Sunrise Care Domiciliary Agency

Updated 24 May 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.

Inspection team:

This inspection was carried out by a single inspector.

Service and service type:

The service is a registered domiciliary care agency supporting young adults with learning disabilities and autism. Support is provided in a shared house.

The service did not currently have a manager registered with the Care Quality Commission. The provider’s nominated individual was based at the service to provide day-to-day management support. 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. The provider’s nominated individual told us that arrangements were in place to ensure that a new registered manager was recruited to the service.

Notice of inspection

We gave the service 24 hours’ notice of the inspection site visit because this is a small service for people with learning disabilities who may be out during the day.

What we did:

Before our inspection we reviewed records that we held about the service. These included:

• Notifications and other information provided by the service and other stakeholders such as commissioning local authorities.

During our inspection we:

• Spoke with five people using the service, the nominated individual and two support workers.

• Looked at the care and support records for three people, three staff records and other records relating to the management and quality of the home.

Following our inspection we:

• Spoke with a representative of a local authority.

Updated 24 May 2019

About the service:

Sunrise Domiciliary Care Agency is a small supported living service that provides support to people with learning disabilities and other cognitive impairments. At the time of our inspection the service was supporting six people living in a shared house.

This service provides care and support to people living in one ‘supported living’ setting, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include choice, control and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

People’s experience of using this service:

People told us they were happy with the support that they received. They spoke positively about staff.

Care and support was person centred and reflected people’s individual needs. People’s support plans and risk assessments were person centred. They had been reviewed regularly and updated when there were any changes in people’s needs.

Staff were knowledgeable about people’s needs and preferences. People told us that staff had supported them to achieve greater independence.

Staff had received training in safeguarding adults. They understood their roles and responsibilities in ensuring that people were kept safe from harm or abuse.

People were supported to make decisions about their support. People told us that they participated in meetings about their needs and were involved in developing and agreeing their support plans.

The service was meeting the requirements of the Mental Capacity Act (2005). Information about people’s capacity to make decisions had been recorded in their care files.

The support provided by staff was person centred. Guidance for staff was included in support plans and risk assessments to ensure that they understood people’s needs and preferences, People’s support plans and risk assessments had been reviewed regularly and updated where there were changes in their needs.

Staff communicated well with people. They spoke with people about subjects of interest and checked that people understood information and requests.

Staff had received training in a range of core skills and this was updated regularly. Newly recruited staff members did not commence work until checks on their suitability had been carried out. Regular supervision from a manager had taken place to support staff to carry out their roles and responsibilities effectively.

Staff supported people to take their prescribed medicines safely. Accurate records of medicines administration had been completed.

People planned and shopped for their food independently or with staff support where required. Staff supported people to cook and prepare meals where required. A person described how they shopped independently for food that meet their cultural and religious preferences.

People had good healthcare support. Staff had supported people to attend healthcare appointments. Where health or other professionals had provided guidance in relation to people’s needs this was included in their support plans.

Regular quality assurance monitoring of the service had taken place and any actions arising from this had been addressed. Some actions had not been dated although we found that they had been completed.

People had been asked about their views of the service. We found that people demonstrated a high level of satisfaction with the support that they received.

Rating at last inspection:

The service was rated Good (Report published 19 October 2016).

Why we inspected:

This was a planned inspection based on our rating at the last inspection.

Follow up:

We will continue to monitor intelligence we receive about the service until we return to inspect as part of our re-inspection programme.

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