Care Home: Sunnyside

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What the care home does well Before anyone moves into Sunnyside, a member of the management team will visit them in their own home (or hospital) to tell them about the services provided and to check that their assessed needs would be able to be met by staff at the home. People enjoyed the meals and were happy that they had choices offered to them and that they could speak with the cooks themselves to tell them what they thought of the meals. Comments included, "The food is really good," and "You get asked what you want." A number of people told us that they were happy with the care they received and the support staff gave them and the way staff act with them. One person told us "The girls know what I need, it`s written down in my file." People commented that they were able to talk about their concerns and worries and that they would be listened to by the management and staff team. We asked one person what they would do if they were worried or concerned about things and they said, "I would go straight to the manager or speak with one of the staff." Staff spoken to during our visit told us they felt supported by the management. Comments included, "Brilliant manager, very supportive and encourages staff," "No stress when you are working," and "We have a good management team." What has improved since the last inspection? Many parts of the home have been refurbished to a high standard and furnishings are of a good quality. Each person living in the home has been supplied with a new television in their rooms ready for the upgrade to digital TV next year. The manager told us that a programme of ongoing redecoration is in progress to continually improve all areas of the home and further refurbishment work would be taking place early in the new year. What the care home could do better: There were no requirements made during this key inspection. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Sunnyside Sunnyside Road Droylsden Tameside M43 7QJ     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: John Oliver     Date: 3 0 1 0 2 0 0 8 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. the things that people have said are important to them: They reflect 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 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) 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.csci.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Sunnyside Sunnyside Road Droylsden Tameside M43 7QJ 01613701793 01613711306 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Prabsharon Saund Type of registration: Number of places registered: Meridian Healthcare Ltd care home 43 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The registered person may provide the following categories of service only: Care home only - Code PC To people of either gender, 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 people who can be accommodated is 43. Date of last inspection Brief description of the care home Sunnyside is a two storey building, set back from a main road in Droylsden, close to the Manchester border. Bus services to Droylsden town centre, neighbouring towns and Manchester City Centre pass the front of the home. The home offers accommodation to older people in single bedrooms, some of which have en-suite facilities. Communal space includes three lounges, one smoke room and one hairdressing room. Two patio areas are also available. Car parking is available to the front and side of the building. 0 Over 65 43 Care Homes for Older People Page 4 of 26 Care Homes for Older People Page 5 of 26 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: This inspection report is based on information and evidence we (the Commission for Social Care Inspection) have gathered since Sunnyside last had a key inspection in October 2006. Before visiting the home, we asked the manager to complete a document called an Annual Quality Assurance Assessment (AQAA). This document gives the manager the opportunity to tell us what they felt they did well, and what they needed to do better. This information will help us to see if the management of the home views the service they provide in the same way that we see and assess the service. On this occasion, we were late in sending the AQAA document to the manager of the Care Homes for Older People Page 6 of 26 home and we therefore used the information provided in the last AQAA document we received. Additional information used to complete the inspection may include incidents notified to us by the manager of the home and information provided by other people or agencies, including any concerns or complaints received. We have also used information obtained from completing an Annual Service Review (ASR) and a Random Inspection of the service. When a service has received a key inspection that indicates the quality of the overall service is 2 Star (Good) it will not receive another visit within the following 12 months (unless there is a specific need to do so) although we will produce a report based on any information received in the twelve months since that inspection took place, this is called an ASR. A number of concerns were raised in the ASR carried out in February 2008 and a Random Inspection of the home was carried out in June 2008. During the inspection visit, time was spent talking with people living in the home, watching how staff work with people and talking to the management and staff on duty. We also looked at some documents and files relating to people and how the home is run and we also had a look around most of the building. The manager told us that the current fees charged for living in the home ranged from three hundred and seventy seven pounds and three pence to four hundred and five pounds and fifty three pence. What the care home does well: What has improved since the last inspection? 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.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 26 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 26 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. People are assessed before coming to live in the home to make sure their needs can be met. Evidence: All people considering coming to live in Sunnyside are visited by the manager or a senior carer so that a thorough assessment of their needs can be carried out prior to any admission being planned. This is to make sure that the home is a suitable place for them to live in where their identified needs can be appropriately met. The manager told us that the only occasion this may not happen would be in the event of an emergency placement being required at very short notice. We looked at the files of two recently admitted people and both contained a copy of the pre-admission assessment carried out by the manager of the home. There was also documentary evidence of other health care assessments that had been carried out Care Homes for Older People Page 10 of 26 Evidence: by care managers from the local authority. Once the assessment process has been completed the manager from the home will then write to the person to confirm whether Sunnyside will be a suitable home for them to live in and we saw such letters on the files we looked at. Before anyone moves into the home they, or their representatives, are encouraged to visit before making any decision to move in. People spoken to during our visit confirmed that this actually happens. Care Homes for Older People Page 11 of 26 