5 August 2023
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.
The inspection was carried out by 1 inspector. An Expert by Experience spoke to relatives over the phone following the inspection. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Sutton Park Grange 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 Park Grange is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
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 Care Quality Commission 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 and professionals who work with the service. We used all this information to plan our inspection. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.
During the inspection
We spoke with 15 staff including the registered manager, quality manager, deputy manager, senior carers, carers, the head of housekeeping, chefs, activity co-ordinator and office staff. We spoke with 5 people living at the service, 6 visitors and a visiting healthcare professional. Following the inspection, we spoke with a healthcare professional and 5 relatives by telephone.
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. These included 8 people’s care records and 5 medication records. We looked at 2 staff files in relation to recruitment and staff supervision. We reviewed a variety of records relating to the management of the service, including policies and procedures.
5 August 2023
About the service
Sutton Park Grange is a residential care home providing personal care to up to 64 people. The service provides support to older people and people living with dementia. At the time of our inspection there were 40 people using the service. The service provides residential long term and respite care.
People’s experience of using this service and what we found
People told us they felt safe and were supported by a group of consistent staff who knew them well. People were supported by safely recruited staff who had received training in how to support them safely and effectively. Staff were aware of the risks to people and were kept up to date with changes in people’s care needs. Where accidents and incidents took place, appropriate actions were taken and reported on. Staff had received training in how to recognise signs of abuse and were aware of their responsibilities to report any concerns they may have. People were supported to receive their medication as prescribed.
People and their loved ones were involved in the assessment process prior to them arriving at Sutton Park Grange. People’s care records provided staff with detailed information on how to support people and what was important to them. People were supported by a group of staff who had access to a variety of training opportunities to provide them with the skills in which to carry out their work. People were offered a wide variety of food choices at mealtimes and had access to drinks and snacks throughout the day. People’s particular dietary requirements were considered when preparing their meals.
People were supported to access a variety of healthcare services to assist them in maintaining good health and the local GP conducted weekly virtual ward rounds. 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.
Staff presented as kind, caring and respectful and respected people’s privacy and dignity. People told us they felt listened to and they were involved in the planning of their care.
People were provided with opportunities to take part in a variety of activities that may be of interest to them. A new sensory activities programme was in the process of being introduced at the service and had been positively received. Links with the local community were being established and regular resident meetings took place to obtain people’s views of the service and act on any concerns they may have.
The new registered manager had a positive impact on the service, and this was reported by staff, service users and relatives. Staff felt supported and listened to. People told us the registered manager was supportive and approachable. Where complaints had been raised, they were responded to and where appropriate, lessons were learnt.
There were a variety of audits in place to provide the registered manager with oversight of the service. The service worked alongside a variety of healthcare professionals in order to meet people’s needs.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
This service was registered with us on 10 October 2020 and this is the first inspection.
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.
We will continue to monitor information we receive about the service, which will help inform when we next inspect.