29 April 2015
During a routine inspection
The inspection took place on 29 April 2015 and was announced.
The provider was given 48 hours notice because the location provides a domiciliary care service and we wanted to be sure that someone would be in.
Sutton Lodge Home Support is a community based adult social care support service registered to provide personal care to people living in their own home. There were 32 care staff employed to deliver care to 74 people.
The service was managed by the registered provider. Registered providers are ‘registered persons’. Registered persons have the legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
The Care Quality Commission is required by law to monitor how a provider applies the Mental Capacity Act, 2005 and to report on what we find.People who lacked capacity to make a decision were supported by staff who acted in their best interests.
Staff understood safeguarding issues and knew how to recognise and report any concerns in order to keep people safe from harm. However, the registered provider did not always undertake safe staff recruitment checks before staff were appointed to their role. People felt supported to take their medicines safely by staff who were competent to monitor them.
People were cared for by staff who were supported to undertake training to improve their knowledge and skills to perform their roles and responsibilities. People had their healthcare needs identified and were able to access health and social care professionals such as their GP and social worker. Staff knew how to access specialist professional help when needed.
People and their relatives told us that staff were kind and caring and people were treated with dignity by staff who respected their choices, needs and preferences. Staff respected a person’s home, their personal belongings and their lifestyle choices.
People were supported to maintain their independence and maintain their everyday activities and past times. The registered provider had systems in place to prevent people from feeling isolated in their own home.
The registered provider had an open door policy and people, their relatives and staff said that they found them approachable. People were able to give their feedback on the service. However, the registered provider’s quality monitoring systems did not always pick up shortfalls in the service.