Sunrise Operations Guildford Limited provides facilities and services for up to 101 people. The service provides accommodation for people who require personal care and nursing care over three floors.

The ground and first floor provides accommodation for people described as requiring assisted living, this part of the home is called the Assisted Living Neighbourhood. The care provided includes a range of care and nursing needs that include minimal support for people up to full nursing care. Some people lead a mainly independent life and used the home’s facilities to support their lifestyle. Other people had various health care needs that included physical and medical conditions that included diabetes, strokes and end of life care. Some people had limited mobility and needed to be supported with equipment to help them move around. Some people lived with mild dementia that required regular prompting and supervision to lead a fulfilling life.

The second floor provided accommodation for people who were living with a dementia as their primary care need. This unit is called the Reminiscence Neighbourhood.

On the day of our inspection there were 96 people living in the home

This inspection took place on 26 April 2016 and was unannounced.

The home had a registered manager who was present during the inspection. 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.

People said that they felt safe and they appeared happy and at ease in the presence of staff. Staff had written information about risks to people and how to manage these in order to keep people safe. Staff had a good understanding of how to keep people safe and their responsibilities for reporting accidents, incidents or concerns.

People felt safe and staff knew what actions to take to protect people from abuse. Staff had received training in safeguarding adults and were able to tell us the procedures to follow should they have any concerns

Care was provided to people by a sufficient number of staff who were appropriately trained. People did not have to wait to be assisted.

The service followed safe recruitment practices. Staff were skilled and experienced to care and support people to have a good quality of life. Staff received support to understand their roles and responsibilities through supervision and an annual appraisal. They received training during their induction and then on an on-going basis.

People received their medicines in a safe way and when they needed them. Medicines were ordered, stored, administered and recorded safely.

People told us care staff treated them with dignity and respect. Care staff respected people's

individuality and encouraged them to live the lives they wanted.

People said that they consented to the care they received. The home was meeting the requirements of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). People said that they were involved in making decisions about their care as much as they wanted to be. Relatives told us that the home was proactive in letting them know of changes to their loved ones care or medical conditions

People said that the food at the home was good and that their dietary needs were met. Facilities were available for staff to make or offer people snacks at any time during the day or night.

People had care plans in place for staff to follow in order to meet their individual needs. Monitoring systems were in place to ensure people’s needs were being met in line with their care plans.

People said that they were happy with the medical care and attention they received and that staff were knowledgeable about their needs. People had access to a range of external health and social care profes