9 November 2021
During a routine inspection
Sunrise of Guildford is a nursing and residential care home that can support up to 101 people. The ground and first floor provide accommodation for people described as requiring assisted living, this part of the home is called the ‘Assisted Living Neighbourhood’. The care provided includes a range of care and nursing needs that include minimal support for people up to nursing care. Some people led a mainly independent life and used the home's facilities to support their lifestyle. Other people had various health care needs that included physical and medical conditions including diabetes, strokes and end of life care. Some people had limited mobility and needed to be supported with equipment to help them move around. Some people lived with dementia that required regular prompting and supervision to lead a fulfilling life.
The second floor provided accommodation for people who were living with dementia. This floor was called the ‘Reminiscence Neighbourhood’.
At the time of the inspection, care and support was being provided to 73 people.
People’s experience of using this service and what we found
The deployment of staff did not consistently promote positive outcomes for people. Some staff told us that they did not always get the time they wanted to spend with people and promote their social, emotional and psychological care needs. People had access to their own individual call bells. However, staff’s response time could be varied. One person told us, “I do feel safe here but sometimes I do have to wait to have my call bell answered.” We have made a recommendation about staff deployment.
People and their relatives spoke highly of the home. One relative told us, “The best thing they do is genuine personalised care. It’s a lovely place to be and they make it very homely.” Another relative commented, “I’m very pleased with the care. The staff are always enthusiastic and professional.”
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.
Risks to people's health and well-being had been assessed and monitored to ensure they were kept safe. The provider had safeguarding systems and processes in place to keep people safe. Staff knew the risks to people and followed the assessments to ensure they met people's needs.
The environment was clean and staff observed and followed infection control procedures in line with national guidance for reducing the spread of Covid-19.
Staff spoke positively about management. They felt well supported and they could talk to the management team at any time, feeling confident any concerns would be acted on promptly. One staff member told us, “Management are ever so supportive.” Positive links with the local community had been established. People were supported to go out and about and the home had its own minibus which people could access.
Equality and diversity was at the forefront of the service. Staff had received training on equality and diversity and spoke positively of the multicultural nature of the home and staff team. People were treated with dignity, respect and kindness and were involved in decisions about their care.
People told us that they made friendships and felt happy at the service. One person told us, “I’ve no reason to be unhappy here. It’s lovely. The staff are wonderful and very respectful.”
People received personalised care that met their needs and respected their preferences. Care plans gave staff clear guidance and staff followed these plans. People enjoyed activities that reflected their hobbies, interests and lives. People were supported with care and kindness at the end of their life. Staff were also passionate about delivering dignified and compassionate end of life care.
People had regular access to health care professionals. A GP visited the home on a weekly basis and staff were prompt in responding to any change in health care needs. Staff also worked in partnership with healthcare professionals, including dietitians; speech and language therapists and tissue viability nurses. We found that the design and layout of the building met people's needs and promoted dignity
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 under the previous provider was Good (report published 28 April 2017)
Why we inspected
This was a planned inspection based on the previous rating.
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.
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.