City Health Care Partnership CIC - Sunshine House

Updated 5 February 2019

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 14 and 15 December 2018 and was unannounced. The inspection was carried out by one adult social care inspector. Information was gathered and reviewed before the inspection by looking at notifications and the Provider Information Return, which 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. We also asked for the views of local commissioners of the service and the local safeguarding children’s team at Hull City Council and East Riding of Yorkshire Council.

The methods we used for obtaining information included emails to commissioners and safeguarding teams, telephone calls to parents, interviewing staff, viewing staff and children’s files, observation and reviews of records. We spoke with the operations manager, clinical manager, a play specialist and three support workers. We spoke with five parents on the telephone and one who came to the service to collect their child. We looked at three children’s files and three staff recruitment and training files. We observed three support workers caring for three children on the second day we inspected the service.

Updated 5 February 2019

City Health Care Partnership CIC – Sunshine House is a residential respite and short term care home for nine children up to 18 years of age with life limiting or life threatening conditions. There were five children using the service at the time we inspected. The service is built on ground floor level only and situated in a residential area of Hull. There is ample car parking and Sunshine House is close to public transport links.

At our last inspection we rated the service ‘good’. At this inspection we found the evidence continued to support the rating of ‘good’ and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

Children’s safety was paramount and staff were trained in ensuring this. They had systems in place to detect, monitor and report any safeguarding concerns. Staff were safely recruited and deployed and their practice around medication and infection control management was robust and safe. The premises were maintained in a safe condition.

Staff practice was effective. They were trained and qualified to carry out their roles, received supervision and appraisal and demonstrated understanding of children’s rights and anti-discriminatory practice. Children’s health care and nutrition was well supported according to their assessed needs and wishes. The premises were designed and adapted to the needs of children.

We found staff to be caring, compassionate and attentive in their support of children. Staff communicated well with children and respected their independence, choice, privacy and dignity.

Children’s support plans were detailed and instructive. They enabled staff to provide the right support to children. Interests and activities were extremely well coordinated with the schools that children attended, as staff also worked with children when in school. Staff understood the principles of good care practice. Complaints were appropriately addressed and satisfied. End of life support was compassionate and responsive to the needs of children and their families.

The service met its registration requirements. There was a registered manager, but the clinical manager had day-to-day charge of the service, with the registered manager being accountable for all management systems and practice. Staff understood their organisation’s visions and values and there was an organisational quality assurance system operated by dedicated officers. Parents of children told us they had been asked about their views of the service and felt included in the support of their children. The service continued to provide a good service to the children that spent respite time at City Health Care Partnership CIC – Sunshine House.

Further information is in the detailed findings below.