Care Home: Sunningdale Lodge

What the care home does well Staff showed a good understanding of the needs of the people in their care. Care staff knew which residents required help to eat or drink and could identify those people who needed to have their fluid intake recorded. We examined the fluid charts and these were properly filled in and showed that people were receiving enough to drink. Staff kept good records of the care needs of people. The care plans were person centred and reflected the actual care needs of the people who use the service. Each person living in the home has an individual care plan which is developed from the admission assessment and added to throughout their stay. These care plans show that the personal and health care needs of the resident are being met and how that is being achieved. The staff spoken to could describe the needs of the residents and were clear about the way that they had to record the care given and the need to report any relevant issues to senior staff. Care plans are in place around both the psychological and physical needs of the people living in the home. Necessary risk assessments are completed for a selection of areasincluding falls, nutrition and deterioration in skin condition. The care plans were being reviewed and the reviews were detailed and up to date. The care plans looked at included information from specialists such as the Challenging behaviour team and the Speech and Language team. Generally the care plans are becoming more person centred although there is scope to develop this further. The staff work hard to make sure that they communicate well within the team. Residents are supported to access NHS services and facilities as and when they need to. The care plans showed that the specialist advisor`s are used for individual people living in the home and their advice is followed. The residents and their representatives are encouraged to take part in the review of the care. A number of residents were positive about the care they were being given and were complementary about the staff. Residents were observed interacting with the staff in a positive way. Care was given in a discreet manner, the residents were being asked about the support they needed in a way that did not make it obvious what they were being asked, for example if they wanted to go to the toilet. The staff were being kind and polite with cheerful banter taking place throughout the day. We examined the arrangements made to protect people from pressure sores. Risk assessments in the care plans were reviewed and updated and actions detailed within the individual plan. There were good links established with supporting health professionals. All of the residents, including those who were frail or ill, looked clean and well cared for. People wore clean, matching and appropriate clothes. All those spoken to confirmed that they were helped to bathe or shower regularly. We observed that staff responded quickly when residents rang their call bell. We spoke with a number of residents and families who told us that staff respond quickly whenever they required assistance. There are detailed nutritional risk assessments in place with residents at risk being identified and appropriate nutritional care plans implemented. Those at risk are encouraged to eat, are weighed as required and included the involvement of the general practitioner, this was all documented. Staff were observed to transfer residents safely, using appropriate equipment and providing encouragement and support giving residents reassurance during these transfers. Small groups of residents were enjoying a range of varied activities around the home and there was a good range and choice of things to do. The home had two social activities workers and it was evident that care staff also provide one to one support as an integral part of their role.Lunch was observed to be a pleasant and social occasion. Staff assisted residents to eat in an appropriate and sympathetic way. Staff sat alongside residents while they were eating and we noted that they gave plenty of time for the residents to take their meal. Residents and families said that the food served is well cooked and presented. Complaints and safeguarding issues were properly recorded. These had been reported to the appropriate authorities, including CQC. Staff had received training and guidance in the management of complaints and the recognition and management of abuse, with the majority of staff completing refresher training in the safeguarding of vulnerable adults. The home was very clean and tidy. Mal odours were noted on the upstairs corridor and whilst staff had cleaned this area the odour remained, this was discussed with the manager and it was agreed that the suitability of the cleaning equipment be reviewed. Staff were observed using satisfactory hygiene practices. There were good numbers of staff on duty to care for the current needs of the residents. There had been some staff turnover with a number of new staff being recruited and staffing levels were good. Staff had undertaken training in Yesterday, Today and Tomorrow which enabled them to provide support for people with dementias, this was evident in the practices observed and the environment. The manager of the home and staff team had a clear understanding of the need to ensure that residents health, safety and welfare are protected. The provider undertakes quality assurance audits and regulation 26 visits. There was a management overview of accidents with risk assessments being updated and actions documented within the care plans. All notifications had been appropriately reported to CQC. The home now has a manager in post who has worked hard with the team to make a number of significant improvements to the outcomes for the people living in the home. The previous requirements and the majority of recommendations had been met. The staff team were very positive about the changes that have been made and were complimentary about the way the manager provides leadership. What the care home could do better: The home must ensure that they have suitable cleaning equipment to address the mal odours and this will ensure residents live in a pleasant and clean environment. The training matrix should be updated to give the manager an improved overview of the mandatory and other training completed. Random inspection report Care homes for older people Name: Address: Sunningdale Lodge Dene Road Hexham Northumberland NE46 1HW one star adequate 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 Blake Date: 0 4 0 6 2 0 1 0 Information about the care home Name of care home: Address: Sunningdale Lodge Dene Road Hexham Northumberland NE46 1HW 01434603357 01434608865 sunningdalelodge@schealthcare.co.uk www.southerncrosshealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Southern Cross Home Properties Limited Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 50 Number of places (if applicable): Under 65 Over 65 50 dementia Conditions of registration: 0 One named resident is known to be under pensionable age. No further under pensionable age admissions are to take place without the prior agreement of the CSCI. Date of last inspection Brief description of the care home Sunningdale Lodge is a 50-bedded care home, which provides care including nursing for elderly people with dementia. The home is located on the outskirts of Hexham, next to another residential care home, also owned by the Southern Cross Group. The home is purpose-built with accommodation on three floors. Rooms are single, some with en -suite. The lower ground level provides catering and laundry facilities. There is a large attractively landscaped rear garden, with seating. Weekly fees vary and are available from the home. Information about the home is available including inspection reports. Care Homes for Older People Page 2 of 9 Care Homes for Older People Page 3 of 9 What we found: The quality rating for this service is one star. This means the people who use this service experience adequate quality outcomes. The quality rating