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Sunnyside Residential Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 16 August 2019

About the service:

Sunnyside is a care home for up to 27 older people. The home is situated about two miles away from Bolton town centre. At the time of the inspection there were 24 people using the service.

People’s experience of using this service:

At this inspection we found three breaches of The Health and Social Care Act (Regulated Activities) Regulations 2014 with regard to safe care and treatment and good governance.

Some improvements had been made in the area of medicines management, though thickening agents for drinks and creams for external use were not always stored correctly. We also found a number of issues with regard to safe storage of items that could cause harm.

The service did not have a current legionella certificate in place, to show that water was being monitored for bacteria. This could place people at risk of harm. Some cupboards and rooms containing dangerous or harmful substances were not secured, placing people at risk of harm.

Record keeping, and quality assurance were poor. Recording of people’s weights and food and fluid intake was not always up to date. Some audits and checks were not up to date and there was no oversight from the provider in evidence. Quality assurance issues had been raised at the previous inspection.

The provider had put in a building improvement plan to be implemented over the next two years. This was in response to the previous fire risk assessment which had identified some significant risks within the ceilings of the premises. The provider was keeping two vacancies at the home so that the work could be done area by area, moving people who used the service to the vacant rooms when needed.

Medicines systems were mainly appropriate, and medicines were given safely.

There were some issues with regard to people’s confidential information not being kept as securely as required.

Water temperatures varied considerably around the home and there were no radiator covers in use. These issues could pose a risk of injury to people who used the service. The manager agreed to address water temperatures and request radiator covers be fitted by the builders who carried out their general maintenance, immediately following the inspection.

Wardrobes were not fastened to the wall in people’s bedrooms, which could result in a person who used the service suffering injury. This was actioned immediately following the inspection.

Safeguarding concerns were followed up appropriately and people felt safe at the home. Staff understood how to raise a concern.

Staff recruitment systems had been improved and the manager was still working through staff files to ensure they included all relevant information. All staff had current Disclosure and Barring Service (DBS) checks, although one member staff appeared to have worked prior to the DBS check being obtained, which was discussed with the manager. Staffing levels were good and there were sufficient staff to meet the needs of people who used the service effectively.

The service had an infection control policy and procedure and a file with information and guidance. Their latest audit had been poor, and they were currently receiving support with improving their infection control and prevention procedures within the home from the local infection control team.

The care plans included health and personal information and there was evidence of partnership working with other health and social care professionals and agencies. There was evidence within the care files of people’s involvement in care planning and reviews, where they had capacity.

New staff were required to complete the Care Certificate on induction and there was on-going training and refresher courses.

There was some signage around the home to assist people to orientate themselves to the building. Staff were seen to respect people’s dignity.

The service was working within the legal requirements of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (

Inspection areas

Safe

Requires improvement

Updated 16 August 2019

The service was not always safe

Details are in our Safe findings below.

Effective

Requires improvement

Updated 16 August 2019

The service was not always effective

Details are in our Effective findings below

Caring

Requires improvement

Updated 16 August 2019

The service was not always caring

Details are in our Caring findings below.

Responsive

Requires improvement

Updated 16 August 2019

The service was not always responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 16 August 2019

The service was not always well-led

Details are in our Well-Led findings below.