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Inspection Summary


Overall summary & rating

Outstanding

Updated 4 July 2019

Sunflowers is registered to provide treatment of disease, disorder or injury for up to four children and young people who may use the service. At the time of our inspection there were three children using the service which included respite care. The service is a two storey premises located in the village of Cottenham close to local shops, amenities and other facilities. It is well supported by the local community and interaction is encouraged between the community and service users at the home.

This announced inspection took place on the 18 and 19 February 2019.

The service had two registered managers, both registered paediatric nurses with an extensive background in providing care and support to children and young people living with complex care needs and the effects of brain injury. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, 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.

Staff had been highly trained in recognising any potential harm and they were exceptionally knowledgeable about how to help protect children and young people from any actual, or potential, incident of harm. A sufficient number of skilled, safely recruited and competent staff were in post day and night.

Children and young people’s medicines, including medicines prescribed to be given ‘when required’ were safely administered by those staff who had been trained and deemed competent. Children and young people’s medicines were managed and disposed of safely. The recording of medicine administration was accurate and easy to understand using documentation adapted to be safe and practicable to use.

Staff were supported in their role with an effective induction, training and on-going clinical supervision, safeguarding supervision in some circumstances over-and-above recommendations and associated mentoring.

Appropriate risk management strategies were in place to help ensure people were kept as safe as reasonably practicable. Systems were also in place to support people in the event of an emergency such as need to evacuate the premises.

The CQC is required by law to monitor the operation of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS) and to report on what we find. The registered managers, nursing, senior and care staff were knowledgeable about if and when a decision needed to be made in any person’s best interests.

People were supported by, and they had to access to, a wide range of health care services. Children and young people’s nutritional support needs were met and they were effectively supported to maintain a safe level of hydration and nutrition. Children and young people who were at risk of malnutrition were supported in a safe way.

Children and young people’s care came first and foremost and this care was provided by staff with compassion and respect.

Staff undertook this role with full consideration of children and young people’s needs and personal dignity. Children, young people and their relatives, were involved in the planning and delivery of the care that was provided. Advocacy arrangements were in place should any child or young person require this support.

Children and young people’s care plans contained detailed and sufficient up to date guidance. This was to help ensure that their care was as individualised as it could possibly be. Reviews of care plans were effective in identifying in a timely manner if and when changes were required. 'All About Me' plans and personal scrapbooks helped staff and visitors relate to each child and understand their individual likes and preferences. Children and young people were supported to be given the best opportunities to be involved in and living as meaningful lives as potentially possible as did their peers in the com

Inspection areas

Safe

Outstanding

Updated 4 July 2019

The service was safe.

Children and young people were safely supported by staff who were well trained and supervised to ensure that they knew how to protect children, young people and their families from harm and how to report this should the need arise.

A sufficient number of safely recruited, qualified and competent staff were in post and available at the home at any given time when children were in residence. Risks were managed to help ensure children, young people and visiting families were kept as safe as reasonably practicable.

Medicines were safely stored, managed and administered. Medicines administered or not required were recorded appropriately.

Risk assessments were updated at least annually and were relevant and up-to-date.

Effective

Good

Updated 4 July 2019

The service was effective.

Children and young people were supported by staff who had been trained and were competent to ensure children and young people were kept safe.

Staff understood how to apply the various legislation relating to children�s consent and where decisions had to me made in their best interests.

Children and young people�s health and nutritional needs were met including those who required a liquid or soft food diet or nutrition by more invasive procedures.

Managers and staff members worked closely with multi-agency and multi-disciplinary partners effectively.

Caring

Outstanding

Updated 4 July 2019

The service was caring.

Children and young people were encouraged to be as independent as they wanted and could be.

Children and young people were cared for by staff who respected their rights, independence and how each child or young person communicated.

Families and carers personal circumstances were considered as part of children and young people's overall care package.

Children and young people�s care records were detailed, up-to-date and they were kept confidential. They referred directly to other statutory records and could be easily cross referenced.

Responsive

Outstanding

Updated 4 July 2019

The service was responsive.

Children and young people�s individualised care needs were identified, responded to and made a tangible, real difference to each child's life.

A wide range of hobbies and social stimulation was provided to children and young people in a format of their own choice.

Children and young people�s, relatives� and staff�s concerns were investigated and acted upon. Compliments were used to identify what worked well and further inform service design.

Well-led

Outstanding

Updated 4 July 2019

The service was well-led.

Children, young people, relatives and staff were listened to and they were actively involved in identifying and developing improvements in and to the service.

The registered managers fostered an open and honest culture with children, young people, relatives and staff.

Effective quality assurance and audit processes and procedures were in place and these were used to help drive improvements. Innovation and best practice was seen as being part of children and young people�s day to day care.

Staff employment reflected the needs of children and young people at the home.