Care Home: Sunnyside Rest Home

Similar services:

• Chirnside House
• Keer Sands Residential Home
• Ruskin Lodge
• Bushell House
• Langrigg House
• Parkside
• Dystlegh Grange
• Thornton Lodge

What the care home does well People using the service told us that they liked living at Sunnyside. One person said, "I`m so happy here I never look back." Another person said, "We`re one big family." People described the staff as, `lovely`, `wonderful`, and `fabulous`. One person said, "I can`t fault them." A visitor said, "The staff are so obliging, they will do anything we ask." One person who completed the survey commented that the staff are very supportive and their relative is happy, contented and secure. Visitors were welcomed into the home at anytime. One visitor said, "Visiting is like sitting in your lounge at home." Members of staff who completed the survey indicated that they were given the training they needed in order to meet the individual needs of people using the service. One member of staff commented on the survey, `I love working here.` What has improved since the last inspection? The manager ensures that the Commission is informed of any incidents which affect the health and welfare of people using the service. This enables us to check that any issues are being managed correctly. What the care home could do better: No requirements or recommendations have been issued as a result of this inspection. Key inspection report Care homes for older people Name: Address: Sunnyside Rest Home Coupland Close Whitworth Lancashire OL12 8QQ     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Susan Hargreaves     Date: 1 1 0 6 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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. Care Homes for Older People Page 2 of 24 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial 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. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 24 Information about the care home Name of care home: Address: Sunnyside Rest Home Coupland Close Whitworth Lancashire OL12 8QQ 01706659917 01706659917 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Whitworth Elderly And Disabled Care Trust Name of registered manager (if applicable) Wendy Ann Howarth Type of registration: Number of places registered: care home 11 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 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: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 11 Date of last inspection Brief description of the care home Sunnyside is a purpose built care home situated near to the local amenities in Whitworth. The home has a small garden for residents who wish to sit outside when the weather permits. There is also a small car park for staff and visitors. Sunnyside offers 24-hour personal care for up to 11 residents. Accommodation is provided in single and twin-bedded rooms. Communal rooms include a lounge and dining room. Sunnyside is linked to a busy and thriving day care centre, which plays an active part Care Homes for Older People Page 4 of 24 Over 65 11 0 2 7 0 1 2 0 1 0 Brief description of the care home in the close knit local community. Residents from Sunnyside are invited to participate in the activities available at the day care centre. The current fees charged at Sunnyside are £400 per week. Additional charges are payable for hairdressing and newspapers. A copy of the statement of purpose and service user guide is available to prospective service users and their relatives on request. Care Homes for Older People Page 5 of 24 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: three star excellent 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: A key or main unannounced inspection, which included a visit to the home, was conducted at Sunnyside on 11 June 2010. As part of the inspection process we looked at all the information we have received about Sunnyside since the last key which took place on 24 June 2009. This included a random unannounced inspection on 23 September 2009 to monitor compliance with the requirements made at the key inspection. A pharmacy focused inspection took place on 27 January 2010 to check that medication was being managed correctly. Information about the last key inspection and the random inspections can be obtained from Sunnyside or www.cqc.org.uk The manager completed an annual quality assurance assessment several weeks before this visit to the home. This document is a self-assessment that focuses on how well outcomes are being met for people who use the service. It also gives us some numerical information about the service. Care Homes for Older People Page 6 of 24 Nine completed surveys were returned from people using the service and six from members of staff. At the time of this visit nine people were living at the home. A tour of the premises took place and we looked at staff files and care records. We also spoke to members of staff on duty, people who use the service and one visitor. Discussions also took place with the manager and deputy manager regarding issues raised during the inspection. Care Homes for Older People Page 7 of 24 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 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 24 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 24 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. A thorough admission procedure ensured the health and personal care needs of people using the service were identified and met. Evidence: A copy of the statement of purpose and service user guide is available to people who are considering using the service and their relatives on request. These supply information about the care and facilities provided at the home. People considering using the service were invited to visit and look round the home. At this visit an assessment was also carried out by the manager or a senior member of staff in order to determine if their health and social care needs could be met at Sunnyside. If people were unable to visit the home the manager or senior member of staff would visit them in their own home or hospital. We looked at the care records of two people using the service. Pre-admission Care Homes for Older People Page 10 of 24 Evidence: assessments were seen in both files. These