19 June 2023
During an inspection looking at part of the service
Sun Woodhouse provides care and support for up to 24 older people. There were 17 people living at the service when we visited, most of whom were living with dementia.
People’s experience of using this service and what we found
The lift had not been adequately maintained, which placed people at risk due to this equipment safety check having not been completed as per recommended guidance. These works were completed following our inspection in July 2023.
Audits were taking place and the regional operations manager visited the home and produced their own reports.
Staff told us the culture in the home had improved over the months since the home manager joined. They felt able to contribute their opinions and effective staff support was clearly important to the manager.
Staff had a visible presence throughout the home and feedback we received demonstrated there were sufficient numbers of staff. People provided positive feedback about the care they received from staff who had been safely recruited.
Risk assessments were in place which identified how risks should be reduced. Staff were able to demonstrate they understood people’s individual risks and action needed. Some staff were not clear about their responsibilities in the event of a fire. This was shared with the home manager who took immediate action.
Medicines were safely managed as the administration and recording process was sufficiently robust. Some gaps were identified in recording associated with topical creams, although people told us these items were administered as prescribed.
People were protected from the risk of abuse. Staff had received safeguarding training and understood signs of abuse and how to report any concerns.
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. People told us they were listened to and in control of their day-to-day routines. If they had any concerns, they were able to report these to staff or to the manager who they spoke positively about.
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 the service under the previous provider was good, published on 14 August 2019.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed to requires improvement.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Sun Woodhouse on our website at www.cqc.org.uk.
You can see what action we have asked the provider to take at the end of this full report.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect. .