Background to this inspection
Updated
15 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 was carried out by one inspector.
Service and service type:
This service is a domiciliary care agency providing support to people in their own flats in an ‘extra care’ scheme. It provided a service to older adults and younger disabled adults.
The service had a manager registered with the Care Quality Commission. This means 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:
The inspection was announced and we gave them two days’ notice. This is because the service is small and we needed to be sure someone would be there. The inspection site visit took place on 1 February 2019.
What we did:
We used the information we held about the service, including notifications, to plan our inspection. A notification is information about events that by law the registered persons should tell us about. Prior to the inspection the provider sends us a Provider Information Return (PIR). This is information we require providers to send to us when we request it to give some key information about the service, what the service does well and improvements they plan to make.
We spoke with four people who used the service, a senior care staff member, three care assistants, the head of care, the registered manager and the provider’s area service manager. We viewed three care files for people, including daily notes and medicines records. We viewed accidents and incidents records. We looked at two staff recruitment files. We also looked at documents relating the management and administration of the service such as audits, meeting records and surveys.
Updated
15 February 2019
About the service:
Sanctuary Home Care Ltd – Stoke provides care and support to people living in specialist ‘extra care’ housing. Extra care housing is purpose-built or adapted single household accommodation in a shared site or building. The accommodation is bought or rented, and is the occupant’s own home. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for extra care housing; this inspection looked at people’s personal care. At the time of the inspection there were ten people being supported with personal care living in the scheme. People had a range of support needs such as people living with dementia, people with mental health needs, older and younger adults and people with a physical and/or sensory impairment.
The service was also registered for domiciliary care for people living in their own homes in the community; however, the service was not currently supporting anyone with this.
People’s experience of using this service:
People felt safe and risks were mitigated. There were enough staff to ensure people received timely support. People received their medicines. Lessons were learned when things went wrong. People were protected from cross infection as appropriate measures were in place.
People had their needs assessed and had access to other healthcare professionals when needed. People were supported to have food and drinks appropriate for their needs. The principles of the Mental Capacity Act (2005) were being followed.
People were treated with dignity and respect by staff. People had a choice and were able to make decisions about their care whilst being supported to remain independent.
People received personalised care that met their needs. People knew they could make a complaint if they needed to and these were responded to. No one was nearing the end of their life at the time of the inspection, however the provider had considered the plans people may need and had developed templates in readiness.
People, relatives and staff found the registered manager and head of care approachable and supportive. The service worked in partnership with organisations and sought feedback from people who used the service to make improvements.
Systems were in place to monitor the care people received and improvements were made when necessary. People were asked for their opinion about their care. The service worked in partnership with other organisations. The previous inspection rating was displayed and notifications were submitted as necessary.
Rating at last inspection:
Requires Improvement (report published February 2017)
Why we inspected:
We planned the inspection based on the previous rating.
Follow up:
We will continue to monitor the service through the information we receive.