Background to this inspection
Updated
8 June 2017
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check 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.
This inspection took place on 10 and 11 May 2017 and was announced. The provider was given 48 hours’ advance notice because the service provides domiciliary care within an extra care setting and we needed to ensure that staff were available to speak with us. This meant the provider knew we were coming.
Prior to the inspection we reviewed the information we held about Sanctuary Care - Clapham including notifications we had received. Notifications are information about important events the provider is required to tell us about by law. We used this information in the planning of the inspection.
During the inspection we spoke with eight people and two relatives. We also spoke with five staff, two team leaders and the registered manager. We reviewed 12 people’s care records and risk assessments and 18 medicines administration records. We looked at documents relating to staff and management. We reviewed nine staff files which included pre-employment checks, training records and supervision notes. We read the provider’s quality assurance information and audits. We looked at complaints and compliments from people and their relatives.
Following the inspection we contacted four health and social care professionals to gather their views about the service people were receiving.
Updated
8 June 2017
This inspection took place on 10 and 11 May 2017. The inspection was announced.
Sanctuary Care provides personal care for tenants living in self-contained flats. At the time of the inspection the service was delivering domiciliary support to 39 older people, people with mental health needs and people with a learning disability.
This was the provider’s first inspection since registering to deliver personal care at this location.
The service had a registered manager at the time of the inspection. 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.
People were safe because staff received training and understood how to protect people from abuse. Staff also knew what to do if they suspected people were at risk of abuse. People had risk assessments in place to reduce their risk of avoidable harm. There were enough vetted staff available to support people safely and people received their medicines as prescribed by their GP.
People received care and support from staff who had been inducted, trained, supervised and appraised. People were treated in accordance with the Mental Capacity Act 2005 and their consent was sought before care was delivered. People’s nutritional needs were met and staff supported people with timely access to healthcare services.
People living in the service were supported by kind and caring staff. People’s privacy was respected and they were treated with dignity. People’s family and friends visited and people were supported to maintain the relationships that mattered to them. Staff ensured that people received the support they required to maintain their independence.
People received care that met their assessed needs. People were supported with reassessments when their needs changed and health and social care professionals participated in these. Staff had guidance on meeting people’s needs in care records. The provider actively sought the views of people about their experiences of care and support. The provider acted on this feedback as well as on all complaints received.
There was an open management culture within the service and the staff felt supported by the registered manager and team leaders. The quality of the service people received was subject to audits and action by the registered manager. The provider supported the manager in their role and the service worked in partnership with external agencies.