Inspection on 17/04/08 for Sycamore Rise Residential Care Home

This inspection was carried out on 17th April 2008.

CSCI found this care home to be providing an Adequate service.

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

Sycamore Rise Residential Care... 07/09/09

Sycamore Rise Residential Care... 15/06/09

Sycamore Rise Residential Care... 02/04/09

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Chirnside House

Keer Sands Residential Home

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Ruskin Lodge

Bushell House

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Langrigg House

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

CARE HOMES FOR OLDER PEOPLE Sycamore Rise Residential Care Home Hill Lane Colne Lancashire BB8 7EF Lead Inspector Christopher Bond Unannounced Inspection 10:00 17th April 2008 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 Sycamore Rise Residential Care Home DS0000070729.V360726.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. Sycamore Rise Residential Care Home DS0000070729.V360726.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sycamore Rise Residential Care Home Address Hill Lane Colne Lancashire BB8 7EF 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) 01282 864209 01282 870897 Crystal Care Homes Ltd Mrs Pamela Mason Care Home 23 Category(ies) of Dementia (23), Mental disorder, excluding registration, with number learning disability or dementia (23), Old age, of places not falling within any other category (23) Sycamore Rise Residential Care Home DS0000070729.V360726.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only. Care home only - code PC, to people 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 - Code OP. Dementia - Code DE Mental disorder, excluding learning disability or dementia - Code MD The maximum number of people who can be accommodated is: 23 Date of last inspection Brief Description of the Service: Sycamore Rise is a care home that accommodates 23 residents including people who have dementia. The bedrooms are mainly single rooms and most of them have en-suite facilities. There are two shared double rooms. There are two lounges, one that doubles up as a dining area. There is a lift available that serves all floors. The home is situated in a rural setting on the outskirts of Colne, Lancashire. There are good views of the surrounding countryside and some of the rooms overlook the hills around the home. There are no services in the immediate vicinity of the home. There are, however, shops and other services in the local town. Bus services into the town are limited and the home does not have it’s own transport at present. Information relating to the home’s Service User Guide and Statement of Purpose is included in the welcome pack, which is given to all prospective residents. This information explains the care service that is offered, who the owner and staff are, and what the resident can expect if he or she decides to live at the home. At the time of this visit (17/04/08) the information given to the Commission showed that the fees for care at the home are from £366.00 to £413.00 per week, with added expenses for hairdressing and chiropody. Sycamore Rise Residential Care Home DS0000070729.V360726.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 1 star. This means the people who use this service experience adequate quality outcomes. As part of the inspection process an unannounced site visit took place over a total of 5 hours on the 17th April 2008. The service users personal files and care plans were examined. Care staff records and recruitment records were also looked at. Safety certificates and medication procedures for the service were also examined. We spoke at length to the Senior Carers and care staff during the inspection. Five service users were also spoken to as part of the inspection process. We also spoke to three relatives of people who lived at the home. The Commission for Social Care Inspection also sent out surveys to service users and their relatives/ carers to gather their views about the service they receive. A number of these were sent back to us and the results have been included in this report. We also sent out surveys to the care staff of this home to tell us about their experiences of working at Sycamore Rise. We have used the results from this survey within the body of the report. Every year the registered person is asked to provide us with written information about the quality of the service they provide. They are also asked to make an assessment of the quality of the service. This information, in part, has been used to focus our inspection activity and is included in this report. What the service does well: This home provides a service for those people who have developed cognitive disorders such as Dementia. The residents told us that the food and catering arrangements were good and that they looked forward to mealtimes. A menu was available for the residents and alternatives were served if someone didn’t like the meal on offer. One resident told us, “The food is lovely. There’s only one thing wrong with it, they give you too much!” Sycamore Rise Residential Care Home DS0000070729.V360726.R01.S.doc Version 5.2 Page 6 The home was in pleasant surroundings, located in a rural setting close to Colne. The views from some of the rooms were nice, and there were some positive comments about the aspect of the home and how relaxed people felt. One resident commented, “We have a smashing view. It’s great to look out on when it’s sunny.” There was a nice garden available for people to use, with areas to sit and relax. The care staff were respectful and polite whilst we were there. Two people told us that the care was usually very good and that they were looked after properly. There were visitors to the home during the inspection, and one relative confirmed to us that they were always welcomed and offered privacy if they wished. This person commented. “I’m always welcomed and offered a cup of tea, it’s a nice place to visit, and quite homely.” The home had recently been decorated. This has helped to make the home a nice place to live. What has improved since the last inspection? What they could do better: Activities for the residents were poor. Some of the residents and their relatives told us that they were