Archived: Sunnyhill Residential Care Home

Updated 19 May 2022

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

The inspection was carried out by one inspector.

Service and service type

Sunnyhill Residential Care Home 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. Sunnyhill Residential Care Home is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

Inspection activity started on 8 April 2022 and ended on 22 April 2022. We visited the location’s service on 8 April and 12 April 2022.

What we did before the inspection

We reviewed information we had received about the service since its registration. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all this information to plan our inspection.

During the inspection

We spoke with seven people who used the service and five members of staff including the registered and deputy manager. We spoke with a visiting nurse professional who was visiting two people in the service. We spent time observing people in areas throughout the service and could see the interaction between people and staff. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We reviewed a range of records. This included three people’s care records and some medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service were viewed, including health and safety records, maintenance checks and training records.

We contacted and received feedback from four visiting professionals and spoke with three relatives and received a feedback email from another.

Updated 19 May 2022

About the service

Sunnyhill Residential Care Home is a care home which provides accommodation for up to 21 older people who require personal care. At the time of the inspection 20 people were using the service. People who lived at the service needed care and support due to dementia, sensory and /or physical disabilities.

People’s experience of using this service and what we found

Care records to support care were not fully established in all areas. A new computer system was being used and staff were not using this in a consistent way. Full systems to promote staff communication were not in place. These areas were identified for further improvement. The registered manager took steps to address these areas to reduce any risk of impact on people.

People's medicines were handled safely. Staff had a good understanding of how to identify and respond to any suspicion or allegation of abuse or discrimination. Staffing arrangements ensured people’s needs were responded to and staff were recruited safely. There were suitable arrangements in place to assess and respond to risks to people and staff. The service was clean and had taken measures to minimise the risk from COVID-19.

Staff training was varied and reflected people’s needs and included a review of staff competency. Staff completed a programme of essential training were and well supported and monitored. People's dietary needs were assessed, and food provided responded to people’s individual needs and preferences.

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 and we observed staff were kind and caring. People felt comfortable with staff and formed positive relationships, staff listened to people and responded to their choices. Staff were personable in their approach. For Example, one person was complimented on their appearance and responded positively to the staff comments.

Complaints were responded to effectively. People’s communication needs were assessed and responded to. End of life care was planned when needed.

The registered manager had established an open and honest culture where staff and people felt able to share their views, and identified concerns were responded to proactively.

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 22 December 2016.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.