On the 15th October 2015 Bury Council Procurement Service carried out an Quality Assurance & Monitoring review of Sunny Bank P.R.S.
The purpose of the review is to ensure that Sunny Bank PRS are compliant in 13 different outcomes based on minimum standards set out by the Care Quality Commission.
Once again we were rated as compliant for all 13 outcomes.
Overall the service maintained the highest possible QAF rating of 'A' with no action plans required.
Thanks to all staff for helping us to achieve this rating.
The full report can be viewed by pressing here: 'Other Reports Section'
On the 23rd October 2014 Bury Council Procurement Service carried out an Quality Assurance & Monitoring review of Sunny Bank P.R.S.
The purpose of the review is to ensure that Sunny Bank PRS are compliant in 13 different outcomes based on minimum standards set out by the Care Quality Commission. For each of the following outcomes we were deemed as compliant:
- Care Planning
- Shared Care
- Consent
- Nutrition
- Equipment
- Medication
- Dignity & Respect
- Safeguarding
- Quality Assurance and Complaints
- Staffing
- Infection Control
- Environment
- Records
Overall the service received the highest possible QAF rating of 'A' with no action plans required.
Thanks to all staff for helping us to achieve this rating.
The full report can be viewed by pressing here: 'Other Reports Section'
On the 23rd September 2014 Sunny Bank PRS were visited by an Investors in People Inspector for our tri-annual assessment. Our accreditation against the Investor In People Standard was successfully renewed.
An extract from our inspection report is shown below.
Sunny Bank PRS Ltd located in Tottington, near Bury, aims to offer the highest quality psychiatric rehabilitation services for people who have mental health needs. This is the third review for the business since achieving the the Investors in People Standard in 2005.
The director described her drive towards maintaining a fit for purpose business to ensure it is well positioned to handle the future challenges presented to them in this changing world of high quality care provision. Much focus has been directed towards ensuring strong consultation with all stakeholders and in the provision of exceptional person focused service delivery.
Planning activity for the business is formal and results in written strategies and plans which involve all stakeholders both inside and outside the business. Indeed, interviews with staff highlighted a strong understanding around opportunities and continued services provision. There was a business continuity plan in place to deal with all eventualities.
Strategies for maintaining a committed and skilled workforce are clear. Training exceeds legislative requirements both for the sector and for issues relating to clients needs and there is a strong induction process. The business employs a learning culture with individual learning time for all staff. Evaluation takes place through demonstration of key competencies within a working environment.
Communication processes are strong with a focus on supervisions, appraisals, daily communication books, staff meetings and an open door approach. There is a strong team ethic in place across the business, and staff valued this.
There is evidence of a strong psychological contract between the directors and staff. Rewards and recognition is structured and person centred elements such as gifts and nights out as well as praise, recognition and additional responsibilities were given as an example of this.
It is apparent from the review that the employees feel the business remains a great place to work and continues to be 'client' focused. Person centred planning remains at the heart of everything the business does and interviewees cited many examples of high quality provision for clients.
In addition, there are other positive components in place to support the businesses approach which include:
- There is excellent team work and support demonstrated through the strong psychological contract between the owner and her staff.
- Continued development of records, policies and procedures and a commitment to develop IT infrastructure.
- People can articulate operational roles, responsibilities as well as describing how quality is delivered for service users.
- Information on the current situation is shared with all stakeholders through activities including regular meetings, 1 to 1's, questionnaire results, appraisals, supervisions and informally.
- A commitment to the health and wellbeing of the staff with emphasis on work life balance.
- Extremely low staff turnover and low staff sickness.
It is clear that everyone is committed to ensuring the future success of the business.
Our latest ISO Standard for Quality Management inspection took place on the 15th May 2014 and a summary stated the following:
This assessment was based on Sunny Bank PRS Ltd's Management System, summarised in the current Management System Manual Version 1.
The assessment process is based on random sampling and, therefore, nonconformities may exist which have not been identified.
