Care Home: Sunnymeade

Similar services:

• Fairfields Country Rest Home
• Poldhu
• Queensmount
• Trevaylor Manor
• Didsbury Court Rest Home
• Belma
• Hunters Care Centre
• Manor Lodge

What the care home does well From all sources there were positive comments about the kindness and care that people received from the staff. When asked what the home does well one person wrote"Good food, very pleasant care and helpful staff who always try to do their best for you. Happy laughter is always near the surface." Another person wrote "rooms are warm, meals good staff helpful. Excellent all round." Pre-admission assessments are carried out promptly by the manager or deputy. Information from other health professionals is taken into consideration. People received planned care as the care planning system continues to develop. People have received training in the use of the computer system and staff spoken to during the inspection felt confident about its use. There was evidence that the home works well with other health professionals to meet peoples needs. A comment in the home survey said they were "extremely good at working with professionals to ensure peoples needs are met. Advice is always welcomed and actioned." People are encouraged and supported to enjoy life in the home whenever possible. Individual choice in how people spend their day is promoted. There is a newsletter that offers a range of social events and entertainments. Family and friends are welcomed into the home at any time. People are offered a choice of appetising and nutritious food. There are opportunities for people to be involved in the menu preparation through the "food tasting" offered every third month by the cook. People were clear about how to complain and although few people had complained they felt sure that they would be able to raise any issues with the manager or staff. Whilst the environment provides some challenges overall the home is a pleasant place to live. There has been a new bathroom installed in Kingfisher Unit. Rooms have been decorated and up-graded and new flooring has been laid. The gardens around the home are accessible and very pleasant offering people the opportunity to enjoy fresh air, plants and wildlife. The home is clean and comfortable. There is a robust staff recruitment and training programme. The home is run in the best interests of people who live in the home. The management team are well qualified and very experienced. There is a programme of planned maintenance and health and safety checks. The home is supported by the area manager and corporate services of Somerset Care which ensures policies are kept up to date and training and support is available across a wide range of areas. What has improved since the last inspection? The home has addressed the requirements and recommendations made at the last inspection. Care plans were seen to be reviewed and up-dated. All chemicals seen were stored safely. The Statement of Purpose had been up-dated. The staffing in the home has been reviewed and improved with additional staff hours. The home is clean and pleasant in all areas. Medication storage and administration is safe and complied with good practise. The kitchen ceiling had been repainted. What the care home could do better: Some areas of the building are not now suitable for most people who would come to live in the home. The home acknowledges this and some rooms remain empty. There is funding available and consultation is underway to make substantial improvements. There were very few negative comments about the service at all. One person said that sometimes there could be a delay in answering call bells if staff were busy and another person said thye would like more baths. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Sunnymeade Helliers Close Chard Somerset TA20 1LJ     The quality rating for this care home is:   two star good service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Shelagh Laver     Date: 1 4 0 5 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 25 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 25 Information about the care home Name of care home: Address: Sunnymeade Helliers Close Chard Somerset TA20 1LJ 0146063563 0146068217 nicky.passant@somersetcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Somerset Care Limited care home 50 Number of places (if applicable): Under 65 Over 65 16 50 dementia old age, not falling within any other category Additional conditions: 0 0 The service users admitted in the category DE will be accommodated in the units named Kingfisher and Azalea. Date of last inspection Brief description of the care home Sunnymeade is operated by Somerset Care Ltd, a large provider of residential and domiciliary care in Somerset. Sunnymeade is a 50 bedded purpose built care home, situated in a residential area of Chard. It has five units of eight places all on the ground floor. It also has some first floor accommodation, which residents must be able to climb stairs to reach. It is set in mature gardens, which have been provided this year with greater disabled access provision. The service is well established and provides personal care for Older Persons. The Company has plans for a major alteration to one part of the home and bedrooms within that area in order to enhance and improve services. The current fees are #460.00 to #485 per week. Care Homes for Older People Page 4 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: Two inspectors visited the home for one day and met people who lived in the home. We talked to staff and toured the buildings including communal rooms and most bedrooms. The manager Nicky Passant and all other staff were helpful and provided us with information and assistance during the inspection. Before the inspection we had received the Annual Quality Assurance Assessment which provides us with information about the achievements of the service over the past twelve months and the plans for the future. The AQAA was fully completed and gave us clear information. We sent comment cards to the home and received 16 replies completed by people who Care Homes for Older People Page 5 of 25 live in the home. Some people were assisted to complete cards by relatives. We were sent a copy of the homes Quality Assurance Survey completed in Spring 2009. Questionnaires are sent to people who live in the home, their family and friends and to professional stakeholders who visit the home. Responses to our own questionnaires and to the homes review indicated that people are very satisfied with the care provided at Sunnymeade. This was a positive inspection where we were able to see that people receive a good standard of care. What the care home does well: What has improved since the last inspection? Care Homes for Older People Page 7 of 25 The home has addressed the requirements and recommendations made at the last inspection. Care plans were seen to be reviewed and up-dated. All chemicals seen were stored safely. The Statement of Purpose had been up-dated. The staffing in the home has been reviewed and improved with additional staff hours. The home is clean and pleasant in all areas. Medication storage and administration is safe and complied with good practise. The kitchen ceiling had been repainted. 