Background to this inspection
Updated
6 March 2021
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
This inspection was carried out by one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was announced. We gave the service 48 hours’ notice of the inspection and provided an explanation as to the inspection process, and to assure ourselves effective implementation of COVID-19 guidance when visiting the office. The inspection activity started on 11 February 2021 and ended on 17 February 2021. We visited the office on 12 February 2021.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority, health authority and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all this information to plan our inspection.
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with five people who used the service and six relatives about their experience of the care provided. We spoke with five members of staff including the registered manager, a field supervisor and care workers.
We reviewed a range of records. This included four people’s care records and multiple medication records. We looked at four staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the manager to validate evidence found and feedback received from people and relatives we spoke with. We looked at training data, policies and procedures, and quality assurance records.
Updated
6 March 2021
About the service
Sanctuary Oasis Limited is a domiciliary care service. The service provides care and support to people living in their own homes. At the time of the inspection there were 29 people using the service.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.
People’s experience of using this service and what we found
People’s safety was promoted. Staff were trained and understood the actions needed to minimise the risk of avoidable harm, abuse and the prevention of avoidable infection. The registered manager had worked in partnership with health care professionals that promoted good outcomes for people.
People felt safe with the staff and were happy with the care and support they received. People were supported by a small team of staff, which provided consistency and continuity of care.
Potential risks to people’s safety had been assessed, managed and was regularly reviewed. Care plans provided clear guidance for staff to follow which included instructions from health care services to manage identified risks such as pressure care. Staff supported people with their medicines safely.
The provider continued to follow safe staff recruitment processes. Staff were committed to providing high-quality service. They had undertaken training for their role to they were skilled and knowledgeable to effectively meet people’s needs.
People and relatives all agreed that the registered manager was responsive, approachable and were confident concerns would be addressed.
The provider had systems in place to monitor and improve the quality and safety of the service provided. People’s views about the service were sought individually and through quality assurance surveys.
The registered manager was aware of their responsibilities in meeting their legal obligations. They kept their knowledge up to date and were part of the local social care forums. Health and social care professionals found the registered manager was responsive and committed to a providing a service were people’s safety and independence was promoted.
Rating at last inspection
The last rating for this service was good (report published 26 July 2019).
Why we inspected
We received concerns about the management of risks in relation to pressure area care and record keeping. As a result, we undertook a focused inspection to review the key questions of Safe and Well-led only.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
We found no evidence during this inspection that people were at risk of harm from this concern. The overall rating for the service has remained ‘Good’. This is based on the findings at this inspection. Please see the Safe and Well-Led sections of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Sanctuary Oasis Limited on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.