Background to this inspection
Updated
28 October 2023
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 Care Act 2014.
Inspection team
The inspection was carried out by 1 inspector.
Service and service type
Sutton House 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. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
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
The inspection was unannounced on the first day of the inspection 02 August 2023 and we let the registered manager know we would be returning the next day to complete the inspection.
What we did before the inspection
We reviewed information we had received about the service since it registered with CQC.
We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.
We used all this information to plan our inspection.
During the inspection
We spoke with and met all 5 people who used the service. We spoke with 7 members of staff including the provider representative, registered manager, deputy manager, and 4 care staff. We spoke with 4 relatives on the telephone.
We reviewed a range of records. This included 2 people’s care records and the medication records for 5 people. We looked at 2 staff members recruitment records. We also looked at a variety of records relating to the management of the service, including policies and procedures.
Updated
28 October 2023
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
About the service
Sutton House is a residential care home providing accommodation and personal care for up to 5 people. The service provides support to people with a learning disability, and autistic people.
Sutton House is a residential house with some adaptions. At the time of our inspection there were 5 people using the service.
People’s experience of using this service and what we found
Right Support:
When incidents occurred the systems were not always effective at ensuring learning took place, and people's care records were updated to reflect any changes.
Sutton House is a small, ordinary home forming part of a local community. The property does not appear to be a care home and mirrors the other properties on the road. Some reasonable adjustments were needed to bathroom facilities to ensure people's changing needs continue to be met.
People were supported by staff to take part in activities and pursue their interest in the local and wider community. Staff supported people to achieve their aspirations and goals.
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.
Right Care:
People were supported by caring staff and people's privacy and dignity was respected. Staff had received appropriate training. Staff worked in partnership with other agencies to promote people's health and wellbeing.
Right Culture:
Governance systems were in place but the oversight of these was not always effective. The oversight of risk management was not always effective and some incidents where people had been harmed or put at risk of harm, had not been reported as required.
A system for formally asking relatives and professionals about their views, was not yet fully implemented.
The registered manager promoted a positive culture and led by example. They responded positively to feedback and showed a commitment to improve things at the home. People were at the forefront of the service and staff supported people well in doing things they enjoyed, and also trying new things.
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 was good (published 23 August 2017).
Why we inspected
This inspection was prompted by a review of information we held about the 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.
Enforcement and Recommendations
We have identified 3 breaches in relation to safe care, safeguarding and good governance. Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.