Archived: Sunningdale

Updated 25 February 2020

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 undertaken by one inspector and assistant inspector and an Expert by Experience. 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

Sunningdale is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

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 about the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

We also asked Healthwatch for their views. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all this information to plan our inspection.

During the inspection

We spoke with five people who used the service and four visitors about their experience of the service. We spoke with the registered manager, deputy manager, chef, activity co-ordinator and with three care staff. 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. This included four people’s care records and five medication records. We looked at three staff files in relation to recruitment, training, supervision and appraisal. We inspected a variety of records relating to the management of the service which included policies and procedures and quality assurance checks and audits.

After the inspection

We continued to seek clarification from the registered manager to validate evidence found.

Updated 25 February 2020

About the service

Sunningdale is a care home providing nursing and personal care for up to 49 people some of whom may be living with dementia. At the time of the inspection there were 43 people living at the service.

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

People told us they felt at home and their views were valued and acted upon. One person told us, "I like living here."

People were protected from the risk of harm and abuse. Safeguarding procedures guided staff about the action they must take if they suspected abuse was occurring. People’s risk assessments identify hazards to their health or wellbeing. Action was taken to reduce risks but maintain people’s independence and choice. There were enough staff to meet people’s needs. Incidents and accidents were monitored, and corrective action was taken to prevent re-occurrence. Recruitment and medicine management was robust.

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 undertook training, supervision and appraisals to help maintain and develop their skills.

Staff were kind and caring. Staff provided encouragement and guidance to people. Information was provided to in a format that met people’s needs in line with the Accessible Information Standards.

People’s nutritional needs were known and met. People were encouraged to maintain their independence. Staff worked with relevant health care professionals to maintain people’s wellbeing.

People were provided with information about how to raise complaints, which were investigated and responded to by the management team. A programme of activities was provided in line with people’s hobbies, preferences and interests. End of life care was provided at the service.

People’s views were gained and acted upon about the service they received. The registered manager was available to receive feedback at any time. The ethos of the service was open and transparent. Data security was maintained.

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 this service was good (published 02 June 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.