The business processes and areas assessed included Enquiry, pre assessment, admission and delivery of care including maintenance, domestic services and laundry.
The management system documentation continues to be well maintained and embedded. The system combines flowcharts, bespoke documentation and policies, which meets the requirements of the industry sector. The business owners appear committed to ensuring the staff have the necessary skills and competencies required to operate an excellent organisation. Recent audits from local providers have taken place with the organisation receiving compliance grading and the results of the satisfaction questionnaires was excellent.
In terms of positive findings and conclusions from the assessment, the management review documentation is very comprehensive and the audits continue to be focused and efficient. Customer and stakeholder feedback is strong and well documented. Care planning remains excellent with a clear commitment to personalisation.
Overall the effectiveness of the management system was found to be satisfactory.
During the assessment, zero major nonconformities and zero minor nonconformities were identified. Observations have been raised where appropriate.
Certification to ISO 9001 Standard is maintained.
Encouraging women into sport & physical activity.
We are currently working with the 'I Will If You Will' team at Bury Council, which is aimed at encouraging women into sport and physical activity.
As a result 8 clients are participating in a course of Zumba-style exercise each week for an hour, which is being run specifically for our clients. We are also making use of the mobile swimming pool at Broad Oak School.
Specialist Care Programme.
This specialist care programme is run by Bury Council and Pennine Care Foundation Trust's Community Services Bury.The Six Steps Programme focuses on the wishes and needs of people in the final 12 months of their life, care in the last days of life and bereavement support for families, other residents and staff.
Laraine Colbran (Service Manager) is our End of Life Champion. During 2012/2013 she learnt about palliative care and how to provide high quality care for people at the end of life.
Laraine's role has been to implement training for staff at Sunny Bank PRS and any policy and procedural changes needed. Staff training has been both in house and by attending events organised by the Six Steps coordinators.
Our thanks to Laraine for all her hard work at Sunny Bank PRS in achieving this award and for her continued commitment in taking this approach forward with in Sunny Bank PRS.
The English Community Care Association which we belong to is to merge with the National Care Association to for a new body - Care England from the 1st January 2014.
The Quality Assessment Framework (Q.A.F.) inspection was carried out by Bury Adult Care Quality Assurance & Development Officer, which followed our written submission (which included over 300 items of evidence).
Bury's Quality Assessment Framework is based on 26 of the Core Outcomes that are within CQC's Essential Standards of Quality & Safety (there are 28 Outcomes in the Essential Standards but two were not applicable).
We achieved a score of 100% and the inspector commented that:
"You and your team should be very proud as this is the first service to achieve 100% compliance" (in Bury).
You can view/download the CQC's Document 'Essential Standards of Quality and Safety ' and a Summary of Bury's QAF inspection results by clicking on the links below:
In addition to their usual training 6 members of staff have just completed a certificate in Mental Health Awareness Level 2.
One staff member gained a certificate in Health & Safety in the Workplace Level 2 and one in Autism Awareness Level 2.
The management system documentation is well maintained and embedded. Considerable time and effort has been given to ensure the system is robust and fit for purpose. The system combines flowcharts, bespoke documentation and policies, which meets the requirements of the industry sector. The business owners appear committed to ensuring the staff have the necessary skills and competencies required to operate an excellent organisation. Recent audits from CQC have taken place with the organisation recieving compliance grading.
In terms of the positive findings and conclusions from the assessment, there was a clear and concise quality objectives in place with excellent supporting documentation within the management review. The objectives for the business were comprehensive and SMART and focused on service improvements across all aspects of the business. The documentation is well designed and fit for purpose. Learning and development is well structured and it was evident that considerable investment has taken place in both delivery of learning for staff and residents and recording of information / outcomes. The work environment is excellent at all 4 locations and supporting documentation is well maintained at each.
Overall the effectiveness of the management system was found to be satisfactory.
During the assessment, zero major nonconformity(s) and zero minor nonconformity(s) were identified. Observations have been raised where appropriate. Any nonconformities and observations are summarised in the "Audit Findings" section of this report and are detailed in a separate "Continual Improvement Record".
