Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 13/08/08 for Sunrise Operations Weybridge (Assisted Living)

Also see our care home review for Sunrise Operations Weybridge (Assisted Living) for more information

This inspection was carried out on 13th August 2008.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home provides an environment in which the service users are able to maintain their independence. In some ways it is like a hotel with the care element added, as one service users explained. The fabric of the building hasbeen decorated and furnished to a high standard with thought given to different types of both communal and private space. Service users living here are able to maintain social links in the community and visitors are very welcome. There is a very comfortable area where both service users and visitors can make a drink and sit and chat. This area was well used during the day. It was good that service users have a choice of bedrooms, which vary in size when they come to the home, they are encouraged to furnish and personalise these to the own wishes and preferences. There is a varied programme of activities available on a daily basis, which service users can choose to join in with, the home also has a mini bus and takes service users out on regular outings. The home offers a well-balanced varied menu, which is home cooked by chefs at the home. The service users are offered wine or other drinks at lunchtime and this is all served in a congenial setting overlooking the garden. The home does have residents meetings and a service user said that the home is good at responding to any requests made.

What has improved since the last inspection?

Not applicable as this is the first inspection.

CARE HOMES FOR OLDER PEOPLE Sunrise Operations Weybridge (Assisted Living) Ellesmere Road Weybridge Surrey KT13 0HY Lead Inspector Sally Hall Unannounced Inspection 08:00 13 August 2008 th 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 Weybridge (Assisted Living) DS0000071632.V369324.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 Weybridge (Assisted Living) DS0000071632.V369324.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sunrise Operations Weybridge (Assisted Living) Address Ellesmere Road Weybridge Surrey KT13 0HY 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) 01932 871100 01932 871101 Sunrise Operations Weybridge Ltd Mrs Shireen Vernege Care Home 81 Category(ies) of Old age, not falling within any other category registration, with number (0) of places Sunrise Operations Weybridge (Assisted Living) DS0000071632.V369324.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Old age, not falling within any other category (OP). The maximum number of service users to be accommodated is 81. Date of last inspection Brief Description of the Service: This residential home has been purpose built to high specifications and offers accommodation and care to 81 service users in tastefully decorated and furnished surroundings. The rooms are over three floors and there are passenger lifts for those who cannot manage the stairs. The bedrooms vary in size and some come with two rooms, these can be used for couples or can be used as a bedroom and lounge. There are a number of communal areas that service users can choose to sit or dine in. There is also an area where service users and or there families can make tea and coffee. The gardens are interesting, well maintained and accessible to those less mobile. There is plenty of seated areas for service users and their visitors to enjoy the views. The home has a concierge service at front of house for both visitors and service users living at the home. The home offers a range of activities and has a minibus for regular outings. Fees for this home are divided between the accommodation and the care provision. The accommodation ranges from £693 to £1540 per week depending on the size of the room/s. The care is worked out on the basis of need, in half hour slots in agreement with the service user/family at the time of admission and is reviewed if those needs change. The giving of medication is also changed for. Sunrise Operations Weybridge (Assisted Living) DS0000071632.V369324.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 stars. This means the people who use this service experience good, quality outcomes. The Inspector agreed and explained the inspection process with the Senior Care Manager at the start of the inspection as the Registered Manager was on leave. This is a new home and currently has just 35 service users in residence. The focus of this first inspection was to assess Sunrise Operations Weybridge in accordance with the Care Home Regulations 2001 and the National Minimum Standards for Older People. In some instances the judgement of compliance was based solely on verbal responses given by those spoken with. The Inspector used a varied method of gathering evidence to complete this inspection, pre-inspection information such as the previous report and discussion and correspondence with the registered provider was used in the planning process to support the inspector to explore any issues of concern and verify practice and service provision. The home had completed an AQAA an annual quality assurance assessment questionnaire, which was received prior the site visit to the home. This provided the Inspector with information relating to what the home considers it does well, What we could do better, and plans for the future. Survey questionnaires were sent to the home prior to the inspection however few were returned. Documentation and records were read. Time was spent reading written policies and procedures, reviewing care plans and records kept within the home. Other area’s viewed included risk assessments, pre-admission assessments, staff rota, training records and recruitment records. The Inspector identified six service users for case tracking, speaking with three of them. This allowed further cross-referencing of the information held in the home pertaining to their care provision. In addition the Inspector ate two meals with the service users and spoke during the day with others, which gave her a good opportunity to judge the quality of care being provided by the home and understand the impact the care provision has on the service users quality of life. What the service does well: The home provides an environment in which the service users are able to maintain their independence. In some ways it is like a hotel