Background to this inspection
Updated
22 February 2019
The inspection:
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team: The inspection team consisted of one inspector.
Service and service type:
Sanctuary supported living – 26 Tilmore Gardens 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. Personal care was also provided to four people living in a supported living household. 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. Both services were managed by the same registered manager and had separate staff teams.
There was 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.
Notice of inspection This inspection took place on the 7, 9 and 12 November 2018 and was unannounced.
What we did: We used information the provider sent us in the Provider Information Return (PIR). This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We looked at information we held about the service including notifications they had made to us about important events.
We visited both locations and spoke with eight people and five relatives, four staff members during our visits and one staff member by phone following our visit. We also spoke with the registered manager and a visiting ex staff member. We received feedback from a community learning disability nurse.
We reviewed six people’s care records, policies and procedures, records relating to the management of the service including audits and quality assurance reports, records of accidents, incidents and complaints, staff training and supervision records and the recruitment records of care workers.
Updated
22 February 2019
What life is like for people using this service:
•People using this service benefitted from an outstanding caring, responsive and well-led service. People were consistently observed to be treated with kindness, compassion and respect. People told us they very well cared for and our observations confirmed this. People’s relatives spoke overwhelmingly of the positive outcomes their relatives had achieved and how the service went “Over and above” their expectations in supporting people to achieve a good quality of life.
•In line with Registering the Right Support guidance, people were placed at the heart of the service, their views, opinions and wishes were sought and acted on to deliver person centred care tailored to their needs and aspirations. People had achieved excellent outcomes based on a robust care planning approach to meet their changed needs. People’s independence was promoted and valued enabling people to maintain and develop skills and abilities to meet their desired outcomes.
•The service continued to provide safe and effective care. People were supported to live as independently as possible and to manage risks to their health safety and wellbeing. Staff continued to complete training that supported them to provide effective care and this included training to meet the specific needs of the people they supported. People experienced positive outcomes in their health due to the prompt and thorough approach in managing people’s healthcare needs.
•The service was exceptionally well led. The registered manager was passionate about providing a high standard of care and committed to challenging discrimination which impacted on the rights, choices and needs of the people they supported. This had resulted in improvements to people’s care and treatment and an improved quality of life. Staff consistently fed back they were well supported in their role and told us the leadership was “Excellent”. There was a strong emphasis on continuous improvements which were identified through a robust approach to quality assurance, incident analysis and an inclusive ‘can do’ culture and ethos.
•More information in detailed findings below
Rating at last inspection: Good (the date the last report was published was 11 January 2016)
About the service: Sanctuary supported living – 26 Tilmore Gardens is a residential care home that was providing accommodation and personal care to 10 people living with a learning disability. Personal care was also provided to four people living in a supported living household. Both services were managed by one registered manager with separate staff teams.
The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.
Why we inspected: This was a planned inspection based on previous rating, the service has improved to Outstanding.
Follow up: We will continue to monitor this service and plan to inspect in line with our inspection schedule for those services rated as Outstanding.