Certification to the ISO 9001 Standard is approved.
Last week the widget shown below was added to the CQC section of our website. You can use the link on the widget to open the CQC website in another window that will show all the information held by CQC about Sunny Bank PRS. This info includes the results of the most recent checks carried out by the CQC, showing whether our Service is meeting each of the standards that the government says you have the right to expect. From their site you can also download the latest inspection reports for Sunny Bank.
THE WIDGET:
The CQC widget and an archive of inspection reports can be viewed on CQC section Sunny Bank's website by clicking this link: CQC Reports 2004-2011
The quality system documentation continues to be well maintained and there is evidence of continuous improvement to the system through audits and the identification of non conformances. Additional improvements to the medication processes have been brought about by the identification and selection of a new supplier. The quality management system is clear and concise and is supported by flowcharts, audit checklists and records.
In terms of the positive findings from the assessment, the management review minutes are comprehensive, focused and have been improved by the addition of information from the requirements of the CQC and Local Authority Auditing. The minutes review the previous years activity in depth and are supported by evidence based reporting. The minutes also detail objectives for the forthcoming year as well as clear improvement actions for all key activities identified. The care plans are thorough and concise and reflect the intensity of the care provided within the business. Pre-assessment activity and admissions again appear to be well structured and focused. The auditor is confident that the quality management system and supporting evidence meets the requirements of the standard.
Sunny Bank PRS Ltd’s certification to the ISO 9001 Standard is "Maintained".
This applies to the following authorities:-
Ashton Leigh and Wigan.
Blackburn & Darwen.
Blackpool.
Bolton.
Bury.
Central and East Cheshire.
Central Lancashire.
Cumbria.
East Lancashire.
Halton & St Helens.
Heywood Middleton & Rochdale.
Knowsley.
Liverpool.
Manchester.
North Lancashire.
Oldham.
Salford.
Sefton.
Stockport.
Tameside & Glossop.
Trafford.
Warrington.
Western Cheshire.
Wirral.
The overall judgement from this Care Quality Commission Inspection was that Sunny Bank PRS Ltd was meeting all the essential standards of quality and safety.
The full Review of Compliance report from CQC can be viewed in the CQC & Reports Section of our website by clicking here.
Having carried out the assessment process in accordance with the guidelines provided for assessors by UK Commission for Employent and Skills, the Assessor was satisfied beyond any doubt that Sunny Bank PRS Ltd continues to meet the requirements of the Investors in People Standard. On behalf of Investors in People North West the Assessors would like to congratulate Sunny Bank PRS Ltd on this achievement.
See our reports section of our website for futher details.
John raised £60, Alan raised £228, and would especially like to thank all his friends at Bury Bridge Social Club for supporting him.
From 2007 Sunny Bank PRS have implemented ISO 9001:2000 & have achieved external recognition by Centre for Assessment – a UKAS (United Kingdom Accreditation Service) certification body.
ISO9001:2000 is a worldwide standard for quality management and at Sunny Bank PRS the achievement of this standard is being used to help us to work even more effectively and efficiently, to ensure that all our staff are fully trained and kept up to date with any changes in the sector, to bring about continuous improvement and to constantly strive to exceed the expectations of all our clients. This has now become ISO 9001:2008.
Our report for the 2011 surveillance visit stated the following:-
"The quality system documentation has been well maintained and there is evidence of continuous improvement to the system through audits and the identification of non conformances. The system is clear and concise and is supported by flowcharts, audit checklists and records.
In terms of the positive findings from the assessment, the management review minutes are comprehensive and focused. The minutes review from the previous years activity in depth and are supported by evidence based reporting. The minutes also detail objectives for the forthcoming year as well as clear improvement actions for all key activities identified. The internal audit process appears robust and is maintained and completed by external consultants. The recording of corrective and preventive actions also appear robust. Both internal audit and preventive/corrective action recording uses the same information reports to provide a streamlined, user friendly system. The care plans are thorough and concise and reflect the intensity of the care provided within the business."
