Random inspection report
Care homes for older people
Name: Address: Sunrise Operations Weybridge (Assisted Living) Ellesmere Road Weybridge Surrey KT13 0HY zero star poor service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Sally Hall Date: 0 3 0 2 2 0 1 0 Information about the care home
Name of care home: Address: Sunrise Operations Weybridge (Assisted Living) Ellesmere Road Weybridge Surrey KT13 0HY 01932871100 01932871101 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Sunrise Operations Weybridge Ltd care home 81 Number of places (if applicable): Under 65 Over 65 0 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users to be accommodated is 81. The registered person may provide the following category/ies of service only: Care home with nursing - (N) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP). Date of last inspection Brief description of the care home 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
Care Homes for Older People Page 2 of 9 Brief description of the care home 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 dependent on the type of accommodation and the care provision and are available upon request from the home Care Homes for Older People Page 3 of 9 What we found:
The reason for this inspection was to assess compliance with the Statutory Requirement Notices dated 7th December 2009, regarding medication and the other requirements made during the key inspection on the 27th October 2009. Whilst a compliance visit had been undertaken on the 21st December regarding the statutory requirement notices dated the 7th December 2009 non compliance regarding medication was again found. However in order to be proportionate in light of the Noro virus being experienced by service users and staff at the home, a further compliance visit was deemed appropriate to include the remaining requirements identified at the previous key inspection. The documentation regarding individual service users plans, risk and nursing care was assessed by the commissions regulation inspector. We looked at five service users files looking at individual service user plans, care and nursing documentation and risk assessments. Service users were also spoken with during the visit to the home. The individual service user plans were much improvement with person centred information prompting the detail of the care required and how that was to be delivered. The plans only covered the areas of care or concern that had been identified for each person individually, and it was apparent that each had been written separately. One service users confirmed that they had been very involved in their plan and made certain that all the information they felt important was in the plan. That they had had the opportunity to read it, agree it, and sign it. They confirmed it was their wishes and preferences that had formed the basis of the plan. Another service users plan seen indicated that nursing care was needed in the form of regular dressings. Again the documentation regarding this area of care provision was much improved and it was clear what and when the nurses needed to attend to the persons dressings and what progress was being made. There was some confusion over the daily notes and progress and where information was being recorded, however this has already been recognised and the area manager said they are planning to combine both documents so all the information is in the one place. The risk assessments have shown improvement and were in place where risks had been identified. These had been referred to in the individual plans of care, however some of the information had not been transposed correctly regarding the actual level. Currently the risk management is mainly written with in the care plans and it does not fully emphasise the action required as needed to minimising a risk. Again the area manager is looking at how this documentation could be clearer. The new individual care plans, risk assessment and nursing documentation had all been written recently and therefore it was not possible to fully evidence that the documentation is being reviewed in a timely way, the documents do however show a review date. The appointed manager and the area manager voiced their commitment to keeping the documentation up to date and reviewed The Statement of Purpose had not been reviewed and changed to give a clear description
Care Homes for Older People Page 4 of 9 of the service that the home offers to service users. This requirement remains out standing however a commitment has been made to ensure this is changed so it can be easily understood and to ensure the information is not misleading in future. The safe handling of medicines was assessed by a Commission specialist pharmacist inspector. They looked at medication storage, the medication records for people needing different levels of support with their medicines and at the medication supplies and care plans for a selection of these people. People are supported to be as independent as possible. When people look after their own medicines the risks associated with this are assessed. Clear records were kept to show when people were given their medicines. If a medicine was not given this was clearly recorded together with the reason why. Together with the records of medicines brought into the home and any carried over from one medicines cycle to the next these showed that people get their medicines correctly. Some people were prescribed medicines to be given only when needed. All of these people had plans describing to staff when the medicines are to be given. Records were being kept when any of these medicines were given together with whether they were effective. People identified as being allergic to any medicines had this information recorded on their personal detail sheet and on their Medication administration records charts. This should prevent people being given a medicine to which they are allergic. When we arrived in the home we found that medicines liable to abuse, known as Controlled Drugs, were being stored in cabinets that did not meet the requirements of the Misuse of Drugs (Safe Custody) Regulations 1973 as they were not correctly secured to the wall. This was rectified by the time we left the service. All other medication was stored securely for the protection of people who use the service. What the care home does well: What they could do better:
The Statement of Purpose had not been reviewed and changed to give a clear description of the service that the home offers to service users. This requirement remains out standing. The appointed manager has not yet submitted an application to become the registered manager. However the process has started and once the necessary documents are available they do intend to forward the required application. Therefore this requirement
Care Homes for Older People Page 5 of 9 remains outstanding. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 6 of 9 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 1 4 The registered person must 21/12/2009 (1)a,b,c,Sche make available to service dule 1. users an up to date statement of purpose which reflects the current services that are available and keeps all information under review. Ensure information about services provided within the document is clear and easily understood regarding the residential care/nursing care offered by the home and to whom they relate. 2 31 18 The registered person must ensure that the appointed manager of the service submits an application for registration with the Commission 20/02/2010 Care Homes for Older People Page 7 of 9 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 9 of 9 - 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!
