Archived: Signature at Winchester

Updated 10 February 2018

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 4 and 5 December 2017 and was unannounced.

The community accommodates up to 103 people in a purpose built building across three separate floors. On the ground and first floor of the community staff support ‘Assisted Living’. On the second floor of the community staff provides specialist adapted care facilities for people who live with dementia; this area is called ‘Reminiscence’. At the time of our inspection there were 81 people living in the whole community who interacted with each other across all areas of the community.

Two inspectors, a specialist advisor in the care of people who live with dementia and an expert by experience completed this inspection. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Before our inspection we reviewed the information we held about the community, including previous reports and notifications of incidents both of the registered providers have sent to us since the last inspection. A notification is information about important events which the service is required to send us by law. A completed Provider Information Return (PIR) was sent to us. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

We spoke with 16 people who lived in the community and six relatives. On the second floor of the community some people who lived with dementia were unable to speak with us. We used the Short Observation Framework for Inspection (SOFI) to observed care and support being delivered by staff in this area of the community. SOFI is a way of observing care to help us understand the experiences of people who cannot talk with us.

We spoke with 17 members of staff, including; the regional head of care and nursing for the registered provider, the registered manager, the deputy manager, the Reminiscence coordinator, the Assisted Living coordinator, three registered nurses, a senior carer, three members of care staff, a chef, a business office coordinator, an activities and volunteers coordinator and two concierge. During and after our inspection we received feedback from six health and social care professionals about the care people received in the community.

We looked at care plans and associated records for 12 people and reviewed the medicines administration system in the community. We looked at a range of records relating to the management of the service including records of complaints, accidents and incidents, quality assurance documents, six recruitment files and policies and procedures.

Updated 10 February 2018

A planned comprehensive inspection of Sunrise of Winchester was completed on 4 and 5 December 2017.

Sunrise of Winchester is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. This home is a dual registered location. This means that two registered providers are responsible for the service delivery at this home. This registered provider, Sunrise Operations Winchester Ltd, and Sunrise Senior Living Limited, are both equally responsible for the delivery of all services at this home.

Sunrise of Winchester accommodates up to 103 people in a purpose built community across three separate floors. The second floor provides specialist adapted care facilities for people who live with dementia. At the time of our inspection 81 people lived in the community.

A registered manager was 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.’

People, their relatives and staff were very proud of the community they lived and worked in. They felt valued, respected and an integral part of a community which worked together to provide a supportive and nurturing environment for all.

Staff had the specialist knowledge and skills required to meet the needs of people who lived with dementia. Specialist dementia care training was provided so staff could interact with people and fully understand and respond to their needs. This training was evident in all staff interactions with people which were excellent.

People felt safe and well supported by staff who knew them well. Person centred care planning was evident throughout our inspection and a high level of engagement with people about their previous life experiences and hobbies.

Staff took time to ensure activities in the home were planned and focused around people’s experiences and interests. People were actively encouraged to share their life experiences with others and celebrate these in the community.

The community worked closely with other services and organisations in the local wider community to enhance people’s lives.

People received outstanding end of life care which provided dignity and respect for people and their relatives at this difficult time.

The registered manager embraced the registered provider’s visions, values and a Mission, “To Champion Quality of Life for all Seniors”. This mission was evident throughout the community in the way people and staff were supported, respected, nurtured and worked together for the good of people who lived there and those who were important to them.

Health care professionals were highly complementary on the care and support people received in the community. They spoke of staff who had a very good understanding of people’s needs and a clear drive to enhance people’s lives.

Staff had a good understanding of how to keep people safe, identify signs of abuse and report these appropriately. Robust processes to check the suitability of staff to work with people were in place.

There were sufficient staff deployed to meet the needs of people. Staff received excellent support and training to enable them to meet the needs of people. They knew people well and could demonstrate how to meet their individual needs.

People enjoyed an excellent dining experience at the home which respected their choices and promoted their independence. Special dietary needs were met and cultural difference in diets had been celebrated with themed meals.

Medicines were managed in a safe and effective manner. People were supported to maintain their independence with medicines as appropriate.

The community was very clean, well maintained and adapted to meet the needs of people who live with dementia. All communal areas of the home provided a warm and homely environment for people to relax and interact with others. People were encouraged to personalise their own areas of the community.

A robust system of governance in the community meant people received safe and effective care. Learning from incidents, accidents, audits and reviews in the community was shared and embraced to enhance the provision of care in the community.

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