disappointed with the amount of planned activity that went on. There were no activities taking place whilst we were there and records showed that these were infrequent. There were no specialist activities planned for those who had dementia. The manager of the home needs to ensure that activities and stimulation for those who have cognitive disorders takes place. There had been no recent training in Dementia Awareness for the care staff. Such training would help to improve outcomes for the people who live at the home by improving the skills of the care staff and their understanding of this disorder. A number of the care plans had not been reviewed for some time. This needs to take place on a regular basis and be recorded on the plan. The manager needs to put systems in place to ensure that this happens and that current need is communicated to the care staff on a formal basis. There was some concern amongst the staff that the home did not have it’s own transport. No bus routes ran by the home and some staff said that a miniSycamore Rise Residential Care Home DS0000070729.V360726.R01.S.doc Version 5.2 Page 7 bus would be helpful in ensuring that the residents were offered activities outside the home and were less isolated from the local community. The owner of the home should continue to replace old and damaged furniture and carpets. Action must be taken to ensure that the home smells fresh and that bad odours are eliminated. These measures are necessary to ensure that people live in pleasant surroundings and a nice environment. The manager needs to ensure that everyone who works in the home has a current Criminal Records Bureau disclosure and that there is proof of this on file. This helps to ensure that the care staff in the home are suitable and that the residents are protected. 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. Sycamore Rise Residential Care Home DS0000070729.V360726.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 Sycamore Rise Residential Care Home DS0000070729.V360726.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 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents were given good information about the purpose and role of this home so that they could make an informed choice about whether they would like to live there. People were assessed properly by the senior care staff of the home to ensure that their needs could be met appropriately. EVIDENCE: The manager of the home ensured that all of the people who were thinking of going to live at the Sycamore Rise had clear and concise information about the purpose and role of the home. The Service User Guide was given to new residents and prospective residents to ensure that they had the information to make an informed decision as to whether the home could meet their needs and was right for them. Sycamore Rise Residential Care Home DS0000070729.V360726.R01.S.doc Version 5.2 Page 10 There were good pre-admission assessments held on the residents’ personal files: these were completed before people came to live at the home to ensure that individual needs could be met appropriately by the care staff. One relative of a person who lived at the home confirmed that an assessment had been completed prior to their family member being admitted. Residents also confirmed that they had the opportunity to look round the home prior to making a decision about whether the home was right for them. Contracts were available within the residents’ personal files, which explained the charges and rights of the people who lived there. The home does not supply intermediate care and this standard has not been assessed. Sycamore Rise Residential Care Home DS0000070729.V360726.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 and 11. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Some of the care records were not updated regularly to ensure that current needs were attended to. The care and needs of those with dementia was compromised because of a lack of knowledge and training. EVIDENCE: All of the residents had a plan of care that informed the care staff of the specific care needs of the people who lived at the home. These were quite detailed and held some good information about the residents and their life experiences. We looked at five of the care plans during this visit. Only one of the plans had been recently updated, or reviewed. One care plan hadn’t been reviewed since 2007. Care staff in the home should review the care plans and update them to reflect changing needs and current objectives for health and personal care, and the necessary action taken. The care staff that we spoke to understood why these reviews should take place. The review that had taken Sycamore Rise Residential Care Home DS0000070729.V360726.R01.S.doc Version 5.2 Page 12 place was quite detailed and comprehensive and special forms were provided within the plans to record the necessary outcomes of each review. We looked at the medication records of the people who were helped to take prescribed medication. These were completed properly and showed that the staff signed for the medication when it was administered. Only senior members of the staff team were able to give out the medication. The medication was stored safely and the room where it was kept was locked when not in use. There were photographs of most of the residents before their individual medication records, which helped with identification and minimised the risk of mistakes being made. Some of the records, however, had no photographs. None of the residents had been prescribed ‘controlled’ medication, which is medication that is closely monitored because of its content or strength, at the time of this visit. The senior carers knew that this should be stored correctly and that the right methods of administration should being used to help ensure that the residents remained safe. There were records available to show that District Nurses and Doctors had visited the home to attend to peoples health needs. There was equipment available to help prevent pressure sores developing, and residents were seen using this. Most of the residents that we spoke to said that they felt well cared for and that care staff were generally polite and respectful. One resident who replied to our survey said that staff were reluctant to respond to residents when they