Archived: Sunridge Court

Updated 28 February 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 23 and 27 November and 11 December 2017. The inspection was carried out by one adult social care inspector and two experts by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service. One expert by experience attended the inspection and spoke with people to gain their views and opinions of the home. The second expert by experience supported this inspection by carrying out telephone calls to people’s relatives following the inspection.

Following the last inspection we asked the provider to complete an action plan to show what they would do and by when to improve the key questions of safe and effective to at least good. This included information around safe medicines management, personal risk assessments for people living at Sunridge court, ensuring that the principles of the Mental Capacity Act 2005 (MCA) were being followed when working with vulnerable adults and supporting staff around supervision and appraisal to ensure that staff were adequately supported.

Before the inspection we looked at information that we had received about the service and formal notifications that the service had sent to the CQC. We also looked at safeguarding notifications that the provider had sent to us. Providers are required by law to inform CQC of any safeguarding issues within their service.

We used information the provider sent us on 6 March 2017 in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection we spoke with four staff including the registered manager, the executive director, two assistant managers and 15 people that were living at the home. We also spoke with a healthcare professional and one relative that were visiting the home at the time of the inspection. We looked at six care records and risk assessments, eight staff files, and other paperwork related to the management of the service including staff training, quality assurance and rota systems. Following the inspection we spoke with eight relatives and four care staff.

Updated 28 February 2018

This inspection took place on 23 and 27 November and 11 December 2017. Sunridge Court is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Sunridge Court accommodates 43 people in one purpose built building and caters specifically for the Jewish community. The home is over three floors, with the top floor being used for training purposes. There is a large living room with a sun lounge and people have access to a large well-kept garden. At the time of the inspection there were 40 people living in the home.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

At the last inspection on 22 and 28 January 2016 we asked the provider to take action to make improvements to how individual risks to people using the service were documented. This included guidance provided to staff to help minimise the known risks to people that they worked with. We also asked the provider to take action around providing staff with regular supervision and appraisal and to ensure that people’s care was documented and delivered in line with The Mental Capacity Act 2005 (MCA). At this inspection we found that these actions had been completed.

We have made a recommendation about the safe management and documentation of medicines.

Risk assessments gave staff detailed guidance and ensured that risks were mitigated against in the least restrictive way. Risk assessments were reviewed and updated regularly.

Staff understood what safeguarding was and were aware of how to report any concerns if they had them.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Staff had received training in infection control and were aware of how to control and prevent infection.

Staff received regular, effective supervision and appraisal.

There were individualised care plans written from the point of view of the people that were supported. Care plans were detailed and provided enough information for staff to support people. Care plans were regularly reviewed and updated immediately if changes occurred.

People and relatives were encouraged to help plan end of life care in a tailored way. Staff were compassionate regarding caring for people at the end of their lives.

The home recognised that stimulation and enjoyment were essential to people’s wellbeing. There was a wide variety of activities that people could choose to take part in. people were supported and encouraged to access the community and stay in contact with relatives and friends.

People were supported to communicate using technology and training for people around using the internet had been provided.

Staff, people and relatives were positive about the culture of the home and the management.

Audits were carried out across the service on a regular basis that looked at things like, medicines management, health and safety and the quality of care. Surveys were completed with people who used the service and their relatives. Where issues or concerns were identified, the manager used this as an opportunity for change to improve care for people.