This inspection took place on 29 and 30 October 2018 and was unannounced.

Sunrise of Fleet is a 'care home'. People in care homes receive accommodation and nursing or personal care, as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

This care home is run by two providers; namely, Sunrise UK Operations Limited and Sunrise Senior Living Limited. These two providers have a dual registration and are jointly responsible for the services at the home. This report is in relation to Sunrise UK Operations Limited. A separate report has been produced for Sunrise Senior Living Limited.

Sunrise of Fleet accommodates up to 78 people in one building over three floors. The first two floors were designated for ‘Assisted Living’, where people had a range of care needs but could carry out various aspects of daily living independently. The top floor was the ‘Reminiscence’ community, which had been designed as a living space suitable for people living with dementia. There were 70 people living in the home at the time of inspection. People living at the service were older people, some of whom were living with dementia.

The home had a registered manager. 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. The registered manager was supported by a deputy manager and a coordinator for the ‘Assisted Living’ and ‘Reminiscence’ communities.

People experienced care that made them feel safe and were protected from avoidable harm and discrimination. When concerns had been raised, thorough investigations were carried out, in partnership with local safeguarding bodies.

Risks were assessed, monitored and managed effectively. Staff were aware of people’s individual risks and how to support them to remain safe. People were involved in developing support plans to manage their own risks, which promoted their freedom and independence.

There were sufficient staff to respond quickly and provide safe and effective care to people. The registered manager operated a robust recruitment process, based on relevant pre-employment checks, which assessed the suitability of candidates to support older people and those living with dementia.

People's dignity and human rights were protected, whilst keeping them and others safe. Staff supported people who experienced behaviour which may challenge sensitively and effectively.

The provider proactively reviewed all accidents and incidents and acted to reduce the risk of a future recurrence.

People received their prescribed medicines safely, from staff who had their competency to administer medicines assessed. People’s medicines management plans were reviewed regularly to ensure continued administration was still required to meet their needs.

High standards of cleanliness and hygiene were maintained throughout the home, which reduced the risk of infection. Staff followed the required standards of food safety and hygiene, when preparing, serving and handling food.

The provider and registered manager ensured staff had an effective induction, ongoing training and support to maintain necessary skills and knowledge to support people effectively.

People were supported to eat and drink enough protect them from the risk of poor nutrition and dehydration. Risks to people with more complex nutritional needs were promptly referred to relevant dietetic specialists.

Each person had an individual health action plan which detailed the completion of important monthly health checks. The registered manager consistently referred people to external services when required, which maintained their health.

The home had been de