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 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 25 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home offers a range of information to people who may chose to come and live in the home. People receive a comprehensive assessment before coming to live in the home to ensure their needs can be met. Evidence: There is a Service User Guide and Statement of Purpose that provides people with information. It is the home policy that prior to admission to the home people have a thorough assessment carried out by the home Manager or Deputy Manager. We saw evidence of this assessment and information from other health and social care professionals that is taken into consideration. People are encouraged to visit the home whenever possible and to feel involved in the admission to the home. Care Homes for Older People Page 10 of 25 Evidence: One comment card said that although an admission was made at short notice staff had gone out of their way to accommodate the person and had been helpful ever since. Care Homes for Older People Page 11 of 25 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People in the home benefit from a good standard of health and personal care. People in the home are treated with respect and kindness. There is a safe system of medication administration. Evidence: Each person has a person centred care plan that is reviewed monthly with the person who lives in the home. The plans are prepared and used on a computer system although paper summaries are available. The full plan is comprehensive and gives clear guidance to staff. In one plan for example there was guidance on mobility exercises, falls prevention and communication. All Plans are written in a person centred manner giving a really claer view of the persons abilities and needs. We spoke to the senior care staff and members of the team. Everyone spoken to was positive about the system. One person said that they had received plenty of training and support with the use of the computer. Care staff were observed during the day inputting information and referring to the plans. People sign their care plans and one Care Homes for Older People Page 12 of 25 Evidence: person discussed the input she had had in preparing her plan. There was evidence in the care plans that people can access health and social care professionals. We saw lots of evidence that people are treated with respect and kindness. One comment card said x was admitted to hospital recently and she received excellent care and support when she returned to Sunnymeade. staff reminded her to drink constantly and helped her to eat. They seem to genuinely care for her. The system for administering medication is safe and complies with good practise. People can self administer medicines when appropriate. The service should implement a policy to ensure nebulisers are cleaned according to current guidance. Care Homes for Older People Page 13 of 25 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People in the home are encouraged and supported to make choices about how they spend their days. family and friends are made welcome in the home. People are offered a choice of well prepared and appetising food. Evidence: We observed people throughout the inspection and saw that they made choices about how they spent their day. The organisation of the home into units means that some people spend a lot of time in the communal areas while others prefer to spend time in their own units. People talked about going out for meals with their families and friends. Some people enjoy sitting in the entrance hall of the home to see what is going on. The activities co-coordinator produces a weekly programme of activities which included on the day of the inspection a church service and a word game. There is a monthly newsletter that informs people of news and events in the home. It was evident particularly in the Azalea and Kingfisher Units (for people with dementia) that a range of activities can be accessed on an individual basis according to interests. The home has been providing training to all staff to emphasise that activity is not just crafts or playing games The AQAA states that the home aims to keep Care Homes for Older People Page 14 of 25 Evidence: meaningful occupation to the forefront of staff minds. Training has aimed to foster staff awareness that one to one interaction with residents is as important as group activity. One person told us that they like to go out and about and takes holidays with friends. A visiting relative told us of the welcome received in the home as a regular visitor. We spoke with other visitors to the home who were pleased withe care given to their family members. Visitors are treated like guests. One person said We are very pleased. She is getting good care here. Visitors said they were always welcome and could speak with care staff and managers when they wished to. Comment cards stated that keeping families informed was one of the things that the home did well. People are offered a choice of meals to eat. We were very pleased with the standard of home cooked food available on the day of inspection. There was a steak and ale pie or savoury quiche available with vegetables and choice of puddings. There is always a light lunch alternative and people said that there was always something nice to eat. People can chose to eat in the main dining room or in the individual dining rooms or in their own rooms. We observed people coming into lunch in the main dining room. Tables are laid attractively and staff were seen to be offering respectful and appropriate support. There was a buzz of conversation and whenever possible people were encouraged to be independent. The cooks provide food tasting every third month to people in the home who can then decide whether a dish should be included in the menu. Care Homes for Older People Page 15 of 25 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has policies and procedures in place to protect people in the home. There is a well publicised complaints procedure