Inspection on 22/10/07 for Sunrise Operations Chorleywood Limited (Assisted Living)

This inspection was carried out on 22nd October 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

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Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

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Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Sunrise Operations Chorleywood Limited (Assisted Living) High View Chorleywood Rickmansworth Herts WD3 5TQ Lead Inspector Bijayraj Ramkhelawon Unannounced Inspection 22nd October 2007 11:00 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 Chorleywood Limited (Assisted Living) DS0000069972.V356920.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 Chorleywood Limited (Assisted Living) DS0000069972.V356920.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sunrise Operations Chorleywood Limited (Assisted Living) High View Chorleywood Rickmansworth Herts WD3 5TQ 01923 287750 01923 287751 chorleywood.alc@sunriseliving.com Address 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) Sunrise Operations Chorleywood Limited Miss Jayne Wardell Care Home 70 Category(ies) of Old age, not falling within any other category registration, with number (70) of places Sunrise Operations Chorleywood Limited (Assisted Living) DS0000069972.V356920.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection New Service Brief Description of the Service: Sunrise Senior Living of Chorleywood, the Assisted Living Unit provides, accommodation, support and care for 70 older people. It is owned and managed Sunrise Operations Chorleywood Ltd. The home is situated in a semirural location, but close to a junction of the M25 motorway, near Chorleywood. Shops and amenities are a short distance away in the main town centre. It is a purpose built, three storey building registered in April 2007. The ground and the first floor are for Assisted Living and the top floor unit accommodates older people with Dementia. A passenger lift provides access to all floors. All rooms provide on suite facilities. There is ample car parking spaces at the front and with a garden between the car park and the care home. There is a large secure roof terrace with garden furniture and views over the surrounding countryside. A copy of The ‘Statement of Purpose’, ‘Service User’s Guide’ and the ‘Complaints procedure’ are available for current and future residents. Current scale of fees charged is 98.00 - 140.50 per day Sunrise Operations Chorleywood Limited (Assisted Living) DS0000069972.V356920.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first key and unannounced inspection since the home was registered in April 2007. This inspection was undertaken by one inspector and it took one day. The process of the inspection included examining information received prior to visiting the care home, checking the contents of the Annual Quality Assurance Assessment (AQAA) and observing it in practice, looking at policies and procedures, documents, care plans, staff files, records, speaking to residents, visitors and staff as well as utilising information received from survey questionnaires. Feedback from residents and visitors was positive and they said that they were happy with the service provision. What the service does well: Adequate information about the home is available for current and prospective residents including a ‘Resident Handbook and Information Guide’. The ‘Statement of Purpose’ and ‘Service User Guide’ provide additional information about the home. Each individual has an assessment of needs carried out prior to an offer of placement being made. Each resident has a care plan which is reviewed regularly with the involvement of the resident and their family where agreed. Autonomy and choice were being promoted. Day care activities were planned and provided. Mealtimes were made special and tables were set attractively with the necessary cutlery and aids to help individuals during their meal. Birthdays and celebration are made special for individual residents. The home has a complaints procedure that is up to date, very clearly written, and is easy to understand. This is a newly purpose built home which is attractively decorated and exceptionally kept clean offering residents a pleasant environment to live. There was an enthusiastic, dedicated and caring staff team. Care staff were being provided with appropriate training as required by legislations. The home has sound policies and procedures, which the manager and other senior staff effectively reviews and updates, in line with current thinking and practice. There is an ethos of being open and transparent in the running of the Sunrise Operations Chorleywood Limited (Assisted Living) DS0000069972.V356920.R01.S.doc Version 5.2 Page 6 home. Residents, their relatives, visitors and staff were encouraged to air their views. 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 Chorleywood Limited (Assisted Living) DS0000069972.V356920.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 Chorleywood Limited (Assisted Living) DS0000069972.V356920.