Care Home: Sunrise Operations Bassett Ltd

What the care home does well The home has complied with the requirements made following the key inspection in August 2009. Changes have been made to care planning practices, including routine reviews and changes to care plan information, and to the management of medications to improve outcomes for people living at the home. The home is considering the implications for communication with people whose first language is not English and they havedemonstrated they have taken appropriate action to promote effective communication in these situations. What the care home could do better: The home needs to embed the changes in care practices to ensure the welfare of people living at the home continues to be protected and promoted. No new areas for improvement were identified during this inspection. Random inspection report Care homes for older people Name: Address: Sunrise Operations Bassett Ltd 111 Burgess Road Southampton Hampshire SO16 7AG one star adequate service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Gina Pickering Date: 2 8 0 6 2 0 1 0 Information about the care home Name of care home: Address: Sunrise Operations Bassett Ltd 111 Burgess Road Southampton Hampshire SO16 7AG 02380706050 02380706051 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Manager Post Vacant Type of registration: Number of places registered: Conditions of registration: Category(ies) : Sunrise Operations Bassett Ltd care home 29 Number of places (if applicable): Under 65 Over 65 0 dementia Conditions of registration: 29 The maximum number of service users to be accommodated is 29. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia (DE). Date of last inspection Brief description of the care home Sunrise Operations Bassett Ltd is a residential home registered to provided care and accommodation for up to twenty-nine older people with Dementia. The home is situated on the second floor of a large complex, the lower three floors terrace, ground and first being a registered care home with nursing for up to seventy-five older people. Bedrooms are predominately single although some twin rooms are available. Open Care Homes for Older People Page 2 of 9 Brief description of the care home plan communal rooms and a relaxation room are provided, as is an enclosed roof terrace. Access to the unit is achievable via the stairs or alternatively the passenger lift and the facilities of the entire community are available to the reminiscence clients, although this is reliant on sufficient staff being available to accompany people outside of the reminiscence environment. The home is owned by Sunrise Operations Bassett Ltd and at the time of the inspection visit did not have a registered manager. The fees for accommodation and care at Sunrise Operations Bassett Ltd, reminiscence service ranges from GBP 1008 per week to GBP 1256 per week. There may be additional care costs dependant on assessed needs. Additional charges are payable for hairdressing, chiropody newspapers and some other services. Care Homes for Older People Page 3 of 9 What we found: This random inspection was completed to assess the homes compliance with requirements made following the last key inspection on 13 August 2009. Information for this inspection was obtained by a variety of methods. We used information from the Annual Quality Assurance Assessment (AQAA) received by us on 21 April 2010 in which the home tells us about the service they provide, changes they have made and changes they plan to make to improve outcomes for people living at the home. A visit was made to the home on 28 June 2010 during which we looked at documentation and the environment. This service is in the same building as another registered care service. We have been informed that an application is to be submitted to CQC for a manager to be registered for both services. At present one member of the staff has responsibility for managing the service to which this report relates. She is referred to in this report as the Assistant Manager. During the visit we had conversations with the Assistant Manager, her line manager, two care staff and two people living at the home. At the last inspection it was identified that peoples care plans were not being reviewed resulting in their current care needs not being documented. This put people living at the home at risk of not having their current care needs met because staff were not informed about the actions they needed to take to support people. The AQAA told us that the home had introduced a tracking system to highlight on a daily basis the care plans and risk assessments that were due to be evaluated and that care plans and risk assessments were being reviewed and updated at monthly intervals or sooner if necessary. The Assistant Manager told us about the changes made to the care planning system. There was documentary evidence of the tracking system identifying whose plans were due to be evaluated and which member of care staff was responsible for this evaluation. We looked at the care plans and risk assessments for three people living at the home. This evidenced that all plans and risk assessments were being evaluated on a monthly basis and changes were being made to the care plans where the persons needs required it. Information in each persons file contained daily records that detailed any significant events such as episodes of challenging behaviour or changes in their wellbeing and information from visiting health care professionals. These details evidenced that changes in peoples wellbeing and care needs was addressed appropriately in the care plans. This means staff are provided with relevant information about how to support and care for peoples changing needs. Examples include for one person relevant information about their changing continence needs, which was also detailed in their plan for meeting personal hygiene needs. It was evident in the care plans the individual choices of people was being considered. Examples included for personal care needs details being available about personal preferences regarding bathing, bathing products and clothes they like to wear. It was evident people can choose when they wish to be supported with personal care with details in care plans such as should be offered showers at any time of the day. Discussion with staff members indicated people living at the home can have baths or Care Homes for Older People Page 4 of 9 showers at any time of the day. Effective documentation and care planning was assisting the assistant manager to recruit extra staff for busier parts of the day. The care planning and evaluation processes were identifying triggers and periods of the day when people living at the home were exhibiting increased behavioural challenges. With this clear evidence the assistant manager had been able to present to senior management that an increase in staff numbers was needed at this certain time of day to ensure people living at the home had their welfare safeguarded and this had been agreed. At the last inspection it was identified there was a failure of the service to have strategies in place to ensure staff members were able to communicate with people living at the home whose first language was not English. We looked at the care plan for one person whose first language was not English. It was evident that this person no longer spoke any English and only spoke in his/her first language. The care plan provided good details about how to communicate with this person including simple words in their first language and their usual nonverbal communication signs. Information in the care plan documents and discussion with staff members evidenced that professional translator advice had been sought to determine this persons level of understanding in their first language and the care plan had been developed around this information. One member of staff had taken the decision to enrol on a language in course in the relevant language to assist with communication. It was concluded that all possible steps had been taken to promote communication with this person. The previous inspection had identified that a lack of guidelines for administering medications to people that were prescribed to be taken when required, such as pain relievers and sedatives, meant that people were being put at risk of being given medication when it was not required or not being administered medications when required. We had a look at the medication procedures at the service. The AQAA had told us that medication profiles for people living at the home had been updated and that these included guidelines for the administration of medications prescribed to be taken when required. We looked at the medication profiles for the people whose care plans we had looked at. These included an assessment of the persons capacity to manage medications them selves and clear guidelines for the use of medications prescribed to be taken as required. These included details about what the medications were for, how often it could be administered and any side effects the medication might have. Medication Administration Records (MAR) charts for people living at the home clearly detailed the amount of medication and the time it was administered. Changes in medication as prescribed by peoples medical practitioners were detailed in the care planning documents. MAR charts evidenced these changes were complied with ensuring people were receiving medications as prescribed by their medical practitioners. What the care home does well: The home has complied with the requirements made following the key inspection in August 2009. Changes have been made to care planning practices, including routine reviews and changes to care plan information, and to the management of medications to improve outcomes for people living at the home. The home is considering the implications for communication with people whose first language is not English and they have Care Homes for Older People Page 5 of 9 demonstrated they have taken appropriate action to promote effective communication in these situations. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 6 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 7 of 9 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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