were on their break and viewed this time as ‘sacrosanct’. Another resident wrote that care staff could be “a bit off hand” when attending to care needs. This was a care home that was registered to care for those with dementia or mental disorders. The care staff told us that training in this area of care had not taken place for quite some time. There were no training records available to confirm that training in dementia awareness had taken place. An awareness of recent developments in the care of people with cognitive disorders was, unfortunately, lacking and no specific environmental changes had taken place within the home to allow for cognitive impairment. There were also no special activities available. One person told us during the inspection that she did not like living with those who had dementia as she found it upsetting when people were noisy. The manager should also investigate the unpleasant odours that were evident in some parts of the home and examine whether or not the continence of some of the residents is being handled correctly and if people are being assisted with their toilet requirements frequently enough. Residents told us that they were generally treated with respect and that their right to privacy and dignity was upheld. There were screens available within Sycamore Rise Residential Care Home DS0000070729.V360726.R01.S.doc Version 5.2 Page 13 the shared rooms to help maintain privacy when personal care was being given. The care plans that we looked at held information about what peoples’ wishes were if they passed away. One of the senior carers confirmed that this information was asked for sensitively and only if the resident wished to discuss this. It was confirmed that the manager and senior carers worked closely with bereaved families to ensure that their wishes were respected. Sycamore Rise Residential Care Home DS0000070729.V360726.R01.S.doc Version 5.2 Page 14 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 and 15. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Activity and stimulation for the residents was poor. Special activities for those with cognitive disorders were infrequent. Visitors were welcomed and valued family relationships were encouraged. EVIDENCE: There were visitors to the home during the inspection, and one relative confirmed to us that they were always welcomed and offered privacy if they wished. This person commented. “I’m always welcomed and offered a cup of tea, it’s a nice place to visit, and quite homely.” With regard to planned activities for the residents we found these to be lacking at this home. The manager confirmed in the information provided to the Commission prior to the inspection that she was aware that organised activities need to improve and people need better outcomes with regard to stimulation and interests. During our visit we asked one of the residents if there was anything happening that day. She replied, “Not much happens any Sycamore Rise Residential Care Home DS0000070729.V360726.R01.S.doc Version 5.2 Page 15 day”. The surveys that were returned to us also confirmed this trend; one relative wrote, ‘Bingo was played once by mum in 12 months, nothing seems to go on. Some stimulation needs to be happening. Activities are in the sales patter but none exist.’ The manager confirmed to us that she was looking at employing an activities coordinator to plan and oversee recreational needs. There were no planned activities taking place whilst we were there and most of the residents were watching television. We looked at the activities diary where care staff recorded planned activities for the residents. There had been no entries for some considerable time. There was also little evidence to suggest that specialist activity took place for those who had dementia. No training in dementia awareness had taken place. There was some concern amongst the staff that the home did not have it’s own transport. No bus routes ran by the home and some staff said that a minibus would be helpful in ensuring that the residents were offered activities outside the home and were less isolated from the community. Lunch was being served during the inspection and a meal was taken with the residents. The meal was wholesome and appetising and three residents that were spoken to said that they thoroughly enjoyed the food that was served and that they looked forward to mealtimes. The home provided a menu and a choice was offered if someone didn’t want what the menu offered. The carers who served the meal were seen to be respectful and polite. We also spoke to the people who cooked the meal. It was confirmed that fresh produce was generally served. There was good communication regarding special diets and needs and preferences were detailed in care plans. The storage cupboards and equipment in the kitchen, however, looked old and tired and was in need of replacement. There were concerns expressed by two relatives regarding there being no comfortable areas for people to smoke in. One relative commented via a survey, “Some of these people have smoked all their lives and it is annoying that they cannot smoke comfortably in a place that is supposed to be their home.” Daily routines at this home were fairly relaxed and three of the residents told us that they were able to get up and retire to bed when they wished. One of the care staff was concerned, however, regarding people occasionally being asked to go to bed prior to the night staff starting work. Sycamore Rise Residential Care Home DS0000070729.V360726.R01.S.doc Version 5.2 Page 16 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, 17 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care staff were well trained in safeguarding issues. Arrangements for those wishing to make a complaint were good, meaning that people felt confident that their feelings would be listened to. EVIDENCE: All of the staff that were spoken to said that they knew what to do if someone was unhappy about the service. The complaints procedure was displayed in the home and was part of the Service User Guide. The senior carers were aware of the homes role regarding the complaints procedure and how complaints can be used as a quality tool to ensure that the home is run in the best interests of the residents. The manager of the home also confirmed this in the home’s Annual