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): 1,2 and 3 (Standard 6 does not apply) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A ‘Statement of Purpose’ and ‘Service User Guide’ were in place. Each individual has an assessment of needs carried out prior to an offer of placement being made. EVIDENCE: Adequate information was available for prospective resident in the form of a ‘moving in’ pack including resident handbook and information guide. Care plans examined included an assessment of needs for each person and reports from other professionals. Each individual had their plan of care and daily living programme based on the assessment of needs. Sunrise Operations Chorleywood Limited (Assisted Living) DS0000069972.V356920.R01.S.doc Version 5.2 Page 9 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each resident has a care plan which is reviewed regularly with the involvement of the resident and their family where agreed. Residents have individual health care plans that give a comprehensive overview of their general health and acts as an indicator to changing health needs. The home works to an efficient medication policy supported by procedures and practice guidance. EVIDENCE: Care plans examined were detailed and included all the relevant information required by this Standard. Resident spoken to confirmed that they were well cared for and their individual needs were being met. The majority of the residents said that they are able to look after themselves and seek help as and when required. They were complementary of the care, support, accommodation, food and the staff. Sunrise Operations Chorleywood Limited (Assisted Living) DS0000069972.V356920.R01.S.doc Version 5.2 Page 10 Staff members on duty were observed to deliver care and attend to residents’ needs in a manner that respected their privacy, dignity, choice and wishes whilst actively promoting independence where possible. A number of residents self medicated and there were appropriate policies and procedures for safe practice. Sunrise Operations Chorleywood Limited (Assisted Living) DS0000069972.V356920.R01.S.doc Version 5.2 Page 11 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 to 15 Quality in this outcome area is good, This judgement has been made using available evidence including a visit to this service. The home has developed a system for displaying information and bringing attention to community events and activities. Autonomy and choice were being promoted. Day care activities were planned and provided. Residents are encouraged to take responsibility for their own financial affairs and to use their money as they wish. Mealtimes were made special and tables were set attractively with the necessary cutlery and aids to help individuals during their meal. Birthdays and celebration are made special for individual residents. EVIDENCE: A monthly activity programme was displayed at various parts of the care home. On the day of the inspection, various activities were taking place and residents were observed to be actively participating. Others were listening to music, reading newspapers, chatting and watching T.V. Residents said that they were made aware of daily activities taking place and they were able to choose from a variety of activities provided for them. Sunrise Operations Chorleywood Limited (Assisted Living) DS0000069972.V356920.R01.S.doc Version 5.2 Page 12 The lunch was observed and tables were laid nicely and a choice of drinks was available and there was individual cutlery. Residents spoken to were complementary of the food provided. Sunrise Operations Chorleywood Limited (Assisted Living) DS0000069972.V356920.R01.S.doc Version 5.2 Page 13 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a complaints procedure that is up to date, very clearly written, and is easy to understand. Staff have attended training in the protection of vulnerable adults. Residents were aware that they could have the support of an independent advocate. EVIDENCE: A copy of the complaints procedure was available to people living at the care home. Those spoken to said that they were aware of the complaints procedure. Staff confirmed that they have received training on Safeguarding of Vulnerable Adults. Three complaints were received and these were resolved satisfactorily. Sunrise Operations Chorleywood Limited (Assisted Living) DS0000069972.V356920.R01.S.doc Version 5.2 Page 14 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 good. This judgement has been made using available evidence including a visit to this service. This is a newly purpose built home which is attractively decorated and exceptionally kept clean offering residents a pleasant environment to live. EVIDENCE: Bedrooms were personalised offering a homely, lived in feel. The rooms are very well planned and have on-suite facilities and are above the average size. The fixtures and fittings are of a high quality, well maintained and adapted to meet the wishes of the present resident. There is a selection of communal areas and comfortable chairs placed at various points along the main corridors of each floor that give residents a choice of place to sit quietly, meet with family and friends or be actively engaged with other residents. Call bells were left within reach of residents and these were responded to promptly. Sunrise