The inspection took place on 7 and 14 November 2017 and was unannounced. At our last inspection in May 2016 we identified two breaches of the legal requirements in respect of the deployment of staff and the safe management of medicines. At this inspection we found that improvements had been made and that the relevant requirements had been met.

Sunrise of Mobberley 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.

Sunrise of Mobberley accommodates up to 108 people across two separate units, each of which have separate adapted facilities. One of the units specialises in providing care to people living with dementia.

There was a registered manager in place. 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 were very positive about the care and support that they received at Sunrise of Mobberley. People were cared for in a clean and very well maintained environment. We found that the focus of the service was very person centred. We found that the service supported people to express their views and were involved in making decisions about their care. There was a residents’ council meeting held every month.

Improvements had been made to staffing and recruitment. From our observations and a review of the rotas, we saw there were sufficient staff to safely meet the needs of people living in the service. People told us that there were enough staff to meet their needs, although people had noticed the impact of staff changes. The use of agency staff had decreased.

We saw that staff employed by Sunrise had been through a thorough recruitment process before they started work to ensure they were suitable and safe to work with the people who lived at the service.

We found that improvements had been made to the management of medicines and the provider had put appropriate arrangements in place to help maintain the safe management of medicines at the service. We noted that further improvements could be made around the recording of topical medicines and creams.

We found that the registered manager and staff understood their responsibility to keep people safe. Staff were able to tell us about the provider’s safeguarding policies and procedures and knew what to do if they suspected that a person was at risk of abuse.

We saw individual risk management plans were in place to keep people safe and the actions needed to minimise risks to people’s safety had been identified. However at times we found that people’s care plans did not always fully document all the actions that had been taken to mitigate some risks.

We found that staff were knowledgeable and had the appropriate skills to carry out their roles effectively. Staff undertook appropriate induction and training. Staff were supported to continually develop their skills and knowledge.

Staff understood and followed the principles of The Mental Capacity Act (2005). We observed that staff sought consent from people to provide care and treatment. Where necessary MCA assessment and best interest decisions had been made.

People were very positive about the food at Sunrise of Mobberley. The dining room had a restaurant feel and the food was of a high quality. People were consulted about their preferences. We saw that people’s nutritional needs were met. There was an effective system in place to ensure that all staff had up to date information about people’s nutritional needs.

We found that the service was very caring. There was a strong person centred culture and staff were motivated to treat people with kindness, re