Latest Inspection
This is the latest available inspection report for this service, carried out on 18th March 2010. CQC found this care home to be providing an Adequate service.
The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.
For extracts, read the latest CQC inspection for Sunnybrook.
What the care home does well The purpose of this visit was to monitor compliance with the SRN only and no other significant observation was made on this occasion. What the care home could do better: The service is developing it`s consultion processes but must continue to develop this further to ensure that all risks identified are assessed that decisions are made in people`e bests interests. A further requirement has not been made about this as the home is already developing systems to achieve this. Requirements made at the bottom of this report were made following the Key Random Inspection of 17 December 2009. Random inspection report
Care homes for adults (18-65 years)
Name: Address: Sunnybrook 2a Beech Road Ashurst Southampton Hampshire SO40 7BE 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: Sue Kinch Date: 1 8 0 3 2 0 1 0 Information about the care home
Name of care home: Address: Sunnybrook 2a Beech Road Ashurst Southampton Hampshire SO40 7BE 02380292300 02380293970 sunnybrook@consensussupport.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Manager Post Vacant Type of registration: Number of places registered: Conditions of registration: Category(ies) : Corich Community Care Ltd care home 9 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 9 The maximum number of service users to be accommodated is 9. The registered person may provide the following category/ies of service only: Care home only (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD). Date of last inspection Brief description of the care home Sunny Brook began operating in November 2006 and Corich Community Care Limited is the Registered Provider. Care Homes for Adults (18-65 years) Page 2 of 10 Brief description of the care home It is a care home that provides support and help for adults with learning difficulties and with complex needs and behaviours that challenge the service. The building is a detached two- storey house situated in its own grounds and it is close to local shops and services. All people living in the home are accommodated in single rooms with en-suite facilities. The garden is enclosed and includes a summerhouse in which activities take place. All people that move into the home are referred through local authority adult services departments or health care trusts. When consideration is being made to use the service on behalf of someone by such organisations they are provided with information about the homes service and the facilities. A copy of a report of the most recent inspection of the home carried out by the Care Quality Commission is available in the home. The reported fee structure at the time of the site visit on 17th December 2009 was £1600 -£3800 per week. Care Homes for Adults (18-65 years) Page 3 of 10 What we found:
The last key inspection of this service was on 17/12/2009. The rating following that inspection was 1 star, meaning outcomes for people who live in Sunnybrook are adequate. The report from that inspection has been finalised and will be available on our website. We carried out a random inspection of the home on 18 March 2010. The purpose of this visit was to monitor compliance with a Statutory Requirement Notice (SRN) issued to the home dated 17 February 2010 with the date of 12 March 2010 as the date for completion. The requirements of the SRN are recorded below with the details of our findings which were provided verbally to the manager on duty during our visit. Requirements were to : Have a system in place to ensure that risk assessments are carried out to demonstrate the reasons for limiting access to any areas of the home and to show that appropriate consultation has taken place. Risk assessments must document the least restrictive interventions to promote service users independence and dignity. Have a system in place to ensure risk assessments are regularly reviewed. During the visit we observed the environment and talked to staff and the manager about the work that had taken place to reduce restrictions placed up on people living in the home. We also observed people freely accessing some of the previously restricted areas such as the ground floor bathroom and bedrooms. We observed the environment with the manager. The ground floor bathroom was open and adjustments made within the bathroom to minimise risks from some people having free access. The lock on the inside of the door if used could be accessed by staff in emergencies. One staff member commented on the positive aspects of the room being opened and that one person, after the room had been opened, had several baths. The staff member commented positively about this increasing the choices of people living in the home. The manager explained that there was a computerised central locking system in the home and work had been taking place to make adjustments to this to make more areas of the home freely accessible. There had been problems with this and the kitchen was still locked. He said he had obtained the software to address this and would sort it out following our visit. Staff told us that despite this problem there had been changes in the practises in the home and that people are now using the kitchen for getting their breakfast, obtaining, snacks, drinks and helping with food preparation. The staff member commented that this was helping people develop skills and be more involved in everyday life and decisions. From viewing a sample of records, we noted that changes in practises
