All inspections: Sunningdale Court - Care Home

The inspection took place on 19 and 24 October 2017, and was unannounced.

Sunningdale Court Care Home is registered to provide personal care for 20 adults with a learning disability, or who are on the autism spectrum. It is located in Ashby, near Scunthorpe. Accommodation is provided in three bungalows; Lilac Mews, Bluebell Cottage and Daisy Cottage.

There was a registered manager in place. 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 our last inspection the service was rated as Good. At this inspection we found the service remained good.

People were safeguarded from potential harm and abuse. Staff undertook safeguarding training. Issues raised were fully investigated. The service was homely and was maintained to make sure it remained a safe and pleasant place for people to live.

Care and treatment was planned and delivered to maintain people’s health and safety. During the inspection people's needs were met by sufficient numbers of staff. Recruitment processes remained robust. Medicines were dispensed by staff who had received training to undertake this safely.

Staff were provided with training to help them care for people. They received supervision and appraisal, which helped to develop the staff's skills. People’s dietary needs were known and if staff had concerns people were referred to relevant health care professionals to help to maintain their well-being.

People’s rights were protected in line with the Mental Capacity Act (MCA) 2005 and Deprivation of Liberty Safeguards (DoLS). The registered manager understood their responsibilities regarding this.

Staff supported people with kindness, dignity and respect. People were supported to undertake a range of activities at the service and in the community.

People received the care and support they required and their needs were kept under review. End of life care was provided at the service.

People were asked for their views about the service, feedback received was acted upon. The registered manager, staff and senior management team undertook checks and audits of the service. Investigations of incidents and accidents occurred and any learning from these issues was implemented to help to maintain or improve the service provided.

This unannounced inspection took place over two days on 3 and 4 September 2015. The last inspection took place on 31 May 2013. At that inspection we found the registered provider was compliant with all the standards we assessed.

Sunningdale Court is a residential care home that provides accommodation for up to 20 people with a learning disability who require support with personal care and all aspects of daily living. At the time of our inspection 12 people were permanently living at the service and three people were using the service for respite.

The service is designed into two bungalows. The first, smaller bungalow is used by staff and contains the administrator’s and manager’s office, staff room, medication room, laundry and kitchen. The second larger bungalow is separated into three areas for the people using the service. The first area named Bluebell View has four en-suite bedrooms, a bathroom, kitchen, dining room and lounge.

The second area, Lilac Mews accommodates eight people and provides en-suite bedrooms, an open plan lounge, kitchen and dining area, toilet and bathroom. The final area is Daisy Cottage. This part of the bungalow is currently being used for people taking respite at the service. At the time of our inspection there were three people using the respite facility. This area also offers all en-suite bedrooms, bathroom, lounge and kitchen dining area. The outside of the building has a car park to the front and large grassed and paved areas to the rear of the property.

The service had 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.’

During our inspection we found that staff had been recruited safely and appropriate checks had been completed prior to them working with vulnerable people. Staff had a good knowledge and an understanding of the needs of the people who used the service. Staffing levels were adequate and there was a full training programme in place which ensured staff were equipped with the knowledge and skills required to carry out their role effectively.

Medicines were managed safely; the service had policies in place that provided guidance on the safe ordering, storage, administration and disposal of medication.

We saw that staff spoke in a positive way to people and treated them with respect. We observed positive interactions between the staff and the people who used the service and people participated in a range of activities and days out.

Assessments of people’s health and social care needs had been completed and were used to develop personalised support plans that informed staff how to care for people using the service in the least restrictive way.

Relatives and carers were welcomed into the service at any time and people using the service were encouraged to maintain relationships with the people they cared about. Staff were supported through regular supervisions and staff meetings. Staff and relatives told us the registered manager was approachable, listened to them and had an open door policy.

A programme of quality monitoring took place which consisted of audits, checks and questionnaires. Regular relatives and in house meetings were held to collect the views and opinions from people who used the service and their families.

We spoke with people who confirmed that care and treatment options were discussed with them and their appointed representative. One person said, 'I gave my consent to be here,' and another person told us, 'I like coming here.'

People spoke positively about their care in the service. One person told us, 'We are all right,' and another person said, 'I like it here very much.'

People spoke positively about the cleanliness of the service. One person told us, 'It is clean here,' and another person said, 'It is clean ' they clean my room and toilet every day; cleaning domestics come and do it.'

Appropriate checks were undertaken before staff began work. People's comments about staff included, 'The staff are lovely,' and 'The member of staff is very nice.'

People we spoke with were clear about how to make a complaint. Some comments people made about complaints were, 'I would tell staff if I had a complaint straight away, but there is nothing to complain about,' 'I would tell the staff if there was something wrong,' and 'I know what to do if I have a complaint.' Another person said they had some issues about their care, which they explained to us. Staff began immediately to investigate the complaint.

In this report the name of a registered manager appears who was not in post and not managing the regulatory activities at this location at the time of the inspection. Their name appears because they were still a Registered Manager on our register at the time.

People told us that they were respected and their dignity was upheld. One person said, 'Staff are kind to us and do treat us with respect.' Another person speaking about privacy told us, 'My care plan is locked up and I get to see my relatives in private.' We spoke with a person about the choice they were offered; they said, 'I get a choice of what I have to eat.' We spoke with a person about activities and they commented, 'We are supported to go out and get a cappuccino. We do painting with the activities lady. We paint and we make things; we make cards. I go out to church on my own.'

Care and treatment was planned and delivered in a way that ensured people's safety and welfare. One person told us, 'It's a nice place. We have a cooked dinner at night time. I've got relatives and they come to see me.' Another person told us about their appreciation of the support they received from the provider. People we spoke with said they felt safe in the home.

People spoke positively about the staff that worked with them and commented, 'They are nice staff and they are good to us', 'Staff are kind to us. Staff are nice' and, 'Staff are kind and helpful, and they are patient. The staff are all nice.'

People told us they had their concerns listened to and they knew who to complain to. They commented, 'I attend the residents' meeting. They listen to us and they take action. I haven't completed any surveys', 'If I had a complaint I would tell the staff, but I have no complaints. I attend a residents' meeting. Relatives can be present. They do questionnaires' and, 'If I had a complaint I would go to the manager, but I have had no complaint.'

These older reports are from our old approaches to inspection, including those from before CQC was created.

Archived: Sunningdale Court - Care Home

All Inspections

19 October 2017

During a routine inspection

3 & 4 September 2015

During a routine inspection

31 May 2013

During a routine inspection

1 June 2012

During a routine inspection

Reports under our old system of regulation