2 Page 16 Feedback from the returned relative survey was that they home responded appropriately to any concerns that they may have. The AQAA stated that the home identified that there could be better ways to ensure that people had better access to the complaint file to enable them to voice their opinions without having to ask staff for the forms. This was discussed with the acting manager and it was agreed that they would be looking at ways to improve this. Peoples’ safety was found to be protected. The environment was secure and all visitors are required to sign in and out of the building. People are further protected by the homes’ recruitment procedures. Sunrise Operations Bassett Limited DS0000068064.V357005.R01.S.doc Version 5.2 Page 17 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): 19,20,24 and 26 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The physical environment is maintained and furnished to a high standard. The home is clean and tidy with sufficient procedures and systems in place to minimise the risk of cross infection. EVIDENCE: During the visit to the home we saw all communal areas and a selection of bedrooms. The home was clean throughout and there were not any adverse odours present. People living at the home were in agreement that the home is kept clean. All bedrooms seen were comfortable, spacious and people had been able personalise them with their own furniture and or belongings. This enables Sunrise Operations Bassett Limited DS0000068064.V357005.R01.S.doc Version 5.2 Page 18 people to maintain their individuality and interests. However, where people had decided not to bring in items personal to them the layout and furnishing of the rooms is undertaken by the home. All furnishings throughout the home were of a good quality. All bedrooms had been fitted with appropriate aids such as call bells. People have a choice of either single bedrooms or companion rooms all of which are fitted with locks. Memory boxes and nameplates are displayed outside each person’s room. These can be filled with small personal items of interest or importance to the occupant. It was explained that these are intended to generate discussion between people with shared experiences, and to help familiarise and orientate the person to their surroundings, the familiar objects aiding the identification of their room. People have several choices of communal areas within the home these include: a large lounge area, a sensory room, a covered balcony/terrace, several seating areas and a dining room. People were observed to be free to access all areas without limitation. Care staff undertake day-to-day responsibility for keeping the home clean and tidy. In addition to this there is a housekeeper whose responsibility it is to do the carpet cleaning and polishing and a thorough weekly room clean. A maintenance team are available on site to address all remedial, decorative and health and safety issues, the ‘maintenance co-ordinator’ was observed to be around the reminiscence unit during the visit. Sunrise Operations Bassett Limited DS0000068064.V357005.R01.S.doc Version 5.2 Page 19 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 and 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff are caring and helpful. They are well trained and undergo a thorough recruitment process. Staffing levels are maintained. EVIDENCE: On arrival at the home there were three permanent members of care staff on duty and an agency worker. In addition to this the manager was on shift. The home has a housekeeper. A maintenance person and assistant are on site daily and cover the whole building. The home has a planned rota and examination of this showed to be a true reflection of the actual numbers and members of staff on duty. The rota allows for a half hour handover period between the end of one shift and the start of the next. Staff spoken with commented on the fact that they considered communication between the staff team to be good. The recruitment records of two members of staff who had been employed by the home since the last inspection were examined. These demonstrated that the home follows procedures and carries out all relevant checks on staff prior to recruitment. This was supported by responses to surveys completed by staff members who all responded that their recruitment had been thorough. We also found this to be the case at the previous inspection of the home in March 2007. Sunrise Operations Bassett Limited DS0000068064.V357005.R01.S.doc Version 5.2 Page 20 From discussion with staff and through examination of staff training records we saw that all new members of staff undertake induction training within the ‘Skills for Care’ guidelines. Responses from staff surveys were that two of the three people who returned a survey responded that when they started working at the home their induction covered everything that they needed to know, to do the job, ‘very well’ the third person answered ‘mostly’. Responses from staff surveys also demonstrated that staff considered that the training that they received was relevant to their role, helped them understand the individual needs of people living at the home and kept them up to date with new ways of working. Examination of staff training records substantiated this. People do receive training in dementia care however some people reported that they would like more in depth training especially regarding dealing with challenging behaviour. One staff member told us that it was their understanding that further training in this area was being planned. This is significant due to the fact that most people living in the reminiscence unit have needs associated with dementia and some do exhibit challenging behaviour. During the visit to the home staff were observed to be patient and respectful and show consideration to people. People reported that the staff were kind and helpful and appeared to be relaxed in the company of staff. Sunrise Operations Bassett Limited DS0000068064.V357005.R01.S.doc Version 5.2 Page 21 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): 31,33,35,37 and 38 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well run, although it has been run without a registered manager for several months. The home operates in the best interest of residents. Peoples’ finances are safeguarded and the health and safety of the people living at the home is promoted. EVIDENCE: At the last inspection of the home the ‘reminiscence’ unit had been without a ‘registered manager’ for several months although, it was being managed by an acting manager. Since then this person has stood down from this role. At the time of this inspection a newly appointed manager had been in post for several weeks. This person has previous experience of managing care homes and has Sunrise Operations Bassett Limited DS0000068064.V357005.R01.S.doc Version 5.2 Page 22 previously been registered with the Commission for Social Care Inspection. We have been told that an application will be made to register the current manager and this should be done as soon as possible. Staff reported that they were given sufficient support to carry out their role and one person commented, “I like the fact that I can go to the manager and make suggestions and these are listened to”. Various quality-auditing processes are in place. These include the regular reviewing of care plans, day to day chats with people and regular visits by a senior manager within the organisation to assess the running of the service. Reports from these visits are held within the home and these demonstrated that the visits are unannounced and carried out monthly, in line with regulations. We looked at a copy of the most recent report and saw that these visits were comprehensive and focused on the quality of peoples’ experiences in the home and that as well as observing and talking to people, the premises and records for both people living at the home and staff are examined and audited in detail. These reports also showed that the home recognises and takes on board ways to improve the service. An example of this being the fact that the home had already identified the need to provide more detail within the care plans and had made plans to do this. Further to this, quality assessment surveys are carried out 3 times a year. The Commission for Social Care Inspection are kept informed of any significant incidents occurring at the home and we saw that the home has its own inhouse incident reporting system. Examination of this provided evidence that appropriate action is taken to address issues. The home will look after small amounts of peoples’ money if they so wish. We checked two peoples’ records and found that accurate records had been kept of all money kept and spent. We also saw that the records are audited on a regular basis. The home also keeps records of any other items looked after on a person’s behalf and an inventory of what items people have brought into the home. The home provided evidence that policies and procedures are regularly updated and that they are kept under regular review. Equally that all equipment used within the home had been regularly checked and serviced. Sunrise Operations Bassett Limited DS0000068064.V357005.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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X X 3 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 3 3 Sunrise Operations Bassett Limited DS0000068064.V357005.R01.S.doc Version 5.2 Page 24 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP9 Good Practice Recommendations It would be advisable to always have another staff member nearby during medication times to assist with this procedure. Sunrise Operations Bassett Limited DS0000068064.V357005.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection South East The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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.V357005.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. 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