assessments provided important information for the development of their care plans. Care Homes for Older People Page 11 of 24 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 who use the service were cared for in a manner which promoted their privacy and dignity. Medication was managed safely. Evidence: We looked at the care plans of two people using the service. These plans identified the health and personal care needs of each person and provided clear directions for staff to follow to ensure their individual needs were met. Care plans also provided detailed information about their individual likes and dislikes. This included the time they wanted to get up in a morning and what they liked to eat and drink. This information helped members of staff to care for people in the way they preferred. Appropriate risk assessments including ones for falls, nutrition and the development of pressure sores were in place. Guidance for staff to follow about how to manage identified risks was also included in the care plans. A written report about the care given to each person using the service was completed during each shift. This ensured that all staff had up to date information about the Care Homes for Older People Page 12 of 24 Evidence: condition of each person in order to ensure continuity of their care. Care plans and risk assessments were reviewed monthly and any changes to the care required were recorded. Where possible the person using the service or their relatives were involved in care planning and had signed the care plan to indicate their agreement with the care provided. There were records of the involvement of GPs and other healthcare professionals including the chiropodist and district nurse in the care of people using the service. Medication was stored correctly and administered by members of staff who had received training in the management of medication. We looked at the records for the management of medication. These included a record of medication received into the home and a record of unused medication returned to the pharmacy. We checked a sample of medication administration records and found that these had been completed correctly. We also checked the amount of medication in stock against the amount administered and found this to be correct. This confirms that people have been receiving their medication as prescribed by the doctor. Clear instructions were in place for staff to follow explaining when to give people their medication prescribed to be taken when required. This ensures that people are given their medication when they need it. We looked at the records of how medication was checked by the deputy manager. Although these checks were carried out monthly the deputy manager was advised to further develop this system to include staff competence. Personal care was carried out in the privacy of the persons own room or the bathroom. Members of staff were observed attending to people in a polite and friendly manner. People using the service described staff as, wonderful, lovely and fabulous. One person said, You cant fault them. Care Homes for Older People Page 13 of 24 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Leisure activities and meals are well managed and enabled people using the service to have an interesting and fulfilling lifestyle. Evidence: A member of staff was employed for two days a week to organise leisure activities. These included games, sing alongs, quizzes, crafts, manicures and reminiscence. People told us about a recent cheese and wine evening and a fruit tasting day where they were invited to try a variety of exotic fruits. People were also invited to the adjoining day care centre to take part in the activities they organised. Some of the relatives of people using the service had formed a group called Friends of Sunnyside. They also organised social events. An afternoon tea had recently been held one Saturday afternoon. Sandwiches and drinks were served and an organist provided entertainment. One person said, We had a wonderful time. A local Church group held a service at the home every month for people who wished to practice their faith in that way. People using the service and members of staff said that visitors were welcomed into the home at anytime and offered refreshments. One visitor said, We can come and Care Homes for Older People Page 14 of 24 Evidence: go as we please. Visiting is like sitting in your lounge at home. Discussion with people using the service and members of staff confirmed that the daily routine was flexible. One care worker said, Its their choice when to go to bed and they get up when they want. People using the service said they liked living at the home. One person said, Were one big family. Another person said, Im so happy here I never look back. All the people asked said the meals were good. One person told us she especially enjoyed the corned beef hash with dumplings. Another person said, They come and ask us what we want. The meal served at lunchtime on the day of this visit looked wholesome and appetising. Lunch was unhurried allowing people time to socialise and enjoy their meal. Care Homes for Older People Page 15 of 24 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. Complaints would be taken seriously and investigated. Members of staff had the training necessary to ensure people who use the service were protected from abuse. Evidence: A copy of the complaints procedure was included in the statement of purpose and service user guide and displayed in the home. All the surveys completed by people using the service stated that they knew how to make a complaint. Members of staff who completed the survey indicated that they knew what to do if a person using the service or their relatives expressed any concerns to them. The activities organiser explained that she held monthly meetings with people using the service and at the end of each meeting she gave them the opportunity to discuss in private any concerns they may have. According to the AQAA no complaints have been made in the last year. No complaints have been made directly to the Commission. The manager told us in the AQAA that appropriate policies and procedures for safeguarding vulnerable adults were in place. This issue was discussed with two members of staff. They all