Background to this inspection
Updated
16 August 2018
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 12 and 14 June 2018. The inspection team consisted of one inspector and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this kind of service.
Before this inspection, the provider completed a Provider Information Return (PIR). We used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give us some key information about the service, what the service does well and improvements they plan to make. We also checked other information we held about the service including previous inspection reports and notifications. A notification is information about important events which the service is required to send us by law.
During the inspection we visited and spoke with six people who used the service. We also spoke with the registered manager and three support workers. We looked at a range of records which included the care records for four people, medicines records and recruitment records for four care and support staff. We looked at other records in relation to the management of the service, such as health and safety, minutes of staff meetings and quality assurance records.
We last inspected the service in March 2016 where no concerns were found. The service was rated as good in all domains.
Updated
16 August 2018
We carried out this unannounced inspection on the 12 and 14 June 2018.
This service provides care and support to people living in two ‘supported living’ settings, so that they can live as independently as possible. 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. The service also provides support to people who lived in self-contained flats. This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community and specialist housing.
Not everyone using Sanctuary Supported Living (98 Old Milton Road) receives regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided. At the time of our inspection the service was providing care and support for eleven people with a variety of care needs, including people living with learning disabilities or who have autism spectrum disorder.
The service had 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.
We received positive feedback from people about the service. All people who used the service expressed great satisfaction and spoke highly of the care staff.
People felt safe with the service provided by Sanctuary Supported Living (98 Old Milton Road) and risks to people were minimized through risk assessments. There were plans in place for foreseeable emergencies.
Relevant recruitment checks were conducted before staff started working at the service to make sure they were of good character and had the necessary skills. Staff had received training in safeguarding adults and knew how to identify, prevent and report abuse. There were enough staff to keep people safe.
People were supported to take their medicines safely from suitably trained staff. Medication administration records (MAR) confirmed people had received their medicines as prescribed.
People received varied meals including a choice of fresh food and drinks. Staff were aware of people’s likes and dislikes and went out of their way to provide people with what they wanted.
Staff received regular support and one to one sessions or supervision to discuss areas of development. They completed a wide range of training and felt it supported them in their job role.
People were cared for with kindness and compassion. Care plans provided comprehensive information about how people wished to receive care and support. This helped ensure people received personalised care in a way that met their individual needs.
People were supported and encouraged to make choices and had access to a range of activities. Staff knew what was important to people and encouraged them to be as independent as possible.
A complaints procedure was in place. There were appropriate management arrangements in place. Regular audits of the service were carried out to assess and monitor the quality of the service.