Background to this inspection
Updated
3 November 2023
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
This inspection was carried out by 2 inspectors.
Service and service type
Sutton Veny House is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Sutton Veny House is a care home with nursing care. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the CQC to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with 8 people and 3 relatives about their experiences of care received. We also spoke with 9 staff, the registered manager and the regional manager. We reviewed 4 people’s care plans and risk assessments, risk monitoring records, multiple medicines records, health and safety information and monitoring records, 4 staff files for recruitment, training records, safeguarding records, meeting minutes and quality assurance documents.
Updated
3 November 2023
About the service
Sutton Veny House is a care home providing accommodation with personal and nursing care to up to 28 people. The service provides support to adults over and under 65 years. At the time of our inspection there were 24 people using the service.
Accommodation was provided in 1 adapted building. People had their own rooms and access to communal rooms such as a large lounge and dining room on the ground floor. People could also access the large gardens from the ground floor.
People’s experience of using this service and what we found
People and relatives told us people were safe. People were happy living at the service and could have visits from friends and family at any time. Relatives felt able to speak with the registered manager about any issue and told us they felt listened to. Staff had received training on safeguarding, and they understood how to report any concerns about abuse.
People were being supported by enough staff to meet their needs. At times people told us staff were busy and there may be a delay in answering call bells. However, they had not experienced any impact from any delay experienced. The registered manager monitored call bells to check they had been timely answered. Staff had been recruited safely.
Medicines were managed safely. Staff had training on medicines management and medicines records we reviewed had no gaps in recording. People had their medicines as prescribed. Risks to people’s safety had been assessed and management plans were in place. This gave staff guidance on how to support people safely. Nursing staff reviewed all care records to make sure they reflected people’s up to date needs. Staff liaised with local healthcare professionals to make sure health needs were met.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Health and safety checks were being completed and the provider made sure equipment was serviced regularly. The home was clean and smelt fresh. People told us they were happy with the cleanliness standards of their rooms. Staff had access to personal protective equipment and had received training on infection prevention and control.
People and relatives told us the staff were caring and the care received was good. We observed interactions between staff and people that were kind and caring. People and relatives thought the service was well-managed and they felt able to share any concerns with the registered manager. The provider visited regularly to carry out quality monitoring and also spoke with people, relatives and staff.
Some staff were less positive about the approach of the registered manager and shared concerns with us. We have made 1 recommendation about listening to staff feedback. We observed the registered manager interacting with people, relatives and staff and did not observe any behaviour or attitude of concern.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 11 July 2022).
Why we inspected
This inspection was prompted by a safeguarding concern raised which the local authority was investigating. A decision was made to undertake a focused inspection to review the key questions of safe and well-led to assess wider risks for people. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well-led sections of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Sutton Veny House on our website at www.cqc.org.uk.
Recommendations
We have made 1 recommendation about listening and responding to staff feedback.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.