Care Home: Sunny Bank (P.R.S.) Ltd

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What the care home does well People had a thorough assessment carried out over an eight week period before it was agreed by everyone concerned that the person could move into the home. A further twelve week assessment took place once the person moved in to ensure that the person was happy at the home and their needs could be fully met. Detailed support plans and risk assessments were put in place and the person was involved in the development of them. Each person had an individual activity programme that was arranged each week. We talked with one of the owners. It was clear that she was very knowledgeable about the personal support and healthcare needs of all the people living at the home and what action was needed to ensure that they were safely supported. We talked about a recent incident that had occurred and what action had been taken to minimise the risk to the person. Risk assessments seen had been updated to reflect the action taken. People we saw appeared well cared for. The atmosphere at the home was relaxed and friendly. One person showed us their programme of activities for the week. On the day of our visit they had been to a local art group in the morning and had two group sessions planned for the afternoon. They said that they enjoyed the activities provided and that they were all, "treated like royalty." The activity programme was seen as an essential part of maintaining people`s physical and mental wellbeing. In a returned survey a person commented that Sunny Bank, "Organises many activities e.g. gym, table tennis, rides out, trips out, etc and does it very well. The food is very good." Another person commented under the section what does Sunny Bank do well, "Outings, menus with a good variety of choices, homely atmosphere and an individual daily programme." It was clear from the homes AQAA that the home had been working hard to increase service user involvement. One example was a pamphlet that had beenput together by people for the staff called "How to treat us with Dignity." In a returned survey a staff member commented that Sunny Bank, "Keeps residents busy as much as possible with programmes and activities as well as plenty of day trips. I think Sunny Bank is a well run and well organised home." Another commented that the home, "Fulfills the needs of the resident with excellent care plans for each individual with a good individual programme geared for each client." And, "I have worked at Sunny Bank for thirteen years and I enjoy each day at Sunny Bank. I think Sunny Bank is an excellent place to work for. The management support you well. I love my job and look forward to it for many more years." We looked at the medication system. The home had a detailed medication procedure and other reference material was also available for staff to use. There was a dossette system in place which had been devised with the local pharmacist to provide a flexible administration system that worked alongside people going out on activities. There were handwritten medication administration record (MAR) sheets that had been signed by the pharmacist, a psychiatrist or GP. There were separate MAR sheets for PRN and creams. A consent to medication form had been signed by people as appropriate. Information about possible indicators of a deterioration were available for staff to refer too. Medication was the responsibility of the manager. The manager carried out a weekly audit of the medication system. All the staff team had received medication training. There had been no complaints in the last 12 months. People we spoke with during our visit said that they could speak to either the owners or the manager if they had any concerns. They were confident that they would be listened to and that action would be taken to address any matters they raised. There were also opportunities to raise concerns through residents meetings and the homes annual quality assurance review. People also had a review with a person from their placing authority every six months to check that their needs had not changed and that they were happy with the placement. There had been no safeguarding alerts or investigations. The home had a copy of the local authority safeguarding policy and procedures. The homes current training needs analysis was to focus on improving awareness of new legislation in social care including, human rights, mental capacity and deprivation of liberty. This training, as well as advocacy and IMCA training had been completed by all staff. An advocate was supporting a person to resolve an issue with their placing authority. The home had recently had a safeguarding audit carried out by Bury Adult Care Services for which the home received full marks. What the care home could do better: We found no areas of concern at this visit. Evidence showed that the owners of Sunny Bank kept the service they provided under continual review and that they were keeping up to date with changes in social care legislation and practice. The home retains an excellent quality rating. Random inspection report Care homes for adults (18-65 years) Name: Address: Sunny Bank (P.R.S.) Ltd Sunny Bower Street Tottington Bury Lancs BL8 3HL three star excellent 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: Julie Bodell Date: 1 2 0 5 2 0 1 0 Information about the care home Name of care home: Address: Sunny Bank (P.R.S.) Ltd Sunny Bower Street Tottington Bury Lancs BL8 3HL 01204883621 01204888947 sunnybankprs@btconnect.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Laraine Margaret Villiers-Colbran Type of registration: Number of places registered: Conditions of registration: Category(ies) : Sunny Bank (P.R.S) Limited care home 21 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Conditions of registration: 21 The registered person may provide the following category of service only: Care home only - Code PC. To service users of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Mental disorder, excluding learning disability or dementia - Code MD. The maximum number of service users who can be accommodated is: 21. Date of last inspection Brief description of the care home Sunny Bank is a privately owned care home, providing medium to long-term support for up to 21 people with mental health needs. An active rehabilitation approach is taken, with each resident supported to maintain and develop personal and practical life Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home skills. Up to 2 day care places are also provided. The home is on an un-adopted road, in a semi-rural location. It is similar to other properties nearby and is not distinguishable as a care home. It is a large, converted, detached property over three floors, with an extension to the rear. All bedrooms are singles, with 3 on the ground floor, 13 on the first floor and 5 on the second floor. There is a mature, terraced garden to the front and private parking. The home is