Sunrise Care Domiciliary Agency

This service provides care and support to people living in one 'supported living' setting, so that they can live as independently as possible. People's care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people's personal care and support.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include choice, control and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

People's experience of using this service:

People told us they were happy with the support that they received. They spoke positively about staff.

Care and support was person centred and reflected people's individual needs. People's support plans and risk assessments were person centred. They had been reviewed regularly and updated when there were any changes in people's needs.

Staff were knowledgeable about people's needs and preferences. People told us that staff had supported them to achieve greater independence.

Staff had received training in safeguarding adults. They understood their roles and responsibilities in ensuring that people were kept safe from harm or abuse.

People were supported to make decisions about their support. People told us that they participated in meetings about their needs and were involved in developing and agreeing their support plans.

The service was meeting the requirements of the Mental Capacity Act (2005). Information about people's capacity to make decisions had been recorded in their care files.

The support provided by staff was person centred. Guidance for staff was included in support plans and risk

assessments to ensure that they understood people's needs and preferences, People's support plans and risk assessments had been reviewed regularly and updated where there were changes in their needs.

Staff communicated well with people. They spoke with people about subjects of interest and checked that people understood information and requests.

Staff had received training in a range of core skills and this was updated regularly. Newly recruited staff members did not commence work until checks on their suitability had been carried out. Regular supervision from a manager had taken place to support staff to carry out their roles and responsibilities effectively.

Staff supported people to take their prescribed medicines safely. Accurate records of medicines administration had been completed.

People planned and shopped for their food independently or with staff support where required. Staff supported people to cook and prepare meals where required. A person described how they shopped independently for food that meet their cultural and religious preferences.

People had good healthcare support. Staff had supported people to attend healthcare appointments. Where health or other professionals had provided guidance in relation to people's needs this was included in their support plans.

Regular quality assurance monitoring of the service had taken place and any actions arising from this had been addressed. Some actions had not been dated although we found that they had been completed.

People had been asked about their views of the service. We found that people demonstrated a high level of satisfaction with the support that they received.