Sunningdale Nursing Home is registered to provide accommodation for up to 35 people who require nursing or personal care. Care is provided on two floors and linked by a passenger lift. Bedrooms are single occupancy and there are well appointed communal areas for dining and relaxation. There is also a small patio area to the rear and a small courtyard to the front of the home for people to use. Car parking is available.

This inspection took place on 04 July 2017 and was unannounced. On the day of inspection 28 people lived in the home, almost all living with Dementia.

At the last comprehensive inspection on 05 August 2014 the registered provider met the requirements of the regulations of the Health and Social Care Act 2008 (Regulated Activities) 2014. The service was rated as good in all domains. During this inspection the overall rating of the service remained good.

Some people at Sunningdale had limited verbal communication and were unable to converse with us. However we spoke with seven people who lived at the home and observed staff interactions with people.

People told us staff were caring and helpful and they felt safe at Sunningdale Nursing home. They felt there were sufficient staff to care for them and said they did not have to wait long when they asked for assistance.

There were procedures in place to protect people from abuse and unsafe care. Staff were familiar with these and had received training in safeguarding adults. We saw risk assessments were in place which provided guidance for staff. These measures minimised risks to people.

Staff managed medicines safely. People told us they felt staff gave them their medicines correctly and when they needed them. We saw medicines were checked in, stored, given as prescribed and disposed of correctly.

Staff were recruited safety and given training to provide them with skills and knowledge to deliver safe care. Staff received regular support and supervision from senior staff.

People told us the home was always clean and tidy. Infection control practice was good. Records were available confirming the environment and equipment used complied with statutory requirements and was safe to use.

People were complimentary about the meals and told us they were given a choice of food and drinks.

We saw staff acted promptly to manage people’s health care needs and made appropriate referrals to other professionals.

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

Care plans were personalised detailing how people wished to be supported. People who received support or where appropriate their relatives or advocates were involved in making decisions about their care.

We observed staff interaction and support given to people during the inspection visit. We saw they were patient and considerate and were attentive to people’s needs. A relative said, “We have been impressed to see the way all residents are treated.”

People able to talk with us said they knew how to complain if they needed to. They said staff listened to any concerns and took action to deal with any issues.

People told us the registered manager and staff team were approachable and supportive and listened to their views. Staff sought the views of people they supported through informal discussions and satisfaction surveys.

Sunningdale Nursing Home is registered to provide accommodation for up to 35 people who require nursing or personal care. Care is provided on two floors and linked by a passenger lift. Bedrooms are single occupancy and there are well appointed communal areas for dining and relaxation. There is also a small patio area to the rear and a small courtyard to the front of the home for people to use. Car parking is available.

This inspection took place on 04 July 2017 and was unannounced. On the day of inspection 28 people lived in the home, almost all living with Dementia.

At the last comprehensive inspection on 05 August 2014 the registered provider met the requirements of the regulations of the Health and Social Care Act 2008 (Regulated Activities) 2014. The service was rated as good in all domains. During this inspection the overall rating of the service remained good.

Some people at Sunningdale had limited verbal communication and were unable to converse with us. However we spoke with seven people who lived at the home and observed staff interactions with people.

People told us staff were caring and helpful and they felt safe at Sunningdale Nursing home. They felt there were sufficient staff to care for them and said they did not have to wait long when they asked for assistance.

There were procedures in place to protect people from abuse and unsafe care. Staff were familiar with these and had received training in safeguarding adults. We saw risk assessments were in place which provided guidance for staff. These measures minimised risks to people.

Staff managed medicines safely. People told us they felt staff gave them their medicines correctly and when they needed them. We saw medicines were checked in, stored, given as prescribed and disposed of correctly.

Staff were recruited safety and given training to provide them with skills and knowledge to deliver safe care. Staff received regular support and supervision from senior staff.

People told us the home was always clean and tidy. Infection control practice was good. Records were available confirming the environment and equipment used complied with statutory requirements and was safe to use.