in the home. Evidence: People in the home have a copy of the Seeking Your views leaflet and those spoken to knew that they could make a complaint if they wished to. Several people said that issues and little things were resolved promptly by staff or he manager. We saw the complaints log and responses. Complaints are taken seriously and there were clear records of the complaint and action taken. The records included minutes of a meeting held in relation to a complaint and links with external bodies. The staff in the home receive safeguarding adults training during induction. Senior staff undertake further training as alerters and copies of the local authority guidance are used in the home. There is a robust system of staff recruitment in the home that aims to protect people. Care Homes for Older People Page 16 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a home that is warm clean and adapted to meet their needs. The home is clean and well maintained. Some areas of the home are due to be refurbished and plans are in place to commence this work in the near future. Evidence: Overall the environment of the home is very pleasant. Five of the units are on the ground floor with views and access to lovely accessible gardens. The sixth unit, Evergreen is hardly used and is not suitable or accessible for most people. The home has been granted finances to make significant changes to the home and is currently determining the nature of these changes which will remove Evergreen in its current form. The one person who does live there is satisfied with his room. Action was taken during the inspection to secure the window safely. All other areas of the home were clean and comfortable. Some fittings and fixtures are dated and due for replacement in the redevelopment but peoples bedrooms are comfortable and there is a homely attractive appearance to the home. There is evidence of measures in place to minimise the spread of infection. Staff have access to and wash facilities and there is a good supply of personal protection equipment however an audit sytem should be implemented to ensure that all rooms have supplies needed . Care Homes for Older People Page 17 of 25 Care Homes for Older People Page 18 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home benefit from care by sufficient well trained staff. The home operates a robust recruitment and training programme. Evidence: The staffing of the home has been reviewed and the number of care assistants and shift leader hours have been increased. Azalea and Kingfisher units are staffed from 7:30 to 9:30 each day. After this there are three night staff who provide care throughout the home. There is a system of hourly checks throughout the night. The company has a robust recruitment and selection process that was seen to be implemented in the home. New members of staff receive a comprehensive induction followed by induction shifts. We spoke to someone who had recently commenced employment at the home. They felt supported by senior staff and had received a good induction. Staff files seen were easily accessible. There are 38 care staff employed in the home. 25 have NVQ 2 or above whilst others are in the process of gaining the qualification. A range of training opportunities are offered in addition to the mandatory up-dating. There are three manual handling trainers in the home. Additional training is offered through Acacia training and the home has used an external trainer to provide team building training. Files indicated that staff attended training appropriate to their role. Senior staff for example receive training in Care of Care Homes for Older People Page 19 of 25 Evidence: Medicines, Advanced fire safety, Stepping Up to Supervision, POVA alerters and Appointed Persons First Aid. Fire training,health and hygiene and manual handling updates for all staff are recorded on the training grid. New staff receive a comprehensive induction that includes a day at the central office, practical training and the completion of a work book. Care Homes for Older People Page 20 of 25 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well run in the interests of people who live in the home. The home assesses the quality of service provided and responds to feedback received. There are system in place to maintain and promote the health and safety of people who live in the home. Evidence: The home is well run in the interests of people who live in the home. The manager has worked in the home for 17 years of which 8 have been as manager. She is supported by an experienced management team and a structured trained workforce. There is an emphasis on communication in the home and regular general and senior staff meetings held. We saw minutes that included action that had been taken to resolve issues raised. There are a number of Quality Assurance systems in place. The company quality assurance manager visits regularly and completes in-house audits. The Area manager Care Homes for Older People Page 21 of 25 Evidence: undertakes monthly visits and completes a report. There is an annual quality questionnaire that is analysed and actioned. We received a copy of the Spring 2009 summaries od responses. Questionnaires are sent to people who live in the home, family and friends and professional stakeholders. 19 people returned comment cards and all said they were treated well. Comments made by individuals are noted and followed up. 21 comment cards were returned from families and all said the people they visited were treated well. Professionals said there was a strong ethos of caring for people and seeking appropriate help from doctors, nurses and social workers. There is an organised system of maintenance in place that includes regular checks and maintenance of all key equipment. We saw organised records and certificates confirming work is done in a timely manner. The home is supported by the Somerset Care maintenance department who responded promptly to a request made during the inspection to attend to a window restriction. It is recommended that a risk assessment is completed for the small bed rails that are in use as a mobility aid. Care Homes for Older People Page 22 of 25 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, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 23 of 25 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, Care Homes 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 Older People Page 24 of 25 Helpline: Telephone: 03000 616161 or Textphone: or 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. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 25 of 25 - 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!