Sutton Lodge

Sutton Lodge is a residential care home providing Accommodation for persons who require

personal care up to a maximum of 42 people. The service provides support to older people, some of whom were living with dementia. At the time of our inspection there were 34 people using the service.

People’s experience of using this service and what we found

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People were protected from the risk abuse. Risks to people's health and safety were assessed, monitored and changes acted on. There were enough skilled, trained, and experienced staff to provide safe care. Medicines were well managed, although there were some issues with the administration and management of ‘as needed’ medicines. This was rectified during the inspection and will be checked at our next inspection. The home was clean and tidy, and procedures to reduce the risk of the spread of COVID-19 and other infections were in place. Learning from accidents and incidents took place, appropriate notifications were forwarded to the relevant authorities. The environment was suitable and adapted for people living with physical disabilities and dementia.

There was a clear structure in place for monitoring risk, assessing staff performance, and driving improvement and development. The registered manager was supported by senior management to carry out their role. The registered manager understood and adhered to the regulatory requirements of their role. The provider acted on feedback from people, staff, and relatives.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was good (published 29 July 2019)

Why we inspected

We received concerns in relation to management of people’s skin care. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating .

The overall rating for the service has remained as good based on the findings of this inspection.

We found no evidence during this inspection that people were at risk of harm from this concern. Please see the Safe and Well-led sections of this full report .

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections event if no concerns or risk have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Sutton Lodge on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

Sutton Lodge is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. It provides accommodation for older people including people living with dementia. The home can accommodate up to 42 people. At the time of our inspection there were 34 people living in the home.

People’s experience of using this service and what we found

The service was exceptional in placing people at the heart of the service and its values. It had a strong person-centred ethos. Staff and the service's management told us how they were passionate about providing outstanding person-centred care to people when they needed it.

We saw evidence of caring relationships in place, and a commitment to support people at difficult times with compassion, respect and affection.

Staff were aware of people's life history and preferences and they used this information to develop positive relationships and deliver person centred care. People felt well cared for by staff who treated them with respect and dignity.

There was a system in place to carry out quality checks. These were carried out on a regular basis to ensure the quality of care was maintained.

Arrangements were in place to monitor and manage medicines. However, medicine records were completed inconsistently.

There was an extensive range of activities on offer.

Care records were personalised and had been regularly reviewed to reflect people's needs. Care plans contained information about people and their care needs. People were supported to make choices and have their support provided according to their wishes.

People said they felt safe. There was sufficient staff to support people and appropriate employment checks had been carried out to ensure staff were suitable to work with vulnerable people.

People enjoyed the meals and their dietary needs had been catered for. This information was detailed in people’s care plans. Staff followed guidance provided to manage people's nutrition and pressure care.

People were supported by staff who had received training to ensure their needs could be met. Staff received regular supervision to support their role.

People had good health care support from professionals. When people were unwell, staff had raised the concern and acted with health professionals to address their health care needs. The provider and staff worked in partnership with health and care professionals.

The environment was adapted to support people living with dementia. The home was clean, and arrangements were in place to manage infections.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice

Arrangements were in place to involve people and their relatives in the running and development of the home. The provided had displayed the latest rating at the home and on the website. When required notifications had been completed to inform us of events and incidents.

More information is in the detailed findings below.

Rating at last inspection

The last rating for this service was good (published 27 July 2016). Since this rating was awarded the registered provider of the service has changed. We have used the previous rating to inform our planning and decisions about the rating at this inspection.

At this inspection the rating remained Good.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.