Care Home: Sun Hill

Similar services:

• Chirnside House
• Keer Sands Residential Home
• Sunny Bank (P.R.S.) Ltd
• Ruskin Lodge
• Bushell House
• Ashwood Court Unit 1
• Clover House
• Langrigg House

What the care home does well The overall management of the home has improved with the appointment of a new manager and operations manager. This has resulted in improved standards of care for people using the service. Members of staff are receiving the training they need which helps them to better understand and meet the individual needs of the people they are caring for. The manager is informing the Commission of any event that affects the health and welfare of people using the service. This is a legal requirement which helps us to check that these issues are being dealt with correctly. What the care home could do better: A record of all medication received into the home must be kept in order to enable accurate checks to made to ensure people are being given their medication correctly. A system must be put in place to regularly audit the standard of handling and recordingmedication within the home. This will enable all aspects of the management of medication to be monitored and improvements made where necessary. To promote the wellbeing of people using the service action must be taken to ensure the home is free from unpleasant odours. It is essential that recruitment procedures are thorough in order to protect people from the employment of unsuitable staff. A full employment history, reasons for leaving previous employment, a declaration about the applicant`s physical and mental health and a declaration of any previous criminal convictions must be obtained before any applicant is offered a job at the home. Random inspection report Care homes for older people Name: Address: Sun Hill 147 Manchester Road Burnley Lancashire BB11 4HT 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: Susan Hargreaves Date: 1 9 0 8 2 0 1 0 Information about the care home Name of care home: Address: Sun Hill 147 Manchester Road Burnley Lancashire BB11 4HT 01282422500 01282434696 sun_hill_residential@hotmail.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) S.J. Care Homes (Wallasey) Limited Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 22 Number of places (if applicable): Under 65 Over 65 0 0 0 7 dementia learning disability mental disorder, excluding learning disability or dementia old age, not falling within any other category Conditions of registration: 22 1 4 0 The maximum number of people who can be accommodated is: 22 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, (maximum number of places: 7) Dementia Code DE Mental disorder, excluding learning disability or dementia - Code MD Care Homes for Older People Page 2 of 13 (maximum number of places: 4) Learning disability - Code LD (maximum number of places 1) Date of last inspection Brief description of the care home Sun Hill provides 24-hour care and accommodation to older people and older people who have a dementia or mental health problem. One person has a learning disability. The home is a large detached house, located on a main road close to Burnley town centre. There are good bus and rail links nearby. There is car parking at the front of the home and an enclosed garden/patio at the back. Car transport with staff escort is provided. There are two lounges and a dining room/lounge on the ground floor. Private single bedrooms and one double (most en-suite) are on the ground, first and second floors. There is a lift to the upstairs bedrooms. The home has an activities programme that includes movement to music, reminiscence, entertainers, dominoes, bingo and outings. The home has a Statement of Purpose and Service User Guide providing information about the care provided, the qualifications and experience of the owners and staff and the services residents can expect if they choose to live at the home. A copy of the Service User Guide and most recent inspection report is issued to all prospective residents and their relatives/representatives to help them make an informed choice whether to move into the home. The current fees at the home are £386.00 to £435.00 covering all aspects of care, food and accommodation. 1 1 0 3 2 0 1 0 Care Homes for Older People Page 3 of 13 What we found: The reason for this random unannounced inspection was to check compliance with the requirements made at the key inspection of 26 May 2010. Following the key inspection statutory requirement notices were served. These are legal notices which are used to ensure compliance with the Care Standards Act 2000. The notices we served related to staff training and reports completed for the manager by the provider to demonstrate that she is being properly supervised and supported. We found that the requirements of these notices have been met. A random inspection was carried out by a pharmacist inspector on 22 July 2010 because of issues identified with the management of medication at the last key inspection. Information about the last key and random inspection can be obtained from Sun Hill or www.cqc.org.uk This inspection was carried out by two inspectors and lasted approximately seven hours. At the time of this visit fourteen people were living at the home. A tour of the premises took place and we looked at staff files and care records. We spoke to members of staff on duty and people who use the service. Discussions also took place with the manager and the operations manager regarding issues raised during the inspection. Although there had been no new admissions to the home since the last inspection the manager explained the procedure anyone considering using the service in hospital or their own home. She would also consult other health and social care professionals and family members. The manager showed us an assessment she had completed for one person. However, she had concluded that this persons needs could not be met at Sun Hill. An action plan sent to us by the homeowner after the last inspection stated that a new system for care planning was being introduced and would be completed by 16 August 2010. At the time of this visit all except two of the care plans had been transferred onto this new system. The operations manager confirmed by telephone the following week that these two care plans had been updated. This means that staff have the information they need in order to fully meet the needs of each person. We looked at the new style care plans of two people using the service. These plans identified the health and social care needs of each person and provided clear directions for staff to follow to ensure their individual needs were met. They also included detailed information about the persons individual likes and dislikes. This helps