with the care element added, as one service users explained. The fabric of the building has Sunrise Operations Weybridge (Assisted Living) DS0000071632.V369324.R01.S.doc Version 5.2 Page 6 been decorated and furnished to a high standard with thought given to different types of both communal and private space. Service users living here are able to maintain social links in the community and visitors are very welcome. There is a very comfortable area where both service users and visitors can make a drink and sit and chat. This area was well used during the day. It was good that service users have a choice of bedrooms, which vary in size when they come to the home, they are encouraged to furnish and personalise these to the own wishes and preferences. There is a varied programme of activities available on a daily basis, which service users can choose to join in with, the home also has a mini bus and takes service users out on regular outings. The home offers a well-balanced varied menu, which is home cooked by chefs at the home. The service users are offered wine or other drinks at lunchtime and this is all served in a congenial setting overlooking the garden. The home does have residents meetings and a service user said that the home is good at responding to any requests made. 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. Sunrise Operations Weybridge (Assisted Living) DS0000071632.V369324.R01.S.doc Version 5.2 Page 7 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 Weybridge (Assisted Living) DS0000071632.V369324.R01.S.doc Version 5.2 Page 8 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 Weybridge (Assisted Living) DS0000071632.V369324.R01.S.doc Version 5.2 Page 9 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): 1,2,3,4,5,6, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users have all the information they need to make an informed choice about whether they wish to live at the home. They will have a contract, which include the terms and conditions of the stay. Service users can be confident that their needs will be assessed prior to moving in to the home and they have the opportunity for visits prior to committing to living at the home. Intermediate care is not provided EVIDENCE: Service users spoken with during the day confirmed that they had the information they needed to make an informed choice about the home. The Sunrise Operations Weybridge (Assisted Living) DS0000071632.V369324.R01.S.doc Version 5.2 Page 10 service users also confirmed that they were aware of the terms and conditions and had signed contracts of which they had a copy. The Senior Care Manager confirmed that all service users are assessed for suitability before being admitted to the home. Evidence of this was seen in the files sampled, and the assessments cover all aspects of the service users care needs, physically, socially and psychologically. The service users confirmed that they had had the opportunity to visit the home before they came there to live and how they had been given a trial period in which to make up there mind about the home. This home does not provide intermediate care. Sunrise Operations Weybridge (Assisted Living) DS0000071632.V369324.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): 7,8,9,10,11. Quality in this outcome area is good, This judgement has been made using available evidence including a visit to this service. Service users benefit from detailed care plans and are supported by staff that treat them dignity and respect. Service users benefit from their health care and social needs being met and can feel confident that their wishes in respect of death or dying will be respected. The home’s procedures with regard to the handling and administration of medication need to be reviewed to ensure that the administration of such medication meets with current guidance to protect service users. EVIDENCE: In the service user files sampled evidence was seen of the individual plan of care for each service user. These care plans were well written and contained the information necessary for staff to provide individual care to the named service user. It was evident is that the service user plan had in part been determined by the assessments done prior to and at the time of admission. Sunrise Operations Weybridge (Assisted Living) DS0000071632.V369324.R01.S.doc Version 5.2 Page 12 From evidence seen and in talking to service users it was apparent that they had been part of the care planning process along with their family and where appropriate other health professionals. These plans covered all aspects of the service users well being including their health, care, social and psychological needs. Observation during the day of staff interaction with service users gave evidence that staff show respect to service users and their dignity and privacy is protected. Service users spoken to said that they felt that they are treated with respect at all times. The Medication is stored in the service users rooms in locked cabinets. The staff give out medication to those who would rather staff undertook this task for them; there is a charge for this service. There are a number of service users in the home who do however manage there own medication, again this is stored in the locked cabinets. The home has the majority of the medication dispensed in MDS (Monitored Dosage System) provided by the pharmacy. The Medication Record Sheets (MAR) seen had been completed fully in most cases and showed medication being brought forward form the sheet before as well as a record of medication coming in to the home. An audit of medication was undertaken looking particularly at medication not with in the dosage system and included service users who look after there own medication and those who have staff give them their medication. All medication is ordered and recorded by staff at the home regardless of whether the service user takes it them selves. Tablets were counted against the record on the MAR sheet; these did not tally in all cases showing some medication had not been given by staff or taken correctly by the service users self-administering. There was also a case where medication had run out and although this had been reported by the service users new stock had not been forth coming. Adequate stocks of medication must be maintained to ensure all service users get the medication they are prescribed. The home does have a medication policy and procedure in place and staff spoken to were aware of this. Medication risk assessments were also evident in the files sampled, however the home has not been taking responsibility for monitoring the medication of those who self-medicate. This is part of their own procedure as well as being a requirement. The homes Director was made aware of the shortfalls regarding medication in the home. Evidence was seen that records are kept as to the service users wishes regarding their death or dying. Service users confirmed that they had spoken about this with staff. Death and dying is covered in the induction training. Sunrise Operations Weybridge (Assisted Living) DS0000071632.V369324.