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. The health and personal care of people was being met by staff who were aware of their individual needs. Evidence: Each person living in the home had a care file in place containing details of their specific care plan. We looked at the same two files that we had previously examined for pre-admission information. Both files contained a written copy of a care plan and there was clear evidence to show that the plan was reviewed at appropriate intervals. Wherever possible, the person was involved in the planning and development of their care plan although this was not always recorded. We spoke to a number of people living in the home who told us, Yes, I have a care plan, its in a file and The girls know what I need, its written down in my file. Within the written notes kept in each file was evidence to show that a full range of medical and other health related services were actively used when necessary in helping to maintain the health of each person living in the home. Care Homes for Older People Page 12 of 26 Evidence: A pre-dispensed monitored dosage system was used to administer peoples medication and, at the time of our visit, the manager had just changed the supplying pharmacy. The manager and senior carer on duty were in the process of checking in medication and updating individual records when we arrived at the home. Medication was seen to be appropriately and securely stored. We looked at a selection of medication administration records and these presented as being appropriately maintained. We randomly selected two peoples medication to check more thoroughly and found both records and balances of medication to be correct. One person living in the home told us, I get my tablets when I should. There was good documentary evidence that the staff at Sunnyside regularly monitor the weight of each person to enable early detection of any significant weight loss or gain. Observations made throughout the visit showed staff to be aware of the needs of people in respect of maintaining their privacy and dignity. Staff cut up food so that people would not struggle with their meals, they knocked on bedroom doors before entering and enquired discreetly as to whether people wanted to go to the toilet. Care Homes for Older People Page 13 of 26 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 living in the home were able to make choices and had support to meet their expectations and preferences regarding their daily lifestyle. Evidence: A range of activities were reported as being available for people to participate in if they wished. The manager told us that there was no specific activity organiser in post but all staff are expected to participate when an activity is being arranged or taking place. Activities that were available were advertised on notice boards around the home. A Halloween party had been arranged for the day following our visit. During our visit members from a local church visited Sunnyside and a lot of the people attended the service they offered. Following the service, people then enjoyed a sing a long followed by tea and biscuits. We spoke to a number of people living in the home who expressed satisfaction with the activities available and confirmed they were able to participate, or not, as they preferred. Some relatives and visitors to Sunnyside also participate in the activities taking place and we saw that one relative had donated a large hamper to be raffled. Care Homes for Older People Page 14 of 26 Evidence: There is a policy of allowing visitors at any reasonable time. This was confirmed by visitors spoken to during the visit. One visitor told us, We always feel welcome when we come to visit..., staff are very caring. Observation and discussion with people living in the home and staff indicated that people were able to exercise personal choice and autonomy within the context of communal living. People were free to use their own rooms or any of the communal areas and were free to get up and go to bed when they chose. One person told us that she liked to go to her room for a little nap and could do so without any fuss and said staff bring me a cup of tea when Im ready for one. Feedback from people was very positive about the meals they received. The following comments were made, The food is really good, You get asked what you want, We get good choice and Cant grumble about the food, its usually alright. On the day of the visit, the choice of meal at lunch time was beef pie, chips and mixed vegetables or tuna salad. Most people chose to have their meal in one of the dining rooms and tables were seen to be set appropriately for the meals being served. Care Homes for Older People Page 15 of 26 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 policies, procedures and training measures were in place to protect vulnerable people from abuse and neglect and to further promote their wellbeing. Evidence: There was a formal Complaint Procedure displayed throughout the home giving details of timescales and the procedure for people to follow if they wanted to make a formal complaint. We last visited the home in June 2008 to carry out a Random Inspection. This was because we had received some concerns about care practice and staffing levels in the home. The manager had fully investigated both concerns and provided lots of evidence to us to show how she had done this. It was clear from the outcome of the investigation process used that neither complaint could be proven. Since that time, one further complaint had been received by the manager and we looked at the record to see how this matter had been dealt with. From the information recorded it appeared that the complaint had been fully investigated and was concluded to the satisfaction of the complainant. The manager told us that any informal concerns and worries that people raised would be dealt with by the staff at the time. Speaking to people living in the home suggested Care Homes for Older People Page 16 of 26 Evidence: that they were aware of the complaint procedure and who they would speak to if they had any concerns. One person told us, I would go straight to the manager or speak with one of the staff. The Adult Protection Policy and Procedure clearly indicated the role of the management and staff in protecting vulnerable people. The manager and senior carer on duty at the time of our visit were aware of their role in protecting people and what they would do if they had any concerns. Staff told us about their roles in the protection of vulnerable adults and were clear about what they should do if they were told about a situation involving an allegation of abuse. They also told us they had received training in this subject and that the manager had discussed the adult protection procedure with them during staff meetings. We saw evidence that 22 staff received protection of vulnerable adult training on 17 & 18 March 2008. We saw evidence of a number of safeguarding issues that had been raised since our last visit to the home. Records and other information seen demonstrated that these issues had all been investigated using the relevant procedures and people involved had been notified of what action, if any, had been taken. The organisation also employs a Safeguarding Manager who is available to support management, staff and people living in the home with any worries or concerns they may have regarding allegations of abuse. Care Homes for Older People Page 17 of 26 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. The