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Sunnymede Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 26 March 2021

About the service

Sunnymede is a residential care home providing personal care without nursing, for up to 35 people aged 65 and over. At the time of the inspection the service was supporting 20 people. People had mixed ability to verbally communicate with us. Their views were also captured through observations. During the inspection, due to the COVID-19 pandemic, most people were spending time in their bedrooms to remain safe.

The home is a large converted house. There were a range of shared, communal areas such as lounges and a dining area. There was work going on to redecorate parts of the home. These were not accessible by the people.

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

We spoke with people who told us they were happy living at Sunnymede, other people we observed appeared happy because they were laughing and smiling. However, relatives had mixed views about the home.

Improvements were found in some areas including medicine management and the management of infections spreading. However, repeated concerns were found in other areas such as recruitment of staff and call bells being out of reach. New concerns were found around health and safety and how staff monitored people who were at high risk of pressure ulcers.

As part of this inspection we looked at the infection control and prevention measures in place in relation to the COVID-19 pandemic. We found systems were in place and staff had access to enough personal, protective equipment (PPE) such as gloves, masks and aprons. However, on one occasion we witnessed a staff member go between bedrooms where people were isolating for safety without changing their PPE. No impact was found. Following the inspection, the provider updated us on actions taken to rectify the issues.

The home was still not always well led. Systems were now in place to monitor the care people received. However, these had not always identified concerns found during the inspection or repeated concerns. When issues had been found they were not always rectified. Staff and the management were not always following the provider’s own policies and procedures. Although notifications had been made to the Care Quality Commission these were sometimes delayed. There were occasions when incident records did not match records the provider shared with CQC.

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 7 May 2020). The service remains rated requires improvement. This service has been rated requires improvement for the last four consecutive inspections. There were breaches in regulations.

The provider completed an action plan after the last inspection to show what they would do, and by when, to improve. At this inspection we followed up the concerns in relation to the Safe and Well Led domains to minimise risks to people during the pandemic.

At this inspection, we found improvements had been made in some areas and the provider was no longer in breach of regulations in relation to safe care and treatment. However, a breach remained in Well Led, and we found a new breach in relation to a repeated concern.

Why we inspected

We carried out an unannounced comprehensive inspection of this service on 13 November 2019. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment, good governance, assessments of people’s needs, infection control, staffing levels and person-centred care.

We undertook this focused inspection to check they had followed their action plan and to confirm if they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which have some of those requirements.

We also looked at infection prevention and control measures under the Safe ke

Inspection areas

Safe

Requires improvement

Updated 26 March 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 26 March 2021

Caring

Good

Updated 26 March 2021

Responsive

Requires improvement

Updated 26 March 2021

Well-led

Requires improvement

Updated 26 March 2021

The service was not always well-led.

Details are in our well-Led findings below.