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Sun Court Nursing Home Requires improvement

The provider of this service changed - see old profile

Reports


Inspection carried out on 27 August 2020

During an inspection looking at part of the service

About the service

Sun Court Nursing Home is a residential nursing home providing personal and nursing care to up to 29 people, in one adapted building. At the time of our inspection there were 25 people using the service, some of these people were living with dementia.

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

People and staff told us they felt there were not enough staff to meet their needs. The provider was in the process of addressing this. This included work to reduce the times the registered manager was working ‘on the floor’ to enable them to undertake their registered manager duties. Staff told us morale was low and they did not always feel listened to. People’s care plans and records were not person centred and did not provide guidance for staff on how people’s specific needs were being met. We found breaches in Regulations 18 (staffing) and 17 (good governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

The service had a comprehensive action plan in place which identified improvements required and actions being undertaken to address them, with timescales and regular monitoring of improvement by the provider management team. There were systems to assess and monitor the service provided and these were continuously being improved. However, at the time of our inspection, not all of these improvements had been fully implemented and embedded in practice.

The systems for keeping people safe were not robust, this included how risks were assessed and mitigated, this was in the process of being addressed. The service had systems to identify when people had not received their medicines when required and addressing it. Infection control processes were in place and issues were addressed when required. Systems were in place to recruit staff safely and learn lessons when things had gone wrong.

People told us the staff were kind and caring, which confirmed in our discussions with staff who were committed to provide good quality care to people.

There were systems in place to receive feedback from people using the service and their comments were being addressed.

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 when registered under the previous provider was good (published 07 June 2018). Sun Court Nursing Home was registered with the current provider 30 September 2019, this is the first inspection of this service under the current provider.

Why we inspected

The service was due for a planned inspection based on the registration date of the current provider. In addition, we had received notifications from the service and information from members of the public which concerned us that people were not always being provided with safe care. As a result, a decision was made to undertake a focused inspection to review the key questions of safe and well-led only.

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 coronavirus and other infection outbreaks effectively.

The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection. We have found evidence that the provider needs to make improvement. Please see the safe and well-led sections of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Sun Court Nursing Home on our website at www.cqc.org.uk.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a resul