Archived: Signature at Weybridge

There was not 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 manager that had begun the registration process had moved on within the Sunrise organisation. A new manager was in post, and was in the process of applying to be registered. This manager was present at the inspection.

At out last inspection, the service was rated Good. At this inspection we found the service remained Good.

Why the service is rated Good.

Hazards to people’s safety were identified and action was taken to help them manage the risks of harm to keep themselves safe. People received their medicines safely and in line with prescription guidelines. Accidents and incidents were reviewed and action taken to minimise the risk of them happening again. There was a plan in place to ensure that people’s care would continue in the event of an emergency.

People were supported by sufficient, skilled staff to meet their needs and robust recruitment processes were in place to ensure only suitable staff were employed. Staff were aware of their responsibilities in safeguarding people from abuse.

Staff received induction and then on-going training to support them in their roles. Staff received regular supervision and told us they felt supported by the manager

People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible. People had enough to eat and drink and were supported with this where a need had been identified.

People were supported to remain healthy, and referrals were made to appropriate healthcare professionals should the need arise.

People’s care records were person centred and completed in detail. Care plans were regularly reviewed and updated to ensure staff had up to date guidance regarding people’s care. People had access to a range of activities in line with their interests.

People received support from staff who knew them well. Staff treated people with kindness and were aware of their preferences. People’s religious and cultural needs were respected.

Systems were in place to monitor the quality of the service provided and ensure continuous development. There was a complaints policy in place and relatives told us they would feel comfortable in raising concerns. .

Further information is in the detailed findings below.

The inspection took place on 27 March and was unannounced.

The home had a registered manager. 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.

We carried out an unannounced comprehensive inspection of this service on 19 August 2015. Two breaches of legal requirements were found. After the comprehensive inspection, the provider wrote to us to say what they would do to meet legal requirements in relation to staffing and the safe management of risks. We undertook this focused inspection to check that they had followed their plan and to confirm that they now met legal requirements. This inspection found that the provider had taken the action they told us they had. This report only covers our findings in relation to the safety of the service. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Sunrise Operations Weybridge Limited on our website at www.cqc.org.uk”.

There were now sufficient staff deployed across the service to support people in a safe and personalised way. We saw that people’s needs were met and they received support they needed in a timely way. At mealtimes, staff across the service now worked effectively together to ensure that people who required assistance with eating and drinking received one-to-one support.

There were good systems in place to safeguard people. Appropriate checks were undertaken to ensure only suitable staff were employed. Prior to starting working, information about new staff was collated to ensure they were fit to work with people whose situations made them vulnerable. Staff understood their roles and responsibilities in keeping people safe from the risk of abuse.

Risks to people were now appropriately assessed. Where risks were identified, action had been taken to mitigate the risk of avoidable harm. Staff adopted a positive approach to managing risk that carefully balanced keeping people safe with their right to lead independent lives.

Medicines were managed safely and there were good systems in place to ensure people received their medicines as prescribed.

People told us they were happy living here. There was plenty to do and staff were very kind. One person told us “The staff are wonderful. I have never complained or had problems as staff go out of their way to be helpful.” Another person said “I feel very safe the staff are so kind and treat you very well.”

We spoke to staff who confirmed they had procedures in place to gain consent from people.

We found arrangements were in place to ensure people had their nutritional needs met. The menus were nutritionally complete but people were unhappy with the new style menus.

We saw that the home had systems in place to protect people from abuse and staff had received training.

We saw that the manager had carried out appropriate checks when employing new staff. This ensured staff were of good character and had the necessary skills and experience to do the job.

We were told complaints were taken seriously and would be responded to within the provider’s timescales. People that we had spoken to told us they were unhappy with the meal provision that had recently changed and the new arrangements that had been made by the provider.

People told us that they were involved in decisions everyday about things they would like to do at the home. We were told that the activity provision was very good. One person said 'I get myself involved in the various clubs that are available here.' Another person told us 'I like to go out on the minibus and shopping is a favourite.'

People told us that staff were very kind and that they felt safe at the home.

We observed lunch on the 'Reminiscence' unit and saw good interactions between staff and people who used the service. The atmosphere was lively and happy with conversations that took place between staff and people. We observed choices were given to people about food and drinks and we saw that people were not rushed.

Staff told us that Sunrise provided a variety of training for them. We were told that this enabled them to do their job effectively.