People were complimentary about the meals and told us they were given a choice of food and drinks.

We saw staff acted promptly to manage people’s health care needs and made appropriate referrals to other professionals.

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

Care plans were personalised detailing how people wished to be supported. People who received support or where appropriate their relatives or advocates were involved in making decisions about their care.

We observed staff interaction and support given to people during the inspection visit. We saw they were patient and considerate and were attentive to people’s needs. A relative said, “We have been impressed to see the way all residents are treated.”

People able to talk with us said they knew how to complain if they needed to. They said staff listened to any concerns and took action to deal with any issues.

People told us the registered manager and staff team were approachable and supportive and listened to their views. Staff sought the views of people they supported through informal discussions and satisfaction surveys.

Since our last visit on the 15th August 2013, the service has made significant improvements in the way people's capacity to make a decision was assessed and their ability to consent was recorded.

Where people did not have the capacity to consent, the provider acted in accordance with legal requirements.

Most staff had received training in consent and capacity and had a good understanding of their roles and responsibilities in relation to consent and capacity.

The home cared for and supported people with a wide range of complex needs. We therefore used a number of different methods to help us understand the experiences of people who used the service, including observing the care being delivered, talking with staff, people who used the service and their relatives and looking at records in the home.

During our visit, we saw staff interacting with people in a positive, respectful and caring manner. People we spoke with and relatives told us they were consulted and involved decisions about how care was delivered however, we found that people's capacity and consent was not recorded properly.

People we spoke with were highly complimentary about the care which staff provided. One relative said, "The care here is absolutely wonderful, we visit several times a day. You can't fault them." Another told us, " The staff can't do enough for her. They look after her like I would like to look after her if I could."

People were protected from the risk of abuse because the provider had taken reasonable steps to identify and prevent abuse from happening.

There were systems in place to ensure the safe administration and storage of medicines.

There were enough qualified, skilled and experienced staff to meet people’s needs.

The home had effective systems in place to monitor and assess the quality of service people received.

We spoke with two people who use the service. They both told us that they were looked after well and were complimentary about the staff. They said that the staff "Encourage me to do things for myself" and "Ask for my views and I can attend residents' meetings."

We looked at comments sent to the home by relatives. Comments included "Thank you for the professional and supportive care given to my mother."

We observed that people were treated respectfully and that staff were attentive to maintaining the privacy and dignity of those they cared for. Detailed Care Plans were available for each resident and were used to ensure care was personalised.

We saw that residents' rooms, lounges and bathrooms were clean and the home had good infection control procedures. One resident told us that "My room is kept spotless."

The home had good procedures for the recruitment of new staff and maintained records of staff training and professional registration.

We saw records of management meetings and audits undertaken by the provider showing how the home monitored the quality of care and treatment through learning from incidents and acted upon advice from external specialists.

People we spoke with told us they were satisfied with the service and they felt that their dignity was always respected. One person we spoke with said “the door is always closed when they help me”. Staff we spoke with said people were treated with respect and their privacy and dignity was upheld.

People were mainly complimentary about the staff, one person said “they are really good, especially the day staff”. Others said “they are always asking if you are alright “, “they are lovely they couldn’t be nicer” and “sometimes we get 100% but others less, on the whole they look after me”

People also told us “Mostly, I think the staff know what they’re doing and if they don’t we tell them”, “I think they are short staffed as they will be running round like scalded lops, occasionally they will have time to sit and talk but not a lot”

One person who uses the service also told us “I have never felt unsafe and if I did I would speak to John.”

People we spoke with told us that they are encouraged to be as independent as possible; one person told us “I can wash and dress myself now but they always come back and check that I have managed”

A relative that spoke to us said “staff always ring me if they think I need to know anything”; “It is always clean and tidy and Dad has clean clothes on”

A visiting healthcare professional told us that they had no concerns about the care.