Sutton Manor Care Home

Updated 15 February 2019

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

We undertook a comprehensive inspection of Sutton Manor on 9 January 2019. This involved inspecting the service against all five of the questions we ask about services: is the service safe, effective, caring, responsive and well-led.

The inspection was unannounced. This meant the staff and the provider did not know we would be visiting. The inspection was carried out by two inspectors.

Before the inspection visit we looked at the information we had received about the home. We looked at the notifications we had received. Notifications are information about important events that the provider is required to tell us about by law. We also used information the provider sent to us in their Provider Information Return (PIR). This is information we require providers to send to us at least once each year, that gives key information about the service, what they do well, and improvements they plan to make.

During our visit we spoke with 10 people who used the service and two relatives. We spent time observing how people were being cared for and supported, and the interactions between staff and people using the service.

We spoke with the registered manager, deputy manager and nine staff that included nursing, care, activity, training, catering, housekeeping, laundry and maintenance staff. We received feedback from three health professionals. We have included their feedback and comments in the main body of this report.

We looked at five people’s care records in detail and checked other care and monitoring records for specific information. We looked at medicine records, staff recruitment files, staff training records, quality assurance audits and action plans, records of meetings with staff and people who used the service, survey results, complaints records and other records relating to the monitoring and management of the care home.

Updated 15 February 2019

Sutton Manor is a care home. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Sutton Manor provides accommodation with personal and nursing care for up to 38 older people. At the time of our inspection 26 people were living in the home.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission 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.

At the last inspection, in June 2016, the service was rated overall as good, in the key questions: is the service effective, caring, responsive and well-led. The key question: is the service safe, was rated as requires improvement.

We carried out a comprehensive inspection on 9 January 2019. At this inspection, we found improvements had been made following the last inspection. We rated the key questions: is the service effective as outstanding. We rated the key questions: is the service safe, caring, responsive and well-led as good.

The service overall, remains good.

Sufficient numbers of staff were deployed throughout the home. Staff performance was monitored. Staff received supervision, training and support in a variety of ways to ensure they could meet people’s needs.

Medicines were safely managed and robust checks were in place to identify and take actions when shortfalls were identified.

Staff demonstrated a good understanding of safeguarding and whistle-blowing and knew how to report concerns.

People were helped to exercise support and control over their lives. People were supported to consent to care and make decisions. The principles of the Mental Capacity Act (MCA) 2005 had been followed.

Risk assessments and risk management plans were in place. Personal care was delivered in line with assessed needs and accurate monitoring records were maintained. Incidents and accidents were recorded and showed that actions were taken to minimise the risk of recurrence.

The management team worked collaboratively with external professionals to make sure care and treatment, was highly effective. They followed recognised national best practice guidance and initiatives that supported people to live healthier lives.

People received exceptional levels of support to meet their fluid and dietary requirements. Preferences, needs, likes and dislikes were recorded and actions were promptly taken to support those identified at risk of malnutrition or dehydration.

Staff were kind and caring. People were being treated with dignity and respect and people’s privacy was maintained.

Care was personalised, highly responsive and sensitive to individual needs.

A range of leisure activities were offered and provided people with entertainment and engagement, in and out of the home.

Systems were in place for monitoring quality and safety. Where shortfalls or areas for further improvements were identified these were acted upon.

Everyone we spoke with or had feedback from was positive about the way the service was run and said the registered manager was readily available. Communication was good. Staff were motivated in their work and proud of the service.