Archived: Sunrise of Bagshot

Updated 30 March 2018

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 16 January 2018 and was unannounced.

The inspection was carried out by three inspectors, a specialist advisor in nursing care and two experts-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 gathered information about the service by contacting the local and placing authorities. In addition, we reviewed records held by CQC which included notifications, complaints and any safeguarding concerns. A notification is information about important events which the service is required to send us by law. This enabled us to ensure we were addressing potential areas of concern at the inspection.

Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

As part of our inspection we spoke with eight people, six relatives and nine staff members. We spoke with the registered manager, assisted living coordinator and the nurse in charge. We looked at the care plans for ten people, medicines records, accidents and incidents, complaints and safeguarding. We looked at mental capacity assessments and applications to deprive people of their liberty. We reviewed audits, surveys and looked at evidence of activities taking place at the home.

We looked at five staff recruitment files and records of staff training and supervision, appraisals, a selection of policies and procedures and health and safety audits. We also looked at minutes of staff meetings and evidence of partnership working.

Updated 30 March 2018

Sunrise of Bagshot is a ‘care home.’ People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Sunrise of Bagshot provides facilities and services for up to 99 older people who require personal or nursing care. The building consists of three floors. The ground and first floor of the building are called the Assisted Living Neighbourhood. The care provided in the Assisted Living Neighbourhood includes minimal support for people up to full nursing care. The second floor of the building is called the Reminiscence Neighbourhood. The Reminiscence Neighbourhood provides care and support to people who live with dementia as their primary care need.

At the last inspection on 19 April 2016 the service was rated ‘Good.’ At this inspection we found the service remained ‘Good.’

People continued to be safe at Sunrise of Bagshot because staff were aware of their roles and responsibilities to keep people safe. Staff understood how to identify and respond to suspected abuse. People lived in an environment that was clean and the risk of infection spreading was appropriately managed. Safe recruitment practices were followed to ensure that only suitable staff were employed to safely attend to people’s needs. There were sufficient staff deployed at the home. People’s medicines were administered and managed safely. Risk assessments had been written that helped to support people to maintain their independence in a safe way.

People continued to receive effective care from staff who had received training that enabled them to carry out their roles. Staff were supported by the registered manager through regular supervision and appraisals of their work. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; there were policies and systems in the service to support this practice.

People were provided with sufficient food and drink. People were complimentary about the food and how it was cooked. People’s healthcare needs continued to be met and they were able to access all healthcare professionals as and when required.

People’s privacy and dignity was respected and they were involved in making decisions about their care and treatment. People were treated with kindness and compassion in their day-to-day care. People and their family members were involved in the writing and reviewing of their care plans. People had a range of activities they could choose to be involved in. A complaints system was in place that enabled people, relatives and visitors to raise any concerns.

The registered manager was visible at the home and all staff stated that they felt supported by the registered manager. There was a system in place to monitor the quality of care and treatment provided at the home. Records of accidents and incidents were maintained and actions to help to prevent the re-occurrence of these had been implemented.