members of staff to care for people in the way they prefer. Where possible the person using the service or their relatives were involved in care planning and had signed the care plan to indicate their agreement with the care provided. Appropriate risk assessments including ones for falls, nutrition and the development of pressure sores were in place. Guidance for staff to follow about how to manage identified risks was also included in the care plans. A written report about the care given to each person using the service was written during each shift. This ensured that all staff had up to date information about the condition of each person in order to ensure continuity of their care. Care Homes for Older People Page 4 of 13 There were records of the involvement of GPs and other health care professionals including the optician and district nurse in the care of people who use the service. Medication was stored correctly and administered by members of staff who had received training in the management of medication. We looked at the records for the management of medication and found that a record of medication received into the home was not always made. We checked a sample of medication records and stock but found it difficult to account for some medication. This was because medication was not always dated on opening and the amount of medication left over from the previous month was not recorded on the new medication administration record. This meant that we could not be sure that medicines had been given to people correctly. Hand written instructions on the medication administration records were not always signed or witnessed by another member of staff to indicate that the instructions had been copied correctly. Some of these instructions were incomplete and did not state the amount of medication to be taken or how often this should taken. Not having clear written instructions for the administration of medication could result in mistakes being made which can seriously affect the health and wellbeing of people using the service. The dose of medication had been changed for one person and although we were told that the instruction had been given by the doctor there was no written evidence to support this. The manager was advised to ensure that written details of any medication changes made by the doctor were made in order to prevent mistakes being made. We checked how controlled drugs were handled, these are medicines that can be misused. A special register was used for record keeping and was seen to have been completed correctly. The operations manager told us that checks for the management of medication were carried out but records to support this were not available. Although competency assessments were seen for two members of staff who were on leave these had not been completed for any other members of staff who were responsible for the administration of medication. The operations manager was advised to complete competency assessments for all members of staff responsible for the administration of medication as a matter of urgency. It has since been confirmed that these assessments have been carried out. Regular auditing of of medication including staff competence identifies mistakes and areas for improvement and helps to ensure that people using the service receive their medication correctly. Personal care was carried out in the privacy of the persons own room or the bathroom. Members of staff were observed attending to people in a polite and friendly manner. One person told us that she liked living at the home and the staff were nice. The manager said that to promote privacy and dignity at meal times people were given the assistance they needed and protection for their clothing provided if necessary. Since the last inspection a full time cook has been employed. Pre-planned menus were in place which offered variety and choice. Lunch on the day of this visit consisted of chicken casserole or sausages. Although a choice of dessert wasnt usually offered alternatives Care Homes for Older People Page 5 of 13 such as yogurts or fruit cake were available. At tea time soup and sandwiches were offered each day along with a cooked alternative for example jacket potato with various fillings or scrambled egg on toast. Bowls of fresh fruit were seen in the lounges for people to help themselves at any time. This helps to ensure that people have a well balanced diet. The cook told us that he was aware of peoples individual likes and dislikes and any special diets such as diabetic and gluten free. He also explained that people could have alternatives to the set menu if they didnt wanted. All the people we asked said the meals were good. We checked the food stocks and found these to be sufficient for the number of people accommodated at the home. Food was delivered twice weekly and if any additional items were required these were bought from a nearby supermarket. The complaints procedure has been updated and a copy placed in each bedroom. The manager has dealt with and resolved five minor complaints since the last inspection. Details records of these were seen. Members of staff have recently received further training on safeguarding vulnerable adults. This along with the action taken by the manager and operations manager to improve the standard of care provided at the home helps to protect people from abuse. We discussed safeguarding vulnerable adults with two care workers. Both of them had a clear understanding of this issue and said they would report any concerns to the manager or social services immediately. We were told that the cleaner is currently on long term sick leave and care workers are working additional hours to do the cleaning. The action plan submitted by the homeowner after the last inspection stated that more cleaning staff would be recruited by 15 July 2010. The manager told us that she was waiting for a disclosure from the Criminal Records Bureau before the person appointed could start working at the home. Although the home was found to be generally clean and tidy some bedrooms smelt of urine. An unpleasant odour does not promote the wellbeing of people using the service. We also found a badly stained mattress in one bedroom which is unpleasant for the person using that room. Some redecoration and refurbishment had taken place. A new fully equipped office had been created on the ground floor in one corner of the main lounge. This meant the manager was more accessible and could properly supervise staff. The front lounge had been redecorated and new sofas purchased. This provided a quiet room, without a television, where people could read or pursue other activities if they wished. However, some of the bedrooms we looked at were in need of redecoration and