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Archived: Sunrise of Beaconsfield Good

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Reports


Inspection carried out on 19 November 2015

During a routine inspection

This inspection took place on 19 and 20 November 2015. It was an unannounced visit to the service.

We previously inspected the service on 06 November 2014. At that time we found that people were not consistently treated with consideration and respect in the way their care and support were provided. The provider sent us an action plan to tell us what action they were taking to ensure people were treated with respect and dignity. At this inspection we found that the provider had provided training for staff and we observed caring and compassionate care that did respect privacy and dignity.

Sunrise of Beaconsfield is a care home for older people some of whom are living with dementia. It is registered to provide accommodation for 93 people. At the time of our inspection 81 people lived at Sunrise of Beaconsfield. Accommodation for people is situated over two floors, an assisted living area and a dedicated dementia unit named the reminiscence neighbourhood.

The service had a registered manager in post. 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.

The service had a relaxed informal atmosphere; we observed people reading papers, books and engaging in meaningful discussions with each other.

People told us that they felt safe living at Sunrise; staff were knowledgeable on how to recognise signs of abuse and knew what to do if a concern was raised.

Risk assessments were conducted and reviewed. The premises were maintained to a high level and maintenance was undertaken as required without any restrictions.

People were supported by staff who respected dignity and supported people to be as independent as possible.

The service responded to changes in people’s health. Monthly healthcare reviews were undertaken. The service worked with a range of healthcare professionals to promote quality of life.

People had access to a wide range of activities both within the service and in the community. The service had its own minibus and supported people to maintain contact with the wider community.

People were supported by a provider that had systems in place to help continually improve the service it provided. Regular meetings were held with people, relatives and staff.

Inspection carried out on 6 November 2014

During a routine inspection

Sunrise Beaconsfield provides accommodation and care for older people including those living with dementia. The service is registered with the Care Quality Commission (CQC) to accommodate up to 95 people; however we were informed the service would usually have an upper limit of 93 people. At the time of our inspection there were 90 people living at the home.

Sunrise Beaconsfield has a registered manager in place. 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.

This unannounced inspection took place on the 6 November 2014. At our last inspection of Sunrise Beaconsfield in February 2014 we found the home met all the regulations assessed.

We received some very positive feedback about the service and observed some very good care and support. However, we found in some cases people’s dignity was not fully protected and they were not always treated with appropriate respect whilst care and support were being provided.

We received conflicting assessments about how adequate staffing levels were. When we talked with people, observed support being provided over lunch and monitored call bell response times, we found people experienced delays in the provision of their care and support.

Those relatives we spoke with during our visit were satisfied with the standards of care they observed. Those relatives who contacted us before and after our visit were less positive about staffing although they all thought the staff tried to provide good care and support.

Risk was managed well and people were protected from avoidable harm. There was an effective system of care planning in place and records were kept up to date and accurate.

Staff recruitment was safe and effective.

Staff told us they felt supported through training and supervision. Staff meetings had not been as frequent as intended in the recent past but we were told this was being addressed. Staff said they could approach the registered manager informally at any time and were supportive of them and senior staff.

We found breaches of the Regulations of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010. You can see what action we told the provider to take at the back of the full version of this report.

Inspection carried out on 21, 25 February 2014

During a routine inspection

People told us they were happy living at Sunrise Beaconsfield. One person said "It is wonderful to be here. I have many friends here." Another person told us they how much they enjoyed the food and said "The kitchen manager is very capable and produces very good food".

We spent time in the kitchen observing the storage, preparation and serving of food. This was done to a high standard.

We observed the care given on the dementia floor. This was personalised to the individual. Staff were able to tell us how they looked after each of their clients. We observed many warm social interactions between staff and the people who lived there.

People we spoke with told us they felt safe and well cared for.

Inspection carried out on 1 February 2013

During a routine inspection

We visited Sunrise Beaconsfield and spoke with people who lived there, their relatives and members of care staff. It was a large home with two separate units offering differing levels of care. The Reminiscence unit was on the top floor and was for care of those people with dementia. On the ground floor is a "Supported Living" unit, where people lived who required care. On the day of our visit, there was an atmosphere of purposeful activity, and people were seen engaging in different activities and socialising in the Bistro area in the foyer.

People told us they liked living at Sunrise Beaconsfield and were involved in making decisions about their daily care and support. They said they were given choices about their daily routines, such as when to get up and go to bed, what to do each day and that their choices were respected by staff.

People said they had opportunities to take part in a range of activities. They told us they had been informed about them, and we saw the activities programme on display in the foyer.

We heard that staff were kind, caring and respectful. Comments made were "the staff make all the difference ", and "staff respect that I prefer to spend time in my room ."

People told us they liked the meals, mealtimes were flexible, there was always a choice on the menu and they could choose where to eat meals.

People liked their rooms and said their bedrooms and the rest of the building were kept clean. They said they felt safe.

Inspection carried out on 4 August 2011

During an inspection in response to concerns

People told us that they receive the support that they need and expect. They said they were enabled to be as independent as possible, such as managing their medication where this was appropriate. One person said 'generally, there's a good atmosphere here'. People told us that their visitors are able to see them and are made to feel welcome. People told us that there were staff around when they needed them. Two people said '95% of staff are very good'.

Inspection carried out on 5 January 2011

During a routine inspection

People that we spoke with said they were looked after well and that the food was good. We observed that people were shown plated options of the meal choices to help them select their meal and that dining tables were attractively laid with table cloths and napkins. We saw that gentle support was provided by staff when helping people to eat.

People we spoke with made positive comments about staff using words such as 'kind', 'helpful' and 'you can't fault them'. We observed that interactions between staff and people using the service were gentle, respectful and attentive, with use of humour where appropriate.

A health care professional visiting the service spoke positively about her experiences of coming to the service and said that staff follow any instructions that are given and that staff provided support for people to see her.

We spoke with staff about their roles and responsibilities. They told us they had received an induction, attended training and were supported to do their work. They said there was good team work and that they work with the same group of people to ensure consistency. Staff we spoke with said that staffing levels were about right to meet people's current care needs. They told us there were good working relationships with surgeries and district nursing teams.

Reports under our old system of regulation (including those from before CQC was created)