Sunrise Nursing Home

Updated 25 May 2023

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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was carried out by 2 inspectors, and an Expert by Experience who made telephone calls to people. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Sunrise Nursing Home a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was not a registered manager in post. There was a manager, but they had not submitted a completed application to the Care Quality Commission.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

The inspection was undertaken over a number of days and consisted of a site visit on the 19 April 2023 and follow up telephone calls to relatives and staff on 20 April 2023. A feedback meeting was held on 27 April 2023.

We spoke with 3 people who used the service and 10 relatives. We spoke with 8 members of staff including the manager, care and nursing staff. The provider, manager and deputy manager attended the feedback meeting. We reviewed the care records for 3 people who used the service and the medicines administration records for 3 people. We observed the care and support provided and the environment was also assessed for safety, cleanliness, and suitability. Governance records were reviewed including 3 staff recruitment files, quality assurance audits, maintenance records and risk assessments.

Updated 25 May 2023

About the service

Sunrise Nursing Home is a residential care home providing personal and nursing care to 27 older people at the time of the inspection. The service can support up to 30 people in an adapted building over three floors.

People’s experience of using this service and what we found

The service had governance systems in place, but these were not always effective in ensuring the service was identifying and addressing shortfalls.

Risks in the environment such as those from hot water had not all been identified. Not all areas within the home or furnishings were well maintained to facilitate good infection and control procedures. There were inaccuracies and gaps in recording of care delivery. The deployment of staff at lunchtime did not ensure that people were appropriately supported. The manager and provider immediately responded to some of the issues that we had identified but systems had not been sufficiently robust in that they had not been previously identified and resolved.

People and their relatives described positive relationships with the staff and management team. They told us that they were supported by a kind and friendly staff team who knew them well.

There were clear processes in place to manage people’s medicines. People had access to healthcare services and appropriate referrals were made when their needs changed.

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.

People had choice and opportunities were provided to pursue interests and engage in social activities.

People and their relatives told us they were involved in planning their care and were asked for their feedback about the quality of the service.

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 was good (published 4 April 2020).

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Sunrise Nursing Home on our website at www.cqc.org.uk.

Why we inspected

This inspection was prompted by a review of the information we held about this service. A decision was made for us to inspect and examine those risks.

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.

The overall rating for the service has changed from good to requires improvement based on the findings of this inspection. You can see what action we have asked the provider to take at the end of this full report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.