Ensuring ‘Confidence in Care’
through proactive and positive change
Ensuring ‘Confidence in Care’
through proactive and positive change
Thank you for taking an interest in finding out more about all the good work and superb progress that has been underway at Sutton Rose since the last CQC inspection, undertaken some 24 months ago.
The following information has been collated to provide transparency and assurance for those considering residential care at Sutton Rose for a loved one, to help ensure that such an important choice is fully informed.
About CQC methodology
The CQC is currently undertaking a whole system review of its inspection services, with new methodology yet to be published but expected to come into force in the latter part of 2023.
For the MACC Care Group this means that services will no longer be inspected based on CQC’s frequency model in line with the current gradings. CQC continues to regularly inspect services whilst it undergoes transformation and its current decision to inspect is based on knowledge of our locations and through that knowledge, perceived ‘risk.’
Date of last CQC published inspection report – 24 August 2021
Overall rating: Requires Improvement
Key findings indicated that:
- Staff were not operating in line with company advice on safety monitoring systems and appropriate legal documentation had not been maintained.
- Medication management required improvement to ensure that care home staff managed these in line with current guidance.
- Some staff were unaware of people’s needs when it had been identified that it would be unsafe for them to leave the home unaccompanied.
- Quality of some documentation required improvement.
- Systems to audit had not picked up the issues CQC had identified.
Highlights from the CQC report
The report also identified many positive examples of best practice:
- Feedback from families and relatives was extremely positive.
- Staff were knowledgeable about keeping people safe from harm.
- Residents felt safe with the staff who cared for them.
- Staffing levels were sufficient to meet residents’ needs and these were kept under review.
- Staff received appropriate training to help them support people effectively.
- Infection control was good across the service.
- Systems were in place to monitor accidents and to learn from events which happened within the home.
- Staff understood the need to get people’s consent to provide them with care.
- People’s needs were being regularly assessed and reviewed.
- Mealtime experiences were good.
- Facilities and the building were of a high standard.
- Staff were kind and caring.
- Residents’ privacy and dignity was respected by the staff at Sutton Rose.
- Staff understood people’s different cultural needs.
- People were supported with a range of meaningful activities.
- Complaints were managed well.
- End of life care was good and individuals were fully involved in decisions relating to care and treatment.
- People’s views were regularly sought.
- Sutton Rose worked in partnership with other health and social care professionals.
- Good links with the local community had been established.
Driving changes for the better
Following the CQC inspection, MACC Care has taken the following steps to improve the service:
- A comprehensive action plan was provided to CQC detailing how we planned to make the required improvements.
- The Registered Manager at the time of the inspection decided to leave MACC Care employment.
- A Registered Manager from MACC Care took on the role of Manager and has been registered with CQC.
- The Group established a Quality & Compliance Working Group to review the quality of the audit processes for all care services.
- Lessons learnt were written and shared with other Managers within the Group so that insights could be shared. Changes in practice (where identified) were made to further improve and drive quality.
- Since the last CQC inspection, we have undertaken a Survey with families and friends who rated our responsiveness as either ‘Good’ or ‘Outstanding’.
Other key themes include:
- All respondents rated the home as ‘Good’ or ‘Outstanding’ for listening to and responding to feedback.
- Families and friends rated the home as ‘Outstanding’ for involving them in key decisions about their loved one’s care.
- Without exception all respondents felt welcomed into the home.
- All respondents rated staff caring practices and teamwork as ‘Good’ or ‘Outstanding.’
- All respondents felt that they were kept informed and updated about changes affecting their loved one.
Internal Review processes
Frequent and thorough appraisal of services for your peace of mind
- Internal support teams at MACC Care are on hand to individually support our homes to deliver the best quality resident experience. Additionally, a range of audits are regularly undertaken at both home and organisational level to offer additional quality assurance.
- Internal home audits are completed in line with MACC Care’s Internal Governance Schedule – any patterns or trends are reviewed and added to the home’s service progression plan. This is regularly reviewed to ensure actions are sustained and embedded before they are authorised as closed.
- Insight Reviews have been developed and rolled out (MACC Care’s internal review methodology mapped to CQC’s methodology and regulations) and these are undertaken every six months.
- Follow-up Reviews are undertaken in between Insight Reviews to ensure that any areas for focus are addressed and the change in practice embedded.
- Regular Operational Visits are conducted to support the home manager in service development and a reporting structure is in place to provide organisational assurance.
- Reviews are conducted by the Director of Regulation and Director of Operations.
- Regular ‘Meet the Manager’ events are held for families and friends of Sutton Rose.
Sutton Rose is currently rated 9.9/10 by significant others
We welcome feedback from our residents and relatives.
To view the most recent comments, please visit the Sutton Rose page at carehome.co.uk
An award-winning home
Sutton Rose is delighted to have won the ‘Best Independent Living’ award in the 2023 Pinders Healthcare Design Awards based on the design of the combined community facilities with neighbouring retirement assisted living apartments, Boldmere Place and the social integration that the scheme supports.
“I’m extremely proud of what we continue to achieve at Sutton Rose Care Home. This would not be possible without the support of our magnificent team and amazing facilities. These have, without doubt enabled people to maintain connections which are important to them and keep them feeling safe. Every day I am inspired to continue to push the boundaries to attain the best rating of outstanding with CQC for our wonderful residents at Sutton Rose. They are at the heart of everything we do and aspire to.”
Eva Recio Dominguez, Sutton Rose Manager
To find out more about the great things that are happening at Sutton Rose and the compassionate care and support available to your loved one, please email Eva or call her on 0121 716 7117.
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