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Sandrock House Residential Care Home Outstanding

Inspection Summary


Overall summary & rating

Outstanding

Updated 6 December 2017

The inspection took place on 5 September 2017 and was unannounced. The last comprehensive inspection took place in March 2015, when the registered provider was meeting the regulations and the service was rated good.

Sandrock House is a care home situated in the Bessacarr area of Doncaster. It is registered to provide personal care for up to 37 people. The care provided is for people who have needs associated with those of older people and people living with dementia.

The service is near public transport and is in easy distance of the town centre and other amenities.

At the time of our inspection there was a registered manager in post. 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.

The registered manager and registered provider were committed to maintaining a high quality service which was based on the individual needs and preferences of people who used the service. The registered provider and registered manager were passionate about the service and ensured staff were trained and focused in providing person centred care.

There was a strong emphasis on continual improvement and best practice which benefited people who used the service. The registered provider was committed to ensuring the service constantly improved and kept people who used the service at the centre of new initiatives.

The registered provider and registered manager were committed to use innovative and creative ideas to achieve high standards and to ensure people were empowered and given opportunities to voice their opinions. The service was managed in a person centred way making sure people who used the service were at the heart of everything. The registered provider placed a strong emphasis on improvement and worked towards and achieved recognised quality accreditation schemes such as the Gold Standards Framework for End of Life Care, a malnutrition project and a project with the emergency care practitioner’s to develop staff skills around basic observations. This report gives examples about how these projects have impacted on people’s lives.

People were protected from abuse and avoidable harm. Staff we spoke with were extremely knowledgeable about the procedure to follow for reporting concerns of a safeguarding nature. Staff were also aware of the whistle blowing procedure and confirmed that they would not hesitate to use this if required.

Risks associated with people’s care were identified and plans were in place to help minimise the risk from occurring. Staff were knowledgeable about risks and knew how to prevent them.

We found medicines were managed in a safe way and people received their medicines as prescribed. Medicines were stored appropriately and temperatures were taken of the medicine rooms and fridge.

Through our observations and talking with relatives of people who used the service and the staff, we found there were enough staff to meet people’s needs. Staff told us there was enough of them to assist people without rushing and they had time to spend talking with people.

The registered provider had a safe recruitment process in place. Pre-employment checks were carried out prior to the person commencing their employment at the service.

Staff received training which gave them the skills and knowledge to carry out their role effectively. Training was refreshed on a regular basis to ensure their knowledge was updated and well maintained. The registered provider was also committed to their own training and was currently in the process of completing a level 5 management diploma.

People received a healthy, balanced diet that met their needs and ensured they received appropriate nutritious food and drink intake. The registered provider was involved in a project which ensured people received the right nutrition to maintain their calorie intake and to prevent people loosing unnecessary weight and becoming malnourished.

The registered provider was meeting the requirements of the Mental Capacity Act 2005. Care plans included information regarding capacity and this was assessed on an individual basis and was decision specific.

People who used the service and their relatives were extremely satisfied with the home and felt it provided a safe and comfortable environment where their preferences and wishes were upheld. The registered manager and staff team were committed to a strong person centred culture. Key values such as kindness, caring, respect and privacy were reflected on the day of our inspection and were embedded in to practice.

We observed staff interacting with people who used the service and found they were exceptionally caring and committed in providing person centred support. Staff shared a passion which ensured people felt valued and were at the heart of their care. People we spoke with felt valued and respected.

We looked at care records belonging to people who used the service and we found they reflected people’s needs and preferences. Social activities and stimulation were provided which were arranged by two activity co-ordinators. People felt able to raise concerns and told us the registered provider took appropriate actions to resolve them.

Further information is in the detailed findings below

Inspection areas

Safe

Good

Updated 6 December 2017

The service was safe.

The service had a policy in place to protect people from the risk of abuse. The registered manager kept a record of safeguarding incidents.

Risks associated with people’s care were identified and plans were in place to minimise the risk from occurring.

The registered provider had a safe recruitment system.

People’s medicines were managed in a safe way and people received them as prescribed.

Effective

Outstanding

Updated 6 December 2017

The service was extremely effective.

The registered provider had worked with health care professionals to ensure people’s weight was monitored and any risks of malnutrition addressed.

Staff were trained to carry out their role in a professional manner. Staff understood the importance of care delivery and were trained effectively to ensure they were able to support people living with dementia.

The registered provider worked in partnership with other agencies to ensure people received the appropriate support they required in a timely manner.

The service was working within the principles of the Mental Capacity Act 2005.

Caring

Outstanding

Updated 6 December 2017

The service was extremely caring.

The registered manager and staff team were committed to a strong person centred culture. Kindness, respect and dignity were key principles which were expected by the registered provider. These values were reflected on the day of our inspection and were embedded in to practice.

People were supported by staff who were extremely caring and understanding. Staff ensured people’s dignity was respected at all times.

The management team and staff were committed to providing high quality end of life care and achieved a recognised quality accreditation known as the Gold Standards Framework for End of Life Care.

Responsive

Good

Updated 6 December 2017

The service was responsive.

People’s health, care and support needs were individually assessed and planned in line with people’s preferences and personal choices were maintained.

People were able to participate in social activities.

People felt able to raise concerns if they needed to and felt extremely confident that they would be resolved quickly and effectively.

Well-led

Good

Updated 6 December 2017

The service was well-led.

People who used the service, their relatives and staff, felt involved in the service delivery and could raise ideas and suggestions to improve the service.

Staff were highly motivated and understood what was expected of them.

There was a strong emphasis on continual improvement and best practice which benefited people who used the service. The registered provider was committed to ensuring the service constantly improved and kept people who used the service at the centre of new initiatives.

The registered manager and registered provider constantly reviewed the service and completed audits to ensure people received an efficient and high quality service.