Quality Assurance Assessment. There were policy documents for the staff to read about how to ensure that people were safeguarded from harm. All of the staff that we spoke to said that they had a good awareness of this important issue and knew what to do if they were not happy about something they had seen. The manager was aware of her responsibilities and knew whom to contact should there be any question regarding how the residents were being supported and safeguarded. Recent training had taken place regarding safeguarding adults for all of the staff. It is important that all of the care staff that work at the home have access to this information as it helps to ensure that people are safeguarded from harm. Sycamore Rise Residential Care Home DS0000070729.V360726.R01.S.doc Version 5.2 Page 17 Copies of all the home’s policies and procedures were available in the main office for the staff to read to help them in their roles as carers. There was also a ‘whistle blowing’ policy for staff to report incidents that may happen that they are not sure of. One complaint and one concern had been received regarding the home. The manager had followed the correct procedures and referred this to the local authority. Sycamore Rise Residential Care Home DS0000070729.V360726.R01.S.doc Version 5.2 Page 18 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 and 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Most of the furniture in the communal areas is old and in need of replacement. The residents’ comfort and well being within the home was compromised by unpleasant odours and soiled carpets. EVIDENCE: The manager had confirmed in the information provided to the Commission prior to the inspection that disagreeable smells within the home had been addressed. Unfortunately, during our visit there were unpleasant odours in several parts of the home. This was most noticeable in the front lounge on the ground floor. Two relatives commented on this through surveys that were returned to us. One resident also commented that the home could do with some air fresheners to help the home smell nicer. Sycamore Rise Residential Care Home DS0000070729.V360726.R01.S.doc Version 5.2 Page 19 There were cleaning staff on duty whilst we were there and they confirmed that they had special routines and cleaning products available for use. The home was generally clean and tidy. Some of the carpets were in need of replacement: this may help in the elimination of unpleasant smells. There were also comments passed to us via the surveys that were sent out regarding old and damaged furniture at the home. The owner of the home was in the process of replacing furniture but much work still needs to be done to ensure that people live in a pleasant home with nice surroundings. The home had recently been decorated and looked brighter and fresher. Two relatives commented, however, that the painting of walls and woodwork had been rushed and the decorators had not taken enough care to ensure that their work was done properly. There were enough toilet and bathroom facilities within the home to satisfy this standard but these facilities were in need of modernisation. Most of the bedrooms had en-suite facilities. We looked at most of the bedrooms within the home. These were sufficient in size and people had brought with them their own belongings to make their rooms more homely and comfortable. Each of the bedrooms that we saw was personalised with belongings, ornaments, pictures and photographs. Some of the bedrooms had views across the surrounding countryside. There was a large garden area at the back of the house with plenty of areas for people to sit out in good weather. We also looked at the kitchen area. The storage cupboards and work surfaces were old and in need of replacement. Much of the equipment also needed replacing. Sycamore Rise Residential Care Home DS0000070729.V360726.R01.S.doc Version 5.2 Page 20 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, and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good recruitment procedures at this home help to protect the residents from unsuitable staff. Training for the staff has improved since the new owner took over, which helps to ensure that the care staff have the skills to do their jobs properly. EVIDENCE: We looked at the way that the service recruits its new staff. There was a strong recruitment procedure in place and new staff had proper check before they began work. These checks included a Criminal Records Bureau disclosure. This process is important because it helps ensure that only suitable care staff are employed in the home and that the residents of the home remain safe. Four of the older staff, however, did not have Criminal Records Bureau disclosures on file, although the manager was confident that these had been received. New disclosures are being applied for. Also some of the care staff files did not have a current photograph of the person attached to them. This is important in verifying identification. There were enough staff on duty whilst we were there to ensure that the assessed needs of the residents were properly dealt with. There were, however, comments from care staff in the surveys that we sent to them to suggest that sometimes they could not give the level of care that they would like to because of staff shortages through sickness. Sycamore Rise Residential Care Home DS0000070729.V360726.R01.S.doc Version 5.2 Page 21 Over 50 of the care staff had a nationally recognised qualification in care (National Vocational Qualification level 2 or 3). There had been a number of training events at the home since the last key inspection. This included instruction in ensuring that residents were assisted to move around the home safely and with dignity. Good, regular training helps to ensure that the care staff have the knowledge, skills and ability to undertake their duties correctly. The care staff that we spoke to were pleased that a variety of training was being offered to them and were confident that they could put this to good use. Sycamore Rise Residential Care Home DS0000070729.V360726.R01.S.doc Version 5.2 Page 22 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, 32, 33, 34, 35, 36, 37 and 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. A competent manager supports the residents and there are