This inspection took place on 13 and 14 March 2018 and was unannounced on the first day. We last inspected the service 06 and 07 June 2017 when we rated the service as good.

This inspection was prompted by information we received from Greater Manchester Police regarding a serious incident; we are making further enquiries in relation to this incident. The provider had notified us of the incident and during the inspection we saw invites to disciplinary meetings and records of discussions about recent issues linked to this incident which had led to formal disciplinary action. This demonstrated the provider addressed any staffing issues raised in a prompt manner.

Sunrise of Bramhall provides personal and nursing care and accommodation for up to 98 older people. Sunrise of Bramhall is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Two providers, Sunrise Senior Living Limited and Sunrise Operations Bramhall II Limited have dual registration for Sunrise of Bramhall. This means both providers have joint and equal responsibility for the care and support provided at this home.

The service, which is known as a 'community', is divided into two separate neighbourhoods, the 'assisted living' neighbourhood and the 'reminiscence' neighbourhood. The assisted living neighbourhood provides nursing and residential care for up to 72 older people. The reminiscence neighbourhood provides residential care and support for up to 26 older people living with dementia.

The purpose built community is located in Bramhall Stockport. Accommodation is provided over three floors and some accommodation provides single studio suites that can be shared by up to two people.

Reminiscence rooms have a similar layout to those in assisted living and are situated on the ground floor. All bedrooms are single rooms with en-suite facilities and extensive car parking adjoins the building. At the time of this inspection 69 people were living in the assisted living community, 24 people in the reminiscence community.

At the time of inspection there was a manager in post, however they had not yet formally registered with CQC. 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 2008 and associated Regulations about how the service is run.

Regular audits were carried out in a number of areas.

People living at Sunrise of Bramhall told us they felt safe and said staff were kind and caring. Staff we spoke with told us they had completed training in safeguarding and were able to describe the different types of abuse that could occur.

There were policies and procedures to guide staff about how to safeguard people from the risk of abuse or harm. Staff had access to a wide range of policies and procedures regarding all aspects of the service.

Staff received appropriate induction, training, supervision and appraisal and there was a staff training matrix in place. Staff told us they had sufficient induction and training and this enabled them to feel confident when supporting people.

We saw there were individualised risk assessments in place to identify specific areas of concern. The care plans were person-centred and covered essential elements of people’s needs and preferences. Staff sought consent from people before providing support. People’s health needs were managed effectively and there was evidence of professional’s involvement.

Equipment used by the home was maintained and serviced at regular intervals. The home was clean throughout and there were no malodours. The environment was suitable for people's needs.

There was evidence of robust and safe recru