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CQC report explained · a nursing home

What the CQC found at Sunshine House

Goodpublished 5 February 2019, 7 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors found that risks were assessed, staff were safely recruited and deployed, and safeguarding, medicines and infection control systems were robust. They also found that lessons had been learned from earlier issues with feed pumps and medication administration.
Effective?
Good
Children's needs were assessed and staff had suitable training and qualifications. Health care, specialist diets and equipment were provided in line with children's needs.
Caring?
Good
Staff were observed to be kind, affectionate and attentive. Children were offered choices and their privacy, dignity, independence and communication needs were respected.
Responsive?
Good
Support plans were detailed, personalised and regularly updated. Activities were suited to children's age and interests, complaints were resolved, and end of life support was described as compassionate.
Well-led?
Good
The home had a registered manager and a clinical manager with day-to-day responsibility. Inspectors found quality checks, clear service values and good partnership working with health, social care and schools.
The latest report, explained

What inspectors found, February 2019

City Health Care Partnership CIC - Sunshine House was rated Good, with safe, kind and personalised care for children, and no serious concerns found.

This was an unannounced inspection on 14 and 15 December 2018. The inspector spoke with staff, parents, commissioners and safeguarding teams. They also observed care and checked children's and staff files and other records.

The home provides residential respite and short-term care for up to nine children aged up to 18 with life-limiting or life-threatening conditions. Five children were using it during the inspection.

Inspectors found that children were kept safe, staff were trained, medicines and infection control were managed well, and the building and equipment were safe. Care was caring, personalised and responsive to children's health needs, choices, privacy and dignity.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This was the same overall rating as at the previous inspection, and inspectors found no evidence of serious risks or concerns.

What inspectors praised
  • Strong safeguarding

    The home had systems to identify, report and record safeguarding concerns. Children's individual risks were assessed and managed.

    “Systems and practice in the service safeguarded children from harm because they were based on policy, ensured procedure was followed, monitored children's needs and reported and recorded any identified concerns.” from the report
  • Safe medicines and health support

    Inspectors found a clear medicines audit trail and thorough communication with parents. Staff followed individual health plans and supported specialist medical and nutritional needs.

    “A robust medicines trail was used and could be followed to evidence that children received their medicines safely.” from the report
  • Kind and respectful care

    Staff were caring and attentive. Children were supported to make choices, while their privacy, dignity and communication needs were respected.

    “The values of kindness, encouragement and protection were evident in the staff practice that we observed.” from the report
  • Detailed support plans

    Plans gave staff clear instructions about each child's needs and were updated when those needs changed.

    “Support plans were very person-centred, detailed and methodical in their content and layout.” from the report
  • Suitable specialist facilities

    The home had equipment and rooms designed to support children with physical and medical needs, including hoists, accessible areas and a sensory room.

    “They provided a wide range of excellent and highly suitable facilities and equipment, for example, to ensure children were safely bathed, hoisted and manoeuvred.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How will you assess and update my child's support plan when their medical or personal care needs change?
  2. 02How will you check and communicate my child's medicines, including any rescue medication or changes advised by health professionals?
  3. 03How many staff will support my child, and how will staff continuity be managed when they are also working with children in school?
  4. 04How are specialist diets, tube feeding and parents' instructions recorded and checked for my child?
  5. 05How would you support my child and our family if end of life care became necessary?

This unannounced inspection looked at all five key questions and the overall rating; it used observations, discussions, telephone calls and records, and the ratings carried over as Good from the previous inspection. This explanation was written from the published report of 5 February 2019 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.

The story over the years

Every inspection of Sunshine House

2 rated inspections over 3 years: the service has held its Good rating throughout.

  1. February 2019Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Sunshine House →

  2. June 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. October 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. May 2012

    Registered with the Care Quality Commission on 24 May 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.

Next steps

Weigh the report against the rest

Care at home

13 live-in carers within about an hour of Kingston upon Hull, City of

These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.

Most charge £1,020 to £1,350 a week. 12 can care for a couple. 8 years' experience on average.

“What truly stands out is how mindful and attentive she is to all of my medical needs, always going above and beyond to ensure I’m comfortable and well cared for.”
Lucy K., about Emma H.
See live-in carers near Kingston upon Hull, City ofProfiles, rates and reviews are free to look at.

Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.