Sunnybank House

We have made a recommendation about how the International Dysphagia Diet Standardisation Initiative (IDDSI) is used within the service.

Staff completed a suitable induction and undertook a wide range of training, relevant to their role. Assessments were completed to establish people's needs and to ensure these could be fully met. People's nutritional needs were met. Staff worked with other agencies to ensure people had access to healthcare services. The design and layout of the building was suitable and had been developed with the needs of people living with dementia in mind. Staff were well informed about the principles of the Mental Capacity Act 2005.

We have made a recommendation that the service develop specific DoLS care plans which show how the liberty of people, with a DoLS authorisation, is being promoted.

People told us that staff were kind and caring and treated them with respect. People were supported to maintain their independence and autonomy where able. Staff sought people's consent before delivering care and care plans included information about people's preferences and wishes and the relationships that were important to them.

People had access to a range of events and activities which helped to boost their well-being and keep them engaged and entertained. The number of agency staff used had reduced which helped to ensure that people received care from staff that knew them and their needs well. People's communication needs continued to be identified and planned for. Complaints had been responded to appropriately. Staff worked with local health care professionals to provide responsive and compassionate end of life care.

People benefited from a well led service and the registered manager and provider had shaped a culture where staff strived to provide person centred care. The registered manager maintained a visible presence within the home and actively supported staff and interacted with people on a daily basis. Staff were clear about their role and responsibilities and spoke positively about the registered managers leadership and their impact on the service since their appointment. There were effective quality assurance systems in place that lead to improvements that had positive outcomes for people. People were encouraged to give feedback about the care they received.