Sunrise Nursing Home

Sunrise Nursing Home is a residential care home providing personal and nursing care to 27 older people at the time of the inspection. The service can support up to 30 people in an adapted building over three floors.

People’s experience of using this service and what we found

The service had governance systems in place, but these were not always effective in ensuring the service was identifying and addressing shortfalls.

Risks in the environment such as those from hot water had not all been identified. Not all areas within the home or furnishings were well maintained to facilitate good infection and control procedures. There were inaccuracies and gaps in recording of care delivery. The deployment of staff at lunchtime did not ensure that people were appropriately supported. The manager and provider immediately responded to some of the issues that we had identified but systems had not been sufficiently robust in that they had not been previously identified and resolved.

People and their relatives described positive relationships with the staff and management team. They told us that they were supported by a kind and friendly staff team who knew them well.

There were clear processes in place to manage people’s medicines. People had access to healthcare services and appropriate referrals were made when their needs changed.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People had choice and opportunities were provided to pursue interests and engage in social activities.

People and their relatives told us they were involved in planning their care and were asked for their feedback about the quality of the service.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 4 April 2020).

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Sunrise Nursing Home on our website at www.cqc.org.uk.

Why we inspected

This inspection was prompted by a review of the information we held about this service. A decision was made for us to inspect and examine those risks.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

The overall rating for the service has changed from good to requires improvement based on the findings of this inspection. You can see what action we have asked the provider to take at the end of this full report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.

We found the following examples of good practice.

There were plentiful supplies of personal protective equipment and staff were following the guidelines regarding its use.

Staff were undertaking daily lateral flow tests as an extra precaution to ensure that any infections were identified promptly, reducing the risks to the people living in the service.

The home was clean and fresh smelling throughout. Some areas had chipped paint and damaged flooring, but the provider had started to redecorate and had an action plan setting out when the remaining areas would be completed.

The service had never had a COVID19 outbreak.

Sunrise Nursing Home is a residential care home providing personal and nursing care to 22 people aged 65 and over at the time of the inspection. The service can support up to 30 people in an adapted building over three floors.

People’s experience of using this service and what we found

People received enough to eat and drink, but their dining experience could be enhanced. We have therefore made a recommendation in this area.

People were treated with kindness and compassion. People and their relatives described positive relationships with the staff and management team. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible, and in their best interests; the policies and systems in the service supported this practice. There was a relaxed and welcoming atmosphere in the home.

People were kept safe by staff who were knowledgeable about how to minimise risks to people. There were enough safely recruited, trained and skilled staff to meet people's needs. The home was clean and hygienic throughout and the safe management of medicines was in place.

People's care records were individual and outlined their needs. People had access to healthcare services and appropriate referrals were made when their needs changed.

People and their relatives told us they were involved in planning their care and were asked for their feedback about the quality of the service.

The registered manager and provider did regular checks and audits on the quality of the service and staff, people and their relatives told us the registered manager was approachable.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 10/04/2019 and this is the first inspection.

Why we inspected

This was a planned inspection based on our methodology.

Follow Up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.