This was an announced inspection that took place on 26 May 2016.

Sunrise Healthcare Ltd is a service that provides personal care to people in their own homes. At the time of the inspection, 42 people were receiving care from the service.

There was a registered manager working at the service. 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 and associated Regulations about how the service is run. The registered manager was also a director of the provider.

People received care from staff who were kind and caring and who treated people with dignity and respect. There were enough well trained staff to provide people with the care and support they required. However, improvements are required to the provider’s recruitment process. This is so they can satisfy themselves that staff applying to work for the service are appropriate to do so.

People received care that was based on their individual needs and preferences and they were consulted about the care they required and supported to make decisions about its delivery. People knew how to complain and any complaints were investigated and responded to.

People were protected from the risk of abuse and risks to their safety had been assessed and actions taken to reduce these risks from occurring. People received their medicines when they needed them.

Staff asked people for their consent before providing them with care. The staff acted within the requirements of the Mental Capacity Act 2005 when providing care to people who were unable to consent to it themselves.

Good leadership was demonstrated. The staff were happy working for the provider and felt supported in their role. Their morale was good and they understood their individual roles and responsibilities. The provider had promoted an open culture where both staff and people using the service could raise concerns without any hesitation.

The systems in place to monitor the quality of service being provided had been improved following some concerns that had been raised. We found these systems to be effective. Action had been taken in a timely way to protect people from the risk of harm or receiving poor quality care.