systems in place to help make sure that they are protected and remain safe. Training in important safety areas is inconsistent which could affect the security of the residents. EVIDENCE: Sycamore Rise Residential Care Home DS0000070729.V360726.R01.S.doc Version 5.2 Page 23 There were records to show that major appliances within the home had been serviced properly and that safety equipment had been examined by suitably qualified persons to ensure that the health, safety and welfare of the residents was being properly addressed. The gas system, electrical installation and lift had been serviced on a regular basis and there were certificates to show that this had taken place. The service has a current insurance certificate that covers the required areas. The owner of the home completes regular monthly reports for the Commission for Social Care Inspection about how he finds the service, taking into account the views of the people who live there. He has recently been registered as owner of the home and has had a short time in which to update and improve the service. The manager and care staff confirmed that he regularly visits the service and they feel confident that he will continue to invest in the home to help improve outcomes for the people who live there. The care staff have recently been trained in safeguarding people and part of this included safeguarding the financial aspects of their care. Systems were in place to help ensure that people were safe and that their belongings and any personal monies were secure. The manager of the home has been in charge for a number of years and has achieved a National Vocational Qualification level 4 in care and the Registered Managers Award. This helps to ensure that she has the necessary knowledge, skills and abilities to manage the home properly. The care staff that were spoken to were confident in her abilities as a manager and felt that she was helpful and approachable when they required assistance and advice. Formal supervision had taken place for all of the care staff in February ands the manager should continue to ensure that this takes place regularly throughout the year and recorded appropriately. This process helps the care staff to develop in their roles and be guided by the manager to provide a service to the best of their ability. There is a need to ensure that all of the care staff have regular training in Health and Safety, First Aid, Food Hygiene, Fire Safety and Infection Control training on a regular basis. This type of training is mandatory for all staff and proof of this training should be held on personnel files. This also helps to make sure that people live in a safe home and are free from harm. Moving and handling training had taken place for all staff to instruct them how to move and transfer people safely and professionally with as little risk to the residents as possible. The manager must ensure that the residents’ care plans are updated and reviewed correctly and regularly. This helps the care staff to discharge their duties properly and professionally and that the residents receive better quality outcomes. This home is also registered to care for people who have dementia and mental disorders. It is vital that the care staff receive adequate training to Sycamore Rise Residential Care Home DS0000070729.V360726.R01.S.doc Version 5.2 Page 24 understand the needs of the residents and be aware of current good practice within this area of care. One would expect, considering the home’s registration, that a certain level of specialist care would be evident and that those with cognitive disorders would receive quality outcomes. Records were kept securely and confidentially within the main office within lockable filing cabinets. This helps to ensure that the residents’ personal details are safe. There were risk assessments available within care plans to identify areas of risk within the home and ensure that people were as safe as possible. Sycamore Rise Residential Care Home DS0000070729.V360726.R01.S.doc Version 5.2 Page 25 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 2 8 2 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 2 2 3 3 3 3 2 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 2 2 3 3 3 3 2 Sycamore Rise Residential Care Home DS0000070729.V360726.R01.S.doc Version 5.2 Page 26 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. 1 Standard OP7 Regulation 15 (2) (b) (c) Requirement The care plans must be reviewed by care staff in the home and updated to reflect changing needs and current objectives for health and personal care, and actioned. Timescale for action 30/06/08 2 OP12 14 (1) (a) 3 OP30 12 (1) (a) (b) 4 OP19 39 (h) Regular stimulating activity and 30/06/08 recreation must be available for all of the residents within the home who wish to partake. Particular consideration must be given to people with dementia and other cognitive impairments with regard to activities and stimulation. Certificated training in Dementia 30/06/08 Awareness must be available for all care staff regarding current good practice in order to improve outcomes for those with dementia. The health, safety and welfare of service users and staff must be promoted and protected through the necessary core training. The owner of the home must 31/12/08 continue with the renewal and refurbishment of the home to DS0000070729.V360726.R01.S.doc Version 5.2 Page 27 Sycamore Rise Residential Care Home 5 OP26 12 (1) (a) improve the environment for the people who live there. The manager must ensure that the home smells fresh and that unpleasant odours are eliminated. 30/06/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 Refer to Standard OP12 OP19 OP12 OP29 Good Practice Recommendations Consideration should be given to the isolation of the home and the ability of the residents to be involved in the local community. Old equipment and furniture in the kitchen area should be renewed. Consideration should be given to residents who wish to smoke at the home and suitable facilities provided. Proof of Criminal Records Bureau disclosures should be available for inspection at all times. Sycamore Rise Residential Care Home DS0000070729.V360726.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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. 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