said they would report any concerns immediately and knew the procedure they must follow. Care Homes for Older People Page 16 of 24 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 premises are well maintained and provide a comfortable and homely environment for people who use the service. Evidence: A tour of the premises confirmed that the home was clean, tidy and well maintained. This provided a homely and comfortable environment for people using the service. Recent improvements include the provision of a large screen television and redecoration of the lounge. The dining room furniture had been rearranged and most of the armchairs taken into the lounge. All the people asked said this was better and they preferred to have a separate lounge and dining room. People using the service were encouraged to bring personal items for their bedrooms to make them more homely. These included, ornaments, photographs and pictures for the walls. The grounds and gardens were well kept and accessible to people using the service if they wished to sit outside when the weather permitted. All the laundry was done at the home. A suitably equipped laundry room ensures clothes are washed promptly and returned to people using the service. Care Homes for Older People Page 17 of 24 Evidence: Gloves and plastic aprons were available throughout the home for members of staff to use in order to protect themselves and people using the service from infection. Care Homes for Older People Page 18 of 24 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. Members of staff are encouraged to acquire the skills and knowledge necessary in order to meet the needs of people using the service. Recruitment procedures are thorough. Evidence: The duty rota provided details about the grades and number of staff on duty for each shift. People using the service and members of staff who completed surveys indicated that staffing levels were sufficient to meet peoples individual needs. We looked at the files of two members of staff appointed since the last inspection. These files indicated that all the required information had been obtained before both members of staff had started working at the home. This included two written references and a Criminal Records Bureau check. These checks ensure that people who use the service are protected from the employment of unsuitable staff. Discussion with the manager and members of staff confirmed that training for all members of staff was encouraged. This included induction training for new employees, moving and handling, basic food hygiene, first aid, safeguarding vulnerable adults, and fire awareness. In addition to this most of the care workers had National Vocational Qualifications at level 2 or 3 in health and social care. Care Homes for Older People Page 19 of 24 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has a competent manager and is run in the best interests of people using the service. Evidence: The manager has several years experience of caring for older people. She has completed the NVQ Registered Managers Award and keeps up to date with current practice by attending relevant training. In addition to this both the manager and deputy manager are working towards NVQ level 4 in health and social care. An administrator has recently been employed to take over the administrative work previously done by the manager. This has given the manager time to meet her management responsibilities and concentrate on providing person centred care for people using the service. Members of staff who completed surveys told us they felt supported by the manager. One member of staff we interviewed said, Its lovely to work here. Comments from people using the service, their relatives and members of staff gave Care Homes for Older People Page 20 of 24 Evidence: the overall view of a well run home where everybody felt included. One person said, Were one big family. A member of staff said, Its a family place, nobody gets left out. One person wrote on the survey, Its a well run caring home, always friendly and welcoming. Discussion with the manager and deputy manager confirmed that they were committed to running the home in the best interests of people using the service. Monthly meetings were held with people using the service and their relatives. These gave people the opportunity to discuss all aspects of the care and facilities provided at the home. People using the service and their relatives were also asked to give their views about the home by completing anonymous satisfaction questionnaires every year. Relatives of people using the service were involved in the Friends of Sunnyside group and gave regular feedback to the manager about the home. As a result of listening to the views of people using the service a more varied programme of activities has been introduced. A member of the management trust consistently visits the home every month and provides a written report for the manager. This ensures the manager receives the support and supervision she needs in order to ensure the home is being run in the best interests of the people using the service. Several people using the service had a small amount of money kept at the home to pay for hairdressing, chiropody and other personal needs. To ensure this was managed safely records of all transactions were kept. We checked two of these during the visit and found the records to be up to date and accurate. According to the AQAA policies and procedures for safe working practices were in place. These help to make sure the home is a safe place to live and work. We looked at the records of the weekly testing of the fire alarms and emergency lighting. Fire drills were also held regularly. We looked at the records of routine servicing of equipment. These included up to date electrical installation and gas safety certificates and evidence that the testing of small electrical appliances was carried out annually. Care Homes for Older People Page 21 of 24 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 22 of 24 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 23 of 24 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 non-commercial 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 Older People Page 24 of 24 - 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!