Care Homes for Adults (18-65 years) Page 4 of 10 were supported by risk assessments that had been completed about kitchen use that identified differing support needs in this area. We looked at a sample of bedrooms. These doors were open except for one person who had gone out. The bedroom doors have been provided with mechanisms for privacy which people are beginning to use and staff can open them emergencies. The manager said that further work will take place regarding access to bedrooms and this will be considered based on individual needs. One person had been given a key fob and staff are teaching them how to use it. The bedroom doors are still automatically locked at night at 8pm and this was in relation to the specific behaviours of two people living in the home. However, staff spoken with and the manager said that people are still able to open the doors from within. They said that some people needed to support to maintain their privacy and dignity and from other people going in their rooms. Also this meant that at night currently some people needed staff support to regain access to their rooms if they leave them. In the sample of risk assessments viewed these risks were assessed there were records of plans to seek alternative ways of dealing with individual needs at night and room access. We observed that the en suite facilities in each bedroom are now unlocked so that people have free access. The manager showed how individual needs and behaviours are being assessed and alterations have taken place with further planned to minimise the varying risks to people from having free access. This includes locking toiletries away for one one person and adjusting the access to the cistern. The manager spoke of ongoing risk assessments for individuals as new issues arise and this included some re wiring in one persons en suite facility. The manager said that the organisations behaviour adviser is working with the home to improve peoples communication, help create more structured days and address challenging behaviours. Currently the hot water for showers is not regulated and so the manager said that he had taken steps in the meantime to keep people safe by preventing use of the shower without staff support by a mechanism on the bedroom wall. However, he said that further work would be done individually to address this and minimise risks. There are locks on the front doors of the home and staff said that this was because of the risk to people due to limited road skills. We noted that the front of the house is a short distance from a side road which joins a busy main road. Staff and the manager said that people in the home normally have free access to the garden though as the back gate could not currently be shut the back door was locked. The manager was addressing this. A sample of risk assessments were viewed in relation to some of the areas viewed and issues discussed. These risk assessments are developing and and most of those viewed had been written in February and March 2010. More work is still needed to demonstrate who has been consulted as part of the risk assessment process to demonstrate that best interests are represented. The manager said that he is trying to involve all care managers but that better relationships need to be developed. However, other records in the home viewed, indicated that a system of consultation is developing. A staff member said that they had been fully involved in the risk assessments and care plan for the person that they are key worker for and that this had also involved the parents. They also said that key worker meetings were now taking place in which care plans and risk assessments are discussed.
Care Homes for Adults (18-65 years) Page 5 of 10 Reviewing risk assessments was discussed with the manager who said that as many of the risk assessments were new they had not yet been reviewed. However, he is developing systems for review to take place. He spoke of key worker meetings, staff meetings and staff supervision which he could evidence had begun to take place. What the care home does well: 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 6 of 10 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 17 17 The home must be able to demonstrate that people living there are offered varied meals. This is to demonstrate that they are offered a nutritious diet. 30/03/2010 2 20 13 There must be suitable 30/03/2010 arrangements for the recording, safekeeping and handling of medication in the home. This is to ensure that people routinely receive prescribed medication. 3 23 13 Incidents in the home including those in relation to safeguarding matters must be reported promptly to CQC. This is to ensure that local procedures are used regularly when incidents occur in the home. 30/03/2010 4 34 19 Records of employment 05/04/2009 checks must be completed and held at the home before a member of staff commences work in order to maximise protection of people living there.
Page 7 of 10 Care Homes for Adults (18-65 years) 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 5 39 24 The home must develop an 30/03/2010 effective quality assurance system to routinely assess its effectiveness in providing a service to meet the needs of people living in the home. This is to identify where improvements are needed for service users. Care Homes for Adults (18-65 years) Page 8 of 10 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 9 of 10 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 10 of 10 - 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!
