Background to this inspection
Updated
19 October 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.
The inspection took place on 2 and 3 September 2015 and was unannounced. The inspection was done by three inspectors, a specialist advisor, who was a nurse with specialism in pressure care and an expert by experience. 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 the inspection we reviewed the information that we held about the service. This included details of statutory notifications, which are details of incidents that the provider is required to send to us by law. We also spoke with the local authority safeguarding team and the local tissue viability nurse.
During the inspection we spoke with 32 people, five relatives, three visitors, five visiting professionals, six care workers, two senior care workers, two nurses, the activities co-ordinator, the reminiscence co-ordinator, a volunteer and the registered manager. We completed the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk to us. We looked at 14 care files, four staff files and management documents including audits, staff and resident meeting minutes and the staffing dependency tool.
Updated
19 October 2015
The inspection took place on 2 and 3 September 2015 and was unannounced. At the last inspection in December 2014 the provider was not meeting the requirements for Staffing. We found at this inspection that the provider was meeting this requirement and had an appropriate number of staff to meet the needs of people.
Sunrise Tettenhall provides accommodation for people who require nursing or personal care, including people with dementia. The home is separated into two units, assisted living and dementia care. At the time of the inspection there were 93 people living in the home, including 24 people in the dementia unit.
There was 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.
People were supported by staff who knew how to recognise any potential abuse and felt confident to report any concerns they had, and people told us they were able to tell staff if they did not feel safe.
There were risk assessments for people to identify any potential risks associated with their care. Staff knew and understood these risk assessments and made sure people were kept safe when providing their care.
There were enough staff available to meet the needs of people in the home. Staff had been recruited using safe recruitment processes.
People’s medicines were not always managed safely. We found there were some errors in recording and management of some medicines. People able to take their own medicines were supported to do this safely.
Staff were well supported and had the skills and knowledge they needed to care for people in the home. Staff offered people choices about their care and followed the legal requirements for people who may not have capacity to make decisions for themselves.
People were provided with the food and drink they needed to maintain their health. There were choices of meals available and drinks and snacks were available throughout the day.
People had access to healthcare services that they needed. There were regular visits to the home by local doctors and other specialist services to keep people healthy.
People were cared for by staff who knew them well and had good caring relationships with them. Staff encouraged people to maintain their independence by making decisions about their care and doing tasks for themselves where possible.
Care was tailored to people’s needs, with detailed care plans for staff to follow. People were provided with a range of activities and access to trips out of the home regularly.
The provider had a complaints policy and people told us they felt confident to raise any concerns they had with the registered manager or care staff.
People were able to be involved in the development of the home, with resident meetings and discussions with the registered manager about improvements or concerns. The registered manager provided clear and visible leadership to the staff team and knew people living in the home well.
The provider had a system to monitor and audit the quality of the service, however, this had not always identified issues that we saw during the inspection. The registered manager used these audits to make changes and improvements to the care provided to people.