Sunnymede

We carried out this assessment to follow up on a breach identified in the previous assessment and to check whether improvements had been made. We assessed the key questions Safe and Well led, along with aspects of Effective, focusing on how the service worked with health professionals to support people’s health. Improvements had been made in relation to safe recruitment of staff, and the service was no longer in breach of this regulation.

Overall, the service was safe. Systems were in place to identify, manage, and reduce risks to people. Risks were assessed, and care plans were clear and detailed about how people preferred to be supported with their personal care. Incidents were reported and learning took place to improve practice.

Governance systems were generally effective, although some areas, including record- keeping, required further strengthening.

Safeguarding systems were effective, and staff understood how to recognise and escalate concerns. People were supported to take their medicines safely and in a person-centred way. Staff received training to meet people’s needs and spoke positively about working at the service and the support provided by the manager.

Staffing levels were planned, to ensure peoples safety; however, they did not always support the consistent delivery of person-centred care. Feedback from people, relatives, and staff indicated that staff could feel under pressure at busy times, which may have affected how consistently people’s needs were met.

Health professionals spoke positively about the service and the registered manager.

We identified some infection prevention and control concerns on the first day of the assessment which were addressed promptly by staff.