Background to this inspection
Updated
14 October 2016
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, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 9th and 10th August 2016 and was unannounced. The inspection team consisted of one 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 service
.
Prior to our inspection we reviewed information we held about the service. This included previous inspection reports and notifications we received from the provider. A notification is information about events that the registered persons are required, by law, to tell us about.
We contacted commissioners (who fund the care for some people) of the service and Health Watch Nottinghamshire to obtain their views about the care provided at the service.
During the inspection we observed staff interacting with the people they supported. We spoke with nine people, two relatives, three care staff, a maintenance person, one cook, the activities coordinator, the deputy manager, the registered manager and three health care professionals.
We looked at the care records of three people and the recruitment records of three members of staff. We also looked at other records relating to the management of the service such as policies, procedures and audits.
Updated
14 October 2016
The inspection took place on 9th and 10th August 2016 and was unannounced.
Sutton Court is registered to provide accommodation for up to 59 people who require nursing or personal care. At the time of the inspection there were 46 people living at the service.
Accommodation is located over two floors. Part of the first floor provides accommodation for ‘Transfer to Assess’ (where people require assessment and support to return to their own home following hospital admission) which is managed Monday to Friday by the local CCG which is part of the NHS.
On the days of our inspection there was a registered manager in place. 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.
People told us that they felt safe. The risk of harm to people was reduced because staff knew how to recognise and report any incidents of harm. Staff were confident that the registered manager would deal with any concerns that they reported.
Medicines were safely administered and stored.
Staffing levels were adequate to meet people’s needs. Staff were recruited through safe recruitment practices. Staff received an induction, training and supervision. They felt supported by the management team.
People received sufficient to eat and drink although they did not always receive the necessary support during meal times.
Staff were trained in the principles of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS) and could describe how people were supported to make decisions. People were asked for their consent before care and support was provided and this was respected.
People’s healthcare needs had been assessed and were regularly monitored. Staff worked well with visiting healthcare professionals to ensure they provided effective care and support.
People told us staff were kind and caring but they did not always listen to them. Staff were aware of people's support needs and their personal preferences. People and/or their relatives were involved in the development and review of their care plans. People were encouraged to be independent.
People had the opportunity to take part in a variety of activities inside the service. Daily records were up to date and gave a good overview of what had occurred for that person. Complaints were dealt with in a timely manner.
The registered manager was supportive and approachable towards people, relatives, external professionals and staff. People were involved or had opportunities to be involved in the development of the service. There were systems in place to monitor and improve the quality of the service provided.