Archived: Sunrise of Solihull

Updated 31 July 2019

The inspection:

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

The location was last inspected in October 2018 when we carried out a focussed inspection. That inspection concentrated on Safe and Well Led and we rated the location as Requires Improvement in both areas.

This inspection was planned partly to check whether progress was being made. This

inspection was also prompted due to concerns that had been raised with the CQC about the quality of the service from a variety of sources.

The Inspection team consisted of three inspectors, an assistant inspector and an Expert by experience.

Sunrise is a care home without nursing for older people and people living with dementia. People in care homes receive accommodation and nursing or personal care. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

This was an unannounced inspection that took place on the 08 April 2019

We reviewed information we had received about the service since the last inspection. This included details about incidents the provider must notify us about, such as abuse. We sought feedback from the local authority.

During the inspection, we spoke with eight people who used the service, to ask about their experience of the care provided and six visiting family members. We observed staff providing support to people in the communal areas of the service. This was so we could understand people's experiences. By observing the care received, we could determine whether or not they were comfortable with the support they received.

We spoke with the registered manager, two wellbeing leads, five care staff, one domestic staff and the activities lead.

We reviewed a range of records about people's care and how the service was managed. This included looking at five people's care records and a sample of people's medicines administration records. We reviewed records of meetings, staff rotas and staff training records. We also reviewed the records of accidents, incidents, complaints and quality assurance audits the management team had completed.

Updated 31 July 2019

About the service: The service is registered for up to 109 people and offers accommodation for people who require personal care and accommodation. Nursing care is no longer provided. At the time of our inspection there were 72 people living at the service. The service consists of three areas, Assisted Living, Reminiscence (for people living with dementia) and the Cotswold Suite (for people with higher levels of independence).

People’s experience of using this service:

• People received support with their medicines. However, staff did not always have the training to complete some of the necessary health checks needed to safely administer some medicines.

• The home was undergoing a period of transition and some staff still felt anxious about the changes. However, the registered manager was working hard to bring about stability at the home.

• Staff understood how to keep people safe. Staff knew how to recognise and report abuse.

• Staff recognised the risks to people's health, safety and well-being and how to support them. However, written risk assessments required updating to ensure all required information was available for staff.

• Staff had received training on infection control but did not always ensure they minimised the risk of the spread of infection.

• New staff were recruited safely.

• An action plan was in place which the provider and registered manager were working through, in order to bring about further improvement at the home.

• Guidance on people's needs was shared through supervision and staff meetings.

• Systems were in place to take any learning from any complaints made.

• People were offered numerous choices at mealtimes.

• People’s access to healthcare appointments and advice from healthcare professionals was planned and reviewed and information shared with staff at handover meetings.

• People were treated with dignity and respect and their independence was promoted.

• People and their families were involved in planning their care with support from staff.

Rating at last inspection: Repeat Requires Improvement; The last report was published November 2018.

Why we inspected: This was a planned inspection based on the rating at the last inspection. The service continued to be Requires Improvement.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit in line with our inspection programme. If concerning information is received, we may inspect sooner.

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