Background to this inspection
Updated
4 March 2022
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.
As part of CQC’s response to the COVID-19 pandemic we are looking at how services manage infection control and visiting arrangements. This was a targeted inspection looking at the infection prevention and control measures the provider had in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.
This inspection took place on 16 February 2022 and was announced. We gave the service 24 hours notice of the inspection.
Updated
4 March 2022
About the service
Sadlers Place is a residential care home providing personal care for up to nine people, including younger adults, who may have physical and or a learning disability and/or autistic spectrum disorder. At the time of our inspection, eight people were living at the service. The accommodation is provided in a purpose-built house, with bedrooms and bathrooms on the first floor, with stairs and passenger lift access. People have use of communal areas including lounges, activities room, dining room and garden.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence. People's support focused on them having as many opportunities as possible to continue their daily routines and maintain their independence.
People’s experience of using this service and what we found
People were happy living at the home and had trusting, mutually respectful relationships with staff. People received highly personalised, responsive care from staff who went above and beyond to ensure people achieved positive outcomes and were as independent as they wished. Staff were warm and caring and respected people’s privacy and dignity at all times.
Professionals and relatives were highly complimentary about the person-centred care and support people received. Professionals praised the registered manager’s leadership and collaborative approach to working with other health services and families, which improved people’s quality of life.
People felt safe and were protected from the risk of harm by staff who understood their responsibilities to identify and report any signs of potential abuse. There was a consistent approach to safeguarding and any concerns were taken seriously and investigated thoroughly in an objective way.
People had maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People were fully involved in their care and the running of the home. People decided how they spent their time and were supported to follow their interests and engage in a variety of activities which met their individual needs and preferences. People attended local groups and organisations and there were effective links with other services to increase people's circle of friends.
People’s care and support plans reflected their needs and preferences and were regularly reviewed. People’s diversity was recognised and promoted by the staff and systems were in place to meet people’s communication needs.
Staff were well trained and supported to meet people’s changing needs. The provider ensured there were sufficient, suitably recruited staff to meet people's needs and promote their wellbeing.
Risks associated with people's care, including receiving their prescribed medicines, were identified and managed safely,
People were supported to maintain a healthy diet in line with their needs and preferences, and to access other professionals to maintain good health.
People benefitted from a service that had an open and inclusive culture, led by a registered manager who was committed to improving people’s care and support. Governance arrangements were well embedded and effective in highlighting and rectifying any shortfalls. Staff respected the registered manager and felt valued and supported in their role.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (published 17 May 2017).
Why we inspected
This was a planned inspection based on the previous rating.
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.