CQC report explained · a nursing home
What the CQC found at Sunnyview House
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, June 2019
Sunnyview House was rated Good in all five areas; inspectors found safe, kind and personalised care with strong management.
This was a planned inspection on 3 and 4 April 2019. The first day was unannounced and the second was announced. Inspectors spoke with people living in the home, relatives and staff. They observed care and mealtimes, looked around the building, and checked care, medicines, recruitment and management records.
Inspectors found that people were protected from abuse and avoidable harm. Risk assessments guided staff, medicines were managed safely, and there were enough staff. The home was clean and well maintained.
People received care based on their needs and preferences. Staff were described as kind, respectful and supportive. Activities were varied, families were involved, and the home was considered open, well managed and focused on good care.
The home was rated Good overall and Good for Safe, Effective, Caring, Responsive and Well-led. This was an improvement from the previous Requires Improvement rating, published on 2 May 2018.
Safe care
Inspectors found clear risk assessments, appropriate safeguarding systems and safe medicines processes. Staff knew how to reduce risks and report concerns.
“People were safe and protected from avoidable harm. Legal requirements were met.” from the report
Kind and respectful staff
Staff were described as kind and caring. Inspectors found that people’s privacy, dignity, choices and independence were respected.
“People were supported and treated with dignity and respect; and involved as partners in their care.” from the report
Personalised support
Care plans included people's needs, preferences, routines, interests and relationships. Activities were varied and linked to what people enjoyed.
“People received personalised care and support, tailored to meet their needs and preferences.” from the report
Good management
The management team was described as open and approachable. Staff said they were listened to, and systems were used to improve the service.
“The culture of the home was open, honest, caring and focused on delivering a high standard of care and support.” from the report
Inspectors raised no specific concerns in this report.
- 01How are my relative's individual risk assessments reviewed when their needs change?
- 02How do you check that medicines continue to be given safely and on time?
- 03Which activities would suit my relative's interests, communication needs and abilities?
- 04How would you involve our family in planning end of life care?
- 05What has changed since the inspection in April 2019 and the previous Requires Improvement rating?
This was a planned inspection of the overall service, including the premises and care provided, and it considered all five CQC questions. This explanation was written from the published report of 4 June 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.
What inspectors found, May 2018
Rated Requires Improvement; inspectors found safe, kind care, but mental capacity records and activities needed improvement.
This was an unannounced inspection on 28 February and 8 March 2018. Inspectors toured the home, observed care, spoke with people, relatives and staff, and reviewed care and management records.
The home was rated Good for Safe, Caring and Well-led. Inspectors found enough staff at the time of the inspection, safe medicines practice, clean premises, kind staff and improving leadership.
It was rated Requires Improvement for Effective and Responsive. Some mental capacity and best interest records were incomplete or not properly signed. There were not enough resources to provide regular activities suited to people's interests.
Safe medicines
Inspectors found that medicines were stored, recorded and given safely. Staff gained consent and supported people sensitively.
“We reviewed systems and processes around medicines administration and found that they were safe.” from the report
Kind and respectful care
People and relatives described staff as caring and compassionate. Inspectors saw staff protecting privacy, dignity and independence.
“People and their relatives told us staff were kind and compassionate.” from the report
Improving leadership
The new manager had introduced more effective quality checks and received support from the provider. Staff morale was reported to be improving.
“Under current leadership, we saw these metrics were updated and analysed by the provider to identify trends and themes” from the report
Person-centred care plans
People and relatives were involved in care planning. Plans included people's preferences, life histories and ways staff could support independence.
“Care plans were detailed and person centred. For example, in one person's communication care plan staff were instructed to” from the report
Mental capacity records
needs fixingOn the nursing unit, one DoLS application had no recorded mental capacity assessment. Two best interest decisions had no evidence of consultation and were not signed or dated.
“We recommend the service continue to review and improve the consistency of its implementation of the principles of the MCA.” from the report
Limited activities
needs fixingThere was one part-time activities coordinator, with no cover at weekends. Activity records did not show that people were regularly offered activities or engaged in them.
“There were not enough resources in place to provide people with meaningful and stimulating activities that took into account their interests.” from the report
No registered manager
needs fixingThe home had been without a registered manager for more than six months. A new manager had been appointed and was applying to register.
“The service had been without a registered manager for over six months.” from the report
- 01How are mental capacity assessments and best interest decisions now checked on the nursing unit?
- 02How will you provide meaningful activities for people living with dementia, including at weekends?
- 03Has the manager now registered with CQC, and if not, what is the current position?
- 04How do you make sure staffing levels remain safe when agency staff are used?
- 05How are activity records checked to show that people are offered activities suited to their interests?
This was an unannounced inspection covering the home, the care provided and all five CQC questions. This explanation was written from the published report of 2 May 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.
Every inspection of Sunnyview House
3 rated inspections over 3 years: the service has held its Good rating throughout.
- June 2019Goodcurrent ratingup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2018Requires improvementdown from GoodSafe: GoodEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Good
- March 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2013
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- April 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 7 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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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 £980 to £1,250 a week. 89 can care for a couple. 11 years' experience on average.
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