Background to this inspection
Updated
2 April 2020
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was completed by one inspector.
Service and service type
This service 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 and support service.
The service had a manager registered with the Care Quality Commission. This means that 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
We gave the service 3 days’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 10 February 2020 and ended on 11 February 2020. We visited the office location on both dates.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
We spoke with six people who used the service and one relative about their experience of the care provided. We spoke with five members of staff including the registered manager, team leader, wellbeing and inclusion staff and care workers.
We reviewed a range of records. This included five people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We spoke with three professionals who regularly visit the service.
Updated
2 April 2020
About the service
Sanctuary Home Care Ltd - Rye is a domiciliary care service providing personal care to 13 people older people at the time of the inspection. This service provides care and support to people living in specialist 'extra care' housing. People using the service lived in a block of 55 flats within one building called St Bartholomew’s in Rye. Not all people living in the flats received support from Sanctuary Home Care Ltd – Rye. Some people were supported by other domiciliary care services and others did not have care and support needs.
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.
People’s experience of using this service and what we found
People told us they loved the staff and support from the service. One person told us, “They are good, I would recommend them.” Another said, “It’s nice living here, the staff and the atmosphere.”
People received care that was tailored to their needs. Activities were based around people’s backgrounds, interests and passions and people were encouraged to take part. Staff had considered loneliness and encouraged the making and maintenance of relationships.
People felt safe and were supported by staff who understood safeguarding, and how to report any concerns. Risks to people’s safety and wellbeing were considered and planned for. There were enough staff available to meet people’s needs and planned care visits. Medicines were managed safely. Infection control was well managed. When things went wrong, lessons were learnt and staff worked with other professionals to ensure the risk of reoccurrence was reduced.
People were supported to have 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’s needs and choices were assessed before they received support from the service. Current guidance and recognised tools were used to assess people’s needs. Staff were supported with induction, training and supervision to ensure they had the right skills to support people. People were supported to eat and drink, as needed. People were encouraged to live healthy lives and access health care support.
People were treated with kindness and compassion. People’s views about their support were important and they were encouraged to express these. People’s privacy and dignity were respected. People were supported in a way that encouraged their independence.
There was a positive, person centred culture within the service. People’s views of the service were sought and acted upon. Staff felt well supported by the manager and their efforts were recognised, such as through employee of the month. Staff worked in partnership with other professionals. The quality assurance framework supported the development of the service, with the identification of areas for improvement.
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 23 August 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.