refurbishment. The manager was advised to carry out an audit of all the rooms in order to identify all the necessary improvements and prioritise the work. We looked at the recruitment files of the two members of staff appointed since the last inspection. These files included two written references and a Criminal Records Bureau check. However, the information requested on the application form only included employment history for the last ten years and people were not asked to give their reasons for leaving previous employment. The application form for one person identified a gap in employment but the reason for this was not recorded. In addition to this information about physical and mental health and a declaration of any previous criminal Care Homes for Older People Page 6 of 13 convictions was not requested on the application form. Discussion with the manager and members of staff confirmed that the required training had been provided or arranged. This included safeguarding vulnerable adults, moving and handling, first aid, fire prevention, dementia, infection control and the management of medication. The recently appointed manager has experience in caring for older people. She has NVQ qualifications at level 3 and 4 in health and social care and is due to start training for the NVQ leadership and management qualification in September. The manager also keeps up to date with current practice by using the internet and reading care journals. Members of staff told us they felt supported by the manager and could ask her for advice at anytime. Discussion with the manager and operations manager confirmed that they were committed to running the home in the best interests of the people living there. A meeting for people using the service was held in July where meals and leisure activities were discussed. A meeting for the relatives of people using the service was held at the beginning of August. At this meeting the premises, menus and the care provided were discussed. People using the service and their relatives have also been asked to complete satisfaction questionnaires. The operations manager expressed her intention to evaluate the questionnaires, produce an action plan and give feedback at a meeting with people using the service and their relatives when all the completed ones have been handed in. The homeowner or operations manager visit the home at least once a month and prepare a written report for the manager. This monitors the day to day management of the home and checks the individual needs of people using the service are met. We looked at the records of the testing of the fire alarms and emergency lighting. A fire drill was held in July so that staff would know the action they must take in the event of a fire. A fire risk assessment was also seen. These help to make the home a safe place to live and work. What the care home does well: What they could do better: A record of all medication received into the home must be kept in order to enable accurate checks to made to ensure people are being given their medication correctly. A system must be put in place to regularly audit the standard of handling and recording Care Homes for Older People Page 7 of 13 medication within the home. This will enable all aspects of the management of medication to be monitored and improvements made where necessary. To promote the wellbeing of people using the service action must be taken to ensure the home is free from unpleasant odours. It is essential that recruitment procedures are thorough in order to protect people from the employment of unsuitable staff. A full employment history, reasons for leaving previous employment, a declaration about the applicants physical and mental health and a declaration of any previous criminal convictions must be obtained before any applicant is offered a job at the home. 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 8 of 13 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 9 13 There must be sufficient stocks of each persons medication available at all times so that people receive their medication as prescribed. 31/08/2010 2 9 13 Records of medication received into the home and given to people must be clear, accurate and complete. This will enable medicines to audited to make sure they are being given correctly. 16/07/2010 3 9 13 Medication must be kept at 20/08/2010 the correct temperature, e.g. in a fridge, as recommended by manufacturers in order to prevent it from spoiling and becoming unsafe to use 4 9 24 There should be an effective system in place to check medicines and staff competence. This will help to make sure people who live at the home are kept safe. 16/07/2010 5 26 16 The unpleasant odour in 30/06/2010 Page 9 of 13 Care Homes for Older People 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 several areas of the home must be addressed. This Will ensure people people using the service have a homely and pleasant place to live. Care Homes for Older People Page 10 of 13 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 Records of medication received into the home and given to people must be clear, accurate and complete. This will enable medicines to be audited to make sure they are being given correctly. 30/09/2010 2 9 24 There should be an effective system in place to check medicines and staff competence. This will help to make sure people who live at the home are kept safe. 30/09/2010 3 26 16 The unpleasant odour in several areas of the home must be addressed. This will ensure people using the service have a homely and pleasant place to live. 30/09/2010 4 29 19 A full employment history, the reasons for leaving previous employment, the reasons for any gaps in 30/09/2010 Care Homes for Older People Page 11 of 13 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 employment, information about physical and mental health and a declaration of any criminal offences must be requested on the application form. This will help to protect people using the service from the employment of unsuitable staff. 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 1 9 Two members of staff should thoroughly check and sign handwritten medication administration record charts in order to reduce the risk of errors being made. When the doctor changes the dose of medication there should be clearly written information to support this in order to prevent mistakes from being made. 2 19 The manager should carry out an audit of the premises in order to identify all necessary improvements and prioritise the work. It is strongly recommended that the badly stained mattress be replaced. 3 26 Care Homes for Older People Page 12 of 13 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 13 of 13 - 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!