Background to this inspection
Updated
19 November 2015
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 23 June 2015 and was unannounced. It was carried out by one inspector. The inspector also visited the home on National Care Homes Open day on 19 June 2015 and some of the comments quoted in this report were gathered on that day.
Before the inspection we looked at the information which we held about the home. Providers are required to notify the Care Quality Commission about events and incidents that occur including unexpected deaths and injuries to people receiving care; this also includes any safeguarding matters. We refer to these as notifications. We used this information to plan what areas we were going to focus on during our Inspection. We checked that the local authority commissioners had no concerns about the service.
During the inspection we observed staff and people who were living in the home. We interviewed five members of the staff team and spoke with several people who lived in the home and five relatives. We spoke with two healthcare professionals who visited the home. We sampled the records for eight people, including records in relation to care, meals, medication, accidents and complaints. We also looked at the records relating to the home’s quality assurance system. The manager provided us with copies of recent audits, policies and a staff handbook.
Updated
19 November 2015
This inspection took place on 23 June 2015 and was unannounced. We last inspected the home in December 2013 and at that time judged the service to be compliant with the regulations we looked at.
Sunrise Operations Edgbaston is a purpose built care home with nursing for up to 98 older people who require varied levels of support from assistance with everyday living tasks to nursing care. Accommodation is on three floors. The top floor, (reminiscence neighbourhood), is dedicated to people who have dementia. On the day of our visit there were 63 people living in this home, 20 of whom were in the reminiscence neighbourhood. 14 people were in receipt of nursing care.
At the time of the visit the home had not had a registered manager for 15 months, but the manager had submitted an application for registration to CQC and she was registered before the report was issued. . 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 found that this home had a vibrant and lively atmosphere, where people had many opportunities to engage with staff in conversation and activities of their choice.
People told us that they felt safe in this home. Staff were aware of the need to keep people safe and they knew how to report allegations or suspicions of poor practice. People were protected from possible errors in relation to their medication because the arrangements for the storage, administration and recording of medication were good and there were robust systems for checking that medication had been administered in the correct way.
People who lived in this home and people’s relatives, told us that they were happy with the care provided. People had opportunities to participate in a wide range of activities and were encouraged to have new experiences. People’s relatives and friends were made welcome.
Throughout our inspection we saw examples of and heard about good care that met people’s needs. People and, where appropriate, their relatives, were consulted about their preferences and people were treated with dignity and respect.
Staff working in this home understood the needs of the people who lived there. We saw that staff and people living in the home communicated well with each other and that people were enabled to make choices about how they lived their lives. Staff were appropriately trained, skilled and supervised and they received opportunities to further develop their skills.
The manager and staff we spoke with understood the principles of protecting the legal and civil rights of people using the service.
People were supported to have their mental and physical healthcare needs met and were encouraged to maintain a healthy lifestyle. Staff made appropriate use of a range of health professionals and followed their advice when provided.
People were provided with a good choice of food in sufficient quantities and were supported to eat meals which met their nutritional needs and suited their preferences.
There was effective leadership from the manager and other managers in the home, to ensure that staff in all roles were well motivated and enthusiastic. The manager assessed and monitored the quality of care consistently through observation and regular audits of events and practice.
The manager consulted people in the home, their relatives and professional visitors to find out their views on the care provided and used this information to make improvements, where possible. The manager checked to see if there had been changes to legislation or best practice guidance to make sure that the home continued to comply with the relevant legislation.