home was found to be safe, clean and offered enough space and flexibility to meet peoples needs. Evidence: Accommodation is provided over two floors and access to the first floor is by stairs or passenger lift. We walked around the home and found that it was maintained and decorated to a good standard and since the last visit a number of bedrooms had been redecorated. The manager told us that plans were in place for the lounge and dining area known as Wordsworth to be redecorated and refubished early in the new year. A maintenance person was employed in the home and monitored and maintained day to day things such as changing light bulbs, carrying out small repairs and maintaining checks on the fire alarm system. Only one person living in the home smoked and a small lounge area was provided for this purpose. We looked at a number of bedrooms and we saw that they had been personalised and contained small pieces of furniture that people had brought from home. Each bedroom also contained a new flat screened television that had been purchased by the organisation ready for the change over to digital TV in 2009. There are adquate Care Homes for Older People Page 18 of 26 Evidence: bathing and toilet facilities, including a range of aids and adaptations for people with restricted mobility. In one bedroom we saw that the commode was in poor condition and appeared difficult to clean properly because of its age. It is important that equipment such as this is kept in a good state of repair or is replaced when necessary in order to minimise the risk of infection occuring and to maintain the health and wellbeing of the people living in the home. Overall, the home presented as clean and tidy, with no unpleasant odours detectable. People spoken to told us The cleaning girls are really good - the house is kept spotless and There are never any bad smells - always fresh and clean. Laundry facilities are sufficient to meet peoples needs and the manager told us that most of the staff had completed infection control training and are aware of the need to maintain good standards of cleanliness throughout the home. Care Homes for Older People Page 19 of 26 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. Sufficient numbers of appropriately qualified and experienced staff were employed in the home to support the people living there. Evidence: We looked at the staff rota for week ending 2 November 2008. In most instances, staffing levels were maintained at a minimum of one senior carer and four carers between the hours of 08:00 - 20:00 with three carers on night duty between the hours of 20:00 - 08:00. The managers hours are not included in these numbers. In addition to the carers and manager, the home provides an appropriate number of other staff such as cooks and domestic staff. The manager told us that 86 of the care staff held a National Vocational Qualification (NVQ) at Level 2 or above and those staff we spoke to during our visit confirmed that they had achieved this award. Samples of files for staff employed since the last inspection were seen and found to contain the required documentation and checks including an enhanced Criminal Record Bureau (CRB) check. The manager told us that all new staff employed undertake the Skills for Care Induction modules based on the Common Induction Standards. Care Homes for Older People Page 20 of 26 Evidence: We looked at details of training that staff had undertaken which showed that a range of core training had been identified by the organisation. Records kept of individual training clearly demonstrated that there was a commitment to staff training and staff spoken to confirmed this. We spoke with a number of staff during our visit who told us, We get lots of training, moving and handling, fire awareness and Ive completed my NVQ 2, I have done POVA training, dementia training and infection control by distance learning. I have completed NVQ 2 and am currently doing 3 (NVQ) and We get plenty of training opportunities. People living in the home were very positive about the staff teams competence and attitude. Comments included, Staff are really good - very helpful, The girls will do anything I ask and You couldnt wish for better (staff). We also saw one letter that had been written to the manager by a relative that included the following comments, ....and would recommend Sunnyside to anyone and everyone... and ...was an inspired choice as my mums named carer. Mum adored her even though she could never quite remember her name! She trusted...and so did our whole family. She took time to ask me questions to get to know mum a bit better and is without doubt the epitome of a true care worker. Care Homes for Older People Page 21 of 26 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 people living in Sunnyside benefit from having the support of a manager with skills to provide a good quality service and procedures in place promote their interests and well being. Evidence: The manager has recently moved to Sunnyside from another care home within the organisation and has many years of experience within the social care field. The manager works closely with the deputy manager and senior carers to ensure that enough supernumerary hours were available to work on operational management tasks. Staff reported that the management team were open and supportive and other comments included, Brilliant manager, very supportive and encourages staff, No stress when you are working, We have a good management team and The new manager is really on the ball. One letter from a relative stated, Your senior care Care Homes for Older People Page 22 of 26 Evidence: team are exceptional. Their humour, patience and kindness went a long way into making my mum settle into a happy life, and indeed I myself have always felt supported whenever any problems arose. We saw documentary evidence that the manager periodically audits things such as medication administration records and any money held on behalf of people living in the home. The organisation carries out an annual Quality Audit of the service being provided and the latest audit was carried out in June 2008 and a copy of the report from this audit was provided to us. The majority of people living in Sunnyside have their individual benefits paid to the local authority that acts as the appointee. Personal allowances and other funds are requested from the local authority and are securely stored at the home. A record was being maintained of all the monies paid to people and of their spending on personal items and receipts were kept for all transactions. Previous inspection visits to Sunnyside have confirmed good standards of the maintenance of equipment for health and safety purposes. Similarly there has been a regular routine testing of the fire alarm system and detection equipment. The manager told us that the company was maintaining all appropriate health and safety testing and compliance. A random selection was made of this documentation that indicated that these standards were still being maintained. Care Homes for Older People Page 23 of 26 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 24 of 26 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 25 of 26 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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 © (2008) 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 26 of 26 - 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. 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