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CQC report explained · a residential care home

What the CQC found at SunFlowers

Goodpublished 15 September 2023, 3 years ago

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

The five questions inspectors ask
Safe?
Good
People were protected from abuse and avoidable harm. Inspectors found suitable risk assessments, safe medicine systems, infection control measures and recruitment checks, but recommended regular reviews of dependency levels and staffing needs.
Effective?
Good
People's needs were assessed before they moved in, and staff received training and supervision. People were supported with food, drink, healthcare appointments, communication and decisions about their care.
Caring?
Good
People were treated as individuals with dignity and respect. They were involved in decisions about their care and supported to remain independent and take part in activities.
Responsive?
Good
Care was personalised and adapted to people's needs and communication styles. People were supported to maintain relationships, follow their interests and take part in community activities.
Well-led?
Good
Inspectors found a positive, inclusive culture and good oversight from management. Staff understood their roles, received support and training, and the home used audits to monitor care.
The latest report, explained

What inspectors found, September 2023

Rated Good; inspectors found safe, kind and personalised care, with a recommendation to review staffing needs regularly.

The inspection took place on 16 August 2023 and was carried out by one inspector. The inspector spoke with all six people using the home, three staff members and reviewed care, medicine, recruitment and management records.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. People told inspectors they were happy, and inspectors saw people living active lives, making choices and taking part in community activities.

The home had enough staff for people's current needs, safe medicine systems, suitable care plans and checks on staff recruitment. The main recommendation was for the manager to review people's changing dependency levels and adjust staffing deployment when needed.

What inspectors praised
  • Personalised support

    Care plans and support were tailored to people's needs, preferences and communication styles. Staff supported people to make choices and remain as independent as possible.

    “Care and support was person centred and tailored to meet people's needs.” from the report
  • Active lives

    People were supported to follow their interests, spend time with family and take part in activities in the community.

    “People were supported to live full and active lives and to maintain contact with friends and family.” from the report
  • Safe medicines

    Staff who administered medicines had training and competency checks. The medicine records reviewed were in good order and audits checked that medicines were given as prescribed.

    “Medicine records we reviewed were in good order, with all the information staff needed to administer medicines safely.” from the report
  • Respectful culture

    Inspectors saw good relationships between people and staff, with a calm atmosphere. People's equality, diversity, privacy and dignity were respected.

    “There was a relaxed and calm atmosphere at the service with people getting along well together and enjoying each other's company.” from the report
What inspectors were concerned about
  • Reviewing staffing needs

    needs fixing

    Staffing met people's needs at the time of the inspection, but there was no regular system to review changing dependency levels and their effect on staffing.

    “We recommend the registered manager puts a system in place to regularly review people's dependency levels and how any changes may impact on people's needs and staffing deployment.” from the report
Questions to ask them, based on this report
  1. 01How do you regularly review each person's dependency level and decide whether staffing numbers need to change?
  2. 02How would you increase staffing if someone needed more support or wanted to attend activities in the community?
  3. 03How will you support my relative's preferred way of communicating, including any easy-read, pictorial or Makaton support they may need?
  4. 04How will my relative be involved in decisions about their care, daily activities and independence?
  5. 05How will you keep me informed about my relative's health appointments, care reviews and changing needs?

This inspection looked at all five CQC questions, including the premises and care provided, and all five ratings remained Good from the previous inspection. This explanation was written from the published report of 15 September 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.

An earlier report, explained

What inspectors found, June 2018

Rated Good; inspectors found safe, kind and personalised care, with no serious risks or concerns identified.

Inspectors visited the home without notice on 22 May 2018. They spoke with six people, the deputy manager and a care worker. They observed care, reviewed two care files, three staff recruitment files, support records, audits and policies.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, suitable recruitment checks, safe medicines systems and care plans that supported people's safety and independence.

People were described as happy and relaxed. Staff supported people's choices, health needs, relationships, communication and activities. People and their families were involved in care reviews, and complaints were handled effectively.

The home was already rated Good at the previous inspection. This inspection found that the evidence still supported that rating and found no serious risks or concerns.

What inspectors praised
  • Safe staffing and recruitment

    Inspectors found enough staff to meet people's needs, including their activities and access to the community. Recruitment files showed appropriate checks had been completed.

    “Staff recruited were suitable for the role they were employed.” from the report
  • Safe medicines

    Medicines were given on time by trained and competent staff. Storage, audits and procedures were in place.

    “Only trained and competent staff administered medication which was stored safely in accordance with the manufactures guidance.” from the report
  • Kind and respectful care

    Staff understood people's preferences and supported their dignity, privacy, choices and independence.

    “Staff treated people with dignity and respect and supported them in spending their time in the way they chose.” from the report
  • Personalised support

    Care plans reflected individual needs and were updated when people's health or circumstances changed. People and families were involved in reviews.

    “From care plans we reviewed we saw these were very individual and person centred.” from the report
  • Activities and community life

    People took part in regular outings, day centres, holidays, concerts, theatre trips and activities linked to their interests and life skills.

    “People had very active social lives and people went out every day.” from the report
  • People's views heard

    People took part in discussions about menus, holidays, cleaning and living together. Families were also asked for feedback.

    “People were actively involved in improving the service they received.” 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 continue to make sure there are enough staff for people's activities and trips into the community?
  2. 02How are medicines audited, and how do you check that they continue to be given safely and on time?
  3. 03How will you involve my relative and our family in care plan reviews when their needs change?
  4. 04What communication support would be available if my relative found it difficult to communicate verbally?
  5. 05How does the acting manager work with the registered manager and deputy managers in the home's day-to-day running?

This was an unannounced inspection of the overall service, covering all five CQC questions; all five ratings remained Good. This explanation was written from the published report of 15 June 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 story over the years

Every inspection of SunFlowers

3 rated inspections over 7 years: the service has held its Good rating throughout.

  1. September 2023Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at SunFlowers →

  2. June 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at SunFlowers →

  3. April 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. August 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. October 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. June 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. February 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. January 2011

    Registered with the Care Quality Commission on 21 January 2011.

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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