Random inspection report
Care homes for older people
Name: Address: Sunrise Ops Southbourne Ltd (Reminiscence Neighbourhood) 42 Belle Vue Road Southbourne Dorset BH6 3DS two star good 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: mary collier Date: 1 7 0 7 2 0 0 9 Information about the care home
Name of care home: Address: Sunrise Ops Southbourne Ltd (Reminiscence Neighbourhood) 42 Belle Vue Road Southbourne Dorset BH6 3DS 01202437600 01202437601 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 Southbourne Ltd care home 33 Number of places (if applicable): Under 65 Over 65 0 dementia Conditions of registration: 33 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) Date of last inspection Brief description of the care home 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. Care Homes for Older People Page 2 of 9 Brief description of the care home 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 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. Care Homes for Older People Page 3 of 9 What we found:
This visit was made by the Pharmacist Inspector to carry out an inspection of the arrangements for the handling of medication in the home. We looked at records and storage and talked to and observed some members of staff. No-one in the home manages their own medication, it is all administered by staff who have been trained to do so. The training programme covers all the aspects of medication procedures in the home and information about the safe handling of medicines. It is delivered by the Pharmacist who supplies the home and the nurses who are employed by Sunrise to assist and advise the staff and residents. Regular assessments and updates are carried out. Staff have available to them a policy for medication and information about the medicine people are taking. Medication is stored securely, including a trolley to take the medicines to people and a suitable cupboard for the storage of controlled drugs. Medication records were completed appropriately, including medicines received into and returned form the home. The nurses had assisted the staff to prepare protocols for medication prescribed as required, however these were not all sufficiently detailed to allow care staff to make an informed decision about peoples medication. Due to the nature of the conditions people in the home have, staff have to be able to interpret accurately any need for medication. We saw in the records for one person that it had been agreed to disguise their medication and give it covertly. The list of medicines was dated August 2008 and did not correspond to his current medication. There was no evidence of a review. On discussing this with staff they told us that he usually took his medicines well and they rarely had to revert to the covert technique. This was not documented in his care plan. The home had previously informed us of a medication error where one person did not recieve a medicine for seven days because it had been wrongly given to another person on the Assisted Living Neighbourhood. We saw that when the staff noticed that the medicine was missing they informed the nurses so that it could be re-ordered. The responsibility for the ordering was assumed to be the nurses and although the person was still without their medicine, the staff in the home appeared to have no control over the situation. Care staff showed a clear understanding of the challenges of administering medication safely to the people in the home and we saw them treat people individually and with good humour. Medicines were handled safely, in accordance with the homes policy. What the care home does well:
Care staff who administer medication receive a comprehensive training programme and regular assessments to check their competence to carry out the task. Carers we spoke to knew the people in the home well and treated them as individuals.
Care Homes for Older People Page 4 of 9 What they could do better: 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 5 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R 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 Care Homes for Older People Page 6 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 1 9 13 The records for people who have to have their medicine administered covertly must be regularly reviewed and detail all the medicines that they take. This will ensure that the records accurately reflect the current practice. 04/09/2009 2 9 13 Protocols for medication 04/09/2009 prescribed as required must be sufficiently detailed to allow staff to give medicines consistently in accordance with the prescribers intentions. This will ensure that people recieve their medication safely and appropriately. Care Homes for Older People Page 7 of 9 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!