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): 12,13,14,15. Quality in this outcome area is good, This judgement has been made using available evidence including a visit to this service. Current service users enjoy a good lifestyle and range of activities, which ensures quality of life. Relatives are actively encouraged to maintain contact with their relatives and service users are encouraged to maintain choice and control over their lives. The service users benefit from appetising meals and a balanced diet offered at the home. EVIDENCE: The majority of the service users spoken with confirmed they were happy with the lifestyle at the home and found the level of activities about right. There are staff at the home that arrange the activities and other staff are also encouraged to participate. Recently they have been having input from the staff who come form different countries, they having been sharing there experiences of their culture with service users, this has been well received and service users said that they have found it both informative and interesting. Sunrise Operations Weybridge (Assisted Living) DS0000071632.V369324.R01.S.doc Version 5.2 Page 14 Service users family spoken with said they feel welcome and know they can visit the home at any time. Staff was seen making time to talk to visitors and share information with them. The design of the home provides seating areas within the communal areas of the home where residents can entertain their visitors, in addition to the privacy of their own room. Service users confirmed they are given choices over meals, activities and the pattern of daily life. Evidence was seen that service users can bring in personal items for their rooms and staff confirmed this is encouraged. The general feeling amongst service users was that the food was good, however a few service users spoken to said they would like to see more Shellfish on the menu. Menus are displayed so service users are aware of the forthcoming meals and a menu for the day is on each table at meal times, service users are asked what they would like to eat when they sit down for meals. Meals of the day are also plated and displayed so service users can see what they look like. The menus seen indicated a varied well balanced diet. Clear choices were seen on the menus and alternatives such as salads are available daily from the salad bar. Service users are also offer a glass of wine or soft drink with their lunchtime meal. Sunrise Operations Weybridge (Assisted Living) DS0000071632.V369324.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): 16,18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are aware of their rights with regard to making a complaint and to whom to complain. Service users are protected from the risk of abuse by the home’s Adult Protection policy and procedures. EVIDENCE: Sunrise Operations Weybridge (Assisted Living) DS0000071632.V369324.R01.S.doc Version 5.2 Page 16 A copy of the Home’s complaints procedures was seen and several service users spoken to confirmed that they had a copy. The service users said that they were confident that they would be listened to and concerns would be taken seriously. The home’s Policy for the Protection of service users and staff “Whistle blowing” procedure was seen. These include procedures for the reporting of suspicion or evidence of abuse or any allegations with the action to be taken in such an event happening. All staff have had adult safeguarding training as part of their induction to the new home. Evidence was provided that staff have been checked with the Criminal Records bureau. The evidence in the staff files seen confirmed that all staff have been through the required recruitment checks prior to appointment which includes checking the POVA (Protection of Vulnerable Adults) register. Sunrise Operations Weybridge (Assisted Living) DS0000071632.V369324.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): 19,20,21,22,23,24,25,26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from living in a well maintained environment which provides a homely warm atmosphere with safe access to comfortable indoor and outdoor communal areas. EVIDENCE: Tour of the building was undertaken, the whole building was extremely clean and no offensive odors were smelt. The quality of the décor and furnishings is high and a lot of thought had been given to the aesthetics of the communal areas. It was enchanting to see the decor and the items that adorn the walls, tables, and chests around the home. Corridors are wide and good for disabled access. The bedrooms are well furnished and service users are certainly encouraged to bring in their own furniture if they wish. The rooms entered had been personalised, there is plenty of room within each bedroom and the en-suite facilities are also suitable for disabled people who have a mobility Sunrise Operations Weybridge (Assisted Living) DS0000071632.V369324.R01.S.doc Version 5.2 Page 18 problem. There is a mixture of showers and bathrooms en-suite depending on what the service user requested when they came into the home. The home currently has 35 service uses bedrooms occupied out of 81 rooms available. There are also rooms available that are suites which have two rooms, one can be used as a bedroom and one of the living room, these would also be suitable for couples wishing to share. Each bedroom has a nameplate outside and a memory box which service users are encouraged to fill with items that mean something to them. The home has a small laundry that is available for use by service users. Many like to wash through small items them selves. There is a sink, washing machines and tumble dryers, which they can use. Staff also do any laundry they want them to do. The main laundry for the home is downstairs and staff ensures that all the sheets etc are washed there. There is a collection of communal areas with seating and a dining areas, one of which is used for craft, and activities, there are also quiet areas where service users can sit with family if they dont want to sit in bedrooms. There is an area where service users and or families can make tea and coffee during the day, this area was seen to be well used for entertaining guests. Sunrise Operations Weybridge (Assisted Living) DS0000071632.V369324.