The inspection was in regard to those clients in our supported accommodation funded by Supporting People.
We have to carry out a self assessment, and then this is checked and evidence studied etc, by members of their team, and a validated score given. Scores are either A (the highest), B or C. We achieved the following scores:
- Assessement and Support Planning - Validated Score A
- Security, Health and Safety - Validated Score A
- Safeguarding and Protection from Abuse - Validated Score A
- Fair Access, Diversity and Inclusion - Validated Score A
- Client Involvement and Participation - Validated Score A
OVERALL PERFORMANCE - Validated Score A.
Click here to view the full report.
ISO9001:2000 is a worldwide standard for quality management and at Sunny Bank PRS the achievement of this standard is being used to help us to work even more effectively and efficiently, to ensure that all our staff are fully trained and kept up to date with any changes in the sector, to bring about continuous improvement and to constantly strive to exceed the expectations of all our clients. This has now become ISO 9001:2008.
An ISO 9001 re-certification of Sunny Bank PRS Ltd was carried out on the 27th and 28th of May 2010.
"During the 2010 assessment zero major nonconformity(s) and zero minor nonconformity(s) were identified."
Our report stated:-
"The quality system documentation was well organised and structured. The system combines flowcharts, bespoke documentation and policies, which meets the requirements of the industry sector. The business owners appear committed to ensuring staff have the necessary skills and competencies required to operate an excellent organisation. Recent audits from CQC have taken place with organisation receiving an "Excellent" grading.
In terms of the positive findings from the assessment, there was a clear and concise quality management system in place with excellent supporting documentation. The objectives for the business were comprehensive and SMART and focused on service improvements across all aspects of the business. The documentation is well designed and fit for purpose. Learning and development is well structured and it was evident that considerable investment has taken place in both delivery of training for staff and residents and recording of information / outcomes. The work environment is excellent at all 4 locations and supporting documentation is well maintained."
We received an "excellent" rating with a score of 142 out of a possible 142.
The assessment took place on the 29th of January and looked at safeguarding across the care outcomes and standards regarding individual needs and choices, concerns, complaints and protection, staffing, conduct and management and additional outcomes identified by Bury ACS, as outlined in the Dignity in Care Challenge Standards.
Our thanks to the whole of our staff team who continually work hard to ensure that these standards are maintained and developed.
The Sunny Bank staff team, Cliff and Mary Freeman (Directors), Mick Williams (Senior Care/Support Assistant) and Mary Freeman (Director) were all nominated for various awards.
The awards took place on Tuesday the 20th April at the Village Hotel Bury. Mick reached the final of the "Employee of the Year" award and Mary reached the final of both the "Manager of the Year Award" and "the Dignity Award".
A VERY BIG CONGRATULATIONS to Mick (who had been nominated by Brian and his mother) on receiving EMPLOYEE OF THE YEAR AWARD for Adult Care in Bury.
EMPLOYEE OF THE YEAR
Winner of the Employee of the Year Award 2010: Mick Williams
This award was presented to an individual who had worked consistently and constantly given their all. They must have provided high quality work whilst remaining flexible and dependable.
THE DIGNITY AWARD
Dignity Award 2010 Finalists: Robert Laing, Peter Lambert and Support Worker Team and Mary Freeman
This award was presented to the individual or team who could demonstrate that they had promoted independence and choice for people they care for, whilst respecting and maintaining people’s privacy and dignity at all times.
The winner was Peter Lambert and Support Worker Team.
MANAGER OF THE YEAR
Manager of the Year 2010 Finalists: Mary Freeman, Collette Conway and Kay Walsh
This Award was given to a Manager who has demonstrated a high level of expertise together with exceptional skills in managing the complex business of a care environment. A Manager who shows vision in developing and supporting staff to meet the ever changing needs of service users.
The winner was Collette Conway.