near to Tottington village centre and close to bus routes. Three satellite houses are also owned and managed by the home. Their tenants previously lived at Sunny Bank and continue to receive a low level of support from its staff team. These properties are not regulated by CQC. Although a manager is employed, the two owners, who are a qualified mental health nurse and a qualified occupational therapist, also work in the home on daily basis. Care Homes for Adults (18-65 years) Page 3 of 8 What we found: Sunny Bank received an excellent quality rating at our last key inspection visit on 18th May 2007. The home was in the process of transferring their registration under the new Health and Social Care Act. We (the commission) had no major concerns about the home. It was therefore decided that we would look only at personal and healthcare support, medication, complaints and protection as part of a random inspection visit, instead of carrying out a full key inspection. We spent five hours at the home. During that time we spoke at length with one of the owners and briefly with the second owner and a small number of people who lived at the home. Before the visit we sent out surveys to the home. We received seven surveys from people living at the home and seven from support workers, which gave us very positive feedback about the home. We also received an annual quality assurance assessment (AQAA) from the owners that told us what they think Sunny Bank does well and what they needed to do to improve the service further. The AQAA was well written, gave us a lot of detailed information and demonstrated that the owners were keeping the service under constant review. What the care home does well: People had a thorough assessment carried out over an eight week period before it was agreed by everyone concerned that the person could move into the home. A further twelve week assessment took place once the person moved in to ensure that the person was happy at the home and their needs could be fully met. Detailed support plans and risk assessments were put in place and the person was involved in the development of them. Each person had an individual activity programme that was arranged each week. We talked with one of the owners. It was clear that she was very knowledgeable about the personal support and healthcare needs of all the people living at the home and what action was needed to ensure that they were safely supported. We talked about a recent incident that had occurred and what action had been taken to minimise the risk to the person. Risk assessments seen had been updated to reflect the action taken. People we saw appeared well cared for. The atmosphere at the home was relaxed and friendly. One person showed us their programme of activities for the week. On the day of our visit they had been to a local art group in the morning and had two group sessions planned for the afternoon. They said that they enjoyed the activities provided and that they were all, treated like royalty. The activity programme was seen as an essential part of maintaining peoples physical and mental wellbeing. In a returned survey a person commented that Sunny Bank, Organises many activities e.g. gym, table tennis, rides out, trips out, etc and does it very well. The food is very good. Another person commented under the section what does Sunny Bank do well, Outings, menus with a good variety of choices, homely atmosphere and an individual daily programme. It was clear from the homes AQAA that the home had been working hard to increase service user involvement. One example was a pamphlet that had been Care Homes for Adults (18-65 years) Page 4 of 8 put together by people for the staff called How to treat us with Dignity. In a returned survey a staff member commented that Sunny Bank, Keeps residents busy as much as possible with programmes and activities as well as plenty of day trips. I think Sunny Bank is a well run and well organised home. Another commented that the home, Fulfills the needs of the resident with excellent care plans for each individual with a good individual programme geared for each client. And, I have worked at Sunny Bank for thirteen years and I enjoy each day at Sunny Bank. I think Sunny Bank is an excellent place to work for. The management support you well. I love my job and look forward to it for many more years. We looked at the medication system. The home had a detailed medication procedure and other reference material was also available for staff to use. There was a dossette system in place which had been devised with the local pharmacist to provide a flexible administration system that worked alongside people going out on activities. There were handwritten medication administration record (MAR) sheets that had been signed by the pharmacist, a psychiatrist or GP. There were separate MAR sheets for PRN and creams. A consent to medication form had been signed by people as appropriate. Information about possible indicators of a deterioration were available for staff to refer too. Medication was the responsibility of the manager. The manager carried out a weekly audit of the medication system. All the staff team had received medication training. There had been no complaints in the last 12 months. People we spoke with during our visit said that they could speak to either the owners or the manager if they had any concerns. They were confident that they would be listened to and that action would be taken to address any matters they raised. There were also opportunities to raise concerns through residents meetings and the homes annual quality assurance review. People also had a review with a person from their placing authority every six months to check that their needs had not changed and that they were happy with the placement. There had been no safeguarding alerts or investigations. The home had a copy of the local authority safeguarding policy and procedures. The homes current training needs analysis was to focus on improving awareness of new legislation in social care including, human rights, mental capacity and deprivation of liberty. This training, as well as advocacy and IMCA training had been completed by all staff. An advocate was supporting a person to resolve an issue with their placing authority. The home had recently had a safeguarding audit carried out by Bury Adult Care Services for which the home received full marks. 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 Adults (18-65 years) Page 5 of 8 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 Adults (18-65 years) Page 6 of 8 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 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 Adults (18-65 years) Page 7 of 8 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 Adults (18-65 years) 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 Adults (18-65 years) Page 8 of 8 - 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. 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