Inspection on 21/09/09 for Sunrise Operations Southbourne Limited

This inspection was carried out on 21st September 2009.

It is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.

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 Southbourne... 17/02/10

Sunrise Operations Southbourne... 17/07/09

Sunrise Operations Southbourne... 13/08/08

Extracts from inspection reports are licensed from CQC, this page was updated on 17/02/2010.

Annual service review Name of Service: Sunrise Ops Southbourne Ltd (Reminiscence Neighbourhood) The quality rating for this care home is: The rating was made on: two star good service 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 We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Annie Foot Date of this annual service review: 1 3 0 8 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 42 Belle Vue Road Southbourne Dorset BH6 3DS 01202437600 01202437601 Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : dementia Conditions of registration: Sunrise Operations Southbourne Ltd Number of places (if applicable): Under 65 Over 65 33 0 The maximum number of service users who can be accommodated is 33. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Dementia (Code DE) Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service The first Sunrise Community opened in the USA in 1981 and the Company has expanded both in the USA and, more recently in Europe. Sunrise provides care services to older people and has developed in the UK along the lines of the model operated in the USA. The first Sunrise community opened in South East London in 1998. Sunrise Operations Southbourne Ltd is a large purpose-built building set in its own grounds in a residential area of Southbourne, relatively close to a wide range of local amenities and the sea front. There is extensive vehicle parking to the side and a large Annual Service Review Page 2 of 7 landscaped garden with patio areas to the front and rear. Access to all parts of the building is via the reception area on the ground floor. The Reminiscence Neighbourhood, (the subject of this report) specialises in the care of elderly people with dementia and comprises the second (top) floor of the building. On the ground and first floor levels is the Assisted Living Neighbourhood being a separately registered service operated by the same provider organisation. Private accommodation is provided by a variety of suites for single and shared occupancy: singles, studios, open and closed doubles. In total there are 18 rooms/suites for single occupancy and 8 suites potentially for shared occupancy (closed doubles). Each of the suites has a large en-suite shower/toilet/wash-hand basin; for a few suites the en-suite facility includes a bath with shower attachment. All double suites are designed so that each of the two residents can have his/her own bedroom or share the bedroom and have a lounge. The home provides all meals, laundry and domestic services. A frequent, flexible and varied programme of social and recreational activities is offered. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review: What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection which took place on 13 August 2008. This included: The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Surveys returned to us by people using the service and from other people with an interest in the service. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and detailed and gave us all the information we asked for. We also received 8 completed surveys from people living at the home. Everyone had received support from a family member or friend in completing the forms. The surveys tell us prospective residents receive sufficient information about the home prior to making a decision to move in. They also tell us that everyone is very satisfied with the care and support received. Surveys comment that staff always listen and act on what is said and are available when needed. Many positive comments were made in the surveys, about what the home does well. These included: the home provides a perfect environment to feel at home, comfortable and secure, everyone who visits is very impressed by the staff and environment. Others commented that the home does virtually everything well, staff are very friendly and helpful and that, guests are looked after with dignity and respect. The majority of respondents to surveys could not think of anything that the home could do better. Although a few comments were received about the handover between shifts that might be improved. Prospective residents receive a full assessment of their needs prior to admission. Families are asked to complete a Reminiscence Addendum and personal profile to Annual Service Review Page 4 of 7 enable an individual service plan to be compiled. This is updated during the first weeks as the team learns more about the residents. Residents are encouraged to create a memory box which contains key milestone from their life history, for the care team to use as a prompt. The home aims to promote maximum independence and encourages residents to do as much as possible for themselves. Comments from health care professionals tell us that the home respects individuals privacy and provides very attentive care, professionally. A full activities programme is arranged with at least 5 activities on offer each day. The home maintains contact with the local community and residents have the opportunity of going out at least twice a week. As a result of listening to what people that live at the home say the AQAA confirms that more walks around the gardens are arranged. Baking and cooking activities have been introduced which residents take an active role in. Residents are encouraged to participate in housekeeping and gardening tasks. Surveys commented that activities are well run. A wide range of staff are employed, from experienced staff to those who are new to care work. All staff receive induction and dementia training. 15 staff have attended training in the prevention and control of infection. The AQAA confirms that the home has a strong commitment to staff development and where a specific need is identified, staff are enrolled on appropriate training courses. 15 permanent care staff are employed at the home. 6 have achieved and NVQ level 2 or above in care. 14 staff have left their employment at the home in the last year. We received 8 completed surveys from staff working at the home. These tell us that staff are given relevant information and are kept updated about the needs of the people they care for. Staff surveys confirm that everyone receives induction and other relevant training. Several staff commented on the good training offered. Although some staff think that training skills in care could be improved as could, applying new approaches for people with memory impairment. Staff say that the manager provides regular support and meets with them to discuss working practice. Many staff surveys commented on the high quality of care provided by the home. In particular staff say that the home ,gives residents a good caring atmosphere, promoting independence and that choice and dignity is important in working with residents. Staff also commented on good team working and support , with a relaxed working place for staff, and a well balanced team and good support structure. During the last year 23 new residents were admitted to the home, A complaints procedure is in place and any issues of concern are dealt with promptly. 2 complaints were received in the last year and were resolved within the policies timescales. 5 safeguarding adults referrals were made. Everyone responding to our surveys said they knew who to talk to if they had any concerns or wished to make a complaint. Annual Service Review Page 5 of 7 There are a range of policies and procedures in operation at the home which are regularly reviewed and updated. The home continues to let us know about things that have happened since our last key inspection and they have shown that they have managed issues well. They work well with us and have shown us that their service continues to provide good outcomes for people who use it. There is no evidence to indicate that outcomes for people who use the service have changed since the last inspection of the service. What are we going to do as a result of this annual service review? We are not going to change our inspection plan, and will do a key inspection by 13 August, 2010. However, we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. 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