of the home was not under review at this inspection but it was noted that significant improvements had been made to the service. We have reviewed our practice when making requirements. Some requirements from previous inspection reports may have been deleted or carried forward to this report as recommendations. This will only happen when it is considered that people who use the service are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. The last key unannounced inspection of the home was in November 2009. This inspection was carried out to ensure that the service had met the requirements/recommendations set at that inspection. Before the visit we looked at information we received since the last visit to the home. This includes how the service dealt with any complaints, changes to how the home is run, the views of people who use the service and the managers views of how well they care for people. This included surveys. During the visit we talked with people who use the service, some staff and the manager. We focused mostly on the personal and health care of people who use the service and checked staffs understanding of the care required by the people living in the home. We also looked at any previous requirements and recommendations to see if these had been met. Following the inspection feedback was given to the manager. What the care home does well: Staff showed a good understanding of the needs of the people in their care. Care staff knew which residents required help to eat or drink and could identify those people who needed to have their fluid intake recorded. We examined the fluid charts and these were properly filled in and showed that people were receiving enough to drink. Staff kept good records of the care needs of people. The care plans were person centred and reflected the actual care needs of the people who use the service. Each person living in the home has an individual care plan which is developed from the admission assessment and added to throughout their stay. These care plans show that the personal and health care needs of the resident are being met and how that is being achieved. The staff spoken to could describe the needs of the residents and were clear about the way that they had to record the care given and the need to report any relevant issues to senior staff. Care plans are in place around both the psychological and physical needs of the people living in the home. Necessary risk assessments are completed for a selection of areas Care Homes for Older People Page 4 of 9 including falls, nutrition and deterioration in skin condition. The care plans were being reviewed and the reviews were detailed and up to date. The care plans looked at included information from specialists such as the Challenging behaviour team and the Speech and Language team. Generally the care plans are becoming more person centred although there is scope to develop this further. The staff work hard to make sure that they communicate well within the team. Residents are supported to access NHS services and facilities as and when they need to. The care plans showed that the specialist advisors are used for individual people living in the home and their advice is followed. The residents and their representatives are encouraged to take part in the review of the care. A number of residents were positive about the care they were being given and were complementary about the staff. Residents were observed interacting with the staff in a positive way. Care was given in a discreet manner, the residents were being asked about the support they needed in a way that did not make it obvious what they were being asked, for example if they wanted to go to the toilet. The staff were being kind and polite with cheerful banter taking place throughout the day. We examined the arrangements made to protect people from pressure sores. Risk assessments in the care plans were reviewed and updated and actions detailed within the individual plan. There were good links established with supporting health professionals. All of the residents, including those who were frail or ill, looked clean and well cared for. People wore clean, matching and appropriate clothes. All those spoken to confirmed that they were helped to bathe or shower regularly. We observed that staff responded quickly when residents rang their call bell. We spoke with a number of residents and families who told us that staff respond quickly whenever they required assistance. There are detailed nutritional risk assessments in place with residents at risk being identified and appropriate nutritional care plans implemented. Those at risk are encouraged to eat, are weighed as required and included the involvement of the general practitioner, this was all documented. Staff were observed to transfer residents safely, using appropriate equipment and providing encouragement and support giving residents reassurance during these transfers. Small groups of residents were enjoying a range of varied activities around the home and there was a good range and choice of things to do. The home had two social activities workers and it was evident that care staff also provide one to one support as an integral part of their role. Care Homes for Older People Page 5 of 9 Lunch was observed to be a pleasant and social occasion. Staff assisted residents to eat in an appropriate and sympathetic way. Staff sat alongside residents while they were eating and we noted that they gave plenty of time for the residents to take their meal. Residents and families said that the food served is well cooked and presented. Complaints and safeguarding issues were properly recorded. These had been reported to the appropriate authorities, including CQC. Staff had received training and guidance in the management of complaints and the recognition and management of abuse, with the majority of staff completing refresher training in the safeguarding of vulnerable adults. The home was very clean and tidy. Mal odours were noted on the upstairs corridor and whilst staff had cleaned this area the odour remained, this was discussed with the manager and it was agreed that the suitability of the cleaning equipment be reviewed. Staff were observed using satisfactory hygiene practices. There were good numbers of staff on duty to care for the current needs of the residents. There had been some staff turnover with a number of new staff being recruited and staffing levels were good. Staff had undertaken training in Yesterday, Today and Tomorrow which enabled them to provide support for people with dementias, this was evident in the practices observed and the environment. The manager of the home and staff team had a clear understanding of the need to ensure that residents health, safety and welfare are protected. The provider undertakes quality assurance audits and regulation 26 visits. There was a management overview of accidents with risk assessments being updated and actions documented within the care plans. All notifications had been appropriately reported to CQC. The home now has a manager in post who has worked hard with the team to make a number of significant improvements to the outcomes for the people living in the home. The previous requirements and the majority of recommendations had been met. The staff team were very positive about the changes that have been made and were complimentary about the way the manager provides leadership. 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 6 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 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 1 26 16 The home must be kept free from offensive odours To ensure residents live in a clean and pleasant home 23/07/2010 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 30 The training matrix should be updated to give the manager an improved overview of the mandatory and other staff training planned or completed. 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. © 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. 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