CQC report explained · a residential care home
What the CQC found at 30 Sunnyfield
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm, risk assessments were in place and there were enough suitable staff. Inspectors found some infection control problems, including unclean frequently touched areas, soiled laundry on the kitchen floor and undated opened food, but these were addressed during the visit.
- Effective?
- Good
- This question was not separately rated in the report. Inspectors said staff worked with other professionals and supported people in line with the Mental Capacity Act.
- Caring?
- Good
- This question was not separately rated in the report. People told inspectors they felt well cared for and that staff were kind and caring.
- Responsive?
- Good
- Care was personalised and people were supported to follow their interests, maintain relationships and communicate in ways they understood. One person said they wanted more involvement in interviewing new staff, and there had been one reported problem with a relative's request for a call.
- Well-led?
- Good
- The home had a clear management structure and a person-centred culture. Some audits had not identified issues found by inspectors, including infection control matters and missing records of window restrictor and bed rail checks, but action was taken to strengthen them.
What inspectors found, December 2023
Rated Good; inspectors found safe, kind and person-centred care, but the home had fallen from Outstanding at its previous inspection.
This was an unannounced inspection on 8 November 2023. One inspector spoke with all three people living there, four support workers and members of the management team. They reviewed care plans, medicines records, policies and management information.
The inspectors found that people were safe, supported by enough staff and given their medicines safely. People had choice over their routines and activities, stayed involved in their local community and received care based on their individual needs.
Some cleaning, food-labelling and checking systems needed improvement. These issues were raised during the visit and action was taken. The overall rating was Good, with Safe, Responsive and Well-led all rated Good. Effective and Caring were not separately rated in this report.
Personalised support
People were supported to make choices about their routines, activities and interests. Care plans included individual details and were regularly reviewed.
“People received personalised care which was built around their needs and wishes.” from the report
Community and independence
People could take part in local activities, clubs, work and leisure. Staff provided extra support when needed so people could join social activities and holidays.
“People were supported to make choices and actively supported to promote independence.” from the report
Positive staff culture
Inspectors found staff to be motivated and supportive. People said the home was well managed and that staff were helpful.
“Staff were well motivated which created a happy and inclusive atmosphere for people to live in.” from the report
Infection control and food storage
needs fixingInspectors found some frequently touched kitchen areas had not been cleaned properly, soiled laundry was on the kitchen floor and some opened food was not dated. The issues were corrected during the inspection.
“Some frequently touched areas in a kitchen had not been effectively cleaned and we saw soiled laundry left on the kitchen floor, awaiting to be washed.” from the report
Checks did not find every problem
needs fixingThe provider's audits had not identified all the issues found by inspectors. Records of window restrictor and bed rail checks were missing, and infection control audits needed to be stronger.
“Some provider audits needed strengthening to ensure all areas were being effectively monitored.” from the report
Involvement in staff recruitment
minorOne person said they wanted to help interview new staff but were no longer asked. Families may want to check how people are involved in decisions about the staff who support them.
“I would like to be involved in interviewing new staff, but I don't get asked anymore.” from the report
- 01What changes have been made to cleaning checks and food-labelling procedures since the inspection?
- 02How are window restrictor and bed rail checks recorded now?
- 03How can people living at the home take part in interviewing or choosing new staff?
- 04How quickly will relatives receive a response when they ask to speak with the manager?
- 05How do you make sure people continue to choose their daily routines, activities and community involvement?
This inspection rated Safe, Responsive and Well-led; Effective and Caring were not separately rated in the report, while the previous inspection rated Safe Good and Responsive and Well-led Outstanding. This explanation was written from the published report of 2 December 2023 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, August 2017
30 Sunnyfield was rated Outstanding; inspectors found safe, kind and highly personalised care, with particular strengths in activities, independence and leadership.
The inspection took place on 12 June and 6 July 2017. The first visit was unannounced and the second was announced so inspectors could speak with everyone living in the home. Inspectors spoke with all three people, staff, the management team and a health professional. They also observed care, checked medicines, care records, staff files, training records, safety records and the building.
The home was rated Good for Safe, Effective and Caring. Inspectors found suitable staffing, safe medicines management, appropriate risk assessments, relevant staff training and support with healthcare. They also found kind relationships, flexible routines and strong support for people's independence.
The home was rated Outstanding for Responsive and Well-led. People were supported to set and achieve personal goals, take part in a wide range of activities, build community links and have a say in how the home was run. Inspectors found an exceptionally person-centred culture and strong management.
Overall, the home was rated Outstanding. At the previous inspection in November 2014, it was rated Good overall, while Responsive was already Outstanding. The overall rating improved because Well-led was rated Outstanding at this inspection.
Personal goals
People were supported through carefully planned steps to build independence and confidence. Their goals were reviewed and their achievements were celebrated.
“The service was exceptional at helping people develop their independence through a series of well thought out goals.” from the report
Activities and community life
People had many opportunities to take part in activities, voluntary work, local events and friendships. Staff helped people pursue their interests and ambitions.
“People had access to an exceptional range of activities and the service helped people achieve their goals, aspirations and dreams.” from the report
Strong relationships
Inspectors found that people trusted staff and could talk to them about concerns and anxieties. Staff knew people's preferences and provided patient emotional support.
“We observed people confiding in staff including the registered manager about their concerns or anxieties, showing people truly trusted staff and valued and respected their opinions.” from the report
Involvement in decisions
People were involved in their care, staff recruitment, house meetings and wider quality and governance work. They were supported to share their views and learning.
“People were encouraged and empowered to be involved in the governance of the service.” from the report
Safe care
Medicines records were well completed and staffing levels were suitable. Risks were assessed with people's involvement, while staff were trained to protect people from harm.
“There were enough staff deployed to ensure people received safe care and regular supervision and support.” from the report
Inspectors raised no specific concerns in this report.
- 01How are people currently involved in setting and reviewing their independence goals?
- 02Which activities, voluntary work and community opportunities are available now, and how are they matched to each person's interests?
- 03How are staffing levels maintained when staff are off sick or absent?
- 04How can residents currently take part in staff recruitment, house meetings and quality checks?
- 05Is the bespoke learning disability training tool still used, and how is staff training kept up to date?
This was an inspection across all five rating areas, including care, medicines, records, staff training, management and the home; the first visit was unannounced and the second was announced. This explanation was written from the published report of 15 August 2017 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of 30 Sunnyfield
3 rated inspections over 9 years: the service has held its Good rating throughout.
- December 2023Goodcurrent ratingdown from OutstandingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2017Outstandingup from GoodSafe: GoodResponsive: OutstandingWell-led: Outstanding
- February 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good
- December 2013
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- January 2012
Registered with the Care Quality Commission on 13 January 2012.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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