Archived: Sunrise Operations Guildford Limited

Updated 3 August 2016

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 26 April 2016 and was unannounced. The inspection was carried out by four inspectors and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service. The inspection was also supported by a Specialist Nursing Advisor (a person who has special knowledge and experience in caring for people with nursing needs).

Before the inspection we reviewed records held by CQC which included notifications, complaints and any safeguarding concerns. A notification is information about important events which the service is required to send us by law. This enabled us to ensure we were addressing potential areas of concern at the inspection.

We asked the provider to complete a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection we spoke with17 people, 19 staff members, seven relatives, the registered manager and two health and social care professionals. We spent time observing the care and support that people received in the lounges and communal areas of the home during the morning, at lunchtime and during the afternoon.

We reviewed a variety of documents which included ten people’s care plans, eight staff files, training programmes, medicine records, four weeks of duty rotas, maintenance records, all health and safety records, menus and quality assurance records. We also looked at a range of the provider’s policy documents. We asked the registered manager to send us some additional information following our visit, which they did.

We last inspected the service on 30 January 2014 where there were no identified breaches.

Updated 3 August 2016

Sunrise Operations Guildford Limited provides facilities and services for up to 101 people. The service provides accommodation for people who require personal care and nursing care over three floors.

The ground and first floor provides accommodation for people described as requiring assisted living, this part of the home is called the Assisted Living Neighbourhood. The care provided includes a range of care and nursing needs that include minimal support for people up to full nursing care. Some people lead a mainly independent life and used the home’s facilities to support their lifestyle. Other people had various health care needs that included physical and medical conditions that included diabetes, strokes and end of life care. Some people had limited mobility and needed to be supported with equipment to help them move around. Some people lived with mild dementia that required regular prompting and supervision to lead a fulfilling life.

The second floor provided accommodation for people who were living with a dementia as their primary care need. This unit is called the Reminiscence Neighbourhood.

On the day of our inspection there were 96 people living in the home

This inspection took place on 26 April 2016 and was unannounced.

The home had a registered manager who was present during the inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People said that they felt safe and they appeared happy and at ease in the presence of staff. Staff had written information about risks to people and how to manage these in order to keep people safe. Staff had a good understanding of how to keep people safe and their responsibilities for reporting accidents, incidents or concerns.

People felt safe and staff knew what actions to take to protect people from abuse. Staff had received training in safeguarding adults and were able to tell us the procedures to follow should they have any concerns

Care was provided to people by a sufficient number of staff who were appropriately trained. People did not have to wait to be assisted.

The service followed safe recruitment practices. Staff were skilled and experienced to care and support people to have a good quality of life. Staff received support to understand their roles and responsibilities through supervision and an annual appraisal. They received training during their induction and then on an on-going basis.

People received their medicines in a safe way and when they needed them. Medicines were ordered, stored, administered and recorded safely.

People told us care staff treated them with dignity and respect. Care staff respected people's

individuality and encouraged them to live the lives they wanted.

People said that they consented to the care they received. The home was meeting the requirements of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). People said that they were involved in making decisions about their care as much as they wanted to be. Relatives told us that the home was proactive in letting them know of changes to their loved ones care or medical conditions

People said that the food at the home was good and that their dietary needs were met. Facilities were available for staff to make or offer people snacks at any time during the day or night.

People had care plans in place for staff to follow in order to meet their individual needs. Monitoring systems were in place to ensure people’s needs were being met in line with their care plans.

People said that they were happy with the medical care and attention they received and that staff were knowledgeable about their needs. People had access to a range of external health and social care professionals.

People said that staff treated them with kindness, dignity and respect. Staff were seen to discreetly advise people when they required attention to their personal care and this was always provided in private. Staff were aware of people’s individual needs and able to explain their likes, dislikes, background history, and specific care needs.

People said that they enjoyed taking part in the activities provided at the home and that they felt that there was enough to do. We saw that the activities that took place were inclusive, and well matched to peoples’ interests and capabilities.

People said that they felt confident to rise concerns and complaints and that these would be responded to. Monthly residents meeting took place where people were able to raise issues and concerns if they wished to.

People were at the heart of the service. The provider's philosophy, vision and values were understood and shared across the staff team. People's right to lead a fulfilling life was enshrined in a charter of rights, which was displayed in the entrance to the home.

The provider had effective quality assurance systems in place, including regular audits on health and safety, infection control, dignity, care plans and medicines. Meetings took place with the registered manager and members of staff and representatives of the provider to ensure information was shared to drive improvements.

The registered manager met CQC registration requirements by sending in notifications when appropriate. We found both care and staff records were stored securely and confidentially.