Sandton Healthcare Limited

Sandton Healthcare Limited is a domiciliary care agency providing personal care to people in their own homes. The service provides support to older people, some of whom may be living with dementia and people with a learning disability. At the time of our 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. At the time of our inspection, 11 people were supported with personal care.

People’s experience of using this service and what we found

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Right Support:

People were supported to have maximum choice and control of their lives. Staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. However, we found mental capacity assessments lacked evidence people had been involved and supported to understand. We have made a recommendation related to supporting people with decision making. Staff promoted people’s independence by allowing them to do as much as they could for themselves and offered support when needed. They supported people to take their medicines as prescribed and to access other healthcare services.

Right Care:

People’s support plans reflected their range of needs. However, not all risk assessments had been completed and guidance for staff was not always detailed. We have made a recommendation related to this. People received kind and compassionate care. Staff protected and respected people’s privacy and dignity and understood their individual needs.

The service had enough appropriately trained staff to meet people’s needs and keep them safe. Staff understood how to protect people from poor care and abuse.

People could communicate with staff and understand information given to them as this was available in different formats and staff understood their individual communication needs.

Right Culture:

People received good quality care because trained staff could meet their needs. Staff knew and understood people well. People and those close to them were involved in planning their care. Staff and managers listened to people’s views to develop and improve the service.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 3 March 2022, and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Recommendations

We have made recommendations in relation to support with decision making and monitoring of the service.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.