Operations Chorleywood Limited (Assisted Living) DS0000069972.V356920.R01.S.doc Version 5.2 Page 15 The home and its surroundings offered a pleasant and comfortable environment to its residents. These were kept clean and generally well maintained. Resident said that they were happy with their bedrooms and other facilities. The home has adequate number of domestic staff and records showed that staff have been provided with training in hygiene and infection control. However, it was noted that the laundry room did not have a hand washbasin so that residents and staff can wash their hands to prevent the spread of infection. Sunrise Operations Chorleywood Limited (Assisted Living) DS0000069972.V356920.R01.S.doc Version 5.2 Page 16 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): 27-30 Quality in this outcome area good. This judgement has been made using available evidence including a visit to this service. The skills and experience of staff were varied. There was an enthusiastic, dedicated and caring staff team who took great pride in the service provision. Staff recruited confirm that the service was clear about what was involved at all stages and was robust in the following of its procedure. However, formal supervision should be provided so that care staff are supported in maintaining a high standard of care and safe practices. EVIDENCE: There was adequate number of staff rostered on duty per shift during the day. Staff were provided with relevant training as appropriate. At present there were 19 care staff of who 6 have completed the NVQ Level 2 or above. Residents were complimentary about their rooms, staff and food. They said that ‘ staff are kind caring and they look after us well’. Staff files inspected had all the relevant documents required by this Standard. Staff spoken to confirmed that they have received appropriate training, this included statutory training. They have been given a copy of the General Social Care Council Code of Conduct. Sunrise Operations Chorleywood Limited (Assisted Living) DS0000069972.V356920.R01.S.doc Version 5.2 Page 17 However, formal supervision was not provided to all care staff on a regular basis. The manager said that this was being gradually implemented. Sunrise Operations Chorleywood Limited (Assisted Living) DS0000069972.V356920.R01.S.doc Version 5.2 Page 18 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 – 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has sound policies and procedures, which the manager and other senior staff effectively reviews and updates, in line with current thinking and practice. There is an ethos of being open and transparent in the running of the home. Residents, their relatives, visitors and staff were encouraged to air their views. Financial management procedures were in place. There was an enthusiastic, dedicated and caring staff team. EVIDENCE: The manager has the required qualification (due to complete her RMA at the end of 2007) and experience and is competent to run the home. She said that Sunrise Operations Chorleywood Limited (Assisted Living) DS0000069972.V356920.R01.S.doc Version 5.2 Page 19 she works to continuously improve services and provide an increased quality of life for residents. There is a strong ethos of being open and transparent in the management of the home. All statutory records were available for inspection and maintained in accordance with legislation. Staff spoken to were aware that service users can access their records and information held about them in accordance with the Data Protection Act 1998. There were policies and procedures in place to ensure that the health, safety and welfare of service users were promoted and protected. These records were accessible to all staff. All accidents and injuries are recorded in the accident book and RIDDOR forms have been completed where applicable. CSCI has been kept informed of all accidents and incidents required by legislations. Sunrise Operations Chorleywood Limited (Assisted Living) DS0000069972.V356920.R01.S.doc Version 5.2 Page 20 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 3 3 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 4 3 3 3 3 4 3 2 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 3 3 3 3 3 3 3 Sunrise Operations Chorleywood Limited (Assisted Living) DS0000069972.V356920.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? New Service 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. 2. Refer to Standard OP26 OP36 Good Practice Recommendations A hand washbasin should be provided in the laundry so as to prevent the spread of infection. Formal regular supervision should be provided at least six times a year so that care staff are supported in maintaining a high standard of care and safe practices. Sunrise Operations Chorleywood Limited (Assisted Living) DS0000069972.V356920.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Inspection Team Area Office CPC1 Capital Park Fulbourn Cambridge CB21 5XE 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 Chorleywood Limited (Assisted Living) DS0000069972.V356920.R01.S.doc Version 5.2 Page 23 - 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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