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Sunnyside Residential Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 1 August 2019

About the service

Sunnyside Residential Home is a care home providing personal care to 19 people. The service can support up to 22 people and specialises in providing care to people living with dementia.

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

People’s medicines were not consistently managed in a safe way. After the inspection we received information from the registered manager about immediate action taken to address the shortfalls. We were reassured by this. The registered manager had not competency-tested staff responsible for the administration of medicines. Staff had received training in other areas of health and social care to support people in an effective way.

The provider supported people to lead a fulfilled life and considered positive risk taking. Staff assessed people in a person-centred way and record keeping in relation to monitoring of known risk had improved. The environment was clean and well maintained.

People told us they felt the service was sufficiently staffed; staff responded to people in a timely way. The provider had robust systems to protect people from bullying, harassment and abuse.

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.

There were robust systems to assess and monitor risk associated with nutrition and hydration. People who lived at the service told us they were satisfied with the food and meal time service. People had access to a wide range of healthcare services and were supported to maintain good health.

Staff interacted with people in a kind and dignified way. People and their representatives provided consistent positive feedback about their satisfaction in relation to the support they received. Staff and people had built trusting relationships and the staff team understood the needs and preferences of people they supported.

Staff encouraged people to maintain important relationships with their friends and relatives. The service had good links with the local community and provided stimulating activities. Staff supported people to discuss their end of life preferences and had a good understanding about dignity in dying.

People received person-centred care. Records showed information about people’s past hobbies, achievements and things important to them. People living with dementia had been supported to maintain their identity and staff took pride when assisting someone with personal care.

There was a complaints procedure and people told us they felt confident to raise concerns with the provider and registered manager. The providers were regularly at the service and continued to be involved in the everyday running of the home.

The registered manager worked in partnership with external professionals and was open to suggestions and feedback throughout the inspection. Staff told us the management team were approachable and responsive.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update: The last rating for this service was requires improvement (published 31 May 2018). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection enough improvement had not been sustained and the provider was still in breach of regulations. The service remains rated requires improvement. This service has been rated requires improvement for the last three consecutive inspections.

Why we inspected: This inspection was carried out to follow up on action we told the provider to take at the last inspection.

We have found evidence that the provider needs to make improvement. Please see the safe and well led sections of this full report. During and after the inspection the provider took steps to mitigate the risks identified around medicines management.

You

Inspection areas

Safe

Requires improvement

Updated 1 August 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 1 August 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 1 August 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 1 August 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 1 August 2019

The service was not always well-led.

Details are in our well-Led findings below.