Sutton Manor Care Home

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

At the last inspection, in June 2016, the service was rated overall as good, in the key questions: is the service effective, caring, responsive and well-led. The key question: is the service safe, was rated as requires improvement.

We carried out a comprehensive inspection on 9 January 2019. At this inspection, we found improvements had been made following the last inspection. We rated the key questions: is the service effective as outstanding. We rated the key questions: is the service safe, caring, responsive and well-led as good.

The service overall, remains good.

Sufficient numbers of staff were deployed throughout the home. Staff performance was monitored. Staff received supervision, training and support in a variety of ways to ensure they could meet people's needs.

Medicines were safely managed and robust checks were in place to identify and take actions when shortfalls were identified.

Staff demonstrated a good understanding of safeguarding and whistle-blowing and knew how to report concerns.

People were helped to exercise support and control over their lives. People were supported to consent to care and make decisions. The principles of the Mental Capacity Act (MCA) 2005 had been followed.

Risk assessments and risk management plans were in place. Personal care was delivered in line with assessed needs and accurate monitoring records were maintained. Incidents and accidents were recorded and showed that actions were taken to minimise the risk of recurrence.

The management team worked collaboratively with external professionals to make sure care and treatment, was highly effective. They followed recognised national best practice guidance and initiatives that supported people to live healthier lives.

People received exceptional levels of support to meet their fluid and dietary requirements. Preferences, needs, likes and dislikes were recorded and actions were promptly taken to support those identified at risk of malnutrition or dehydration.

Staff were kind and caring. People were being treated with dignity and respect and people's privacy was maintained.

Care was personalised, highly responsive and sensitive to individual needs.

A range of leisure activities were offered and provided people with entertainment and engagement, in and out of the home.

Systems were in place for monitoring quality and safety. Where shortfalls or areas for further improvements were identified these were acted upon.

Everyone we spoke with or had feedback from was positive about the way the service was run and said the registered manager was readily available. Communication was good. Staff were motivated in their work and proud of the service.

The five questions we ask about services and what we found