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Sundial Care Home Outstanding

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Outstanding

Updated 24 August 2018

This comprehensive inspection took place on 5 and 7 June 2018. The first day of the inspection was unannounced. This meant that the provider and staff did not know we were coming. This was the first inspection of this service since the new provider registered with the Care Quality Commission (CQC) in August 2017. During the inspection the provider changed the name of the service from Sundial View to Sundial Care Home.

Sundial Care Home 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.

Sundial care home can accommodate up to 37 people in a detached period property in the village of Tipton St. John, East Devon, near the seaside town of Sidmouth. The home consists of two floors with a passenger lift providing level access to each floor. There are two large communal areas, both providing kitchenettes, dining areas and comfortable seating where people could spend their time as they chose. To the rear of the house was a large secure landscaped garden with country views which people could access independently.

At the time of this inspection there were 23 people using the service. One of these was staying at the service for a period of respite (respite is planned or emergency temporary care provided to people who require short term support). One house of 11 bedrooms was closed for refurbishment which was due to be completed later this year.

There was a registered manager. A registered manager is a person who has registered with CQC to manage the service. Like registered persons, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. The registered manager was supported by a deputy manager and the provider’s management team. They covered seven days a week and worked closely with people, relatives and the staff team.

People received outstanding care and were supported to have the best quality of life possible. People and visitors said they felt the care at the home was exceptionally good. Comments included, “It’s a good quality place to be. Very comfortable. I am looked after extremely well. They are very kind here.”

The provider had recruited a specialist team to design their model of care to cater specifically for people they support. They had completed research examining care models in Australia and America and best practice in care homes in the United Kingdom. They had written ‘The Evolve Household Model of Care’. This model ensured that barriers between people and staff do not exist. Staff were trained to be with people, talking and listening, enabling them to maintain maximum independence and constantly evolving to improve the quality of people’s lives. For example enabling people to do everyday tasks like making a cup of tea, sweeping the floor and making and buttering their own toast. It was clear people were at home at Sundial.

The provider recognised the importance of recruiting the right staff with the right skills. They involved people in the recruitment process. The registered manager said, “Skills can be taught however the drive to have a career in care is heartfelt and driven by a person’s (staff member’s) beliefs and values.” Safe recruitment procedures were in place and appropriate pre-employment checks were undertaken.

Staff demonstrated a passion to provide individualised care for people. They were highly motivated and offered care and support that was exceptionally compassionate and kind. There was a strong person-centred culture at the home, with people being at the centre and focus of everything. Staff had a real empathy for the people they cared for and treated people like family members. They interacted positively with people and had a good knowledge of the p

Inspection areas

Safe

Good

Updated 24 August 2018

The service was safe.

Medicines were safely managed.

Safe recruitment procedures were in place and appropriate pre-employment checks were undertaken.

People said they felt safe. Staff were able to demonstrate a good understanding of what constituted abuse and how to report if concerns were raised.

The service was staffed at an appropriate level to safely meet people's needs.

The premises and equipment were managed to keep people safe.

Infection control processes were in place.

Effective

Outstanding

Updated 24 August 2018

The service was extremely effective.

Staff received the provider�s bespoke training which was based on the provider�s model of care and CQC�s key line of enquiries. This ensured staff delivered a high standard of individualised care to people.

There were designated staff champions for providing knowledge and expertise for other staff.

Staff had received an in depth induction when they came to the service. They had all had supervisions and felt supported.

Staff understood their responsibilities in relation to the Mental Capacity Act (MCA) (2005) and Deprivation of Liberty Safeguards (DoLS). Appropriate applications had been made to the DoLS team and best interest decisions were being made where people lacked capacity.

People were supported to maintain their health and wellbeing and their nutritional needs were met.

There was a homely environment which was designed promote people's wellbeing.

Caring

Outstanding

Updated 24 August 2018

The service was exceptionally caring.

People said the care at the home was exceptionally good. Relatives were welcome to visit at any time and were involved in planning their family member's care.

Staff demonstrated a passion to provide individualised care for people. They were highly motivated and offered care and support that was exceptionally compassionate and kind.

Staff relationships with people were strong, caring and supportive. Staff spoke confidently about people�s specific needs and how they liked to be supported.

People were at the centre and focus of everything. Staff treated people with dignity and promoted independence wherever possible.

Staff had a real empathy for the people they cared for and treated people like family members.

Responsive

Good

Updated 24 August 2018

The service was responsive.

Care plans contained information to help staff support people in a person centred way and care was delivered in a way that best suited the individual.

Staff were committed to ensuring people experienced end of life care in an individualised and dignified way.

People�s social needs were met and they were encouraged to follow their interests.

There were regular opportunities for people and those that mattered to them, to raise issues, concerns and compliments.

Well-led

Outstanding

Updated 24 August 2018

The service was exceptionally well led.

The management team established a strong, open and visible culture within the service. They led by example and staff responded by providing high quality care to the people.

Staff spoke positively about the management team and how they were developing the new service and including them.

The management and staff teams continuously sought to improve and develop the service. They had tailor made effective quality assurance systems in place to review and assess the quality of service and monitor how it was run.

The views of people using the service, relatives and staff were at the core of quality monitoring and assurance arrangements.

Staff were happy working at the service and felt supported by the management team which helped them to do their job well.

Accidents and incidents were reported and appropriate action taken. The provider had written specific training around near miss events in response to near misses to enhance learning and awareness for staff.

The management team was committed to maintaining an excellent team working in the service. Whole staff meetings were held regularly so staff received feedback about changes and were an opportunity to explore and discuss new ideas.