This inspection took place on 19 and 20 September 2018 and was unannounced. This was the first inspection since recent registration changes. This service is run by two companies, Sunrise Senior Living Limited and Sunrise UK Operations Limited. These two companies have a dual registration and are jointly responsible for the services at Sunrise of Hale Barns.

Sunrise of Hale Barns is a care home located in the county of Cheshire, close to Hale Barns village. People in care homes receive accommodation and personal care as a 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. The home is registered to provide accommodation and support for up to 95 older people some of whom are living with dementia.

The service, which is known as a 'community', is divided into two separate neighbourhoods, the 'assisted living' neighbourhood and the 'reminiscence' neighbourhood. The assisted living neighbourhood provides residential care for up to 60 older people. The reminiscence neighbourhood provides residential care and support for up to 35 older people living with dementia.

The reminiscence floor has a similar layout to those in assisted living which is situated on the ground and first floor. At the time of this inspection 57 people were living in the assisted living community and 28 people in the reminiscence community.

We last inspected the service on the 21 June 2017 and we rated the service as good. However, we rated the safe domain requires improvement, due to differing experiences we received regarding the response times from staff and we found call bells were not being monitored to improve people’s experiences when they required staff assistance.

At this inspection we found the evidence continued to support the overall rating of good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection. At this inspection we found the service remained Good overall.

Why the service is rated good.

The service had a registered manager in place. A registered manager is a person who has registered with 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. The registered manager and the deputy manager supported us during our inspection. They worked closely together and were involved in the running of the service along with senior staff. Therefore, we will refer to them as 'the management team' further in the report.

During the last inspection we found differing experiences regarding the response times from care staff. At this inspection we found significant progress had been made. We found call bells are now being monitored daily to identify any shortfalls and determine what action the home intended to make to improve people's experiences.

The provider introduced an electronic care planning system in April 2018. However, we found this system did not provide a clear falls risk assessment function. Although we were assured the management team had acted to reduce the risk of falls, we found this had not always been documented in people’s risk assessments or care plans. We have made a recommendation the home implements a risk assessment framework in relation to falls management, that clearly records the action taken by the management team.

We witnessed good cooperation and communication amongst staff, who were aware of their responsibilities. People who used the service were stimulated, and had bonded with the staff and formed friendship groups amongst themselves. The home conveyed a content and welcoming atmosph

This inspection took place on 21 June 2017 and was unannounced.

At the last inspection Sunrise Operations Hale Barns Limited was rated good. At this inspection we found the service remained good overall.

Sunrise Operations Hale Barns Limited is a care home that provides accommodation for a maximum of 98 persons who require nursing or personal care. At this inspection 83 people were living there.

People were not always responded to in a timely manner by the staff supporting them.

People did not always have their medicines at the times they preferred them. However, people were supported with their medicines by trained and competent staff members.

People continued to remain safe as staff knew how to recognise and respond to concerns of ill-treatment and abuse.

The provider followed safe recruitment procedures when employing staff members.

People were assisted by a staff team who had the skills and training to effectively support them. People had access to health care when they needed it to maintain good health.

People were supported to have choice and control over their lives. They were assisted by staff in the least restrictive way possible.

People received support that continued to be caring and respectful. People’s privacy and dignity was respected by those providing assistance.

People had care and support plans that continued to reflect their personal needs and preferences. When changes occurred in people’s personal and medical circumstances, these plans were reviewed to reflect the changes.

Staff members knew people’s likes and dislikes and supported them in the manner they preferred. People and their relatives were encouraged to raise any concerns or complaints. The provider had systems in place to address any issues raised with them.

Sunrise Operations Hale Barns Limited continued to be well-led by a management team that people and staff found approachable and supportive. People were involved in decisions about their care and support and their suggestions were valued by the provider.

Staff members felt valued as employees and their opinions and ideas were listened to by the provider. The provider had systems in place to monitor the quality of service they provided and where necessary made changes to drive improvements.

Further information is in the detailed findings below.