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CQC report explained · a nursing home

What the CQC found at Sundial Care Home

Outstandingpublished 24 August 2018, 8 years ago

Rated Outstanding: inspectors found the home performing exceptionally well.

The five questions inspectors ask
Safe?
Good
People were protected from abuse and risks were assessed and managed. Inspectors found suitable staffing, safe medicines management, appropriate recruitment checks and clean, well-maintained premises.
Effective?
Outstanding
Staff had detailed induction, regular training and supervision. Inspectors found that staff understood people's needs, supported health and nutrition well, and followed the Mental Capacity Act and Deprivation of Liberty Safeguards.
Caring?
Outstanding
Staff were exceptionally compassionate and knew people's preferences, histories and routines. People were treated with dignity, involved in decisions and encouraged to remain independent.
Responsive?
Good
Care plans were personalised, regularly reviewed and developed with people and relatives. The home supported activities, communication needs, social contact and individual end-of-life wishes.
Well-led?
Outstanding
Inspectors found open and visible leadership, strong staff support and effective quality monitoring. The management team used feedback, incidents and near misses to improve the service.
The latest report, explained

What inspectors found, August 2018

Sundial Care Home was rated Outstanding overall; inspectors found exceptionally caring, effective and well-led care, with safe and responsive care rated Good.

This was a comprehensive inspection on 5 and 7 June 2018. The first day was unannounced. Inspectors spoke with people, relatives, staff and health professionals, observed care, and checked care plans, medicines, recruitment records and management systems.

Inspectors found a strong person-centred culture. Staff knew people well, treated them with kindness and respect, and supported independence. Staffing levels were suitable, medicines were managed safely, and risks were identified and reviewed.

The home had a detailed care model, thorough staff training and strong links with health professionals. People were supported with food, drink, activities, communication, health appointments and end-of-life wishes. The environment was homely, although one wing was closed for refurbishment.

The overall rating was Outstanding. Effective, Caring and Well-led were rated Outstanding. Safe and Responsive were rated Good. This was the first inspection since the new provider registered with the CQC in August 2017, so there was no previous rating for comparison.

What inspectors praised
  • Kind and personal care

    Staff built warm relationships and treated people as individuals. They spent time listening, offered reassurance and protected privacy and dignity.

    “Staff had a real empathy for the people they cared for and treated people like family members.” from the report
  • Independence and choice

    People were encouraged to make choices and do everyday tasks for themselves. The home supported people to follow their interests and use the garden independently where appropriate.

    “People were supported in the least restrictive manner, maximising their opportunity for choice and control.” from the report
  • Skilled staff

    Training was detailed and tailored to the home's care approach. Staff received a thorough induction, regular supervision and ongoing development.

    “Staff received the provider's bespoke training which was based on the provider's model of care and CQC's key line of enquiries.” from the report
  • Safe staffing and medicines

    Inspectors found enough competent staff to meet people's needs. Medicines were stored, checked and administered safely.

    “There were enough competent staff on duty to meet people's needs fully.” from the report
  • Strong leadership

    The management team was visible and included people, relatives and staff in developing the home. Quality checks were used to learn and improve.

    “The management team established a strong, open and visible culture within the service.” from the report
What inspectors were concerned about
  • Refurbishment still underway

    minor

    One house containing 11 bedrooms was closed and not available to people during the inspection. The report said refurbishment was expected to be completed later that year.

    “One house of 11 bedrooms was closed for refurbishment which was due to be completed later this year.” from the report
Questions to ask them, based on this report
  1. 01Has the refurbishment of the closed 11-bedroom wing been completed, and which areas are currently available?
  2. 02How will you assess and adjust staffing if my relative's needs change?
  3. 03How will my relative's care plan be reviewed during the first days and weeks after moving in?
  4. 04How will you support my relative's preferred routines, interests and independence?
  5. 05How would you support my relative's end-of-life wishes, and how would you involve our family?

This was a comprehensive inspection covering all five CQC questions, and it was the first inspection since the new provider registered in August 2017. This explanation was written from the published report of 24 August 2018 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 report was longer than we could read in one go; the later sections may not be reflected.

The story over the years

Every inspection of Sundial Care Home

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. August 2018Outstandingcurrent rating
    Safe: GoodEffective: OutstandingCaring: OutstandingResponsive: GoodWell-led: Outstanding

    Read what inspectors found at Sundial Care Home →

  2. August 2017

    Registered with the Care Quality Commission on 30 August 2017.

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

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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 £1,270 a week. 15 can care for a couple. 13 years' experience on average.

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See live-in carers near DevonProfiles, rates and reviews are free to look at.

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