The inspection took place on 7 August 2018 and was unannounced. This was the first inspection for Sunrise Chorleywood since the service was dual registered in August 2017. Dual registration is when an applicant has stated and is able to evidence that at least two providers are jointly managing the regulated activities at a single location. Sunrise of Chorleywood is dually registered under two Sunrise legal entities Sunrise Senior Living Limited and Sunrise UK Operations Limited.

Sunrise Chorleywood 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. They are registered to provide accommodation and nursing care for up to 100 people older people including people who live with dementia. At the time of our inspection there were 73 people accommodated at the service.

The service consists of two units, the residential unit which is spread across three floors and accommodates people with residential and nursing needs and reminiscence, which is a unit for people who live with dementia.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.

People felt safe living at Sunrise Chorleywood. Staff were knowledgeable about how to keep people safe and knew how to report concerns. Peoples individual risks were assessed and kept under regular review. Accidents and incidents were documented and investigated appropriately.

Recruitment processes were Robust with all pre-employment checks completed. There were sufficient staff deployed which helped keep people safe. People received their medicines regularly from staff who had been trained and had their competency checked.

Staff received regular support including one to one supervision from their line managers, and regular team meetings were held which gave staff an opportunity to contribute their views. and made them feel supported and valued.

People were supported to eat a varied and nutritionally balanced diet to help maintain their health and wellbeing. people's health and medical needs were well managed with appropriate referrals made to external health professionals when needed.

People and their relatives were positive about the staff team for being kind and caring. Staff we spoke with demonstrated their knowledge about individuals’ care and support needs and preferences.

People told us they had been involved in the planning of their care where they were able. People's dignity was promoted and their privacy respected.

People were supported and encouraged to participate in a range of activities and hobbies that were of interest to them.

People were confident to raise concerns with staff or management and were satisfied that they would be listened to.

There was an open, inclusive and respectful culture in the home and people, relatives and staff were comfortable to speak with the general or registered manager if they had any concerns.

The provider had a range of quality assurance systems and processes in place to regularly monitored the health, safety and the quality of the care and support people who used the service received. The management team demonstrated an appetite for continual improvement.