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): 27,28,29,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users care, social and emotional needs are promoted by on the whole well trained care staff in sufficient numbers to meet their needs. They are also protected by the recruitment procedures within the home. EVIDENCE: Being a new home all of the staff are also new, some are also new to caring. Regardless of their experience, all staff undertake the induction programme with in the home, this covers awareness of the homes policies and procedures. The induction also covers topics such as health and safety, infection control, safeguarding adults and gives them certificates in moving and handling, basic food hygiene, and first aid for example. The home employs ancillary staff who work as cleaners, cooks, gardener/ maintenance staff. Thus allowing care staff the time to meet the needs of the service users. From documentary evidence seen the standard of staff training was adequate overall with the majority of staff completing basic courses. However shortfalls were noted with regard to 50 achieving a NVQ (National Vocational Sunrise Operations Weybridge (Assisted Living) DS0000071632.V369324.R01.S.doc Version 5.2 Page 20 Qualification) Level 2 or above care qualification. Courses have been booked to enable all staff to achieve the NVQ award. The home showed that it undertakes sound recruitment practice including submission of an application form detailing all previous work history, requests proof of identity and copies of qualification certificates, seeks two written references, and confirms work status. The home’s recruitment files reviewed were seen to include all the information as required under schedule 2 of the Care Home Regulations 2001. Sunrise Operations Weybridge (Assisted Living) DS0000071632.V369324.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): 32,33,34,36,37,38. Quality in this outcome area is good, This judgement has been made using available evidence including a visit to this service. Service users benefit from a well run home that is operated in their best interests, where their views and opinions are important. That they will be cared for by staff that are appropriately supervised. Service users and their families can feel confidant that at all times their health and safety is protected as far is practically possible. . EVIDENCE: The service is planned to be user focused, and works in partnership with service users, their families and health professionals. The home has a Statement of Purpose that sets out the aims and objectives of the service. The Sunrise Operations Weybridge (Assisted Living) DS0000071632.V369324.R01.S.doc Version 5.2 Page 22 organisation has developed systems that monitor practice and compliance through the homes policies and procedures and auditing tools. The home has developed a health and safety policy that meets health and safety requirements and legislation. Throughout the inspection the staff were open and honest and assisted in the inspection. The homes Director is aware of the issues raised and showed a commitment in addressing them. Quality assurance was discussed and the views and opinions of many of the service users have been sought. Service users spoken with confirmed a great deal of satisfaction in living within the home and felt confident that the staff and management valued their views and opinions. The annual questionnaire has not yet been given out to service users but will be before the 12 months has expired. The home has regular service user meeting where topics such as the menu are discussed. The Area Director of Residential Care regularly visits the home and completes what is known as a Regulation 26 visits. This requires the provider to assess the quality of care within the home and ensure that it is meeting with the required National Minimum Standards. The home only deals with the personal monies on behalf of a few service users. All monies are documented and service users and staff sign for each transaction. Although records were not seen the homes Director confirmed that staff will be supervised formally at least four times per year, that they will also have an annual appraisal and development meeting with each member of staff which will be recorded. The inspector viewed records relating to Health and Safety Procedures, maintenance and servicing, and risk assessments. The inspector viewed the Fire Log book, which was up-to-date. The inspector was able to evidence that checks and servicing of fire safety equipment / emergency lighting had been undertaken at the required frequency. Evidence was seen with regard to the servicing of gas boilers, servicing of the lift and electrical tests. The home has in place all the required policies and procedures which it reviews to ensure they meet any changes in legislation etc. Sunrise Operations Weybridge (Assisted Living) DS0000071632.V369324.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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 1 10 3 11 3 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 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 3 3 3 X 3 3 3 Sunrise Operations Weybridge (Assisted Living) DS0000071632.V369324.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NA 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. 1 Standard OP9 Regulation 13 Requirement The registered person ensures that there is a policy and staff adhere to the procedures for the receipt, recording, storage, handling administration and disposal of medicines, and service users are able to take responsibility for their own medication if they wish, within a risk management framework, which includes monitoring. Timescale for action 31/08/08 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 Weybridge (Assisted Living) DS0000071632.V369324.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Office 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 Weybridge (Assisted Living) DS0000071632.V369324.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!