Sarnes Court

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

The service assessed and reviewed people’s care and support needs with them. People’s care and risk management plans were personalised and focused on empowering people to be independent. People had capacity to consent to their care arrangements. Staff supported people to make informed decisions about their daily living and respected their choices.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The registered manager explained the process for assessing people’s needs before they moved to the service. This was a comprehensive approach so they obtained a holistic understanding of a person’s care and support needs, what was important to the person and how they wanted to be supported. They involved people and those important to them in the assessment, as well as professionals and other providers with experience of supporting the person. The registered manager also requested reviews and assessments from other agencies when a person’s needs changed. For example, they accessed physiotherapy assessments and equipment when a person’s mobility needs changed.

The registered manager was responsive to feedback from partners about assessing or reviewing people’s needs and care and risk management plans.

The provider had systems in place for making sure people’s needs were assessed before they used the service. These systems included regular checks and audits to ensure that people’s care and risk management plans were reviewed regularly and updated when required.

The people who received personal care from Sanctuary Home Care Limited had lived at the service for a long time, some for over a decade. One person told us they had had lived at the service for many years and “I like it here.” This meant it had been some time since the provider first assessed their needs. However, people we spoke with said they had care plans in place. The plans we saw were personalised, strengths-based and reflected people’s needs and aspirations, including their physical and mental health needs. People had plans in place if required to support them proactively if they experienced distress. Staff reviewed plans with people regularly and when a person’s needs changed.

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

Staff took people’s views and wishes into account when their care was routinely reviewed with them. Staff had completed awareness training on working in line with the principles of the Mental Capacity Act (MCA) 2005 . The registered manager explained how they worked to access independent advocacy support for some people who used the service.

People had capacity to consent to and make decisions about their care arrangements. Staff supported people to understand and make decisions about their care and support. This helped people to know their rights around consent to the care and make informed decisions about their daily living and staff respected their choices.

The provider had procedures in place for assessing people’s mental capacity to agree to their care or make other specific decisions when needed. The registered manager ensured staff reviewed people’s capacity to consent to their care on a monthly basis so their care plans were always up to date and promoted people’s independence. The provider’s regular audits of care and risk management plans included checking that all relevant capacity and consent arrangements were in place and documented. This helped the provider to make sure people’s rights were protected in line with the MCA 2005.