Freshfields
Liverpool, L37
NursingDementia
Rated 3 years agoReport explained
CQC report explained · a residential care home, run by Valorum Care
Sun Woodhouse Care Home
Woodhouse Hall Road, Fartown, Huddersfield, HD2 1DJ
Goodpublished 10 August 2023, 3 years ago
Rated Good: inspectors found the service performing well and meeting their expectations.
The five questions inspectors ask
- Safe?
- Requires improvement
- The lift had not been maintained within the recommended timescale, although the provider supplied evidence that the work was completed in July 2023. Inspectors also found gaps in topical cream records and some staff were unclear about fire responsibilities.
- Effective?
- Good
- This question was not inspected during this visit. Its previous rating was carried forward.
- Caring?
- Good
- This question was not inspected during this visit. Its previous rating was carried forward.
- Responsive?
- Good
- This question was not inspected during this visit. Its previous rating was carried forward.
- Well-led?
- Good
- Inspectors found supportive leadership, audits, care plan reviews and evidence that lessons were learned. Staff said the culture and leadership had improved.
The latest report, explained
What inspectors found, August 2023
Rated Good overall; inspectors found kind, well-supported care, but Safe was Requires Improvement because of lift safety checks and recording gaps.
This was an unannounced inspection on 19 June 2023. One inspector and an Expert by Experience spoke with people living at the home, staff and managers. They observed care and reviewed care, medicine and recruitment records.
The home was rated Good overall. Safe was rated Requires Improvement and well-led was rated Good. The report says the lift had not been maintained as recommended, although the work was completed in July 2023 after the inspection.
People generally said they felt safe and received kind care. Staffing levels, recruitment, safeguarding, infection control and most medicines arrangements were good. Inspectors found some gaps in recording topical creams, and some staff were unclear about what to do in a fire.
The inspection covered Safe and well-led. Ratings for the other three questions were carried forward from the previous inspection. The report also contains a conflicting statement saying the overall rating had changed to Requires Improvement, although its rating table lists the overall rating as Good.
What inspectors praised
Enough staff
Inspectors found enough staff to meet people's needs. Staff were visible and responded promptly when people needed help.
“There were sufficient numbers of staff to meet people's needs.” from the report
Kind and attentive care
People described staff as supportive and said they were listened to and able to control their daily routines.
“Staff were very attentive in asking people if they were okay and if they needed anything.” from the report
Safe medicines systems
Medicines were stored securely and staff giving them had training and regular competency checks. People received their medicines as prescribed.
“People received their medicines as prescribed from staff who had received training for this and had their competency checked annually.” from the report
Supportive leadership
Inspectors found that the manager understood people's needs and used audits and walkarounds to check standards. Staff said the culture had improved.
“Staff told us the culture in the home had improved over the months since the home manager joined.” from the report
Good safeguarding practice
Staff understood the signs of abuse and how to report concerns. Safeguarding incidents were recorded, reviewed and acted on.
“Staff were able to describe signs of abuse they would be looking for.” from the report
What inspectors were concerned about
Lift maintenance
seriousThe lift needed work within one month, but this had not happened by the inspection. The provider said the work was completed in July 2023.
“The lift had not been adequately maintained, which placed people at risk due to this equipment safety check having not been completed as per recommended guidance.” from the report
Fire responsibilities
needs fixingSome staff could not clearly explain what they were responsible for during a fire. This was raised with the manager, who took immediate action.
“Some staff were not clear about their responsibilities in the event of a fire.” from the report
Topical cream records
needs fixingThere were gaps in records showing when topical creams had been applied. People told inspectors the creams were being given as prescribed.
“Some gaps were seen in recording the administration of topical creams.” from the report
Special dietary meal
needs fixingOne person was given food that did not meet their specific dietary need at lunchtime. The manager said this should not have happened and dealt with it after the inspection.
“One person had a specific dietary need.” from the report
Questions to ask them, based on this report
- 01What evidence can you show that the lift work was completed and that future safety checks are now up to date?
- 02How have you made sure every staff member understands their role during a fire, including for people who need help to evacuate?
- 03How do you now record and check the application of topical creams?
- 04How will you make sure meals always meet each person's specific dietary needs?
- 05Has the home manager completed their registration with the CQC?
This was an unannounced focused inspection of Safe and well-led; Effective, Caring and Responsive were not inspected and their previous ratings were carried forward. This explanation was written from the published report of 10 August 2023 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
The story over the years
Every inspection of Sun Woodhouse Care Home
2 rated inspections over 4 years: the service has held its Good rating throughout.
- August 2023Goodcurrent ratingstayed GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2019GoodSafe: GoodWell-led: Good
- July 2018
Registered with the Care Quality Commission on 16 July 2018.
Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.
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