Archived: Sanctuary Home Care Ltd - Scarborough

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 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. At the time of this inspection, the service was providing support to 25 people who were in receipt of a regulated activity at the extra care location.

The inspection took place on 16 January 2018 and was announced. We gave the provider 48 hours' notice because the location provides domiciliary care services and we needed to be sure that someone would be in the office. Visits to people who used the service also took place on 16 January 2018.

At the last inspection, the service was rated Good. At this inspection, we found the service remained Good.

There was a manager in post who had registered with CQC who supported the running of the service.

Staff demonstrated a good understanding of safeguarding people who may be vulnerable. They were aware of what to look for and knew how to report incidents. They knew the people they supported well. People we spoke with told us they felt safe, respected and well cared for.

People's medicines were managed safely and staff competency to administer medication was checked regularly by the registered manager.

Risks to people's health and safety had been identified and risk assessments were in place to guide staff.

Safe recruitment procedures had been followed. There was enough staff on duty to support people safely.

Staff had access to personal protective equipment and staff promoted good infection control practices.

A thorough induction was in place for new staff when they joined the service. Training records for all staff were up to date and the registered manager had a good overview of the team’s training needs. Staff were supported by management though a regular system of supervisions to monitor their performance.

Where needed, people were supported to maintain a balanced diet.

Staff worked within the principles of the Mental Capacity Act when providing support to people. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.

People spoke positively about the caring nature of staff and the support they received. People were treated with dignity and their choices were respected by staff.

Care records were detailed and contained relevant information to enable staff to provide personalised care and support. People were aware of their care plans and signed documentation evidenced that consent was sought.

A comprehensive complaint procedure was in place which had been followed.

People, staff and relatives spoke positively about the management team.

Satisfaction surveys had been distributed to gain the views of people who used the service. Action had been taken where required.

Quality assurance processes were in place and conducted on a regular basis to enable the service to continuously improve.

Further information is in the detailed findings below.